Tiroidektomi Sonrası Baş-Boyun Germe Egzersizlerinin Ameliyat Sonrası Ağrı ve Rahatsızlık Düzeyine Etkisi

Year 2022, Volume: 4 Issue: 2, 177 - 186, 25.08.2022

Açelya Türkmen , İkbal Çavdar , Nihat Aksakal

Abstract

Amaç: Tiroidektomi sonrası baş-boyun germe egzersizlerinin ameliyat sonrası boyun ağrısı ve rahatsızlık düzeyine etkisini belirlemek.
Yöntem: Bu randomize kontrollü çalışma, İstanbul'da bir üniversite hastanesinde Ocak 2019-Ağustos 2020 tarihleri arasında yapıldı. Örneklem, baş-boyun germe egzersizleri veya rutin bakım almak üzere randomize edilmiş 82 hastadan oluşuyordu. Müdahale grubuna ameliyat sonrası birinci gün araştırmacı ile eş zamanlı olarak baş-boyun egzersizleri uygulandı. Hastadan egzersizleri bir ay boyunca sabah, öğle ve akşam olmak üzere günde 3 kez yapması istendi. Kontrol grubunda ise aynı aralıklara sadece ölçekler uygulandı.
Bulgular: Çalışmaya katılan hastaların çoğu (%79.2) kadındı. %62.19'unun tanısı multinodüler guatrdı. %70,73'ü total tiroidektomi ameliyatı geçirmişti. Müdahale grubundaki hastaların postoperatif birinci gün Görsel Analog Skalası (GAS) ortalaması (2.20±2.22) kontrol grubuna göre (3.00±2.10) daha düşüktü. Ameliyattan 1 hafta ve 1 ay sonra boyunda rahatsızlık ve ağrı açısından müdahale ve kontrol grubundaki hastalar arasında anlamlı bir fark yoktu. Ancak birinci hafta ve birinci ayda boyun ağrısı ve rahatsızlıklarında gruplar arasında anlamlı fark gözlendi (p<0.05).
Sonuç: Baş-boyun germe egzersizinin hastalarda ameliyat sonrası boyun ağrısını ve rahatsızlığını azaltmada etkili bir hemşirelik girişimi olduğu bulundu. Baş-boyun germe egzersizi postoperatif hemşirelik bakımında farmakolojik olmayan bir tedavi yöntemi olarak kullanılabilir.

Keywords

Tiroidektomi, Boyun Ağrısı, Boyun Germe Egzersizleri, Rahatsızlık

The Effect of Head-Neck Stretching Exercises After Thyroidectomy on Postoperative Level of Pain and Disability

Abstract

Objective: To determine the effect of post-thyroidectomy head-neck stretching exercises on postoperative level of neck pain and disability.
Methods: This randomized controlled study was conducted between January 2019 and August 2020 in a university hospital in Istanbul. The sample consisted of 82 patients randomized to receive head-neck stretching exercises or routine care. The head-neck exercises were applied to the intervention group in synchronously with the researcher on the first postoperative day. The patient was asked to perform the exercises 3 times a day, in the morning, noon and evening for a month. Only scales were applied to the same ranges in the control group.
Results: Most of the patients (79.2%) participating in the study were women. The diagnosis of 62.19% was multinodular goiter. 70.73% of them had undergone total thyroidectomy surgery. The average of the Visual Analogue Scale (VAS) of patients in intervention group on first postoperative day was lower (2.20± 2.22) than in control group (3.00 ± 2.10). There was no significant difference between patients in intervention and control groups in discomfort and pain in the neck after 1 week and 1 month of surgery. However, a significant difference within the groups in neck pain and discomfort at first week and first month was observed (p <0.05).
Conclusions: It was found that the head-neck stretching exercise was an effective nursing intervention in reducing postoperative neck pain and disability in the patients. Head-neck stretching exercise can be used as a non pharmacological treatment method in postoperative nursing care.

Keywords

Thyroidectomy, Neck Pain, Neck Stretching Exercise, Disability

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