Ameliyat Sonrası Dönemdeki Hastaların Anti-Emboli Çorabı Kullanımına İlişkin Bilgi Gereksinimleri, Uygulamaları ve Yaşadıkları Sorunların Değerlendirilmesi

Year 2024, , 313 - 323, 30.08.2024

Esra Cantürk , Mevlüde Karadağ

https://doi.org/10.38108/ouhcd.1316090

Abstract

Amaç: Bu çalışmanın amacı; ameliyat sonrası dönemdeki hastaların anti-emboli çorabı (AEÇ) kullanımına ilişkin bilgi gereksinimleri, uygulamaları ve yaşadıkları sorunları belirlemektir.
Yöntem: Bu araştırma tanımlayıcı tipte gerçekleştirilmiştir. Araştırmanın örneklemini, 25 Eylül 2017- 26 Eylül 2018 tarihleri arasında, Ankara’daki bir üniversitenin Sağlık Araştırma ve Uygulama Merkezi’nde ortopedi, beyin cerrahi ve genel cerrahi kliniklerinde ameliyat sonrası dönemde en az 48 saat anti-emboli çorabı giyen 351 hasta oluşturmuştur. Araştırmacı tarafından geliştirilen, sosyodemografik özellikler ve anti-emboli çorabı kullanımı ile ilgili sorular içeren bir soru formu veri toplamada kullanılmıştır. Veriler, yüz yüze görüşme yöntemi ile elde edilmiştir.
Bulgular: Bu araştırmadaki hastaların yaklaşık yarısı anti-emboli çorabı ile ilgili bilgi aldıklarını belirtmiştir. Araştırmada hastaların neredeyse tamamının anti-emboli çorabı ölçüsünün bacakları ölçülmeden saptandığı belirlenmiştir. Hastaların çoğunun çoraplarını kullandıkları süre boyunca hiç çıkartmadıkları ve çoraplarının hiç yıkanmadığı ortaya konmuştur. Hastaların anti-emboli çorabı kullanırken yaşadığı sorunlar sırasıyla; giyme zorluğu, ısı artışı, kıvrılma, kızarıklık, terleme ve kaşıntı şeklinde saptanmıştır. Ayrıca kadın hastaların ağrı, kıvrılma, kızarıklık ve evre 1 basınç yarası sorunlarını erkeklere göre, istatistiksel olarak anlamlı derecede daha fazla yaşadığı belirlenmiştir.
Sonuç: Bu çalışmada, ameliyat sonrası dönemdeki hastaların anti-emboli çorabı konusunda bilgi gereksinimi olduğu ve yanlış kullanım nedeniyle çeşitli sorunlar yaşadığı belirlenmiştir.

Keywords

Anti-emboli çorapları, venöz tromboemboli, hemşirelik, postoperatif hasta

Assessment of Information Needs, Practices, and Challenges Encountered by Patients in Postoperative Period Regarding the Use of Anti-Embolism Stockings

Abstract

Objective: The aim of this study is to identify the information needs, practices, and challenges encountered by patients in the postoperative period regarding the use of anti-embolism stockings (AES).
Methods: This study was carried out in descriptive design. The study's sample group comprised 351 patients who utilized AES for a minimum of 48 hours during the postoperative period in the departments of orthopedics, neurosurgery, and general surgery at the Health Research and Practice Center affiliated with a university in Ankara, between September 25, 2017, and September 26, 2018. A questionnaire developed by the researcher, including questions about sociodemographic characteristics and the use of AES, was used to collect data. The data was obtained by face-to-face interview method.
Results: Approximately half of the patients in this study reported receiving information about AES. It was determined that the size of the AES of almost all patients was determined without measuring their legs. Most patients were found to have never removed their stockings throughout their usage and never washed them. The problems experienced by the patients while using AES were respectively; difficulty in wearing, increased temperature, curling, redness, sweating, and itching. Furthermore, it was determined that female patients statistically suffered from pain, curling, redness, and stage 1 pressure injuries significantly more than men.
Conclusion: In this study, it has been determined that patients in the postoperative period have a need for information regarding AES and experience various problems due to incorrect usage.

Keywords

Anti-embolism stockings, venous thromboembolism, nursing, postoperative patient

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