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Hastaların Ameliyat Sonrasındaki Hareket Uyumunu Eğitim Vererek Arttırabilir Miyiz?

Year 2024, Volume: 5 Issue: 1, 125 - 133, 30.04.2024
https://doi.org/10.58605/bingolsaglik.1407583

Abstract

Abdominal cerrahi geçiren hastalara verilen hareket eğitiminin hastaların hareket edebilme durumlarına etkisinin olup olmadığını değerlendirmek amacıyla planlamıştır. Araştırma bir üniversite hastanesinin Genel Cerrahi servisinde ameliyat olan hastalarla müdahale ve kontrol grubu olmak üzere iki hasta grubu ile yürütülmektedir. Veriler Tanıtıcı Bilgiler Soru Formu, Hasta Hareketlilik Ölçeği, Gözlemci Hareketlilik Ölçeği ile toplanmaktadır. Araştırmanın verileri, ameliyattan sonraki ilk yürüyüşünü yapmış olan ve örneklem ölçütlerine uygun olan hastalarla toplanmaktadır. Müdahale grubu, ameliyat sonrasında ne zaman ve nasıl ayağa kalkacağı, ne kadar süre ayakta kalacağı, yürürken drenleri ve diğer ekipmanları nasıl taşıyacağı, ne zaman hareket etmeyi sonlandıracağı konusunda ameliyattan önce yaklaşık 10 dakika sürede bilgilendirilerek, daha sonra eğitimin içeriğine uygun broşür, kontrol grubunda yer alan hastalara ise Tanıtıcı Bilgiler Soru Formu, Hasta Hareketlilik Ölçeği ve Gözlemci Hareketlilik Ölçeği uygulandıktan sonra eğitim ve broşür verilmiştir. Hastaların, yaş ortalaması 49.22±15.22 yıl, % 52.9 (n=37)’ sinin kadın, % 80,0 (n=56)’nin evli olduğu görüldü. Kontrol ve müdahale grubu hastaların; zorlanma ve bağımlılık puan ortalamaları arasında istatiksel olarak anlamlı fark olduğu tespit edildi. Kontrol ve müdahale grubu hastaların yatak içinde bir taraftan diğer tarafa dönme, yatak kenarında otururken, yatak kenarından ayağa kalkarken ve hasta odasında yürürken alınan bağımlılık puan ortalamaları arasında istatiksel olarak anlamlı fark olduğu belirlendi. Perioperatif dönemde verilen hareket etme konusundaki eğitim ile hastaların hareket etmekte zorlanmadıkları ve bağımsızlıklarının arttığı görüldü. Bu doğrultuda hastanın hareket etmeye uyumunun ve hareket etmesinin artmasıyla birlikte ameliyat sonrası komplikasyonları azalabilir ve iyileşmesi hızlanabilir.

Ethical Statement

Bu çalışmanın, özgün bir çalışma olduğunu; çalışmanın hazırlık, veri toplama, analiz ve bilgilerin sunumu olmak üzere tüm aşamalarından bilimsel etik ilke ve kurallarına uygun davrandığımı; bu çalışma kapsamında elde edilmeyen tüm veri ve bilgiler için kaynak gösterdiğimi ve bu kaynaklara kaynakçada yer verdiğimi; kullanılan verilerde herhangi bir değişiklik yapmadığımı, çalışmanın Committee on Publication Ethics (COPE)' in tüm şartlarını ve koşullarını kabul ederek etik görev ve sorumluluklara riayet ettiğimi beyan ederim.

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Project Number

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Thanks

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References

  • Lassen K, Soop M, Nygren J, Cox PB, Hendry PO, Spies C, von Meyenfeldt MF, Fearon KC, Revhaug A, Norderval S, Ljungqvist O, Lobo DN, Dejong CH; Enhanced Recovery After Surgery (ERAS) Group. Consensus review of optimal perioperative care in colorectal surgery: Enhanced Recovery After Surgery (ERAS) Group recommendations. Arch Surg. 2009 Oct;144(10):961-9.
  • Fisher SR, Kuo YF, Graham JE, Ottenbacher KJ, Ostir GV. Early ambulation and length of stay in older adults hospitalized for acute illness. Arch Intern Med. 2010 Nov 22;170(21):1942-3.
  • Yang CK, Teng A, Lee DY, Rose K. Pulmonary complications after major abdominal surgery: National Surgical Quality Improvement Program analysis. J Surg Res. 2015 Oct;198(2):441-9.
  • Birkmeyer NJ, Dimick JB, Share D, Hawasli A, English WJ, Genaw J, Finks JF, Carlin AM, Birkmeyer JD; Michigan Bariatric Surgery Collaborative. Hospital complication rates with bariatric surgery in Michigan. JAMA. 2010 Jul 28;304(4):435-42.
  • Adogwa O, Elsamadicy AA, Fialkoff J, Cheng J, Karikari IO, Bagley C. Early Ambulation Decreases Length of Hospital Stay, Perioperative Complications and Improves Functional Outcomes in Elderly Patients Undergoing Surgery for Correction of Adult Degenerative Scoliosis. Spine (Phila Pa 1976). 2017 Sep 15;42(18):1420-1425.
  • Monteiro Carbone ÉDS, Takaki MR, Uyeda MGBK, Sartori MGF. Early physical therapy intervention in gynaecological surgery: "Case series". Int J Surg Case Rep. 2018;52:95-102.
  • Svensson-Raskh A, Schandl A, Holdar U, Fagevik Olsén M, Nygren-Bonnier M. "I Have Everything to Win and Nothing to Lose": Patient Experiences of Mobilization Out of Bed Immediately After Abdominal Surgery. Phys Ther. 2020 Dec 7;100(12):2079-2089.
  • Aydemir Gedük E. Hemşirelik Mesleğinin Gelişen Rolleri. Sağlık Bilimleri ve Meslekleri Dergisi. 2018;5(2):253-258.
  • Karaaslan E. Abdominal Bölge Cerrahisi Geçiren Hastalarda Hareketliliğe Etki Eden Faktörlerin Değerlendirilmesi [master’s thesis]. [Gaziantep]. Hasan Kalyoncu Üniversitesi; 2020. P 94
  • Svensson-Raskh A, Schandl A, Holdar U, Fagevik Olsén M, Nygren-Bonnier M. "I Have Everything to Win and Nothing to Lose": Patient Experiences of Mobilization Out of Bed Immediately After Abdominal Surgery. Phys Ther. 2020 Dec 7;100(12):2079-2089.
  • Hu Y, McArthur A, Yu Z. Early postoperative mobilization in patients undergoing abdominal surgery: a best practice implementation project. JBI Database System Rev Implement Rep. 2019 Dec;17(12):2591-2611.
  • Kızmaz, E. Kolorektal cerrahi geçiren hastalarda ekspiratuar kas eğitiminin etkinliğinin incelenmesi. [master’s thesis]. [Denizli]. Pamukkale Üniversitesi; 2019. P 80
  • Kankaya EA, Bilik Ö. Kalp Kapak Ameliyatı Sonrası Güncel Hemşirelik Yaklaşımları: Bakım Neden Önemli? . Balıkesir Sağlık Bilimleri Dergisi. 2018;7(2), 101-111.
  • Heye ML, Foster L, Bartlett MK, Adkins S. A preoperative intervention for pain reduction, improved mobility, and self-efficacy. Appl Nurs Res. 2002 Aug;15(3):174-83.
  • Ayoğlu T. Cerrahi girişim öncesi verilen eğitimin hastaların öz-etkililik algısına ve iyileşme sürecine etkisi. [master’s thesis]. [İstanbul]. Istanbul Üniversitesi; 2011. P
  • Köse S, Avşar G. Impact of Early and Regular Mobilization on Vital Signs and Oxygen Saturation in Patients Undergoing Open-Heart Surgery. Braz J Cardiovasc Surg. 2021 Aug 6;36(4):506-514.
  • Rivas E, Cohen B, Pu X, Xiang L, Saasouh W, Mao G, Minko P, Mosteller L, Volio A, Maheshwari K, Sessler DI, Turan A. Pain and Opioid Consumption and Mobilization after Surgery: Post Hoc Analysis of Two Randomized Trials. Anesthesiology. 2022 Jan 1;136(1):115-126.
  • Ghordadekar, D., Naqvi, W. M., & Sahu, A. A case report on impact of physiotherapy rehabilitation on post coronary artery bypass graft. Medical Science, 2020;24(104), 1962-1967.
  • Couceiro TC, Valença MM, Lima LC, de Menezes TC, Raposo MC. Prevalence and influence of gender, age, and type of surgery on postoperative pain. Rev Bras Anestesiol. 2009 May-Jun;59(3):314-20. English, Portuguese.
  • Dubb R, Nydahl P, Hermes C, Schwabbauer N, Toonstra A, Parker AM, Kaltwasser A, Needham DM. Barriers and Strategies for Early Mobilization of Patients in Intensive Care Units. Ann Am Thorac Soc. 2016 May;13(5):724-30.
  • Jønsson LR, Foss NB, Orbæk J, Lauritsen ML, Sejrsen HN, Kristensen MT. Early intensive mobilization after acute high-risk abdominal surgery: a nonrandomized prospective feasibility trial. Can J Surg. 2023 May 2;66(3):E236-E245.
  • Zaini N H, Abdullah, KL, Raja Mokhtar RA, Chinna, K, Kamaruzzaman, SB Relationship between Psychological Distress and Demographic Characteristics among Patients Undergoing Coronary Artery Bypass Graft (CABG) Surgery. In Healthcare 2022;10(9):1763
  • Özdemir B, Önler E. The effect of a structured patient education intervention on the quality of life for coronary artery bypass grafting patients: A prospective randomised controlled study. J Perioper Pract. 2021 Apr;31(4):124-131.

Can we increase the post-operative movement adaptation of patients by providing education?

Year 2024, Volume: 5 Issue: 1, 125 - 133, 30.04.2024
https://doi.org/10.58605/bingolsaglik.1407583

Abstract

It was planned to evaluate whether the movement training given to patients undergoing abdominal surgery has an effect on the patients' mobility.The research is carried out with two patient groups, the intervention group and the control group, with the patients who underwent surgery in the General Surgery service of a University Hospital. Data are collected with Introductory Information Questionnaire, Patient Mobility Scale, Observer Mobility Scale. The data of the study are collected with patients who have made their first walk after surgery and who meet the sample criteria. The intervention group was informed about when and how to stand up after the surgery, how long to stand, how to carry drains and other equipment while walking, whn to stop moving about 10 minutes before the operation, and then the brochure suitable for the content of the training was included in the control group. On the other hand, after the Introductory Information Questionnaire, Patient Mobility Scale, and Observer Mobility Scale were applied, training and brochures were given to the patients who took the disease. The mean age of the patients was 49.22±15.22 years, 52.9% (n=37) were female and 80.0% (n=56) were married. Control and intervention group patients; It was determined that there was a statistically significant difference between the mean scores of strain and addiction. It was determined that there was a statistically significant difference between the addiction score averages of the control and intervention group patients when turning from one side to the other in the bed, sitting on the bedside, getting up from the bedside, and walking in the patient's room. It was observed that the patients did not have difficulty in moving and their independence increased with the training given in the perioperative period. In this direction, with the increase in the patient's adaptation to and movement, postoperative complications may decrease and recovery may be accelerated.

Project Number

yok

References

  • Lassen K, Soop M, Nygren J, Cox PB, Hendry PO, Spies C, von Meyenfeldt MF, Fearon KC, Revhaug A, Norderval S, Ljungqvist O, Lobo DN, Dejong CH; Enhanced Recovery After Surgery (ERAS) Group. Consensus review of optimal perioperative care in colorectal surgery: Enhanced Recovery After Surgery (ERAS) Group recommendations. Arch Surg. 2009 Oct;144(10):961-9.
  • Fisher SR, Kuo YF, Graham JE, Ottenbacher KJ, Ostir GV. Early ambulation and length of stay in older adults hospitalized for acute illness. Arch Intern Med. 2010 Nov 22;170(21):1942-3.
  • Yang CK, Teng A, Lee DY, Rose K. Pulmonary complications after major abdominal surgery: National Surgical Quality Improvement Program analysis. J Surg Res. 2015 Oct;198(2):441-9.
  • Birkmeyer NJ, Dimick JB, Share D, Hawasli A, English WJ, Genaw J, Finks JF, Carlin AM, Birkmeyer JD; Michigan Bariatric Surgery Collaborative. Hospital complication rates with bariatric surgery in Michigan. JAMA. 2010 Jul 28;304(4):435-42.
  • Adogwa O, Elsamadicy AA, Fialkoff J, Cheng J, Karikari IO, Bagley C. Early Ambulation Decreases Length of Hospital Stay, Perioperative Complications and Improves Functional Outcomes in Elderly Patients Undergoing Surgery for Correction of Adult Degenerative Scoliosis. Spine (Phila Pa 1976). 2017 Sep 15;42(18):1420-1425.
  • Monteiro Carbone ÉDS, Takaki MR, Uyeda MGBK, Sartori MGF. Early physical therapy intervention in gynaecological surgery: "Case series". Int J Surg Case Rep. 2018;52:95-102.
  • Svensson-Raskh A, Schandl A, Holdar U, Fagevik Olsén M, Nygren-Bonnier M. "I Have Everything to Win and Nothing to Lose": Patient Experiences of Mobilization Out of Bed Immediately After Abdominal Surgery. Phys Ther. 2020 Dec 7;100(12):2079-2089.
  • Aydemir Gedük E. Hemşirelik Mesleğinin Gelişen Rolleri. Sağlık Bilimleri ve Meslekleri Dergisi. 2018;5(2):253-258.
  • Karaaslan E. Abdominal Bölge Cerrahisi Geçiren Hastalarda Hareketliliğe Etki Eden Faktörlerin Değerlendirilmesi [master’s thesis]. [Gaziantep]. Hasan Kalyoncu Üniversitesi; 2020. P 94
  • Svensson-Raskh A, Schandl A, Holdar U, Fagevik Olsén M, Nygren-Bonnier M. "I Have Everything to Win and Nothing to Lose": Patient Experiences of Mobilization Out of Bed Immediately After Abdominal Surgery. Phys Ther. 2020 Dec 7;100(12):2079-2089.
  • Hu Y, McArthur A, Yu Z. Early postoperative mobilization in patients undergoing abdominal surgery: a best practice implementation project. JBI Database System Rev Implement Rep. 2019 Dec;17(12):2591-2611.
  • Kızmaz, E. Kolorektal cerrahi geçiren hastalarda ekspiratuar kas eğitiminin etkinliğinin incelenmesi. [master’s thesis]. [Denizli]. Pamukkale Üniversitesi; 2019. P 80
  • Kankaya EA, Bilik Ö. Kalp Kapak Ameliyatı Sonrası Güncel Hemşirelik Yaklaşımları: Bakım Neden Önemli? . Balıkesir Sağlık Bilimleri Dergisi. 2018;7(2), 101-111.
  • Heye ML, Foster L, Bartlett MK, Adkins S. A preoperative intervention for pain reduction, improved mobility, and self-efficacy. Appl Nurs Res. 2002 Aug;15(3):174-83.
  • Ayoğlu T. Cerrahi girişim öncesi verilen eğitimin hastaların öz-etkililik algısına ve iyileşme sürecine etkisi. [master’s thesis]. [İstanbul]. Istanbul Üniversitesi; 2011. P
  • Köse S, Avşar G. Impact of Early and Regular Mobilization on Vital Signs and Oxygen Saturation in Patients Undergoing Open-Heart Surgery. Braz J Cardiovasc Surg. 2021 Aug 6;36(4):506-514.
  • Rivas E, Cohen B, Pu X, Xiang L, Saasouh W, Mao G, Minko P, Mosteller L, Volio A, Maheshwari K, Sessler DI, Turan A. Pain and Opioid Consumption and Mobilization after Surgery: Post Hoc Analysis of Two Randomized Trials. Anesthesiology. 2022 Jan 1;136(1):115-126.
  • Ghordadekar, D., Naqvi, W. M., & Sahu, A. A case report on impact of physiotherapy rehabilitation on post coronary artery bypass graft. Medical Science, 2020;24(104), 1962-1967.
  • Couceiro TC, Valença MM, Lima LC, de Menezes TC, Raposo MC. Prevalence and influence of gender, age, and type of surgery on postoperative pain. Rev Bras Anestesiol. 2009 May-Jun;59(3):314-20. English, Portuguese.
  • Dubb R, Nydahl P, Hermes C, Schwabbauer N, Toonstra A, Parker AM, Kaltwasser A, Needham DM. Barriers and Strategies for Early Mobilization of Patients in Intensive Care Units. Ann Am Thorac Soc. 2016 May;13(5):724-30.
  • Jønsson LR, Foss NB, Orbæk J, Lauritsen ML, Sejrsen HN, Kristensen MT. Early intensive mobilization after acute high-risk abdominal surgery: a nonrandomized prospective feasibility trial. Can J Surg. 2023 May 2;66(3):E236-E245.
  • Zaini N H, Abdullah, KL, Raja Mokhtar RA, Chinna, K, Kamaruzzaman, SB Relationship between Psychological Distress and Demographic Characteristics among Patients Undergoing Coronary Artery Bypass Graft (CABG) Surgery. In Healthcare 2022;10(9):1763
  • Özdemir B, Önler E. The effect of a structured patient education intervention on the quality of life for coronary artery bypass grafting patients: A prospective randomised controlled study. J Perioper Pract. 2021 Apr;31(4):124-131.
There are 23 citations in total.

Details

Primary Language Turkish
Subjects Surgical Diseases Nursing​​
Journal Section Araştırma Makaleleri
Authors

Ebru Karaaslan 0000-0003-2862-4010

İlkay Guner 0000-0003-2697-245X

Project Number yok
Early Pub Date April 28, 2024
Publication Date April 30, 2024
Submission Date December 20, 2023
Acceptance Date February 2, 2024
Published in Issue Year 2024 Volume: 5 Issue: 1

Cite

Vancouver Karaaslan E, Guner İ. Hastaların Ameliyat Sonrasındaki Hareket Uyumunu Eğitim Vererek Arttırabilir Miyiz?. BÜSAD. 2024;5(1):125-33.