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

Year 2023, Volume: 30 Issue: 4, 688 - 696, 30.12.2023

Tuğçe Çamlıca Fatma Eti Aslan

https://doi.org/10.17343/sdutfd.1371829

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

Ethical Statement

Yok

Supporting Institution

Yok

Project Number

Yok

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

Project Number

Yok

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