Yenidoğanlarda Basınç Ülseri Gelişimini Önlemeye Yönelik Hemşirelik Girişimleri

Basinc ulseri hastanede yatis suresini uzatan, mortalite ve morbidite riskini arttiran, enfeksiyon gibi cesitli komplikasyonlarin gelismesine neden olup yogun tedavi gerektiren onemli bir saglik sorunudur. Basinc ulseri gelisme riski tum cocukluk donemlerinde fazla olmasina ragmen ozellikle yenidogan doneminde epidermis ve dermis tabakasinda gorulen ozellikler nedeniyle daha da artmaktadir. Basinc ulserlerinin tedavisi zor olmakla birlikte, gelisimine neden olan risk faktorlerinin belirlenip, ortadan kaldirilmasi ve etkili hemsirelik bakimiyla onlenebilir bir sorundur. Cilt butunlugu bozulmasi acisindan riskli gruplar icerisinde yer alan yenidoganlara bakim veren hemsirelere, basinc ulseri onleme konusunda onemli gorevler dusmektedir. Bu makalenin amaci, yenidoganlarda basinc ulserlerini onlemeye yonelik hemsirelik girisimlerine bir rehber olusturmasidir. Makalede yenidoganlarda basinc ulserlerinin gelisim nedenleri, bolgeleri, basinc ulserini onlemenin onemi ve basinc ulseri gelisimini onlemeye yonelik hemsirelik girisimlerine yer verilmistir. Nursery Procedures to Avoid Pressure Ulcer in Newborns Pressure ulcer is a significant health problem extending hospitalization duration at hospitals and increasing the risk of mortality and morbidity. Though risk of pressure ulcer development is high in all childhood periods, it rather increases due to differences in epidermis and dermis layer especially during neonatal period. No matter how difficult is treatment of pressure ulcer, it is a preventable problem through an effective nursery care by determining risk factors causing its development and removing them. Nurses taking care of newborns, being in risky group on grounds of disruption of skin integrity, have major responsibilities on avoiding pressure ulcer. Nursery procedures to avoid pressure ulcer involve risk evaluation along with determining newborns at risk, daily skin assessment, control of moisture, providing nutrition and hydration and decreasing pressure. The purpose of this study is to form guidance for nursery procedures to avoid pressure ulcer in newborns. The article includes the reasons of pressure ulcer development in newborns, its locals, importance of pressure ulcer avoidance and nursery procedures to avoid pressure ulcer development.