3 ay - 3 yaş grubu orta dehidratasyonu olan ishalli çocuğa hastanede uygulanan nasogastrik ve intravenöz sıvı tedavi yöntemlerinin çocuğun hastanede kalış süresine etkisinin araştırılması
Investigating the effects on hospitalization time of the use nasogastric tube and intraveonus fluid therapy methods employed in children 3 months to 3 years age with mild dehydration due to diarrhea
- Tez No: 49740
- Danışmanlar: PROF.DR. AYSEL KAVAKLI
- Tez Türü: Yüksek Lisans
- Konular: Hemşirelik, Çocuk Sağlığı ve Hastalıkları, Nursing, Child Health and Diseases
- Anahtar Kelimeler: Belirtilmemiş.
- Yıl: 1996
- Dil: Türkçe
- Üniversite: İstanbul Üniversitesi
- Enstitü: Sağlık Bilimleri Enstitüsü
- Ana Bilim Dalı: Belirtilmemiş.
- Bilim Dalı: Belirtilmemiş.
- Sayfa Sayısı: 84
Özet
70 SUMMARY Our study was designed to examine the effects of fluid maintenance methods through intravenous and nasogastric tubes on the hospital stay of 30 children who were admitted with a diagnosis of gastroenteritis and presented moderate dehydration. The ages of the children varied between three months and three years. The study sought to determine the levels of knowledge of the families about diarrhea and their educational needs. The study group included 30 patients randomly sampled from hospitalized children who were admitted to the Emergency Unit of Pediatrics Department of Istanbul Medicine Faculty of Istanbul University. Among 30 children, 15 were administered intravenous tubes, and the remaining 15 were treated with nasogastric tubes. Weight and height measurements were performed in order to evaluate the effects of frequent diarrhea on growth and development. Twenty percent and 13 percent of children were found to be below the third percentile with regard to weight and height, respectively. We found that mothers lacked information about the cause of diarrhea and that they commonly attributed the disease to nutrition, germs, and cold.71 Shorter hospitalization of children who were treated with nasogastric tubes was ascribed to their older ages. We observed that patients in the intravenous group were more lethargic, had drier mucous membranes and sunken fontanelles at the time of hospitalization. Considering our results, we concluded that intravenous fluid administration would be more appropriate in children with younger ages, who are more lethargic, have drier mucous membranes and sunken fontanelles. Although intravenous administration has some drawbacks such as adverse effects on child and mother relationship, its high cost, increased complication risks, and limitation of movement of the child, this study, demonstrated that intravenous administration was more commonly employed and health care members were better trained with respect to this method. The study revealed that even in cases with moderate dehydration intravenous administration was the preferred method.
Özet (Çeviri)
70 SUMMARY Our study was designed to examine the effects of fluid maintenance methods through intravenous and nasogastric tubes on the hospital stay of 30 children who were admitted with a diagnosis of gastroenteritis and presented moderate dehydration. The ages of the children varied between three months and three years. The study sought to determine the levels of knowledge of the families about diarrhea and their educational needs. The study group included 30 patients randomly sampled from hospitalized children who were admitted to the Emergency Unit of Pediatrics Department of Istanbul Medicine Faculty of Istanbul University. Among 30 children, 15 were administered intravenous tubes, and the remaining 15 were treated with nasogastric tubes. Weight and height measurements were performed in order to evaluate the effects of frequent diarrhea on growth and development. Twenty percent and 13 percent of children were found to be below the third percentile with regard to weight and height, respectively. We found that mothers lacked information about the cause of diarrhea and that they commonly attributed the disease to nutrition, germs, and cold.71 Shorter hospitalization of children who were treated with nasogastric tubes was ascribed to their older ages. We observed that patients in the intravenous group were more lethargic, had drier mucous membranes and sunken fontanelles at the time of hospitalization. Considering our results, we concluded that intravenous fluid administration would be more appropriate in children with younger ages, who are more lethargic, have drier mucous membranes and sunken fontanelles. Although intravenous administration has some drawbacks such as adverse effects on child and mother relationship, its high cost, increased complication risks, and limitation of movement of the child, this study, demonstrated that intravenous administration was more commonly employed and health care members were better trained with respect to this method. The study revealed that even in cases with moderate dehydration intravenous administration was the preferred method.
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