Tek Cihazda Birleştirilen Infüzyon ve Beslenme Pompasının Tasarımı ve Klinikte Uygulanması

Abstract

Purpose of the research is to design a prototype of a device, which combines the intravenous infusion pump and feeding pump, and to get it evaluated by nurses. At the first stage of the research, the characteristics of patients which the conventional pumps are used and the opinions of the nurses on these pumps are obtained. First stage has been carried out with 120 patients having intravenous infusion support and 40 patients having enteral infusion support in the Adult Hospital of the Faculty of Medicine of University of Hacettepe. At the second stage of the research the prototype of the pump has been designed and produced. At the third stage, the opinions of the specialist engineer and 7 nurses are obtained. “Data Forms for the Patients, Intravenous Infusion and Feeding Pumps used on” were used at the first stage. In order to obtain the opinions of the nurses in first and third stages, “The Form for Opinions of the Nurses Using the Intravenous and Enteral Pumps in Clinics” was used. In our study, it is observed that the rate of complication development in intravenous treatment is increased as the infusion duration and fluid amount increases. It is found that the rate of pump usage in the intensive care unit (avg. 2) is higher than service units (avg. 1,1) (p<0,05). As for the infusion pumps in the clinics, the nurses had stated that they have problems mostly with the carriage of the device (%67,5) and the battery life (%57,5). As for the enteral pumps, it is observed that the patients are mostly fed by nasogastric way (%72,5) and it is found that the patients fed nasogastrically have more complications than gastrostomy (p<0,05). As for the enteral pumps in clinics, nurses have problems mostly with battery life (%52,5) and the training about the pump (%40). The prototype produced in this study is very portable and can be set easily. Nurses have stated positive opinions about the prototype. With the study, it is proposed not only patient care but also to increase the activities of nurses in health services with efforts to design the medical devices.