Hastane öncesi protokollerinin karşılaştırmalı incelenmesi ve Türkiye'de paramediklerin protokollere uyum durumu
Küçük Resim Yok
Tarih
2022
Yazarlar
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Dergi ISSN
Cilt Başlığı
Yayıncı
Ege Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Çalışma, Türkiye Hastane Öncesi Acil Sağlık Hizmetleri (HÖASH) Protokollerinin, dünya örnekleri ile karşılaştırmalı incelenmesi ve Türkiye'de görev yapan paramediklerin, HÖASH protokollerine uyum durumunun değerlendirilmesi amacıyla yapılmıştır. Gereç ve Yöntem: Araştırma iki aşamalı bir süreç şeklinde tanımlayıcı tipte planlanmıştır. Birinci aşamada Türkiye HÖASH Protokolleri ile dünya örnekleri karşılaştırmalı incelenmiş, ikinci aşamada ise Türkiye'de görev yapan paramediklerin protokollere uyum durumu değerlendirilmiştir. Veri toplama aracı olarak araştırmacılar tarafından literatür doğrultusunda geliştirilmiş anket formu kullanılmıştır. Toplanan veriler Statistical Package For Social Science (SPSS) 24 programında değerlendirilmiş, değişkenler arasındaki ilişkiyi belirlemek için frekans dağılımlarına bakılmış ve ki-kare testi uygulanmış, P<0,05 istatistiksel olarak anlamlı kabul edilmiştir. Bulgular: 2009 yılında yayınlanan Türkiye HÖASH Protokolleri, dünya örnekleri ile karşılaştırıldığında ileri yaşam desteği uygulamaları, pulmoner ödem, anaflaksi, KOAH ve hipertansif kriz gibi hayati risk taşıyan durumlara acil tıbbi müdahale açısından güncelliğini kaybetmiştir. Katılımcıların %88'i ileri yaşam desteği uygulamalarında Atropin uygulamadıklarını, %57,3'ü 20 dakikadan uzun süren Kardiyopulmoner Resüsitasyon (KPR) uygulamalarında Sodyum Bikarbonat uygulamadıklarını, %70,3'ü kardiyak nedenli pulmoner ödemde Morfin Sülfat uygulamadıklarını belirtmiştir. Katılımcıların %74,2'si Türkiye HÖASH Protokolünde yer alan ancak güncelliğini kaybetmiş olan KPR sırasında endotrakeal tüp yolundan ilaç uygulamasını yaptıklarını belirtmiştir. Sonuç: Türkiye HÖASH Protokollerinin güncel olmaması HÖASH çalışanlarının yapacağı uygulamalarda ikilemler oluşturmaktadır. Bu durum, hayati risk taşıyan olgularda, uygun ve standardize acil tıbbi bakım hizmeti sunumunu zorlaştırmaktadır
Objective: The study was conducted to compare the protocols of the Turkey Pre Hospital Emergency Health Services (PHEHS) with the world examples and to evaluate the compliance of the paramedics working in Turkey with the PHEHS protocols. Materials and Methods: The research was planned in a descriptive type as a two stage process. In the first stage, Turkey PHEHS Protocols and world examples were examined comparatively and in the second stage, the compliance status of the paramedics working in Turkey with the protocols was evaluated. A questionnaire form developed by the researchers in line with the literature was used as a data collection tool. The collected data were evaluated in the Statistical Package for Social Science (SPSS) 24 program, frequency distributions were checked to determine the relationship between the variables and the chi-square test was applied, and P<0,05 was considered statistically significant. Findings: The Turkey PHEHS Protocols, published in 2009, are out of date in terms of emergency medical intervention in life-threatening conditions such as advanced life support applications, pulmonary edema, anaphylaxis, COPD and hypertensive crisis, when compared with world examples. 88% of the participants stated that they did not apply Atropine in advanced life support applications, 57,3% did not apply Sodium Bicarbonate in Cardiopulmonary Resuscitation (CPR) applications lasting longer than 20 minutes, 70,3% did not apply Morphine Sulfate in pulmonary edema due to cardiac causes. 74,2% of the participants stated that they administered drugs through the endotracheal tube during CPR, which is included in the Turkey PHEHS Protocols but is out of date. Conclusion: The fact that the Turkey PHEHS Protocols are not up-to-date creates dilemmas in the practices of PHEHS employees. This makes it difficult to provide appropriate and standardized emergency medical care in life-threatening cases.
Objective: The study was conducted to compare the protocols of the Turkey Pre Hospital Emergency Health Services (PHEHS) with the world examples and to evaluate the compliance of the paramedics working in Turkey with the PHEHS protocols. Materials and Methods: The research was planned in a descriptive type as a two stage process. In the first stage, Turkey PHEHS Protocols and world examples were examined comparatively and in the second stage, the compliance status of the paramedics working in Turkey with the protocols was evaluated. A questionnaire form developed by the researchers in line with the literature was used as a data collection tool. The collected data were evaluated in the Statistical Package for Social Science (SPSS) 24 program, frequency distributions were checked to determine the relationship between the variables and the chi-square test was applied, and P<0,05 was considered statistically significant. Findings: The Turkey PHEHS Protocols, published in 2009, are out of date in terms of emergency medical intervention in life-threatening conditions such as advanced life support applications, pulmonary edema, anaphylaxis, COPD and hypertensive crisis, when compared with world examples. 88% of the participants stated that they did not apply Atropine in advanced life support applications, 57,3% did not apply Sodium Bicarbonate in Cardiopulmonary Resuscitation (CPR) applications lasting longer than 20 minutes, 70,3% did not apply Morphine Sulfate in pulmonary edema due to cardiac causes. 74,2% of the participants stated that they administered drugs through the endotracheal tube during CPR, which is included in the Turkey PHEHS Protocols but is out of date. Conclusion: The fact that the Turkey PHEHS Protocols are not up-to-date creates dilemmas in the practices of PHEHS employees. This makes it difficult to provide appropriate and standardized emergency medical care in life-threatening cases.
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Anahtar Kelimeler
İlk ve Acil Yardım, Emergency and First Aid
