Akut apendisit ameliyatı olan 6-12 yaş grubu çocukların postoperatif dönemde çevre oyunu ile mobilizasyonunun korku ve ağrı düzeyine etkisi
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2019
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Araştırma, akut apendisit ameliyatı olan 6-12 yaş grubu çocukların postoperatif dönemde çevre oyunu ile mobilizasyonunun korku ve ağrı düzeylerine etkisini belirlemek amacıyla randomize kontrollü deneysel tipte gerçekleştirilmiştir. Araştırmanın örneklemini Çocuk Cerrahisi servisine başvuran, apendektomi uygulanan ve örneklem kriterlerini karşılayan 6-12 yaş grubu çocuklardan randomizasyonla belirlenen çevre oyunu grubu (n:50) ve kontrol grubu (n:50) olmak üzere 100 çocuk oluşturmuştur. Her iki grupta da mobilizasyon sırasında ebeveynler yanında bulunmuştur. Veriler çocuğun demografik özelliklerini, fizyolojik parametrelerini, ağrı ve korkusunu değerlendirmek amacıyla oluşturulan 'Çocuk İzlem Formu' ile toplanmıştır. Veriler SPSS 22.0 paket programında uygun istatistiksel yöntemler kullanılarak değerlendirilmiştir. Araştırmada çocukların gruplar arası nabız, kan basıncı ve oksijen saturasyon değerleri arasında işlem öncesi ve sonrası fark olmadığı belirlenmiştir (p>0,05). Çocuk, ebeveyn ve hemşire tarafından değerlendirilen ağrı puan ortalamaları, mobilizasyon öncesi her iki grupta benzerken (p>0,05), mobilizasyon sonrası çevre oyunu grubundaki çocukların ağrı puan ortalamaları daha düşük bulunmuştur (p<0,005). Çocuk, ebeveyn ve hemşire tarafından değerlendirilen korku puan ortalamaları, mobilizasyon öncesi her iki grupta benzerken (p>0,05), mobilizasyon sonrası çevre oyunu grubundaki çocukların korku puan ortalamaları daha düşük bulunmuştur (p<0,05). Grup içi sonuçlar incelendiğinde; çevre oyunu ve kontrol grubunda bulunan çocukların nabız ve kan basıncı ortalamaları, her iki grupta da mobilizasyon sonrası öncesine göre daha yüksek olduğu belirlenmiştir (p<0,05). Çocuk, ebeveyn ve hemşire tarafından değerlendirilen ağrı puan ortalamaları; çevre oyunu grubunda mobilizasyon sonrası, öncesine göre daha düşük bulunmuşken (p<0,05), kontrol grubunda ise yüksek olduğu belirlenmiştir (p<0,05). Çocuk, ebeveyn ve hemşire tarafından değerlendirilen korku puanları; çevre oyunu grubunda mobilizasyon sonrası öncesine göre düşük bulunmuşken (p<0,05), kontrol grubunda benzer olduğu belirlenmiştir (p>0,05). Araştırma sonuçları doğrultusunda çocukların korku ve ağrılarının kontrol altına alınmasında çevre oyunun etkili bir yöntem olduğu belirlenmiştir.
The aim of this study is to investigate the effect of environmental play and mobilization of 6-12 years old children with acute appendicitis surgery on fear and pain levels in the postoperative period. This study is conducted as a prospective, randomized controlled experimental study. The sample of the study consisted of 100 children environmental play group (n = 50) and control group (n = 50) randomly selected from 6-12 years old children who applied to the pediatric surgery department with the diagnosis of acute appendicitis, who underwent appendectomy and met the sampling criteria. In both groups, parents accompanied their children during mobilization. Data were collected using the Child Follow-up Form, which was developed to assess the demographic characteristics, physiological parameters, pain and fear of the child. Data were evaluated using appropriate statistical methods in SPSS 22.0 package program. In the study, it was determined that in both groups there was no difference between pulse, blood pressure and oxygen saturation values of children before and after the procedure (p>0,05). The mean pain scores evaluated by children, parents and nurses were similar in both groups before mobilization (p>0,05), whereas the mean pain scores of the children in the environmental play group were lower after mobilization (p<0,005). While the fear score averages evaluated by children, parents and nurses were similar in both groups before mobilization (p>0,05), the mean fear scores of the children in the environmental play group were lower after mobilization (p<0,05). When the group results were examined; pulse and blood pressure averages of children in environmental play and control groups were found to be higher in both groups after mobilization than before (p<0,05). The pain scores of the children were evaluated by children, parents and nurses. As a result of this evaluation it was found that the mean pain score of the environmental play group was lower after mobilization than before (p <0.05) while the mean pain score of the control group was higher (p <0.05). It was found that fear scores which are evaluated by children, parents and nurses, is lower in the environmental play group compared to the pre-mobilization group (p <0.05), but similar in the control group (p>0,05). According to the results of this study, it was found that environmental play is an effective method in controlling the fears and pains of children.
The aim of this study is to investigate the effect of environmental play and mobilization of 6-12 years old children with acute appendicitis surgery on fear and pain levels in the postoperative period. This study is conducted as a prospective, randomized controlled experimental study. The sample of the study consisted of 100 children environmental play group (n = 50) and control group (n = 50) randomly selected from 6-12 years old children who applied to the pediatric surgery department with the diagnosis of acute appendicitis, who underwent appendectomy and met the sampling criteria. In both groups, parents accompanied their children during mobilization. Data were collected using the Child Follow-up Form, which was developed to assess the demographic characteristics, physiological parameters, pain and fear of the child. Data were evaluated using appropriate statistical methods in SPSS 22.0 package program. In the study, it was determined that in both groups there was no difference between pulse, blood pressure and oxygen saturation values of children before and after the procedure (p>0,05). The mean pain scores evaluated by children, parents and nurses were similar in both groups before mobilization (p>0,05), whereas the mean pain scores of the children in the environmental play group were lower after mobilization (p<0,005). While the fear score averages evaluated by children, parents and nurses were similar in both groups before mobilization (p>0,05), the mean fear scores of the children in the environmental play group were lower after mobilization (p<0,05). When the group results were examined; pulse and blood pressure averages of children in environmental play and control groups were found to be higher in both groups after mobilization than before (p<0,05). The pain scores of the children were evaluated by children, parents and nurses. As a result of this evaluation it was found that the mean pain score of the environmental play group was lower after mobilization than before (p <0.05) while the mean pain score of the control group was higher (p <0.05). It was found that fear scores which are evaluated by children, parents and nurses, is lower in the environmental play group compared to the pre-mobilization group (p <0.05), but similar in the control group (p>0,05). According to the results of this study, it was found that environmental play is an effective method in controlling the fears and pains of children.
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Keywords
Hemşirelik, Çocuk Cerrahisi, Çocuk Sağlığı ve Hastalıkları, Akut ağrı, Anksiyete, Apandisit, Nursing, Pediatric Surgery, Ağrı, Child Health and Diseases, Acute pain, Cerrahi, Anxiety, Karın ağrısı, Appendicitis, Pain, Korku, Surgery, Abdominal pain, Oyunlar, Fear, Postoperatif dönem, Games, Postoperative period, Çocuklar, Children