Cerrahi hastalarında ameliyat öncesi uyku kalitesinin ameliyat sonrası konfor düzeyine etkisi
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Dosyalar
Tarih
2021
Yazarlar
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Yayıncı
Sosyal Bilimler Enstitüsü
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Kesitsel ve tanımlayıcı tipte yürütülen bu çalışma, cerrahi girişim geçirmesi planlanan hastaların ameliyat öncesi uyku kalitesinin ameliyat sonrası konfor düzeyine etkisini değerlendirmek amacıyla yapıldı. 29.08.2019-12.11.2019 tarihleri arasında Lüleburgaz Devlet Hastanesi’nin Genel Cerrahi, Kulak Burun Boğaz, Ortopedi ve Beyin Cerrahisi kliniklerinde yatmakta olan ve cerrahi girişim geçirmesi planlanan 153 hastada yürütüldü. Verilerin toplanması amacıyla ameliyat öncesi sabahı hasta tanıtım formu dolduruldu ve ameliyattan önceki gece uyku durumunu değerlendiren uyku ölçeği uygulandı. Ameliyattan sonra ilk 24 saatte konforlarını değerlendiren konfor ölçeği uygulandı. Verilerin toplanmasında hasta tanıtım formu, Richards Campbell Uyku Ölçeği ve Perianestezi Konfor Ölçeği kullanıldı. Verilerin analizinde tanımlayıcı istatistikler, Kolmogrov Smirnov testi, Mann Whitney U testi, Kruskal Wallis analizi, Bonferroni yöntemi, korelasyon analizi ve regresyon analizi kullanıldı. Anlamlılık sınırı p<0,05 olarak değerlendirildi. Çalışmaya katılan hastaların Richards Campbell Uyku Ölçeği toplam puan ortalamaları ile Perianestezi Konfor Ölçeği toplam puan ortalamaları arasında istatistiksel olarak anlamlı ve pozitif yönde zayıf-orta düzeyde bir ilişkinin olduğu belirlendi (r=0,406; p=0,000). Çalışmaya katılan hastaların uyku kalitesinin konfor düzeyi üzerinde istatistiksel olarak anlamlı bir etkisinin olduğu ve değişimin %16,5’ini açıkladığı belirlendi (Düzeltilmiş R2=0,165; p=0,000). Cerrahi kliniklerinde yatan hastaların ameliyat öncesi uyku kalitesinin yüksek olması, hastaların ameliyat sonrası konfor düzeylerinin yüksek olmasına katkı sağladığı görüldü. 47 Hastaların cerrahi girişim sonrasında konfor düzeylerini arttırmak amacıyla cerrahi girişim öncesi uyku kalitesini arttırmaya yönelik girişimlerin yapılmasını önermekteyiz.
This study, conducted in a cross-sectional and descriptive type, was conducted to evaluate the effect of preoperative sleep quality on postoperative comfort level of patients who are scheduled to undergo surgical intervention. Between 29.08.2019-12.11.2019, at Lüleburgaz State Hospital there were 153 patients who were planned to have surgical intervention in General Surgery, Otorhinolaryngology, Orthopedics and Neurosurgery. In order to collect the data, the patient introduction form was completed on the morning of the surgery and the sleep scale was applied, which evaluated the sleep condition the night before the surgery. After the surgery, comfort scale was applied in the first 24 hours evaluating their comfort. Patient Introduction Form, Richards Campbell Sleep Questionnaire were used to collect the data. Descriptive statistics, Kolmogrov Smirnov test, Mann Whitney U test, Kruskal Wallis analysis, Bonferroni method, correlation analysis and regression analysis were used in the analysis of the data. The limit of meaning fullness was p<0,05. It was determined that there was a statistically significant and positive weak-moderate relationship between the Richards Campbell Sleep Scale total score averages and Perianesthesia Comfort Scale total score averages (r=0,406; p=0,000). It was determined that the sleep quality of the patients participating in the study had a statistically significant effect on the comfort level and explained %16,5of the change (Fixed R2=0,165; p=0,000). It was seen that the high sleep quality of the patients in the surgical services contributed to the high comfort levels of the patients after surgery. In order to increase the comfort levels of patients after surgical intervention, we recommend that attempts are made to improve the quality of sleep before surgical intervention
This study, conducted in a cross-sectional and descriptive type, was conducted to evaluate the effect of preoperative sleep quality on postoperative comfort level of patients who are scheduled to undergo surgical intervention. Between 29.08.2019-12.11.2019, at Lüleburgaz State Hospital there were 153 patients who were planned to have surgical intervention in General Surgery, Otorhinolaryngology, Orthopedics and Neurosurgery. In order to collect the data, the patient introduction form was completed on the morning of the surgery and the sleep scale was applied, which evaluated the sleep condition the night before the surgery. After the surgery, comfort scale was applied in the first 24 hours evaluating their comfort. Patient Introduction Form, Richards Campbell Sleep Questionnaire were used to collect the data. Descriptive statistics, Kolmogrov Smirnov test, Mann Whitney U test, Kruskal Wallis analysis, Bonferroni method, correlation analysis and regression analysis were used in the analysis of the data. The limit of meaning fullness was p<0,05. It was determined that there was a statistically significant and positive weak-moderate relationship between the Richards Campbell Sleep Scale total score averages and Perianesthesia Comfort Scale total score averages (r=0,406; p=0,000). It was determined that the sleep quality of the patients participating in the study had a statistically significant effect on the comfort level and explained %16,5of the change (Fixed R2=0,165; p=0,000). It was seen that the high sleep quality of the patients in the surgical services contributed to the high comfort levels of the patients after surgery. In order to increase the comfort levels of patients after surgical intervention, we recommend that attempts are made to improve the quality of sleep before surgical intervention
Açıklama
Anahtar Kelimeler
Hemşire, Cerrahi hastası, Uyku kalitesi, Konfor düzeyi, Cerrahi, Nurse, Surgical patient, Sleep quality, Comfort level, Surgical
