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Ürolojik Cerrahi Hastasının Bakımında Güncel Yaklaşımlar

Yıl 2024, Cilt: 9 Sayı: 1, 72 - 82, 30.04.2024

Rabia Görücü , Ezgi Seyhan Ak

https://doi.org/10.51754/cusbed.1340627

Öz

Cerrahide yeni teknolojik gelişmeler, anestezi alanındaki güncel yaklaşımlar, ameliyat öncesi ve sonrası hasta bakımında gerçekleştirilen iyileşmeler sonucunda cerrahi girişimler yaygın olarak uygulanmaya başlanmıştır. Cerrahi Sonrası Hızlandırılmış İyileşme (ERAS), modern tıbbın gereksinimlerini karşılayan, hastaların iyileşme sürelerini kısaltmalarına, komplikasyonları azaltmalarına ve prognozlarını etkili bir şekilde iyileştirmelerine yardımcı olmak için bir dizi girişimi içeren multidisipliner yaklaşımdır. ERAS ilkelerinin uygulanması çoğu majör ürolojik cerrahi için geçerlidir. ERAS, laparoskopik radikal nefrektomi, radikal sistektomi, adrenalektomi, parsiyel nefrektomi, prostat hiperplazisi cerrahisi ve robot yardımlı laparoskopik radikal prostatektomi dahil olmak üzere ürolojik cerrahide yaygın olarak kullanılmaktadır ve hastaların fiziksel fonksiyonlarının iyileşmesinin hızlanması, hastanede kalış süresinin kısalması, yaşam kalitesi sırasında memnuniyetlerinin artırılması gibi ameliyat sonrası iyi klinik sonuçlar elde edilmektedir. Ürolojk cerrahi sonrası en iyi hasta sonuçlarına ulaşmak için sistematik ve kanıta dayalı hemşirelik bakımı uygulamaları tercih edilmelidir. Hemşirelerin ürolojik cerrahi ile ilgili çalışmalara katılarak hasta bakımında güncel yaklaşımları benimsemesi ve uygulaması oldukça önemlidir. Bu derlemede, ürolojik cerrahi hastasının bakımında güncel yaklaşımları literatür ışığında kısaca açıklanması hedeflenmiştir.

Anahtar Kelimeler

Cerrahi Sonrası Hızlandırılmış İyileşme Hemşirelik Bakımı Ürolojik Cerrahi

Destekleyen Kurum

Destekleyen Kurum yoktur.

Proje Numarası

Yoktur.

Teşekkür

Yoktur.

Kaynakça

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Current Approaches in the Care of the Urological Surgery Patient

Yıl 2024, Cilt: 9 Sayı: 1, 72 - 82, 30.04.2024

Rabia Görücü , Ezgi Seyhan Ak

https://doi.org/10.51754/cusbed.1340627

Öz

As a result of new technological developments in surgery, current approaches in the field of anesthesia, and improvements in patient care before and after surgery, surgical interventions have been widely used. Enhanced Recovery After Surgery (ERAS) is a multidisciplinary approach that meets the requirements of modern medicine and includes a set of initiatives to help patients shorten recovery times, reduce complications and effectively improve their prognosis. The application of ERAS principles applies to most major urological surgeries. ERAS is widely used in urological surgery, including laparoscopic radical nephrectomy, radical cystectomy, adrenalectomy, partial nephrectomy, prostatic hyperplasia surgery, and robot-assisted laparoscopic radical prostatectomy, and can be used to accelerate patients' physical function recovery, shorten hospital stays, and increase their satisfaction during quality of life. good clinical results are obtained after Systematic and evidence-based nursing care practices should be preferred in order to achieve the best patient outcomes after urology surgery. It is very important for nurses to adopt and apply current approaches in patient care by participating in studies related to urology surgery. In this review, it is aimed to briefly explain the current approaches in the care of the urological surgery patient in the light of the literature.

Anahtar Kelimeler

Enhaced Recovery After Surgery Nursing Care Urologic Surgery

Proje Numarası

Yoktur.

Kaynakça

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  • Seyhan Ak, E. (2020). Ürolojik cerrahi sonrası ağrı yönetiminde güncel yaklaşımlar. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 23(4), 546-551. https://doi.org/10.17049/ataunihem.559052
  • Smith, A., Anders, M., Auffenberg, G., Daneshmand, S., Elllimootil, C., & Fellows, J. (2018). Optimizing outcomes in urologic surgery: postoperative. The American Urological Association gratefully acknowledges the assistance of the American Society of Anesthesiologists and Society of Urologic Nurses and Associates in the creation of the white paper.
  • Soysal, G. E., & İlçe, A. (2018). Ameliyat Döneminde İstenmeyen Hipotermide Kanita Dayali Uygulamalar, Evidence Based Practices on the Unplanned Perioperative Hypothermia. Bozok Tıp Dergisi, 8(2), 72-79. https://doi.org/10.16919/bozoktip.337029
  • Stewart, D., & Waxman, K. (2010). Management of postoperative ileus. Disease-a-month, 56(4), 204-214. https://doi.org/10.1016/j.disamonth.2009.12.008
  • Sung, L. H., & Yuk, H. D. (2020). Enhanced recovery after surgery of patients undergoing radical cystectomy for bladder cancer. Translational Andrology and Urology, 9(6), 2986. https://doi.org/10.21037/tau.2020.03.44
  • Tanner, J., & Melen, K. (2021). Preoperative hair removal to reduce surgical site infection. Cochrane database of systematic reviews, 26(8), CD004122. doi: https://doi.org/10.1002/14651858.CD004122.pub5.
  • Thomsen, T., Villebro, N., & Møller, A. M. (2014). Interventions for preoperative smoking cessation. Cochrane database of systematic reviews, (3). https://doi.org/10.1002/14651858.CD002294.pub4
  • Venclauskas, L., Llau, J. V., Jenny, J. Y., Kjaersgaard-Andersen, P., & Jans, Ø. (2018). European guidelines on perioperative venous thromboembolism prophylaxis: day surgery and fast-track surgery. European Journal of Anaesthesiology| EJA, 35(2), 134-138. https://doi.org/10.1097/EJA.0000000000000706
  • Vermişli, S., Çam, K. (2015). Üroonkoloji radikal cerrahi sonrası erken mobilizasyonun etkinliği. Üroonkoloji Bülteni, 14, 324-326. https://doi.org/10.4274/uob.467
  • Vukovic, N., & Dinic, L. (2018). Enhanced recovery after surgery protocols in major urologic surgery. Frontiers in Medicine, 5, 93. https://doi.org/10.3389/fmed.2018.00093
  • Webster, J., & Osborne, S. (2015). Preoperative bathing or showering with skin antiseptics to prevent surgical site infection. Cochrane database of systematic reviews, (2). https://doi.org/10.1002/14651858.CD004985.pub5
  • Weimann, A., Braga, M., Carli, F., Higashiguchi, T., Hübner, M., Klek, S., ... & Singer, P. (2017). ESPEN guideline: clinical nutrition in surgery. Clinical nutrition, 36(3), 623-650. https://doi.org/10.1016/j.clnu.2017.02.013
  • Williams, S. B., Cumberbatch, M. G., Kamat, A. M., Jubber, I., Kerr, P. S., McGrath, J. S., ... & Daneshmand, S. (2020). Reporting radical cystectomy outcomes following implementation of enhanced recovery after surgery protocols: a systematic review and individual patient data meta-analysis. European urology, 78(5), 719-730. https://doi.org/10.1016/j.eururo.2020.06.039
  • Xu, D., Zhu, X., Xu, Y., & Zhang, L. (2017). Shortened preoperative fasting for prevention of complications associated with laparoscopic cholecystectomy: a meta-analysis. Journal of International Medical Research, 45(1), 22-37. https://doi.org/10.1177/0300060516676411
  • Yi, J., Lei, Y., Xu, S., Si, Y., Li, S., Xia, Z., ... & Huang, Y. (2017). Intraoperative hypothermia and its clinical outcomes in patients undergoing general anesthesia: National study in China. PloS one, 12(6), e0177221. https://doi.org/10.1371/journal.pone.0177221
  • Zainfeld, D., & Djaladat, H. (2017). Enhanced recovery after urologic surgery—Current applications and future directions. Journal of Surgical Oncology, 116(5), 630-637. https://doi.org/10.1002/jso.24821
  • Zhao, T., Huang, L., Tian, Y., Wang, H., Wei, Q., & Li, X. (2014). Is it necessary to insert nasogastric tube routinely after radical cystectomy with urinary diversion? A meta-analysis. International Journal of Clinical and Experimental Medicine, 7(12), 4627. ISSN:1940-5901/IJCEM0002770
  • Ziegelmueller, B. K., Jokisch, J. F., Buchner, A., Grimm, T., Kretschmer, A., Schulz, G. B., ... & Karl, A. (2020). Long-term follow-up and oncological outcome of patients undergoing radical cystectomy for bladder cancer following an enhanced recovery after surgery (ERAS) protocol: results of a large randomized, prospective, single-center study. Urologia Internationalis, 104(1-2), 55-61. https://doi.org/10.1159/000504236
Toplam 88 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Genel Cerrahi
Bölüm Derleme
Yazarlar

Rabia Görücü 0000-0001-8272-7710

Ezgi Seyhan Ak 0000-0002-3679-539X

Proje Numarası Yoktur.
Erken Görünüm Tarihi 29 Nisan 2024
Yayımlanma Tarihi 30 Nisan 2024
Yayımlandığı Sayı Yıl 2024Cilt: 9 Sayı: 1

Kaynak Göster

APA Görücü, R., & Seyhan Ak, E. (2024). Ürolojik Cerrahi Hastasının Bakımında Güncel Yaklaşımlar. Cumhuriyet Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 9(1), 72-82. https://doi.org/10.51754/cusbed.1340627
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