Kalp Damar Cerrahisi Hemşireliğinde Tele Hemşirelik
Özet
Ülkemizde ve Dünya’da en fazla ölüm ve sakatlığa neden olan, sağlık maliyetlerini arttıran ve yaşam kalitesini bozan hastalıkların başında kardiyovasküler hastalıklar yer almaktadır. Cerrahi, bu hastalıkların tedavisinde önemli bir yere sahiptir ancak artan hastalık ve cerrahi tedavi ile sağlık harcamaları da artmakta, ülkeler ve sağlık sistemleri için ayrı bir yük oluşturmaktadır. Tele sağlık, ülkelerin sağlık harcamalarının azaltılmasına yönelik geliştirilen uygulamalardan bir tanesidir. Başlangıçta maliyetli olsa da uzun dönem etkilerinde sağlık harcamalarını azalttığı görülmektedir. Tele sağlık uygulamaları kronik hastalığa sahip evde bakım gereksinimi olan hastalarla birlikte cerrahi hastalarında da kullanılmış, hasta sonuçlarını olumlu etkilediği, komplikasyonları azalttığı, ölüm ve sakat kalma oranlarını azalttığı, gelişen teknoloji sayesinde hastaların evde bakım ve takibini kolaylaştırdığı gibi olumlu sonuçlarının olduğu görülmüştür.
Cardiovascular diseases rank among the leading causes of death and disability worldwide, escalating healthcare costs and deteriorating quality of life. Surgery plays a crucial role in treating these diseases; however, the increasing prevalence of such diseases and surgical interventions contributes to the rise in healthcare expenditures, posing an additional burden on countries and healthcare systems. Telehealth emerges as one of the developed practices aimed at reducing healthcare expenses. While initially costly, its long-term effects demonstrate a reduction in healthcare spending. Telehealth applications have been utilized not only for patients requiring home care due to chronic illnesses but also for surgical patients, yielding positive outcomes by improving patient results, reducing complications, lowering mortality and disability rates, and facilitating patients' home care and monitoring with advancing technology.
Referanslar
Gogia S. Rationale, history, and basics of telehealth, Gogia, S. (Ed.) Fundamentals of telemedicine and telehealth. Academic Press. United Kingdom, 2020. ISBN: 978-0-12-814309-4.
Kumar S. Introduction to Telenursing, Kumar S. & Snooks H. (Eds.) Telenursing. Springer Science & Business Media. 2011. New York.
WHO. World Health Organization, ITU global standard for accessibility of telehealth services, 2022. https://www.who.int/publications/i/item/9789240050464 Erişim tarihi; Eylül 2023.
WHO. World Health Organization, The impact of the Covid-19 pandemic on noncommunicable disease resources and services: results of a rapid assessment. 2020. https://www.who.int/publications/i/item/9789240010291 Erişim tarihi; Eylül 2023.
Bashshur RL, Bashshur MJ. Telemedicine, History Of. The International Encyclopedia of Health Communication, 1-6. 2023. Wiley Online Library. https://doi.org/10.1002/9781119678816.iehc0623
Pearce C. Worldwide initiatives. Gogia, S. (Ed.) Fundamentals of telemedicine and telehealth. 2020. Academic Press. United Kingdom, ISBN: 978-0-12-814309-4.
Kaya NT. Tele sağlık ve tele hemşirelik uygulama alanları, İksad Yayınevi, 2022. Ankara. ISBN: 978-625-6955-30-1.
Yıldırım JG, Çevirgen A. Kronik hastalıkların yönetiminde bilişim teknolojileri uygulamaları. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 2019;6(1), 65-73.
SBSGM. T.C. Sağlık Bakanlığı Sağlık Bilgi Sistemleri Genel Müdürlüğü, https://sbsgm.saglik.gov.tr/ Erişim tarihi; Eylül 2023.
Choi PJ, Oskouian RJ, Tubbs RS, Choi PJK. Telesurgery: past, present, and future. Cureus, 2018;10(5). 2-4. doi: 10.7759/cureus.2716
Korkmaz S, Hoşman İ. Sağlık Sektöründe Tele-Tıp Uygulamaları: Tele-Tıp Uygulama Boyutlarını İçeren Bir Araştırma. Uluslararası Sağlık Yönetimi ve Stratejileri Araştırma Dergisi, 2018;4(3), 251-263.
Dilbaz B, Kaplanoğlu M, Kaya Kaplanoğlu D. Teletıp ve telesağlık: Geçmiş, bugün ve gelecek. Eurasian Journal of Health Technology Assessment, 2020;4(1), 40-56.
Cazac C, Radu G. Telesurgery–an efficient interdisciplinary approach used to improve the health care system. Journal of medicine and life, 2014;7(Spec Iss 3), 137.
CRRNS (College of Registered Nurses of Nova Scotia). Telenursing practice guideline, 2008, https://www.telemedecine-360.com/wp-content/uploads/2019/03/2008-CRRNS-Telenursing-practice-guidelines.pdf Erişim tarihi; Eylül 2023.
Poreddi V, Kathyayani B, Hatti N, Reddemma K, Narayana Manjunatha NKC, Math SB. 2020. NIMHANS-Telenursing Practice Guidelines-2020.
Köstekli S, Çelik S, Karahan E. Cerrahi Hastasının Taburculuk Sonrası Tele Sağlık Yöntemi ile Hemşirelik Bakımının Önemi. Cerrahi Ameliyathane Sterilizasyon Enfeksiyon Kontrol Hemşireliği Dergisi, 2020;1(1), 30-38.
Horton K. The use of telecare for people with chronic obstructive pulmonary disease: implications for management. Journal of nursing management, 2008;16(2),173-180.doi:10.1111/j.1365-2834.2008.00845.x
Darkins AW, Cary MA. Telemedicine and telehealth: principles, policies, performances and pitfalls. Springer publishing company. 2000. New York, ISBN: 0-8261-1302-8.
Martich D. Telehealth nursing: tools and strategies for optimal patient care. Springer Publishing Company. 2017. New York, ISBN: 978-0-8261-3232-1.
World Health Organization. Telehealth and telemedicine will henceforth be part of the strategy for health for all. 1997.
Çevik Aktura S, Çitlik Sarıtaş S. Kardiyovasküler Hastalıkların Yönetiminde Mobil ve Tele sağlık Uygulamaları, Kardiyovasküler Hastalıklar ve Güncel Kanıta Dayalı Bakım Uygulamaları, Türkiye Klinikleri İç Hastalıkları Hemşireliği Özel konular, 2022. sf. 56-62, IBN: 978-625-401-8446-6.
Civek S, Akman M. Dünyada ve Türkiye’de kardiyovasküler hastalıkların sıklığı ve riskin değerlendirilmesi. Jour Turk Fam Phy. 2022;13 (1): 21-28. doi: 10.15511/tjtfp.22.00121.
Hartford K. Telenursing and patients’ recovery from bypass surgery. Journal of advanced nursing, 2005;50(5), 459-468. doi:10.1111/j.1365-2648.2005.03427.x
Dığın F, Yıldız Fındık Ü. The effect of nurse telephone consultation after coronary artery bypass on the autonomy level of elderly patients: A quasi-experimental study. Medical Journal of Bakirkoy. 2021;15:135-141. doi: 10.4274/BMJ.galenos.2021.19970
Lin MH, Yuan WL, Huang TC, Zhang HF, Mai JT, Wang JF. Clinical effectiveness of telemedicine for chronic heart failure: a systematic review and meta-analysis. Journal of Investigative Medicine, 2017;65(5), 899-911. doi:10.1136/jim-2016-000199
Koehler F, Koehler K, Deckwart O, Prescher S, Wegscheider K, Kirwan BA, Winkler S, Vettorazi E, Bruch L, Oeff M, Zugck C, Doerr G, Naegele H, Störk S, Butter C, Sechtem U, Angerrman C, Gola G, Prondzinsky R, Edelman F, Spethman S, Schellong SM, Schulze PC, Bauersachs J, Wellge B, Schoebel C, Tajisic M, Dreger H, Anker SD, Stangl K. Efficacy of telemedical interventional management in patients with heart failure (TIM-HF2): a randomised, controlled, parallel-group, unmasked trial. The Lancet, 2018;392(10152), 1047-1057.
Forouzesh M, Sanagoo A, Vakili MA, Jouybari L. The effect of telenursing (telephone follow up) after discharge on readmission due to complications after coronary artery bypass graft surgery. Nursing And Midwifery Journal, 2017;15(8), 584-594.
Hwa K, Wren SM. Telehealth follow-up in lieu of postoperative clinic visit for ambulatory surgery: results of a pilot program. JAMA surgery, 2013;148(9), 823-827. doi:10.1001/jamasurg.2013.2672
Gohari F, Hasanvand S, Gholami M, Heidari H, Baharvand P. Effectiveness of rehabilitation by telephone follow-up on the self-efficacy of patients undergoing coronary artery bypass graft surgery. Interdisciplinary Journal of Acute Care, 2021;1(2), 66-73. doi: 10.22087/ijac.2020.127194
Namjoo M, Nematollahi M, Taebi M, Kahnooji M, Mehdipour-Rabori R. The efficacy of telenursing on caregiver burden among Iranian patients with heart failure: A randomized clinical trial. ARYA Atheroscler. 2021;17:2102. doi: 10.22122/arya.v17i0.2102
Alvarez P, Sianis A, Brown J, Ali A, Briasoulis A. Chronic disease management in heart failure: focus on telemedicine and remote monitoring. Reviews in cardiovascular medicine, 2021;22(2), 403-413. doi: 10.31083/j.rcm2202046
Yıldırım P, Bakır A, Birinci S. Hacettepe Üniversitesi Hastaneleri’nde Web Temelli Teleradyoloji Uygulaması. IV. Ulusal Tıp Bilişimi Kongre Kitabı, 2007. sf 24-29. https://turkmia.net/kongre2007/cd/pdf/24-29.pdf Erişim tarihi; Eylül 2023.
Perez MV, Mahaffey KW, Hedlin H, Rumsfeld JS, Garcia A, Ferris T, Balasubramanian V, Russo AM, Rajmane A, Cheung L, Hung G, Lee J, Kowey P, Talati N, Nag D, Gummidipundi SE, Beaty A, Hills MT, Desai S, Granger CB, Desai M, Turakhia MP. Large-scale assessment of a smartwatch to identify atrial fibrillation. New England Journal of Medicine, 2019;381(20), 1909-1917. doi: 10.1056/NEJMoa19011
Stehlik J, Schmalfuss C, Bozkurt B, Nativi-Nicolau J, Wohlfahrt P, Wegerich S, Rose K, Ray R, Schofield R, Deswal A, Sekaric J, Anand S, Richards D, Hanson H, Pipke M, Pham M. Continuous wearable monitoring analytics predict heart failure hospitalization: the LINK-HF multicenter study. Circulation: Heart Failure, 2020;13(3), e006513. doi: 10.1161/circheartfailure.119.006513
Amir O, Rappaport D, Zafrir B, Abraham WT. A novel approach to monitoring pulmonary congestion in heart failure: initial animal and clinical experiences using remote dielectric sensing technology. Congestive Heart Failure, 2013;19(3), 149-155. doi: 10.1111/chf.12021
Hawkins NM, Virani SA, Sperrin M, Buchan IE, McMurray JJ, Krahn AD. Predicting heart failure decompensation using cardiac implantable electronic devices: a review of practices and challenges. European journal of heart failure, 2016;18(8), 977-986. doi: 10.1002/ejhf.458
Bourge RC, AbrahamWT, Adamson PB, Aaron MF, Aranda JM, Magalski A, Zile MR, Smith AL, Smart FW, O’Shaughnessy MA, Jessup ML, Sparks B, Naftel DL, Stevenson LW, Compass-HF study group. Randomized controlled trial of an implantable continuous hemodynamic monitor in patients with advanced heart failure: the Compass-HF study. Journal of the American College of Cardiology, 2008;51(11), 1073-1079. doi:10.1016/j.jacc.2007.10.061
Maurer MS, Adamson PB, Costanzo MR, Eigler N, Gilbert J, Gold MR, Klapholz M, Saxon LA, Singh JP, Trouhton R, Abraham WT. Rationale and design of the left atrial pressure monitoring to optimize heart failure therapy study (Laptop-HF). Journal of Cardiac Failure, 2015;21(6), 479-488. doi: 10.1016/j.cardfail.2015.04.012
Abraham WT, Adamson PB, Bourge RC, Aaron MF, Costanzo MR, Stevenson LW, Strickland W, Neelagaru S, Raval N, Krueger S, Weiner S, Shavelle D, Jeffries B, Yadav JS. Wireless pulmonary artery haemodynamic monitoring in chronic heart failure: a randomised controlled trial. Lancet. 2011;377: 658–666.
Özkan S, Salık Asar A. Cerrahi hemşireliğinde tele sağlık uygulamaları. Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 2022;38(1), 43-48. doi: 10.53490/egehemsire.777580
Bikmoradi A, Masmouei B, Ghomeisi M, Roshanaei G. Impact of Tele-nursing on adherence to treatment plan in discharged patients after coronary artery bypass graft surgery: A quasi-experimental study in Iran. International journal of medical informatics, 2016;86, 43-48. doi: 10.1016/j.ijmedinf.2015.12.001
Bikmoradi A, Masmouei B, Ghomeisi M, Roshanaei G, Masiello I. Impact of telephone counseling on the quality of life of patients discharged after coronary artery bypass grafts. Patient education and counseling, 2017;100(12), 2290-2296. doi: 10.1016/j.pec.2017.06.010
Gohari F, Hasanvand S, Gholami M, Heydari H, Baharvand P, Almasian M. Comparison of the effectiveness of home visits and telephone follow-up on the self-efficacy of patients having undergone coronary artery bypass graft surgery (CABG) and the burden of their family caregivers: A randomized controlled trial. Investigacion y educacion en enfermeria, 2022;40(1).
Yaman Aktas Y, Gök Uğur H, Orak OS. Discharge education intervention to reduce anxiety and depression in cardiac surgery patients: A randomized controlled study. Journal of PeriAnesthesia Nursing, 2020;35(2), 185-192. doi: 10.1016/j.jopan.2019.08.012
Avcı Işık S, Karaöz S. Effects of Discharge Training and Counseling Service on Self-Efficacy, Care Behaviors and the Problems Experienced in Patients Who Have Undergone Coronary Artery By-Pass Grafting Surgery: An Experimental Study. Turkiye Klinikleri Journal of Nursing Sciences, 2022;14(3). doi: 10.5336/nurses.2021-86250
Bikmoradi A, Omidvar S, Roshanaei G, Khatiban M, Harorani M. The impact of tele nursing on level of depression, stress and anxiety in discharged patients after coronary artery bypass graft surgery: A randomized clinical trial. Journal of Vascular Nursing. 2023;41:89-94. doi: 10.1016/j.jvn.2023.05.003
Sandberg CE, Knight SR, Qureshi AU, Pathak S. Using telemedicine to diagnose surgical site infections in low-and middle-income countries: systematic review. JMIR mHealth and uHealth, 2019;7(8). doi:10.2196/13309
Pathak A, Sharma S, Sharma M, Mahadik VK, Lundborg CS. Feasibility of a mobile phone-based surveillance for surgical site infections in rural India. Telemedıcıne and e-Health, 2015;21(11), 946-949. doi: 10.1089/tmj.2014.0199
Kunjumon S. The role of telehealth in cardiothoracic nursing: advantages and limitations. EPRA International Journal of Multidisciplinary Research (IJMR), 2023;9(8), 325-327.
