EARLY PERIOD COMPLICATION DEVELOPMENT STATUS AND IMPRESSION OF DAILY LIFE ACTIVITIES AFTER DISCHARGE OF INDIVIDUALS SUFFERING FROM PROSTATE SURGERY

Yıl 2013, Cilt: 29 Sayı: 2, 47 - 60, 01.06.2013

Züleyha Özcan Nuran Güler

Öz

Objective: This research is made descriptively to observe the early postoperative effects ofprostate surgery on the activities of daily life and the development of complications. Methods: The universe of the research consists of 99 individuals who had prostate surgery between August 2003 and September 2003 in Urology services of Cumhuriyet University Health Care Practice and Research Hospital, Sivas Numune Hospital and Social Insurance Hospitals. The data required to conduct the study is collected with "Patient Identification Form", "Barthel Activities of Daily Life Index”, “Complications Form Which Can Occur At Home After Prostate Surgery” and " Question Form Related With Adequacy Of Daily Life Activities". The data obtained was calculated with computer by using percentage calculations and Kruskal- Wallis tests. Barthel index is used to determine the levels of independence of individuals in their daily lifes due to prostate surgery and is evaluated over 100 points. Results and Conclusion: People experienced urinary and bathing problems, pain, frequent urination, sleeplessness and constipation after discharge. Their partner and child relations were effected after prostate surgery, most people experienced pain and constipation problems after surgery, most of the people thought that their sexual life wouldn't be effected because of the surgery, most of the people sleeped less and many peoples’ body image was effected negatively. According to the data obtained it is suggested to give nursing educations at discharge about the side effects of the prostate surgery, the effects to the daily life activities, the complications which can occur at home and by making home visits to plan appropriate interventions for the problems the patients can experience at home

Anahtar Kelimeler

Prostate, benign prostatic hyperplasia, dicharge, daily life activities, home care, nursing

PROSTAT CERRAHİSİ GEÇİREN BİREYLERİN TABURCULUK SONRASI ERKEN DÖNEMDE GÜNLÜK YAŞAM AKTİVİTELERİNİN ETKİLENME VE KOMPLİKASYON GELİŞME DURUMU

Öz

Amaç: Araştırma prostat cerrahisi geçiren bireylerin taburculuk sonrası erken dönemde günlük yaşam aktivitelerinin etkilenme düzeylerinin ve komplikasyon gelişme durumunu belirlemek amacı ile tanımlayıcı olarak yapıldı. Gereç ve Yöntem: Araştırmanın örneklemini Cumhuriyet Üniversitesi Sağlık Hizmetleri Uygulama ve Araştırma Hastanesi, Sivas Numune Hastanesi ve Sosyal Sigortalar Kurumu Hastanesi Üroloji Servislerinde, Ağustos-2003 ile Ekim-2003 tarihleri arasında prostat ameliyatı geçiren 99 birey oluşturdu. Araştırmanın yürütülebilmesi için gerekli olan veriler “Hasta Tanıtım Formu”, “Barthel Günlük Yaşam Aktiviteleri İndeksi“, “Prostat Cerrahisi Sonrası Evde Gelişebilecek Komplikasyonlar Formu“ ve “Günlük Yaşam Aktivitelerini Karşılama Durumu” ile ilgili soru formu kullanılarak toplandı. Elde edilen veriler bilgisayar ortamında yüzdelik hesapları ve kruskal – wallis testleri kullanılarak değerlendirildi. Barthel Günlük Yaşam Aktiviteleri indeksi prostat cerrahisine bağlı bireylerin günlük yaşamlarındaki bağımsızlık etkilenme düzeylerini belirlemek üzere kullanılmış ve 100 puan üzerinden değerlendirildi. Bulgular ve Sonuç: Taburculuk sonrasında bireylerin günlük yaşam aktivitelerinde daha çok banyo ve üriner boşaltım ile ilgili sorunlar yaşadıkları, çoğunluğunun eşleri ve çocukları ile olan ilişkilerinin etkilendiği, evde bireylerin büyük çoğunluğunun ağrı yaşadığı, ameliyattan sonra kabızlık problemlerinin arttığı, bireylerin çoğunluğunun ameliyattan sonra cinsel yaşamlarının etkilenmeyeceğini düşündükleri, çoğunluğunun uyku sürelerinin azaldığı ve beden imajlarının olumsuz etkilendiği belirlendi. Elde edilen sonuçlar doğrultusunda prostat cerrahisi geçirecek bireylere cerrahi işlemin yan etkileri, günlük yaşam aktivitelerinde ve evde yaşayacakları sorunlara yönelik hemşireler tarafından taburculuk eğitimlerinin verilmesi ve ev ziyaretleri ile taburculuk sonrası yaşadıkları sorunlara yönelik planlamaların yapılması önerildi

Anahtar Kelimeler

Prostat, bening prostat hiperplazisi, taburculuk, günlük yaşam aktiviteleri, evde bakım, hemşirelik

Kaynakça

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