Gastrointestinal sistem cerrahisinde nazogastrik tüpün iyileşme sürecine etkisi
The effect of nasogastric tube on healing process in gastrointestanal system surgery
- Tez No: 355201
- Danışmanlar: YRD. DOÇ. DR. FATMA ETİ ASLAN
- Tez Türü: Yüksek Lisans
- Konular: Hemşirelik, Nursing
- Anahtar Kelimeler: Belirtilmemiş.
- Yıl: 1998
- Dil: Türkçe
- Üniversite: Marmara Üniversitesi
- Enstitü: Sağlık Bilimleri Enstitüsü
- Ana Bilim Dalı: Cerrahi Hastalıkları Hemşireliği Ana Bilim Dalı
- Bilim Dalı: Belirtilmemiş.
- Sayfa Sayısı: 56
Özet
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Özet (Çeviri)
Nasogastric Tube (NGT) is used routinly to prevent nausea, vomiting, gas and liquid distension, wound dehiscence, anastomosis leak seen after the abdominal surgeries so that ileus and gastric dilatation can be prevented. In literature it's suggested that the role of NGT in preventing post-operative complications is not so important and it's use in every case causes the problems such as disfagia , nose wing ulceration and aspiration pneumonia. This study is planned in order to determine the effect of complications to the healing process occured as a result of routine NGT applications in patients who had elective Gastrointestinal System (GiS) surgery. The study area is composed of the General Surgery Clinics having 117 bed capacity of the Haydarpa~a Numune Hospital in Anatolian region of istanbul. In the study group, 57 patients between 22-74 who accepted taking part in the study and who had elective GiS surgery between December 1996-1997 were included. NGT applied to 30 patients while 27 patients did'nt have any NGT. The study data were collected from data collection forms, patient files and nurse observations which included 21 questions and 3 parts. The patient was evaluated daily for 1 week. Between the two groups there was no difference about pulmunary complications, vomitting and hiccough but there was a significant difference about nausea, gastric burning, dysphagIa, abdominal distension and nose wing ulceration. Nasogastric entubation decreased the hospital staying time and oral feeding time but there was no difference in first ambulation time and beginning time of bowel sounds. The relations between the groups are determined by Percentage, Chi Square, Student-t and Mann-Whitney U tests metods. As a result it is accepted that it is better to apply the NGT in necessary patients but not routinly after the elective GiS surgeries.
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