Determination of Postoperative Recovery Status of Elderly Patients

Abstract

Objective: The aim of this study is to determine the postoperative recovery status of elderly patients.

Materials and Methods: This descriptive study was conducted between July 2019 and March 2020 with the participation of 167 elderly patients who underwent elective major surgery in the general surgery and orthopedics and traumatology clinics of a university hospital. Patient Information Form and Postoperative Recovery Index were used as data collection tools in the study.

Results: The average age of the patients participating in the study was 73.7±7.5 year; 58.1% (n=97) of them were women and 84.4% (n=141) were primary school graduates. The mean score of the patients' postoperative recovery index was determined as 2.7±0.9. It was determined that the highest mean score was 3.5±1.3 in physical activities and the lowest mean score was 2.0±0.9 in the general symptoms sub-dimension. It was determined that the mean scores of the postoperative recovery index of the patients showed a moderate positive correlation with age and statistically significant differences according to gender, marital status and the type of operation performed (p<0.05).

Conclusion: On the 3rd postoperative day, it was determined that elderly patients had great difficulty in postoperative recovery.

Keywords

• Elderly patient
• postoperative recovery index
• surgery

Yaşlı Hastaların Ameliyat Sonrası İyileşme Durumlarının Belirlenmesi

Öz

Amaç: Bu araştırmanın amacı yaşlı hastaların ameliyat sonrası iyileşme durumlarını belirlemektir.

Materyal ve Metot: Tanımlayıcı türde olan bu araştırma, Temmuz 2019–Mart 2020 tarihleri arasında, bir üniversite hastanesinin genel cerrahi ile ortopedi ve travmatoloji kliniklerinde, elektif majör cerrahi uygulanan 167 yaşlı hastanın katılımıyla gerçekleştirildi. Araştırmada veri toplama araçları olarak Hasta Tanıtım Formu ve Ameliyat Sonrası İyileşme İndeksi kullanıldı.

Bulgular: Araştırmaya katılan hastaların yaş ortalaması 73,7±7,5 yıl, %58,1’i (n=97) kadın ve %84,4’ü (n=141) ilkokul mezunudur. Hastaların ameliyat sonrası iyileşme indeksi puan ortalamaları 2,7±0,9 olarak belirlendi. En yüksek puan ortalamasının 3,5±1,3 ile fiziksel aktiviteler ve en düşük puan ortalamasının 2,0±0,9 ile genel semptomlar alt boyutunda olduğu belirlendi. Hastaların ameliyat sonrası iyileşme indeksi toplam puan ortalamalarının yaş ile pozitif yönde orta düzey anlamlı ilişki gösterdiği ve cinsiyet, medeni durumu ve geçirilen operasyon tipine göre istatistiksel olarak anlamlı düzeyde farklılık gösterdiği belirlendi (p<0,05).

Sonuç: Ameliyat sonrası 3. günde yaşlı hastaların ameliyat sonrası iyileşmede çok zorlandığı belirlendi.

Anahtar Kelimeler

• Ameliyat sonrası iyileşme indeksi
• cerrahi
• yaşlı hasta

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