Reasons for postponement and cancellation of the procedure in patients with bronchoscopy

Zeynep Kızılcık Özkan; Bilkay Serez; Nihal Gacemer; Emine Kaskun

Makale detayları

Reasons for postponement and cancellation of the procedure in patients with bronchoscopy

Yazarlar:

Zeynep Kızılcık Özkan | Bilkay Serez | Nihal Gacemer | Emine Kaskun

Yayıncı:

Bolu Abant Izzet Baysal University

Ana Başlıklar:

Hemşirelik

Dergi:

Abant Sağlık Bilimleri ve Teknolojileri Dergisi Vol.3 Issue 1, pp.10-16

Belge Tipi:

Makale

Yayın Tarihi:

9/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001285229

pISSN:

2791-8904

Anahtar kelimeler:

Özet:

 Bronchoscopy is an invasive procedure enabling to visualize the respiratory tract through an endoscope. The aim of this study was to evaluate the causes for postponement or cancellation of the procedure. This descriptive study was conducted with participation of 80 patients who would have had bronchoscopy in the endoscopy unit of a university hospital between April 2019 and January 2020. The mean age of the patients was 60.813.8 years 26-86; 18.8 of patients had bronchoscopy experience. the postponement rate was found 8.1 n37 and the cancellation rate was found 9.4 n43. The first three causes for the cancellation of the procedure included patients fear 22.5, poor overall health status 8.8 and referral to an alternative procedure 8.8. It was found after a review on the reasons for delay that the first three reasons respectively were lack of tests blood tests, electrocardiography, pulmonary function test, etc. required before the procedure 11.3, unstable vital signs 8.8, and failure to discontinue anticoagulant drug intake 4.9. It is observed that the bronchoscopy procedure is postponed or cancelled in approximately two out of every ten patients. The physicians and nurses working in bronchoscopy units should determine the preventable causes of cancellation and postponement in patients undergoing bronchoscopy, and provide additional information and reminders to patients for preliminary evaluation in order to prevent cancellation and postponement of the procedure.

 Bronchoscopy is an invasive procedure enabling to visualize the respiratory tract through an endoscope. The aim of this study was to evaluate the causes for postponement or cancellation of the procedure. This descriptive study was conducted with participation of 80 patients who would have had bronchoscopy in the endoscopy unit of a university hospital between April 2019 and January 2020. The mean age of the patients was 60.813.8 years 26-86; 18.8 of patients had bronchoscopy experience. the postponement rate was found 8.1 n37 and the cancellation rate was found 9.4 n43. The first three causes for the cancellation of the procedure included patients fear 22.5, poor overall health status 8.8 and referral to an alternative procedure 8.8. It was found after a review on the reasons for delay that the first three reasons respectively were lack of tests blood tests, electrocardiography, pulmonary function test, etc. required before the procedure 11.3, unstable vital signs 8.8, and failure to discontinue anticoagulant drug intake 4.9. It is observed that the bronchoscopy procedure is postponed or cancelled in approximately two out of every ten patients. The physicians and nurses working in bronchoscopy units should determine the preventable causes of cancellation and postponement in patients undergoing bronchoscopy, and provide additional information and reminders to patients for preliminary evaluation in order to prevent cancellation and postponement of the procedure.

 Bronchoscopy is an invasive procedure enabling to visualize the respiratory tract through an endoscope. The aim of this study was to evaluate the causes for postponement or cancellation of the procedure. This descriptive study was conducted with participation of 80 patients who would have had bronchoscopy in the endoscopy unit of a university hospital between April 2019 and January 2020. The mean age of the patients was 60.813.8 years 26-86; 18.8 of patients had bronchoscopy experience. the postponement rate was found 8.1 n37 and the cancellation rate was found 9.4 n43. The first three causes for the cancellation of the procedure included patients fear 22.5, poor overall health status 8.8 and referral to an alternative procedure 8.8. It was found after a review on the reasons for delay that the first three reasons respectively were lack of tests blood tests, electrocardiography, pulmonary function test, etc. required before the procedure 11.3, unstable vital signs 8.8, and failure to discontinue anticoagulant drug intake 4.9. It is observed that the bronchoscopy procedure is postponed or cancelled in approximately two out of every ten patients. The physicians and nurses working in bronchoscopy units should determine the preventable causes of cancellation and postponement in patients undergoing bronchoscopy, and provide additional information and reminders to patients for preliminary evaluation in order to prevent cancellation and postponement of the procedure.

 Bronkoskopi, endoskop aracılığıyla solunum yollarının görüntülenmesini sağlayan invaziv bir işlemdir. Bu çalışmanın amacı, işlemin ertelenmesi veya iptal edilmesinin nedenlerini değerlendirmektir. Tanımlayıcı tipteki bu çalışma, Nisan 2019-Ocak 2020 tarihleri arasında bir üniversite hastanesinin endoskopi ünitesinde bronkoskopi olması gereken 80 hastanın katılımıyla yapıldı. Hastaların yaş ortalaması 60,813,8 yıl 26-86 ve 18,8i bronkoskopi deneyimine sahipti. Erteleme oranı 8,1 n37 ve iptal oranı 9,4 n43 bulundu. İşlemin iptal edilmesinin ilk üç nedeni, hastaların korkusu 22,5, genel sağlık durumunun kötü olması 8,8 ve alternatif bir işleme sevk edilmesidir 8,8. İptal nedenleri üzerinde yapılan incelemede ilk üç nedenin sırasıyla işlem öncesi gerekli tetkiklerin kan tahlili, elektrokardiyografi, solunum fonksiyon testi vb. eksikliği 11,3, yaşamsal bulguların stabil olmaması 8,8  ve antikoagülan ilaç alımının durdurulmaması 4,9 olarak belirlendi. Yaklaşık olarak her on hastadan ikisinde bronkoskopi işleminin ertelendiği veya iptal edildiği görülmektedir. Bronkoskopi ünitelerinde çalışan hekim ve hemşireler, bronkoskopi yapılan hastalarda iptal ve ertelemenin önlenebilir nedenlerini belirlemeli, işlemin iptali ve ertelenmesini önlemek için hastalara ön değerlendirme için ek bilgi ve hatırlatmalar yapmalıdır.

Makale detayları

Reasons for postponement and cancellation of the procedure in patients with bronchoscopy

Yazarlar:

Zeynep Kızılcık Özkan | Bilkay Serez | Nihal Gacemer | Emine Kaskun

Yayıncı:

Bolu Abant Izzet Baysal University

Ana Başlıklar:

Hemşirelik

Dergi:

Abant Sağlık Bilimleri ve Teknolojileri Dergisi Vol.3 Issue 1, pp.10-16

Belge Tipi:

Makale

Yayın Tarihi:

9/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001285229

pISSN:

2791-8904

Bronchoscopy

Cancel

Patient

Postponement

Bronkoskopi

İptal

HAsta

Erteleme

Bronchoscopy

Sayı

Makale detayları

Yazarlar: Zeynep Kızılcık Özkan | Bilkay Serez | Nihal Gacemer | Emine Kaskun

Yayıncı: Bolu Abant Izzet Baysal University

Ana Başlıklar: Hemşirelik

Dergi: Abant Sağlık Bilimleri ve Teknolojileri Dergisi Vol.3 Issue 1, pp.10-16

Belge Tipi: Makale

Yayın Tarihi: 9/2023

Belge Dili: Türkçe

Document ID (Org No.): 2001285229

pISSN: 2791-8904

Sayı

Yazarlar:

Zeynep Kızılcık Özkan | Bilkay Serez | Nihal Gacemer | Emine Kaskun

Yayıncı:

Bolu Abant Izzet Baysal University

Ana Başlıklar:

Hemşirelik

Dergi:

Abant Sağlık Bilimleri ve Teknolojileri Dergisi Vol.3 Issue 1, pp.10-16

Belge Tipi:

Makale

Yayın Tarihi:

9/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001285229

pISSN:

2791-8904