Bebeklerde intestinal stomaterapi işlemi sırasında yatak başı müzikli dönence kullanımının fizyolojik parametreler ve ağrı düzeyine etkisi
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2019
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Open Access Color
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Abstract
Araştırma bebeklerde intestinal stomaterapi işlemi sırasında yatak başı müzikli dönence kullanımının fizyolojik parametreler ve ağrı düzeyine etkisini belirlemek amacıyla randomize kontrollü deneysel olarak gerçekleştirilmiştir. Araştırma Aralık 2018-Ekim 2019 tarihleri arasında Kanuni Sultan Süleyman Eğitim ve Araştırma Hastanesi çocuk cerrahisi ve ürolojisi biriminde izlenen 66 bebekle (Dönence grubu:33, Kontrol grubu:33) yapılmıştır. Veriler 'Veri Toplama Formu' ve 'FLACC Ağrı Ölçeği' kullanılarak toplanmıştır. Veriler SPSS 22.0 programında uygun istatistiksel yöntemler kullanılarak değerlendirilmiştir. Araştırmada dönence ve kontrol grubuna ait tanıtıcı özellikler arasında fark anlamsız olup (p>0,05) gruplar homojen dağılmaktadır. Grup içi sonuçlar incelendiğinde; stomaterapi sırasında müzikli dönence kullanılan gruptaki bebeklerin KTA, SPO2, sistolik ve diastolik kan basıncı ortalamaları arasında anlamlı bir fark saptanmamıştır (p>0,05). Öte yandan vücut sıcaklığı ve FLACC ağrı puan ortalamaların stomaterapiden hemen sonra artış gösterdiği saptanmıştır (p<0,05). Kontrol grubundaki bebeklerin KTA, vücut sıcaklığı ve FLACC ağrı puan ortalamaların stomaterapiden hemen sonra anlamlı bir artış, SPO2 değerinin ise düşüş gösterdiği belirlenmiştir (p<0,05). Stomaterapiden 15 dakika sonra da KTA, kan basıncı, vücut sıcaklığı ve FLACC ağrı puan ortalamalarının düştüğü SpO2 değerinin ise arttığı ancak stomaterapi öncesi değere ulaşamadığı belirlenmiştir. Gruplar arası sonuçlar incelendiğinde; KTA, SpO2, sistolik/diastolik kan basıncı, vücut sıcaklığı ve FLACC ağrı puan ortalama değerleri stomaterapi öncesi homojen dağılmaktadır (p>0,05). Kontrol grubundaki bebeklerin stomaterapiden hemen sonra KTA, vücut sıcaklığı ve FLACC ağrı puan ortalamalarının düştüğü müzikli dönence kullanılan gruba göre arttığı, SpO2 ortalamalarının ise anlamlı bir düşüş saptanmıştır (p<0,05). Kontrol grubundaki bebeklerin stomaterapiden 15 dakika sonra vücut sıcaklığı ve FLACC ağrı puan ortalamalarının müzikli dönence kullanılan gruba göre arttığı, SpO2 ortalamalarının ise düştüğü belirlenmiştir (p<0,05). Araştırmanın sonuçları doğrultusunda; bebeklerde intestinal stomaterapi işlemi sırasında yatak başı müzikli dönence kullanımının fizyolojik parametreler ve ağrı düzeyinin azalması lehinde etkili olduğu saptanmıştır. Ağrılı girişimler sırasında bebeklerde kullanımı önerilebilir. Anahtar kelimeler: İntestinal stomaterapi, Bebek, Müzikli Dönence, Ağrı, Fizyolojik Parametreler.
This study was conducted to determine the effect of bedside music mobile use on physiological parameters and pain level during intestinal stomaterapy in infants. The study was carried out with 66 babies (music mobile group: 33, Control group: 33) who were followed in pediatric surgery and urology unit of Kanuni Sultan Süleyman Training and Research Hospital between December 2018- October 2019. Data were collected using 'Data Collection Form' and 'FLACC Pain Scale'. They were evaluated using the appropriate statistical methods in the SPSS 22.0 program. The difference between the descriptive features of music mobile and control group was not significant (p> 0.05) groups are distributed homogeneously. When the in-group results were examined; There was no significant change in the mean values of KTA, SpO2 and blood pressure of the infants in the music mobile group during stomaterapy (p>0.05). Body temperature and FLACC pain scores were found to increase immediately after stomaterapy (p <0.05). It was found that the mean scores of KTA, body temperature and FLACC pain of the babies in the control group increased significantly after the stomaterapy and SpO2 value decreased (p <0,05). After 15 minutes from stomatherapy, KTA, blood pressure, body temperature and FLACC pain scores averaged, Although SpO2 value increased, it was determined that it could not reach pre-stomaterapy value. Results between groups; KTA, SpO2, systolic / diastolic blood pressure, body temperature, and FLACC pain score mean values between groups were homogeneous before stomaterapy (p> 0.05). In the control group, a significant increase was found in the mean scores of KTA, body temperature and FLACC pain after stomaterapy compared to bedside music mobile group, and a significant decrease in SpO2 values (p <0.05). In the control group, the mean body temperature and FLACC pain scores of the infants 15 minutes after stomaterapy were significantly increased and the SpO2 values were significantly lower than the bedside music group (p <0.05). According to the results of the research; The use of bedside music mobile during intestinal stomaterapy was found to be effective in decreasing the physiological parameters and pain level. It can be recommended for use in infants during painful interventions. Key words: Intestinal Stomatherapy, Infant, Musical mobile, Pain, Physiological Parameters.
This study was conducted to determine the effect of bedside music mobile use on physiological parameters and pain level during intestinal stomaterapy in infants. The study was carried out with 66 babies (music mobile group: 33, Control group: 33) who were followed in pediatric surgery and urology unit of Kanuni Sultan Süleyman Training and Research Hospital between December 2018- October 2019. Data were collected using 'Data Collection Form' and 'FLACC Pain Scale'. They were evaluated using the appropriate statistical methods in the SPSS 22.0 program. The difference between the descriptive features of music mobile and control group was not significant (p> 0.05) groups are distributed homogeneously. When the in-group results were examined; There was no significant change in the mean values of KTA, SpO2 and blood pressure of the infants in the music mobile group during stomaterapy (p>0.05). Body temperature and FLACC pain scores were found to increase immediately after stomaterapy (p <0.05). It was found that the mean scores of KTA, body temperature and FLACC pain of the babies in the control group increased significantly after the stomaterapy and SpO2 value decreased (p <0,05). After 15 minutes from stomatherapy, KTA, blood pressure, body temperature and FLACC pain scores averaged, Although SpO2 value increased, it was determined that it could not reach pre-stomaterapy value. Results between groups; KTA, SpO2, systolic / diastolic blood pressure, body temperature, and FLACC pain score mean values between groups were homogeneous before stomaterapy (p> 0.05). In the control group, a significant increase was found in the mean scores of KTA, body temperature and FLACC pain after stomaterapy compared to bedside music mobile group, and a significant decrease in SpO2 values (p <0.05). In the control group, the mean body temperature and FLACC pain scores of the infants 15 minutes after stomaterapy were significantly increased and the SpO2 values were significantly lower than the bedside music group (p <0.05). According to the results of the research; The use of bedside music mobile during intestinal stomaterapy was found to be effective in decreasing the physiological parameters and pain level. It can be recommended for use in infants during painful interventions. Key words: Intestinal Stomatherapy, Infant, Musical mobile, Pain, Physiological Parameters.
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Keywords
Hemşirelik, Ağrı, Bebekler, Cerrahi stomalar, Nursing, Cerrahi yara, Pain, Infant, Dikkat dağıtma, Surgical stomas, Surgical wound, Dikkat çekme, Distraction, Müzik, Getting attention, Music, Stoma, Stomata