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OBEZİTE CERRAHİSİNDE (BARİYATRİK CERRAHİ) HEMŞİRELİK BAKIMI

Yıl 2013, Cilt: 2 Sayı: 2, 71 - 77, 20.01.2014

Esra Usta , İkbal Çavdar

Öz

Obezite (şişmanlık), vücutta yağ miktarının sağlığı bozacak şekilde artarak, tedavi edilmediğinde fizyolojik, psikolojik ve sosyo-ekonomik sorunlara neden olan, bireylerin yaşam kalitesini olumsuz yönde etkileyebilecek kronik bir hastalıktır. Obezitenin tedavisinde; diyet, egzersiz, davranış değişikliği, farmakoterapi ve cerrahi yöntemler uygulanmaktadır. Obezitenin patofizyolojisi, cerrahi girişim sonrası gelişebilecek komplikasyonlar, obezitenin genel sağlık durumunu bozması nedeniyle, obezite cerrahisi sonrası hastalara verilecek olan hemşirelik bakımı önem kazanmaktadır. Bu makalede; obezite cerrahisi sonrasında olumlu hasta sonuçları elde edebilmek için ameliyat öncesi, sırası ve sonrası verilecek olan hemşirelik bakımı, literatür bilgileri ışığında açıklandı.

Anahtar Kelimeler

Obezite bariyatrik cerrahi hemşirelik bakım.

Kaynakça

  • AACE/TOS/ASMBS (2013). Clinical Practice Guıdelines For The Perioperatıve Nutritional, Metabolic, And Nonsurgical Support Of The Bariatric Surgery Patient-2013 Update: Cosponsored By American Association Of Clinical Endocrinologists, The Obesity Society And American Society For Metabolic & Bariatrıc Surgery. Endocr Pract. 19 (2):e1-e36. American Association of Nurse Anesthetists-AANA (2011). Anesthesia Case Management for Bariatric Surgery. AANA Journal April 79(2):147-160.
  • American Society of Anesthesiologists-ASA (2006). Practice guidelines for the perioperative management of patients with obstructive sleep apnea. Anesthesiology 104(5):1081-1093.
  • Association of periOperative Registered NursesAORN(2004). AORN bariatric surgery guideline. AORN J. May;79(5):1026-1052.
  • Banlı O, Altun H, Karakoyun R ve ark. (2009) Obesite tedavisinde laparoskopik gastrik band yerleştirilmesi sonuçları: İlk 100 olgu. Ulusal Cerrahi Dergisi, 25(1): 11-14.
  • Barth MM, Jenson CE (2010) Postoperative nursing care of gastric bypass patients. Am J Crit Care, 15 (4): 378-387.
  • Blackwood HS, Walsh CM (2009) Clinical Q&A. Bariatric Nursing And Surgical Patient Care, 4 (3): 229-232.
  • Brown, J. (2006). Nurses’s attitudes towards adult patients who are obese: literature review. Journal of Advanced Nursing, 53 (2): 221-232. Brown J, Stride C, Psarou A et al. (2007). Management of obesity in primary care: nurses’ practices, beliefs and attitudes. Journal of Advanced Nursing, 59 (4): 329-341. Buchwald H, Avidor Y, Braunwald E et al. (2004) Bariatric surgery: a systematic review and meta-analysis. Journal of the American Medical Association, 29 (2): 1724-1737.
  • Bult MJF, Dalen T, Muller AF (2008) Surgical treatment of obesity. European Journal of Endocrinology, 15(8): 135-145.
  • Camden SG (2006) Nursing care of the bariatric patient. Bariatric Nursing And Surgical Patient Care, 1 (1): 21-30.
  • Chikunguwo SM, Brethauer SA, Schauer PR (2009) Bariatric surgery: General Surgery. Bland KI (Ed), London, Springer Verlag, p. 557-5
  • Christou NV, Sampalis JS, Liberman M et al. (2004) Surgery decreases long-term mortality, morbidity, and health care use in morbidly obese patients. Ann Surg, 240(3): 416-424.
  • Coşkun H, Bostancı Ö, Dilege E, ve ark. (2006) Morbid obezite tedavisinde gastrik bypass uygulamasının erken postoperatif dönem sonuçları. Ulusal Cerrahi Dergisi, 22(2):59-62. DeMaria EJ, Pate V, Warthen M et al. (2010). Baseline data from American Society for Metabolic and Bariatric Surgery-designated Bariatric Surgery Centers of Excellence using the Bariatric Outcomes Longitudinal Database. Surg Obes Relat Dis., 6(4):347-55.
  • Dolgun E ve Yavuz M (2009). Aşırı şişmanlık cerrahisinde hemşirelik bakımı. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi, 3 (1): 85-92.
  • European Pressure Ulcer Advisory Panel- EPUAP (2009). International Guidelines Pressure Ulcer Treatment Technical Report.
  • Garza SF (2004) Periop care for morbidly obese. RN,67(3): 26ac1-26ac6.
  • Grindel ME, Grindel CG (2006) Nursing care of the person having bariatric surgery. Medsurg Nurs, 15 (3): 129-145.
  • Hahler B(2002) Morbid obesity: a nursing care challenge. Medsurg Nurs, 11(2): 85-90.
  • Harrington L (2006) Postoperative care of patients undergoing bariatric surgery. Medsurg Nurs, 15(6): 357-363.
  • Hemphill S, Gorman K (2009) Core tools and patient information. Obesity Management, 5 (3): 128-9.
  • Kaly P, Orellana S, Torrella T et al. (2008). Unrealistic weight loss expectations in candidates for bariatric surgery. Surg Obes Relat Dis 4(1):6-10.
  • Koçaşlı S, Öztekin D (2010). Obezite Cerrahisinde Perioperatif Bakımı. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi 3(2): 77-82.
  • Martikainen T, Pirinen E, Alhava E et al. (2004). Long-term results, late complications and quality of life in a series of adjustable gastric banding. Obes Surg. May;14(5):648-654.
  • Mulligan A, Young LS, Randall S et al. (2005) Best Practices for perioperative nursing care for weight loss surgery patients. Obesity Research, 13 (2): 267-273.
  • Nguyen NT, Goldman C, Rosenquist CJ et al. (2001). Laparoscopic versus open gastric bypass: a randomized study of outcomes, quality of life, and costs. Ann Surg. Sep;234(3):279-289.
  • Onat A ve Sansoy V (2009)Türk Erişkinlerde Obezite, Abdominal Obezite, Belirleyici ve Sonuçları. tekharf.org/images/2009/bolum9.pdf. (erişim: 02012)
  • Özbey N, Orhan Y (2002) Vücut Yağ Miktarı ve Dağılımının Belirlenmesi: Obezite ve Tedavisi. A Bozbora(Ed), İstanbul, Nobel, p. 27-61.
  • Padwal RS, Majumdar SR, Klarenbach S et al. (2010). The Alberta population-based prospective evaluation of the quality of life outcomes and economic impact of bariatric surgery (APPLES) study: background, design and rationale. BMC Health Services Research, 10:2
  • Poole NA, Al Atar A, Kuhanendran D et al.(2005). Compliance with surgical after-care following bariatric surgery for morbid obesity: a retrospective study. Obes Surg 15(2):261-265.
  • Poon M, Tarrant M. (2009). Obesity: attitudes of undergraduate student nurses and registered nurses. Journal of clinical nursing, 18(16): 2355-2365.
  • Sarwer DB (2008) The importance of postoperative care. Bariatric Nursing And Surgical Patient Care, 3 (2): 89-91.
  • Singh N, Arthur HM, Worster A et al. (2007) Emergency department equipment for obese patients: perceptions of adequacy. JAN Original Research, 59(2):140-145.
  • Sugerman HJ, Shikora SA, Schauer MD (2007) Bariatric surgery. Obesity Management , 3(6): 251-2
  • The Endocrine Society (2010). Endocrine and Nutritional Management of the Post-Bariatric Surgery Patient: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab November 95 (11):4823–4843.
  • Vacek L (2007) Sensitivity training for nurses caring for morbidly obese patients. Bariatric Nursing And Surgical Patient Care, 2(4): 2512
  • World Health Organization-WHO (2000) Obesity: Preventing And Managing The Global Epidemic. Geneva, WHO Technical Report Series 894. World Health Organization-WHO (2011) Controlling the global obesity epidemic. who.int/nutrition/topics/obesity/en/ (erişim: 02012)

Nursing Care in Bariatric Surgery

Yıl 2013, Cilt: 2 Sayı: 2, 71 - 77, 20.01.2014

Esra Usta , İkbal Çavdar

Öz

Obesity is a chronic disease, which is the result of fat increase in human body to deteriorate health, and when it is not cured it causes physiological, psychological and socio-economic problems and affects the life quality of individuals. It is observed that obesity is an increasing problem in our country as it is in developed countries. The increasing prevalence of obesity made treatment types of weight loss developed. In the treatment of obesity some methods such as diet, exercise, behavioral change, pharmacotherapy and surgery are employed. Because of pathophysiology of obesity, potential development of complication after surgery, deteriorated state of health caused by obesity, nursing care to the sufferers after obesity surgery gains importance. It’s important to assess and care patients carefully for preventing cardiovascular and respiratory systems complications after bariatric surgery. In general, determining suitable position for patients, caring for obesity related potential risks in drug applications, pain controlling by providing deep breathing and coughing exercises are priority activities for preventing complications in nursing care. Moreover, a nurse should support the patient in terms of the changes that would happen in his life after the surgery and train the patient for personal health education which simplify adaptation. In the process of care, health care professionals have to keep in their mind that positive attitude towards obese patient increases care quality and patient satisfaction. In the present article, nursing care -before, after and during surgery in order to get positive results from the patients after surgery- has been explained in the light of the literature.

Anahtar Kelimeler

Obesity bariatric surgery nursing care.

Kaynakça

  • AACE/TOS/ASMBS (2013). Clinical Practice Guıdelines For The Perioperatıve Nutritional, Metabolic, And Nonsurgical Support Of The Bariatric Surgery Patient-2013 Update: Cosponsored By American Association Of Clinical Endocrinologists, The Obesity Society And American Society For Metabolic & Bariatrıc Surgery. Endocr Pract. 19 (2):e1-e36. American Association of Nurse Anesthetists-AANA (2011). Anesthesia Case Management for Bariatric Surgery. AANA Journal April 79(2):147-160.
  • American Society of Anesthesiologists-ASA (2006). Practice guidelines for the perioperative management of patients with obstructive sleep apnea. Anesthesiology 104(5):1081-1093.
  • Association of periOperative Registered NursesAORN(2004). AORN bariatric surgery guideline. AORN J. May;79(5):1026-1052.
  • Banlı O, Altun H, Karakoyun R ve ark. (2009) Obesite tedavisinde laparoskopik gastrik band yerleştirilmesi sonuçları: İlk 100 olgu. Ulusal Cerrahi Dergisi, 25(1): 11-14.
  • Barth MM, Jenson CE (2010) Postoperative nursing care of gastric bypass patients. Am J Crit Care, 15 (4): 378-387.
  • Blackwood HS, Walsh CM (2009) Clinical Q&A. Bariatric Nursing And Surgical Patient Care, 4 (3): 229-232.
  • Brown, J. (2006). Nurses’s attitudes towards adult patients who are obese: literature review. Journal of Advanced Nursing, 53 (2): 221-232. Brown J, Stride C, Psarou A et al. (2007). Management of obesity in primary care: nurses’ practices, beliefs and attitudes. Journal of Advanced Nursing, 59 (4): 329-341. Buchwald H, Avidor Y, Braunwald E et al. (2004) Bariatric surgery: a systematic review and meta-analysis. Journal of the American Medical Association, 29 (2): 1724-1737.
  • Bult MJF, Dalen T, Muller AF (2008) Surgical treatment of obesity. European Journal of Endocrinology, 15(8): 135-145.
  • Camden SG (2006) Nursing care of the bariatric patient. Bariatric Nursing And Surgical Patient Care, 1 (1): 21-30.
  • Chikunguwo SM, Brethauer SA, Schauer PR (2009) Bariatric surgery: General Surgery. Bland KI (Ed), London, Springer Verlag, p. 557-5
  • Christou NV, Sampalis JS, Liberman M et al. (2004) Surgery decreases long-term mortality, morbidity, and health care use in morbidly obese patients. Ann Surg, 240(3): 416-424.
  • Coşkun H, Bostancı Ö, Dilege E, ve ark. (2006) Morbid obezite tedavisinde gastrik bypass uygulamasının erken postoperatif dönem sonuçları. Ulusal Cerrahi Dergisi, 22(2):59-62. DeMaria EJ, Pate V, Warthen M et al. (2010). Baseline data from American Society for Metabolic and Bariatric Surgery-designated Bariatric Surgery Centers of Excellence using the Bariatric Outcomes Longitudinal Database. Surg Obes Relat Dis., 6(4):347-55.
  • Dolgun E ve Yavuz M (2009). Aşırı şişmanlık cerrahisinde hemşirelik bakımı. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi, 3 (1): 85-92.
  • European Pressure Ulcer Advisory Panel- EPUAP (2009). International Guidelines Pressure Ulcer Treatment Technical Report.
  • Garza SF (2004) Periop care for morbidly obese. RN,67(3): 26ac1-26ac6.
  • Grindel ME, Grindel CG (2006) Nursing care of the person having bariatric surgery. Medsurg Nurs, 15 (3): 129-145.
  • Hahler B(2002) Morbid obesity: a nursing care challenge. Medsurg Nurs, 11(2): 85-90.
  • Harrington L (2006) Postoperative care of patients undergoing bariatric surgery. Medsurg Nurs, 15(6): 357-363.
  • Hemphill S, Gorman K (2009) Core tools and patient information. Obesity Management, 5 (3): 128-9.
  • Kaly P, Orellana S, Torrella T et al. (2008). Unrealistic weight loss expectations in candidates for bariatric surgery. Surg Obes Relat Dis 4(1):6-10.
  • Koçaşlı S, Öztekin D (2010). Obezite Cerrahisinde Perioperatif Bakımı. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi 3(2): 77-82.
  • Martikainen T, Pirinen E, Alhava E et al. (2004). Long-term results, late complications and quality of life in a series of adjustable gastric banding. Obes Surg. May;14(5):648-654.
  • Mulligan A, Young LS, Randall S et al. (2005) Best Practices for perioperative nursing care for weight loss surgery patients. Obesity Research, 13 (2): 267-273.
  • Nguyen NT, Goldman C, Rosenquist CJ et al. (2001). Laparoscopic versus open gastric bypass: a randomized study of outcomes, quality of life, and costs. Ann Surg. Sep;234(3):279-289.
  • Onat A ve Sansoy V (2009)Türk Erişkinlerde Obezite, Abdominal Obezite, Belirleyici ve Sonuçları. tekharf.org/images/2009/bolum9.pdf. (erişim: 02012)
  • Özbey N, Orhan Y (2002) Vücut Yağ Miktarı ve Dağılımının Belirlenmesi: Obezite ve Tedavisi. A Bozbora(Ed), İstanbul, Nobel, p. 27-61.
  • Padwal RS, Majumdar SR, Klarenbach S et al. (2010). The Alberta population-based prospective evaluation of the quality of life outcomes and economic impact of bariatric surgery (APPLES) study: background, design and rationale. BMC Health Services Research, 10:2
  • Poole NA, Al Atar A, Kuhanendran D et al.(2005). Compliance with surgical after-care following bariatric surgery for morbid obesity: a retrospective study. Obes Surg 15(2):261-265.
  • Poon M, Tarrant M. (2009). Obesity: attitudes of undergraduate student nurses and registered nurses. Journal of clinical nursing, 18(16): 2355-2365.
  • Sarwer DB (2008) The importance of postoperative care. Bariatric Nursing And Surgical Patient Care, 3 (2): 89-91.
  • Singh N, Arthur HM, Worster A et al. (2007) Emergency department equipment for obese patients: perceptions of adequacy. JAN Original Research, 59(2):140-145.
  • Sugerman HJ, Shikora SA, Schauer MD (2007) Bariatric surgery. Obesity Management , 3(6): 251-2
  • The Endocrine Society (2010). Endocrine and Nutritional Management of the Post-Bariatric Surgery Patient: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab November 95 (11):4823–4843.
  • Vacek L (2007) Sensitivity training for nurses caring for morbidly obese patients. Bariatric Nursing And Surgical Patient Care, 2(4): 2512
  • World Health Organization-WHO (2000) Obesity: Preventing And Managing The Global Epidemic. Geneva, WHO Technical Report Series 894. World Health Organization-WHO (2011) Controlling the global obesity epidemic. who.int/nutrition/topics/obesity/en/ (erişim: 02012)
Toplam 35 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Araştırma Makalesi
Yazarlar

Esra Usta

İkbal Çavdar

Yayımlanma Tarihi 20 Ocak 2014
Yayımlandığı Sayı Yıl 2013Cilt: 2 Sayı: 2

Kaynak Göster

APA Usta, E., & Çavdar, İ. (2014). OBEZİTE CERRAHİSİNDE (BARİYATRİK CERRAHİ) HEMŞİRELİK BAKIMI. Cumhuriyet Hemşirelik Dergisi, 2(2), 71-77.