Artroskopik Diz Ameliyatı Sonrası Kullanılan Üç Farklı Soğuk Uygulama Yönteminin Etkileri

Year 2017, Volume: 10 Issue: 1, 29 - 42, 01.02.2017

Ebru Erek Kazan Refia Selma Görgülü

Abstract

Giriş: Soğuk uygulama artroskopik cerrahi sonrası yaygın olarak kullanılmaktadır. Amaç: Araştırma, artroskopik diz
ameliyatından sonra kullanılan soğuk uygulama yöntemlerinin etkilerini belirlemek amacıyla yapılmıştır. Yöntem: Araştırma
yarı deneysel olarak yapılmıştır. Araştırmanın örneklemini 60 hasta oluşturmuştur. Hastalar her grupta 20 hasta olacak
şekilde üç gruba (buz paketi, soğuk paket ve kombine soğuk kompresyon yöntemi) ayrılmıştır. Araştırmada ilk olarak soğuk
uygulama yöntemlerine ilişkin standart işlem basamakları geliştirilmiştir. Daha sonra soğuk uygulama yöntemlerinin deri
sıcaklığı, diz çevresi, eklem hareket açıklığı ve hasta memnuniyetine etkisi değerlendirilmiştir. Veriler, hastaları tanıtıcı
özelliklere ilişkin anket formu, gözlem ve değerlendirme formları ve hasta memnuniyeti anket formu ile toplanmıştır.
Bulgular: Araştırmada buz paketinin 15. dakikadan sonra deri sıcaklığını düşürmede en etkili yöntem olduğu, soğuk paketin
10. dakikadan sonra deri sıcaklığını düşürmede etkili olmadığı, hastaların en çok kombine soğuk kompresyon sistemi
uygulamasından memnun oldukları ancak diz çevresi ve eklem hareket açıklığı değerleri açısından gruplar arasında fark
olmadığı belirlenmiştir. Sonuç: Araştırmada deri sıcaklığını azaltmada buz paketinin etkili bir yöntem olduğu ancak
hemşirelerin diğer uygulama yöntemlerinin avantajlarını da göz önüne almaları önerilmektedir

Keywords

Artroskopi, Soğuk Uygulama, Deri Sıcaklığı, Hasta Memnuniyeti.

The Effects of Three Different Cold Therapy Methods After Arthroscopic Knee Surgery

Abstract

Background: Cold therapy is commonly used after arthroscopic surgery. Objectives: The aim in this study was to compare
the effects of cold therapy methods after arthroscopic knee surgery. Methods: This study was quasi-experimental study. The
study sample comprised 60 patients; 20 patients each were included in three different cold therapy method groups (combined
cold and compression system, ice pack, and cold pack groups). First, a standard protocol for cold application was established.
Thereafter, the effects of the cold therapy methods on skin temperature, knee circumference, range of motion, and patient
satisfaction were examined. Data were collected from the records of the patients’ descriptive characteristics, observation and
evaluation forms, and patient satisfaction questionnaires. Results: The ice packs were the most effective method for reducing
skin temperature after 15 min. Cold packs were ineffective at lowering skin temperature after 10 min. The patients were most
satisfied with the combined cold and compression therapy. However, the knee circumference and range of motion did not
differ among the groups. Conclusion: This study indicates that ice packs are an effective method for reducing skin
temperature; however, the nurses should also consider the advantages of other methods.

Keywords

Arthroscopy, Cold Therapy, Skin Temperature, Patient Satisfaction.

References

• Adie, S., Naylor, J., & Harris, I. (2010). Cryotherapy after total knee arthroplasty: a systematic review and meta-analysis of randomized controlled trials. The Journal of Arthroplasty, 25 (5), 709-715.
• Alpar, R. (2011) Applied Multivariate Statistical Methods. (3th ed.) Ankara: Detay Publisher.
• Berman, A.T., Snyder, S., & Frandsen, G. (2015) Kozier and Erb's Fundamentals of Nursing Concepts, Process, and Practice. (10th ed.). Prentice-Hall.
• Bleakley, C., McDonough, S., & MacAuley, D. (2004). The use of ice in the treatment of acute soft-tissue injury: a systematic review of randomized controlled trials. The American Journal of Sports Medicine, 32 (1), 251-261.
• Block, J.E. (2010). Cold and compression in the management of musculoskeletal injuries and orthopedic operative procedures: a narrative review. Open Access Journal of Sports Medicine, 1, 105-113.
• Chesterton, L.S., Foster, N.E., & Ross, L. (2002). Skin temperature response to cryotherapy. Archives of Physical Medicine and Rehabilitation, 83 (4), 543-549.
• DeLaune, S.C., & Ladner, P.K. (2011). Fundamentals of Nursing Standarts and Practice (4th ed.). USA: Delmor Cengage Learning.
• DeLisa, J.A., Gans, B.M., & Walsh, N.E. (2005). Physical Medicine and Rehabilitation: Principles and Practice. (4th ed.). Lippincott Williams & Wilkins.
• Erdil, F., & Elbas, N. (2008). Surgical Diseases Nursing. (5th ed.). Ankara: Aydogdu Offset.
• Healy, W.L., Seidman, J., Pfeifer, B.A., & Brown, D.G. (1994). Cold compressive dressing after total knee arthroplasty. Clinical Orthopaedics and Related Research, Feb. (299), 143-146.
• Holmstrom, A., & Hardin, B.C. (2005). Cryo/Cuff compared to epidural anesthesia after knee unicompartmental arthroplasty: a prospective, randomized, and controlled study of 60 patients with a 6-week follow-up. The Journal of Arthroplasty, 20 (3), 316-321.
• Janwantanakul, P. (2006). Cold pack/skin interface temperature during ice treatment with various levels of compression. Physiotherapy, 92 (4), 254-259.
• Kanlayanaphotporn, R., & Janwantanakul, P. (2005). Comparison of skin surface temperature during the application of various cryotherapy modalities. Archives of Physical Medicine and Rehabilitation, 86 (7), 1411-1415.
• Kazan, E.E. (2011). Cold applications and nursing care. Hacettepe University Faculty of Health Sciences Nursing Journal, 18 (1) , 73-82.
• Kullenberg, B., Ylipaa, S., Soderlund, K., & Resch, S. (2006). Postoperative cryotherapy after total knee arthroplasty: a prospective study of 86 patients. The Journal of Arthroplasty, 21 (8), 1175-1179.
• Levy, A.S., & Marmar, E. (1993). The role of cold compression dressing in the postoperative treatment of total knee arthroplasty. Clinical Orthopaedics and Related Research, Dec (297), 174-178.
• Mac Auley, D.C. (2001). Ice therapy: how good is the evidence? International Journal of Sports Medicine, 22 (5), 379-384.
• McMeeken, J., Lewis, M., & Cocks, S. (1984). Effects of cooling with simulated ice on skin temperature and nerve conduction velocity. The Australian Journal of Physiotherapy, 30 (4), 111-114.
• Miller, M.D. (2012). Review of Orthopaedics. (6th ed.). USA: Saunders an Imprint of Elsevier.
• Oguz, H., Dursun, E., & Dursun, N. (2004). Medical Rehabilitation. Nobel Medicine Printing, Ankara.
• Otman, A.S., Demirel, H., & Sade, A. (2003). The Basic Principles of the Assessment of the Movements in Therapy, 3rd ed. Prizma Offset, Ankara.
• O'Young, B.J., Young, M.A., & Stiens, S.A. (2002). Physical Medicine and Rehabilitation Secrets. 2nd ed. Hanley and Belfus, Inc., Philadelphia.
• Ozdamar, K. (2013). Statistical Data Analysis with Software Packages. (9th ed.). Eskisehir: Nisan Publisher.
• Potter, P., & Perry, A. (2009). Fundamentals of Nursing (7th ed.). Canada: Mosby Elsevier.
• Sumbuloglu, K., & Sumbuloglu, V. (2014). Biostatistics. (16th ed.). Ankara: Hatiboglu Publisher.
• Tandoğan, N., & Alparslan, A. (1999). Knee Surgery. Ankara: Haberal Educational Foundation.
• Taylor, C., Lillis, C., LeMone, P., & Lynn, P. (2010). Fundamentals of Nursing, The Art and Science of Nursing Care. (7th ed.).
• Philadelphia: Lippincott Williams & Wilkins