Hemodiyaliz Hastalarında Doğa Temelli Ses Uygulamasının Yorgunluk ve Hasta Konforuna Etkisi: Ön Test-Son Test Yarı Deneysel Çalışma

Abstract

Kronik böbrek yetersizliğinin tedavisinde sık kullanılan tedavi seçeneklerinden biri hemodiyalizdir. Fakat hemodiyaliz yorgunluk, hipotansiyon, üremik kaşıntı, deride kuruluk, ağrı, kas krampları, bulantı, kusma, konforda bozulma gibi çeşitli sorunlara neden olmaktadır. Bu çalışmanın amacı, hemodiyaliz sırasında doğa temelli ses uygulamasının hemodiyaliz hastalarının yorgunluk ve hasta konforu üzerindeki etkisini belirlemektir. Bu çalışma ön-son test yarı deneysel bir çalışmadır. Bu çalışma bir devlet hastanesinin hemodiyaliz ünitesinde gerçekleştirilmiştir. En az altı aydır hemodiyaliz tedavisi gören toplam 54 kronik böbrek yetmezliği hastası müdahale (30 hasta) ve kontrol gruplarına (24 hasta) ayrıldı. Veriler hasta bilgi formu, Piper Yorgunluk Ölçeği ve Hemodiyaliz Hasta Konfor Ölçeği kullanılarak toplandı. Doğa temelli ses uygulamasından sonra, Piper yorgunluk ölçeği puanları (6.074 ± 1.1'e karşı 6.947 ± 1.6) anlamlı olarak daha düşükken, hemodiyaliz konfor ölçeği puanları (32.0 ± 2.8'e karşı 29.2 ± 4.3) müdahale grubunda kontrol grubuna göre anlamlı olarak daha yüksekti (p<0.001). Doğa temelli ses uygulamasının, hemodiyaliz tedavisi sırasında kronik böbrek yetmezliği olan hastalarda yorgunluğu ve konforu iyileştirdiği bulundu.

Keywords

• Doğa sesi
• Hasta konforu
• Hemodiyaliz
• Hemşirelik
• Yorgunluk

Nature-Based Sounds to Improve Fatigue and Comfort During Hemodialysis: A Pre-Post Test Experimental Study

Abstract

Hemodialysis is one of the most commonly used treatment options in the treatment of chronic renal failure. However, hemodialysis causes various problems such as fatigue, hypotension, uremic itching, dry skin, pain, muscle cramps, nausea, vomiting, and deterioration in comfort. This study aimed to evaluate the effect of nature-based sound application on fatigue and patient comfort during hemodialysis. This was a a pre-post test experimental study. This study was conducted in the hemodialysis unit of a public hospital. A total of 54 patients with chronic renal failure receiving hemodialysis treatment for at least six months were divided into the intervention (30 patients) and control groups (24 patients). Data were collected using patient information form, the Piper Fatigue Scale, and Hemodialysis Patient Comfort Scale. After nature-based sound application, scores of Piper fatigue scale (6.074 ± 1.1 vs. 6.947 ± 1.6) were significantly lower, whereas scores of the hemodialysis comfort scale (32.0 ± 2.8 vs 29.2 ± 4.3) were significantly higher in the intervention group than in the control group (p<0.001). Patients with chronic kidney failure who receive hemodialysis have been found to benefit from the use of nature-based sound to improve fatigue and comfort.

Keywords

• fatigue
• hemodialysis
• nature-based sounds
• nursing
• patient comfort

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