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Multiple Kırığı Olan Göçmen Depremzedenin NANDA, NIC ve NOC Sınıflandırma Sistemlerine Göre Hemşirelik Bakımı-Olgu Sunumu

Year 2025, Volume: 10 Issue: 1, 79 - 89, 30.04.2025

Ayşegül Kaya İmrek , Şerife Karagözoğlu

Abstract

Deprem sonrası meydana gelen en sık yaralanma türü ekstremite yaralanmalarıdır ve multiple kırıklar ile sonuçlanabilmektedir. Uygun ortopedik cerrahi girişimler belirlenerek hastaların fizyolojik bütünlüğü sağlanmalıdır. Bunun yanı sıra depremzedenin her yönüyle ele alınıp bakımın yalnızca fizyolojik değil, sosyal ve ruhsal olarak da sağlanması gerekmektedir. Bu bağlamda hemşirelik bakımı büyük önem kazanmaktadır. Sunulan bakımın standardize edilmiş bir temele dayandırılması istendik hasta sonuçlarına ulaşmak için oldukça önemlidir. Hemşirelik bakımı için bu bilimsel temel, birçok ülkede kullanılmakta olan Kuzey Amerika Hemşirelik Tanıları Birliği, Hemşirelik Girişimleri ve Sonuçları Sınıflaması taksonomisine dayandırılmaktadır. Bu olgu sunumunda multiple kırığı olan göçmen depremzedenin hemşirelik sürecinde Kuzey Amerika Hemşirelik Tanıları Birliği tanıları, Hemşirelik Girişimleri Sınıflandırması ve Hemşirelik Sonuçları Sınıflandırması sistemleri kullanılmıştır. Bu doğrultuda birey için beslenme, boşaltım ve değişim, aktivite ve dinlenme, baş etme ve stres toleransı, güvenlik/koruma ve konfor alanlarına yönelik on hemşirelik tanısı belirlenmiş, bu tanılara yönelik 29 hemşirelik girişimine yer verilmiş ve bu alanlarda iyileşme sağlanmıştır.

Keywords

multiple/çoklu kırık hemşirelik tanıları sınıflaması hemşirelik girişimleri sınıflaması hemşirelik sonuçları sınıflaması hemşirelik bakımı

Ethical Statement

Bu olgu sunumunun yapılabilmesi için hasta yakınından sözlü ve yazılı onam alınmıştır.

References

  • Abu-Zidan, F. M., Jawas, A., Idris, K., & Cevik, A. A. (2024). Surgical and critical care management of earthquake musculoskeletal injuries and crush syndrome: A collective review. Turkish Journal of Emergency Medicine, 24(2), 67–79. https://doi.org/10.4103/tjem.tjem_11_24
  • Aslan, G. K., & Emıroglu, O. N. (2012). Use of a Standardized and Coded Nursing Terminology to Enhance Nursing Visibility: Clinical Care Classification System. Journal of Hacettepe University Faculty of Nursing.
  • Ay, F. (2008). Internationally Used Nursing Diagnosis and Practice Classification Systems. Turkiye Clinics J Med Sci, 28, 555–561. https://www.researchgate.net/publication/239567035
  • Bulechek GM, Butcher HK, Dochterman JM, & Wagner C. (2017). Nursing Interventions Classifications (K. S. Y. A. Erdemir F, Ed.; 6th ed., Vol. 40). İstanbul Nobel Tıp Kitapevleri.
  • Bulut, A., & Vatansever, N. (Aydın). (2022). Determination of Factors Affecting Early Mobilization of Patients Who Have Undergone Knee and Hip Arthroplasty. Journal of Perianesthesia Nursing, 37(5). https://doi.org/10.1016/j.jopan.2021.10.013
  • Camilo Ferreira, R., Moorhead, S. A., Zuchatti, B. V., Correia, M. D. L., Montanari, F. L., & Duran, E. C. M. (2023). Nursing interventions and activities for patients with multiple traumas: An integrative review. International Journal of Nursing Knowledge, 34(4). https://doi.org/10.1111/2047-3095.12401
  • Clarke, S., & Drozd, M. (2023). Orthopaedic and trauma nursing: An evidence-based approach to musculoskeletal care. In Orthopaedic and Trauma Nursing: An Evidence-based Approach to Musculoskeletal Care.
  • Ferreira, R. C., Moorhead, S. A., Zuchatti, B. V., Begnami, N. E. da S., Ribeiro, E., Carvalho, L. A. C., & Duran, E. C. M. (2023). Nursing outcomes for patients with multiple traumas and impaired physical mobility: An integrative review. International Journal of Nursing Knowledge, 34(2). https://doi.org/10.1111/2047-3095.12384
  • Gao, Y., Wang, N., & Liu, N. (2023). Effectiveness of virtual reality in reducing preoperative anxiety in adults: A systematic review and meta-analysis. In Journal of Advanced Nursing (Vol. 79, Issue 10). https://doi.org/10.1111/jan.15743
  • Herdman, T. Heather., Kamitsuru, Shigemi., & Takao Lopes, Camila. (2021). NANDA International, Inc. nursing diagnoses : definitions and classification 2020-2023. Thieme.
  • Ilce, A. (2021). Nursing care in musculoskeletal system diseases. In S. Celık (Ed.), Current Practices in Surgical Nursing (1st ed.). Çukurova Nobel Medical Bookstore. IOWA College of Nursing. (n.d.). NIC Overview. Https://Nursing.Uiowa.Edu/Cncce/Nursing-Interventions-Classification-NIC-Translations.
  • Iskender, O., & Kaplan, S. (2019). International Nursing Classification Systems. Turkish Journal of Health Sciences and Research, 2, 1–10. https://doi.org/10.01.2020
  • Kang, P., Tang, B., Liu, Y., Liu, X., Shen, Y., Liu, Z., Yang, H., & Zhang, L. (2016). Profile and procedures for fractures among 1323 fracture patients from the 2010 Yushu earthquake, China. American Journal of Emergency Medicine, 34(11). https://doi.org/10.1016/j.ajem.2016.07.064
  • MacKenzie, J. S., Banskota, B., Sirisreetreerux, N., Shafiq, B., & Hasenboehler, E. A. (2017). A review of the epidemiology and treatment of orthopaedic injuries after earthquakes in developing countries. In World Journal of Emergency Surgery (Vol. 12, Issue 1). https://doi.org/10.1186/s13017-017-0115-8
  • Missair, A., Pretto, E. A., Visan, A., Lobo, L., Paula, F., Castillo-Pedraza, C., Cooper, L., & Gebhard, R. E. (2013). A matter of life or limb? A review of traumatic injury patterns and anesthesia techniques for disaster relief after major earthquakes. Anesthesia and Analgesia, 117(4). https://doi.org/10.1213/ANE.0b013e3182a0d7a7
  • Moorhead, S., Swanson, E., & Johnson, M. (2024). Nursing outcomes classification (NOC): Measurement of health outcomes (S. Moorhead, E. Swanson, & M. Johnson, Eds.; 7th ed.). Elsevier.
  • Ozpulat, F., Tasdelen Bas, M., & Molu, B. (2023). Crush Syndrome Knowledge Levels of Nursing Students: An Intervention Study. Journal of Paramedic and Emergency Health Services, 4(2). https://doi.org/10.54862/pashid.1270997
  • Sahın, G., & Basak, T. (2020). Intraoperative Pressure Injury Risk Assessment of Over 65 Years Old Patients Who Undergo Orthopedic Surgery. University of Health Sciences Journal of Nursing, 2(2).
  • Sener, N. (2011). General overview of trauma. In N. Şener (Ed.), Handbook of Orthopedics and Traumatology. Acibadem University Publications.
  • Tuna, A., & Karaaslan, E. (2024). First Aid and Emergency in Disasters: Example of Earthquake and Multiple Trauma and Nursing Care. In G. Karadag (Ed.), Disasters and Public Health (1st ed., pp. 8–14). Türkiye Clinics.
  • Unal, Z. (2023). Care of patients undergoing trauma-related surgery. In M. Yavuz van Gıersbergen (Ed.), Surgical Nursing (1st ed., pp. 604–614). nkara Nobel Medical Bookstores.
  • Wagner, C. M., Butcher, H. K., Bulechek, G. M., & Dochterman, J. M. (2024). Nursing Intervention Classification (NIC) (C. M. Wagner & M. F. Clarke, Eds.; 8th ed.). Elsevier.
  • Yıldırım, D., & Can, G. (2019). Opioid-Induced Constipation Management. Journal of Balıkesir Health Sciences, 8(1). www.bau-sbdergisi.com

Nursing Care of Immigrant Earthquake Victim with Multiple Fractures According to NANDA, NIC and NOC Classification Systems

Year 2025, Volume: 10 Issue: 1, 79 - 89, 30.04.2025

Ayşegül Kaya İmrek , Şerife Karagözoğlu

Abstract

The most common type of injury following an earthquake is extremity injuries, which can result in multiple fractures. Appropriate orthopedic surgical interventions should be determined to maintain the physiological integrity of the patients. Additionally, the needs of earthquake survivors must be addressed in a comprehensive manner, ensuring that care is provided not only physiologically but also socially and psychologically. In this context, nursing care becomes critically important. It is essential for the provided care to be based on a standardized foundation to achieve the desired patient outcomes. The scientific basis for nursing care is grounded in the North American Nursing Diagnosis Association, Nursing Interventions Classification, and Nursing Outcomes Classification taxonomy, which are utilized in many countries. In this case presentation, the nursing process for a migrant earthquake survivor with multiple fractures employed the North American Nursing Diagnosis Association diagnoses, Nursing Interventions Classification and Nursing Outcomes Classification systems. Accordingly, ten nursing diagnoses were established in the areas of nutrition, elimination and exchange, activity and rest, coping and stress tolerance, safety/protection, and comfort, along with 29 nursing interventions aimed at these diagnoses, resulting in improvements in these domains.

Keywords

multiple fracture classification of nursing diagnoses classification of nursing interventions classification of nursing outcomes nursing care

References

  • Abu-Zidan, F. M., Jawas, A., Idris, K., & Cevik, A. A. (2024). Surgical and critical care management of earthquake musculoskeletal injuries and crush syndrome: A collective review. Turkish Journal of Emergency Medicine, 24(2), 67–79. https://doi.org/10.4103/tjem.tjem_11_24
  • Aslan, G. K., & Emıroglu, O. N. (2012). Use of a Standardized and Coded Nursing Terminology to Enhance Nursing Visibility: Clinical Care Classification System. Journal of Hacettepe University Faculty of Nursing.
  • Ay, F. (2008). Internationally Used Nursing Diagnosis and Practice Classification Systems. Turkiye Clinics J Med Sci, 28, 555–561. https://www.researchgate.net/publication/239567035
  • Bulechek GM, Butcher HK, Dochterman JM, & Wagner C. (2017). Nursing Interventions Classifications (K. S. Y. A. Erdemir F, Ed.; 6th ed., Vol. 40). İstanbul Nobel Tıp Kitapevleri.
  • Bulut, A., & Vatansever, N. (Aydın). (2022). Determination of Factors Affecting Early Mobilization of Patients Who Have Undergone Knee and Hip Arthroplasty. Journal of Perianesthesia Nursing, 37(5). https://doi.org/10.1016/j.jopan.2021.10.013
  • Camilo Ferreira, R., Moorhead, S. A., Zuchatti, B. V., Correia, M. D. L., Montanari, F. L., & Duran, E. C. M. (2023). Nursing interventions and activities for patients with multiple traumas: An integrative review. International Journal of Nursing Knowledge, 34(4). https://doi.org/10.1111/2047-3095.12401
  • Clarke, S., & Drozd, M. (2023). Orthopaedic and trauma nursing: An evidence-based approach to musculoskeletal care. In Orthopaedic and Trauma Nursing: An Evidence-based Approach to Musculoskeletal Care.
  • Ferreira, R. C., Moorhead, S. A., Zuchatti, B. V., Begnami, N. E. da S., Ribeiro, E., Carvalho, L. A. C., & Duran, E. C. M. (2023). Nursing outcomes for patients with multiple traumas and impaired physical mobility: An integrative review. International Journal of Nursing Knowledge, 34(2). https://doi.org/10.1111/2047-3095.12384
  • Gao, Y., Wang, N., & Liu, N. (2023). Effectiveness of virtual reality in reducing preoperative anxiety in adults: A systematic review and meta-analysis. In Journal of Advanced Nursing (Vol. 79, Issue 10). https://doi.org/10.1111/jan.15743
  • Herdman, T. Heather., Kamitsuru, Shigemi., & Takao Lopes, Camila. (2021). NANDA International, Inc. nursing diagnoses : definitions and classification 2020-2023. Thieme.
  • Ilce, A. (2021). Nursing care in musculoskeletal system diseases. In S. Celık (Ed.), Current Practices in Surgical Nursing (1st ed.). Çukurova Nobel Medical Bookstore. IOWA College of Nursing. (n.d.). NIC Overview. Https://Nursing.Uiowa.Edu/Cncce/Nursing-Interventions-Classification-NIC-Translations.
  • Iskender, O., & Kaplan, S. (2019). International Nursing Classification Systems. Turkish Journal of Health Sciences and Research, 2, 1–10. https://doi.org/10.01.2020
  • Kang, P., Tang, B., Liu, Y., Liu, X., Shen, Y., Liu, Z., Yang, H., & Zhang, L. (2016). Profile and procedures for fractures among 1323 fracture patients from the 2010 Yushu earthquake, China. American Journal of Emergency Medicine, 34(11). https://doi.org/10.1016/j.ajem.2016.07.064
  • MacKenzie, J. S., Banskota, B., Sirisreetreerux, N., Shafiq, B., & Hasenboehler, E. A. (2017). A review of the epidemiology and treatment of orthopaedic injuries after earthquakes in developing countries. In World Journal of Emergency Surgery (Vol. 12, Issue 1). https://doi.org/10.1186/s13017-017-0115-8
  • Missair, A., Pretto, E. A., Visan, A., Lobo, L., Paula, F., Castillo-Pedraza, C., Cooper, L., & Gebhard, R. E. (2013). A matter of life or limb? A review of traumatic injury patterns and anesthesia techniques for disaster relief after major earthquakes. Anesthesia and Analgesia, 117(4). https://doi.org/10.1213/ANE.0b013e3182a0d7a7
  • Moorhead, S., Swanson, E., & Johnson, M. (2024). Nursing outcomes classification (NOC): Measurement of health outcomes (S. Moorhead, E. Swanson, & M. Johnson, Eds.; 7th ed.). Elsevier.
  • Ozpulat, F., Tasdelen Bas, M., & Molu, B. (2023). Crush Syndrome Knowledge Levels of Nursing Students: An Intervention Study. Journal of Paramedic and Emergency Health Services, 4(2). https://doi.org/10.54862/pashid.1270997
  • Sahın, G., & Basak, T. (2020). Intraoperative Pressure Injury Risk Assessment of Over 65 Years Old Patients Who Undergo Orthopedic Surgery. University of Health Sciences Journal of Nursing, 2(2).
  • Sener, N. (2011). General overview of trauma. In N. Şener (Ed.), Handbook of Orthopedics and Traumatology. Acibadem University Publications.
  • Tuna, A., & Karaaslan, E. (2024). First Aid and Emergency in Disasters: Example of Earthquake and Multiple Trauma and Nursing Care. In G. Karadag (Ed.), Disasters and Public Health (1st ed., pp. 8–14). Türkiye Clinics.
  • Unal, Z. (2023). Care of patients undergoing trauma-related surgery. In M. Yavuz van Gıersbergen (Ed.), Surgical Nursing (1st ed., pp. 604–614). nkara Nobel Medical Bookstores.
  • Wagner, C. M., Butcher, H. K., Bulechek, G. M., & Dochterman, J. M. (2024). Nursing Intervention Classification (NIC) (C. M. Wagner & M. F. Clarke, Eds.; 8th ed.). Elsevier.
  • Yıldırım, D., & Can, G. (2019). Opioid-Induced Constipation Management. Journal of Balıkesir Health Sciences, 8(1). www.bau-sbdergisi.com
There are 23 citations in total.

Details

Primary Language English
Subjects Surgery (Other), Orthopaedics
Journal Section Case Report
Authors

Ayşegül Kaya İmrek 0009-0002-4093-9787

Şerife Karagözoğlu 0000-0002-9558-0786

Publication Date April 30, 2025
Submission Date October 15, 2024
Acceptance Date March 27, 2025
Published in Issue Year 2025Volume: 10 Issue: 1

Cite

Vancouver Kaya İmrek A, Karagözoğlu Ş. Nursing Care of Immigrant Earthquake Victim with Multiple Fractures According to NANDA, NIC and NOC Classification Systems. J Cumhuriyet Univ Health Sci Inst. 2025;10(1):79-8.
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The Journal of Sivas Cumhuriyet University Institute of Health Sciences is an international, peer-reviewed scientific journal published by Sivas Cumhuriyet University, Institute of Health Sciences.