Determining the Difficulties Experienced by Patients in Activities of Daily Living After Appendectomy: A Prospective Observational Study

Yıl 2023, Cilt: 5 Sayı: 3, 171 - 178, 13.12.2023

Gamze Bozkul , Hülya Bulut

https://doi.org/10.48071/sbuhemsirelik.1278304

Öz

Introduction: Appendectomies are among the most frequently performed emergency surgical
procedures and patients often encounter difficulties in performing activities of daily living.
Aim: The aim of this study was to determine the difficulties experienced by patients after appendectomy.
Method: A total of 60 patients who underwent an appendectomy were included in the study was
conducted. The data of the study were collected using Personal Information Form and the Effect of
the Surgery on the Patients’ Daily Life Activities form. Descriptive statistical methods, Mann Whitney
U, and Friedman tests were used to evaluate the data.
Results: After appendectomy surgery, patients experienced difficulties in performing activities of daily
living and these difficulties were higher in the first two weeks but decreased statistically significantly
over time (p < 0.05). Postoperative nausea and vomiting 0.53 ± 1.2, pain during mobilization 4.07
± 1.41, loss of appetite 0.7 ± 1.26, discomfort at the wound site 1.47 ± 1.78, and the desire to hide
the wound 0.4 ± 1.07 were more common in the female patients than in the male patients after
the appendectomy. In addition, patients who underwent open appendectomy experienced more
postoperative difficulty (p < 0.05).
Conclusion: From the results of the study, the patients undergoing appendectomy experienced
difficulties. It is recommended that patients who have undergone an appendectomy be followed up
by phone and provided counseling after discharge in order to prevent the potential difficulties they
may experience.

Anahtar Kelimeler

Appendectomy, difficulty, nursing, postoperative period

Destekleyen Kurum

Bulunmamaktadır

Proje Numarası

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Teşekkür

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Apendektomi Sonrası Hastaların Günlük Yaşam Aktivitelerinde Yaşadıkları Güçlüklerin Belirlenmesi: Prospektif Gözlemsel Bir Çalışma

Öz

Giriş: Apendektomiler en sık uygulanan acil cerrahi prosedürler arasındadır ve hastalar günlük yaşam
aktivitelerini yerine getirmede sıklıkla güçlüklerle karşılaşırlar.
Amaç: Bu çalışmanın amacı hastaların apendektomi ameliyatı sonrası yaşadıkları güçlükleri
belirlemektir.
Yöntem: Çalışmaya apendektomi geçiren toplam 60 hasta dahil edildi. Çalışmanın verileri Hasta
Tanıtıcı Bilgiler Formu ve Ameliyatın Hastaların Günlük Yaşam Aktiviteleri Üzerindeki Etkisi Formu
kullanılarak toplandı. Verilerin değerlendirilmesinde tanımlayıcı istatistiksel yöntemler, Mann Whitney
U ve Friedman testleri kullanıldı.
Bulgular: Apendektomi ameliyatı sonrası hastalar günlük yaşam aktivitelerini gerçekleştirirken güçlük
yaşamıştır ve bu güçlükler ilk iki hafta daha yüksekken zaman içinde istatistiksel olarak anlamlı şekilde
azalmıştır (p < 0,05). Apendektomi ameliyatı sonrasında bulantı ve kusma 0,53 ± 1,2, mobilizasyon
sırasında ağrı 4,07 ± 1,41, iştahsızlık 0,7 ± 1,26, yara yerinde rahatsızlık 1,47 ± 1,78 ve yarayı gizleme isteği
0.4±1.07 kadın hastalarda erkek hastalara kıyasla daha yaygındır. Ayrıca, açık apendektomi geçiren
hastalar ameliyat sonrası daha fazla güçlük yaşamıştır (p < 0,05).
Sonuç: Çalışmanın sonuçlarına göre, apendektomi geçiren hastalar güçlükler yaşamıştır. Apendektomi
geçiren hastaların yaşayabilecekleri olası güçlükleri önlemek için taburcu olduktan sonra telefonla takip
edilmeleri ve danışmanlık verilmesi önerilmektedir.

Anahtar Kelimeler

Appendektomi, hemşirelik, postoperatif dönem, zorluk

Proje Numarası

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Kaynakça

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