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Yıl:2016; Cilt: 2; Sayı: 1>> Özet
Türkiye Klinikleri Psikiyatri Hemşireliği Özel Dergisi; 2016;2(1):21-26
Deliryum ve Hemşirelik Bakımı
SA Karakaş, A Okanlı
Atatürk Üniversitesi, Erzurum
Deliryum hastanede yatan yaşlı hastalarda yaygın olarak görülmektedir. Deliryum tablosu, tanınmaz ve tedavi edilmezse morbidite ve mortaliteyi arttıran ciddi bir sorundur. Hemşireler, deliryum tanınması ve yönetiminden sorumludur. Liderlik ve bakımın sürekliliği kanıta dayalı önleme stratejileri kullanarak; doğru tanı ve tedavi uygulamasında hemşirelerin önemli rolleri vardır. Bu nedenlerden dolayı bu çalışma, deliryum tanılamasında önemli sorumlulukları olan hemşirelerin, konuyla ilgili yaklaşımlarını ve neler yapılabileceğini belirlemek amacıyla yapılmıştır. Bu amaçla internet erişim ağı üzerinden deliryum (delirium), hemşirelik (nursing), bakım (care) anahtar kelimeleri kullanılarak Pubmed, Web of Science, Cochrane, Türk Atıf Dizini, Türk Psikiyatri Dizini arama motorlarında tarama yapılmış ve konuyla ilgili çalışmalara ulaşılmıştır. Konuyla ilgili çalışma sonuçları, hemşirelerin deliryum konusunda yeterli bilgiye sahip olmadıklarını ve klinikte rutin kullanabilecekleri bir ölçüm aracının olmamasının deliryumun ölümcül etkilerini artırdığını göstermiştir. Bu nedenle hemşirelerin bu konudaki eğitim ihtiyacı hizmet içi eğitimlerle karşılanması ve rutin kullanabilecekleri bir ölçüm aracının olmasının yararlı olacağı düşünülmektedir.
Delirium and Nursing Care
Delirium is common in hospitalized elderly patients. Manifestation of delirium is a serious problem that increases morbidity and mortality if not recognized and left untreated. Nurses are responsible for the recognition and management of delirium. And, nurses have a role in the accurate diagnosis and treatment by using their leading role in continuity of care and evidence-based prevention strategies. Therefore, this study aims to identify the possible actions to be taken, as well as the attitudes of nurses, who have important responsibilities in this regard. For this purpose, the Pubmed, Web of Science, Cochrane, Turkish Citation Index, Turkish Psychiatry Directory search engines were searched over the Internet using keywords such as delirium, nursing and care in order to find relevant studies. Results of the study on the subject showed that nurses did not have sufficient knowledge about delirium, and lack of a measurement instrument to be used routinely in a clinical setting increases the mortal effects of delirium. Therefore, it's though that the training need of nurses in this regard can be met through in-service training, and providing a measurement instrument for routine use will be beneficial as well.

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