YETİŞKİNLERDE DİKKATİ BAŞKA YÖNE ÇEKME YÖNTEMLERİNİN AKUT AĞRI ÜZERİNDEKİ ETKİSİ: RANDOMİZE KONTROLLÜ ÇALIŞMA

Abstract

Amaç Bu araştırma, yetişkin hastaların kan alma işlemi sırasında yaşadığı ağrıyı tespit edebilmeyi; görsel ve işitsel yöntemlerin rutin kan alma uygulamasına kıyasla ağrı düzeyi üzerindeki etkisini ortaya koymayı amaçlamaktadır. Gereç ve Yöntem Araştırma, randomize kontrollü bir çalışma olarak yürütüldü. 15.01.2022 tarihinde bir üniversite hastanesinin kan alma biriminde gerçekleştirildi. Toplam doksan dokuz hasta, üç gruba randomize edildi. Görsel grupta yer alan hastalara ekranda bulunan doğa fotoğrafına, işitme grubunda yer alan hastalara ise dinledikleri doğa seslerine odaklanmaları istendi. Veriler; Kişisel Bilgi Formu ve Görsel Ağrı Ölçeği kullanılarak toplandı. Verilerin analizinde; tanımlayıcı istatistiksel yöntemler, Kruskal-Wallis, Pearson Chi-Square ve Monte Carlo Exact Testi kullanıldı. Anlamlılık, p<0.05 ve p<0.001 düzeyinde değerlendirildi. Bulgular Görsel ve işitsel grup arasında istatistiksel olarak anlamlı bir farka rastlanmadı (p>0.05). Ancak bu iki grupta yer alan hastaların ağrı düzeyleri, kontrol gurubunda yer alan hastalara göre daha düşük bulundu (p<0.001). Sonuç Bu araştırma yetişkinlerde bilişsel yönetiminin akut ağrı düzeyi üzerindeki olumlu etkisini ortaya koymaktadır. Bilişsel yönetim kapsamında kullanılan görsel ve işitsel yöntemlerin güvenle kullanılabileceğini kanıtlamakta ve kanıta dayalı bilgiler sunmaktadır.

Keywords

• Ağrı yönetimi
• hemşirelik
• kan alma

EFFECT OF DISTRACTION METHODS ON ACUTE PAIN IN ADULTS: RANDOMIZED CONTROLLED TRIAL

Abstract

Objective This study aims to determine the pain experienced by adult patients during the bloodletting procedure and to reveal the effect of visual and auditory methods on the level of pain compared to routine bloodletting procedures. Material and Method The study was conducted as a randomized controlled trial. The study was carried out in a blood collection unit of a hospital on 15.01.2022. A total of ninety-nine patients were randomized into three groups (visual, auditory, and control groups). Visual Group patients were asked to focus on the nature photograph on the screen, and the Auditory Group patients were asked to focus on the nature sounds they listened to. Data were collected using the Personal Information Form and the Visual Analog Scale (VAS). In the analysis of the data, descriptive statistical methods, Kruskal- Wallis, Pearson Chi-Square, and Monte Carlo Exact Tests were used. The significance level was taken as p<0.05 and p<0.001. Results No statistically significant difference was found between the visual and auditory groups (p>0.05). However, the pain levels of the patients in the visual and auditory groups were found lower than the pain levels of the patients in the control group (p<0.001). Conclusion This study reveals the positive effect of distraction on the level of acute pain in adults. The study proves that visual and audial methods can be used safely within the scope of distraction methods and presents evidence-based information.

Keywords

• Bloodletting
• nursing
• pain management

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