Tiroidektomi ameliyatı olacak olan hastalara ameliyat öncesi verilen eğitimin ameliyat sonrası dönemde konfora etkisi
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2022
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Tiroidektomi Ameliyatı Olacak Olan Hastalara Ameliyat Öncesi Verilen Eğitimin Ameliyat Sonrası Konfora Etkisi Bu araştırma, tiroidektomi ameliyatı olacak olan hastalara ameliyat öncesi verilen eğitimin ameliyat sonrası dönemde konfora etkisinin belirlenmesi amacıyla yarı deneysel türde yapıldı. Araştırmanın evrenini İstanbul Avrupa yakasında bulunan bir üniversite Hastanesi'nin genel cerrahi kliniğinde tiroidektomi ameliyat yapılacak hastalar, örneklemini ise 08.07.2021-30.06.2022 tarihleri arasında araştırmaya dahil edilme kritelerini sağlayan 30 müdahale, 30 kontrol grubu olmak üzere toplam 60 hasta oluşturdu. Verilerin elde edilmesinde 'Hasta Tanıtım Formu', 'Perianestezi Konfor Ölçeği', 'Sayısal Ağrı Ölçeği', 'Ameliyat Öncesi Dönemde Ameliyata İlişkin Genel Bilgiler Eğitim Dokümanı', 'Hasta Eğitim Kitapçığı' ve 'Ameliyat Sonrası Takip Formu' kullanıldı. Verilerin analizi IBM Spss 25.0 versiyonu ile gerçekleştirildi. İstatiksel analiz için Kolmogrov Smirnov ve Shapiro Wilk normallik testleri uygulandı. Demografik değişkenlerden sürekli veri olan yaş için korelasyon analizi, diğer demografik değişkenler için kikare analizi uygulandı. Ağrı şiddeti ortalamaları haftalık olarak bağımsız gruplarda sample t test aracılığı ile karşılaştırıldı. İstatiksel anlamlılık seviyesi p<0,05 olarak kabul edildi. Araştırmaya katılan müdahale ve kontrol grubu hastaların sosyodemografik özelliklerine göre homojen oldukları (p>0,05) bulundu. Müdahale ve kontrol grubundaki hastaların Perianestezi Konfor Ölçeği puan ortalamaları arasında istatiksel olarak anlamlı farklılık olduğu verilen eğitimin konfor ortalamasını yükselttiği saptandı (p<0,05). Müdahale grubu hastalarının ameliyat sonrası ağrı şiddetleri 1.gün 3,20 iken 1.hafta 0,67'ye düştüğü ve 2.haftadan itibaren ağrılarının olmadığı saptandı. Gruplar arasında istatiksel olarak anlamlı farklılık bulundu (p<0,05). Kontrol grubu hastalarının ameliyat sonrası ağrı şiddetleri 1.gün 4,97 iken 1.hafta 2,07'ye 2.hafta ise 0,07'ye düştüğü saptandı. Gruplar arasında istatiksel olarak anlamlı farklılık bulundu (p<0,05). Kontrol ve müdahale gruplarının ağrı şiddetleri karşılaştırıldığında 1.gün kontrol grubu ağrı ortalaması (X=4,97±1,7) ile müdahale grubu ortalaması (X=3,20±1,0) arasında, 1.hafta kontrol grubu ağrı ortalaması (X=2,07±1,6) ile müdahale grubu ortalaması (X=0,67±0,95) arasında anlamlı farklılıklar bulundu (p<0,05). Kontrol grubundaki hastaların 1.gün ve 1.hafta ağrı puanlarının müdahale grubundaki hastalara göre daha yüksek olduğu saptandı. Bununla birlikte 2.hafta kontrol ve müdahale grubu ortalamaları arasında istatiksel olarak anlamlı farklılık bulunmadı (p>0,05). Araştırma sonucunda eğitimin hastaların ameliyat sonrası konforunu arttırdığı ve ağrılarını azalttığı bulundu. Hasta eğitim kitapçığı ile hastalara verilen eğitimin desteklenmesi, yaygınlaştırılması önerilmektedir. Anahtar kelimeler: Ağrı Şiddeti, Eğitim, Hemşirelik, Konfor, Tiroidektomi
The Effect of Preoperative Education on Postoperative Comfort for Patients Who Will Have Thyroidectomy Surgery This study was conducted in a semi-experimental type in order to determine the effect of preoperative education given to patients who will undergo thyroidectomy surgery on comfort in the postoperative period. The population of the study consisted of patients who will undergo thyroidectomy surgery in the general surgery clinic of a university hospital located on the European side of Istanbul, and the sample consisted of 60 patients, 30 of whom met the criteria for inclusion in the study, between 08.07.2021 and 30.06.2022. 'Patient Information Form', 'Perianesthesia Comfort Scale', 'Numerical Pain Scale', 'General Information on Preoperative Period Training Document', 'Patient Education Booklet' and 'Post-Operative Follow-up Form' were used to obtain the data. Data analysis was performed with IBM Spss version 25.0. Kolmogrov Smirnov and Shapiro Wilk normality tests were used for statistical analysis. Correlation analysis was used for age, which is continuous data from demographic variables, and chi-square analysis was applied for other demographic variables. Pain intensity averages were compared weekly in independent groups by means of sample t-test. Statistical significance level was accepted as p<0.05. It was found that the intervention and control group patients participating in the study were homogeneous according to their sociodemographic characteristics (p>0.05). It was determined that the training given to the patients in the intervention and control devices, among the Perianesthesia Comfort Scale mean scores, statistically thought to guide, and increased the comfort average (p<0.05). It was determined that the postoperative pain intensity of the patients in the intervention group was 3.20 on the 1st day, while it decreased to 0.67 in the 1st week, and they did not have pain from the 2nd week. Statistically directed routing was found between the groups (p<0.05). It was determined that the postoperative pain severity of the patients in the control group was 4.97 on the 1st day, while it decreased to 2.07 at the 1st week and to 0.07 at the 2nd week. Statistically directed routing was found between the groups (p<0.05). The pain intensity of the control and intervention groups was between the 1st day control group pain average (X=4.97±1.7) and the intervention group average (X=3.20±1.0), the 1st week control group pain average Variables were found between ( X=2.07±1.6) and the mean of the observation group (X=0.67±0.95) (p<0.05). When the pain intensities of the control and intervention groups were compared, the mean pain of the control group (X=4,97±1,7) on the 1st day and the mean of the intervention group (X=3,20±1,0), and the mean pain of the 1st week control group (X=2,07±1,6) was compared with the intervention group. Significant differences were found between the mean group (X=0,67±0,95) (p<0.05). It was determined that the 1st day and 1st week pain scores of the patients in the control group were higher than the patients in the intervention group. However, no statistically significant difference was found between the mean of the control and intervention groups at the 2nd week (p>0.05). As a result of the research, it was found that the education increased the comfort of the patients and reduced their pain after the surgery. It is recommended to support and disseminate the education given to patients with the patient education booklet. Key words: Pain Severity, Education, Nursing, Comfort, Thyroidectomy
The Effect of Preoperative Education on Postoperative Comfort for Patients Who Will Have Thyroidectomy Surgery This study was conducted in a semi-experimental type in order to determine the effect of preoperative education given to patients who will undergo thyroidectomy surgery on comfort in the postoperative period. The population of the study consisted of patients who will undergo thyroidectomy surgery in the general surgery clinic of a university hospital located on the European side of Istanbul, and the sample consisted of 60 patients, 30 of whom met the criteria for inclusion in the study, between 08.07.2021 and 30.06.2022. 'Patient Information Form', 'Perianesthesia Comfort Scale', 'Numerical Pain Scale', 'General Information on Preoperative Period Training Document', 'Patient Education Booklet' and 'Post-Operative Follow-up Form' were used to obtain the data. Data analysis was performed with IBM Spss version 25.0. Kolmogrov Smirnov and Shapiro Wilk normality tests were used for statistical analysis. Correlation analysis was used for age, which is continuous data from demographic variables, and chi-square analysis was applied for other demographic variables. Pain intensity averages were compared weekly in independent groups by means of sample t-test. Statistical significance level was accepted as p<0.05. It was found that the intervention and control group patients participating in the study were homogeneous according to their sociodemographic characteristics (p>0.05). It was determined that the training given to the patients in the intervention and control devices, among the Perianesthesia Comfort Scale mean scores, statistically thought to guide, and increased the comfort average (p<0.05). It was determined that the postoperative pain intensity of the patients in the intervention group was 3.20 on the 1st day, while it decreased to 0.67 in the 1st week, and they did not have pain from the 2nd week. Statistically directed routing was found between the groups (p<0.05). It was determined that the postoperative pain severity of the patients in the control group was 4.97 on the 1st day, while it decreased to 2.07 at the 1st week and to 0.07 at the 2nd week. Statistically directed routing was found between the groups (p<0.05). The pain intensity of the control and intervention groups was between the 1st day control group pain average (X=4.97±1.7) and the intervention group average (X=3.20±1.0), the 1st week control group pain average Variables were found between ( X=2.07±1.6) and the mean of the observation group (X=0.67±0.95) (p<0.05). When the pain intensities of the control and intervention groups were compared, the mean pain of the control group (X=4,97±1,7) on the 1st day and the mean of the intervention group (X=3,20±1,0), and the mean pain of the 1st week control group (X=2,07±1,6) was compared with the intervention group. Significant differences were found between the mean group (X=0,67±0,95) (p<0.05). It was determined that the 1st day and 1st week pain scores of the patients in the control group were higher than the patients in the intervention group. However, no statistically significant difference was found between the mean of the control and intervention groups at the 2nd week (p>0.05). As a result of the research, it was found that the education increased the comfort of the patients and reduced their pain after the surgery. It is recommended to support and disseminate the education given to patients with the patient education booklet. Key words: Pain Severity, Education, Nursing, Comfort, Thyroidectomy
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Hemşirelik, Nursing
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