SMS Hatırlatıcı Kullanımının Ameliyat Sonrası Solunum ve Öksürme Egzersiz Uyumuna Etkisi: Randomize Kontrollü Çalışma

Yıl 2024, Cilt: 33 Sayı: 5, 383 - 390, 13.12.2024

Zeynep Kızılcık Özkan , Ayşe Gökce Işıklı , Ayfer Güneş

https://doi.org/10.17942/sted.1528527

Öz

Amaç: Protokollerin başarısı hasta uyumu ile ilişkilidir. SMS tabanlı müdahaleler cerrahi hastalarında protokollere uyumu artırmakta ve hastaların klinik katılımını ve memnuniyetini iyileştirmektedir. Bu randomize kontrollü çalışma, akciğer kanseri cerrahisi için pulmoner lobektomi geçiren hastalarda SMS kullanımının ameliyat sonrası solunum ve öksürük egzersizlerine uyum ve hasta memnuniyeti üzerindeki etkisini değerlendirmeyi amaçlamıştır.
Yöntem: Çalışmaya bir üniversite hastanesinin göğüs cerrahisi kliniğinde 01.02.2022 ile 03.04.2023 tarihleri arasında lobektomi yapılan 62 hasta dahil edildi. Müdahale grubu SMS mesajı alan grup olarak seçilmiştir.
Bulgular: Ameliyat sonrası dördüncü günde ortalama solunum egzersizi sayısının SMS grubunda kontrol grubuna göre istatistiksel olarak anlamlı düzeyde daha yüksek olduğu belirlendi. Benzer şekilde, ameliyat sonrası dördüncü günde ortalama öksürük egzersizi sayısının SMS grubunda kontrol grubuna göre anlamlı olarak daha yüksek olduğu tespit edildi. Ameliyat sonrası dördüncü günde ağrı skorları SMS grubunda kontrol grubuna göre daha düşüktü. SMS grubunda hastaların %87,1'i SMS'in egzersiz yapmak için teşvik edici olduğunu belirtmiştir. Hastaların büyük çoğunluğu (%87,1) hatırlatma SMS'leri almaktan "çok memnun" veya "memnun" olduklarını belirtmiştir.
Sonuç: SMS kullanımı pulmoner lobektomi sonrası hastaların ameliyat sonrası solunum ve öksürük egzersizlerine uyumunu artırmıştır. Hastaların çoğunluğunun SMS mesajları almaktan hoşlandığı ve bunun düzenli egzersiz yapmak için teşvik edici olduğu belirlenmiştir.
Çalışma ClinicalTrials.gov'a (NCT05915221) kaydedilmiştir.

Anahtar Kelimeler

solunum egzersizleri, kanser, cerrahi, kısa mesaj servisi

Proje Numarası

Yok

Effect of SMS Reminder Use on Postoperative Breathing and Coughing Exercise Compliance: Randomized Controlled Trial

Öz

Objective: The success of protocols is related to patient compliance. SMS-based interventions increase compliance with protocols in surgical patients and improving patients' clinical participation and satisfaction. The purpose of this randomized controlled trial study was to assess the impact of SMS use on patient satisfaction and adherence to postoperative breathing and coughing exercises in patients undergoing pulmonary lobectomy.
Method: The study included 62 patients who had lobectomies in the thoracic surgery clinic of a university hospital between February 1, 2022, and April 3, 2023. The intervention group was selected as the group that received SMSs.
Results: It was determined that mean number of respiratory exercises on the 4th postoperative day was statiscally significantly higher in the SMS group than in the control group. Similarly, it was determined that the mean number of cough exercises on the 4th postoperative day was significantly higher in the SMS group than the control group. Pain scores were lower in the SMS group than the control group on the fourth postoperative day. In the SMS group, 87.1% of the patients stated that SMS provided an incentive to exercise. The vast majority of patients (87.1%) stated that they were "very satisfied" or "satisfied" with receiving reminder SMS.
Conclusion: The use of SMS increased the adherence of patients following pulmonary lobectomy to postoperative breathing and cough exercises. The majority of patients enjoyed receiving SMS messages, which was discovered to be an incentive for exercising regularly.
The study was registered with ClinicalTrials.gov (NCT05915221).

Anahtar Kelimeler

breathing exercises, cancer, short message service, surgery

Etik Beyan

This study was approved by the Noninvasive Scientific Research Ethics Committee of Trakya University (TUMF-NSREC 2021/526, decision no: 01/03_03.01.2022).

Destekleyen Kurum

Yok.

Proje Numarası

Yok

Teşekkür

Yok.

Kaynakça

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