Artroskopik Diz Ameliyatı Sonrası Kullanılan Üç Farklı Soğuk Uygulama Yönteminin Etkileri

Yıl 2017, Cilt: 10 Sayı: 1, 29 - 42, 01.02.2017

Ebru Erek Kazan Refia Selma Görgülü

Öz

Giriş: Soğuk uygulama artroskopik cerrahi sonrası yaygın olarak kullanılmaktadır. Amaç: Araştırma, artroskopik diz
ameliyatından sonra kullanılan soğuk uygulama yöntemlerinin etkilerini belirlemek amacıyla yapılmıştır. Yöntem: Araştırma
yarı deneysel olarak yapılmıştır. Araştırmanın örneklemini 60 hasta oluşturmuştur. Hastalar her grupta 20 hasta olacak
şekilde üç gruba (buz paketi, soğuk paket ve kombine soğuk kompresyon yöntemi) ayrılmıştır. Araştırmada ilk olarak soğuk
uygulama yöntemlerine ilişkin standart işlem basamakları geliştirilmiştir. Daha sonra soğuk uygulama yöntemlerinin deri
sıcaklığı, diz çevresi, eklem hareket açıklığı ve hasta memnuniyetine etkisi değerlendirilmiştir. Veriler, hastaları tanıtıcı
özelliklere ilişkin anket formu, gözlem ve değerlendirme formları ve hasta memnuniyeti anket formu ile toplanmıştır.
Bulgular: Araştırmada buz paketinin 15. dakikadan sonra deri sıcaklığını düşürmede en etkili yöntem olduğu, soğuk paketin
10. dakikadan sonra deri sıcaklığını düşürmede etkili olmadığı, hastaların en çok kombine soğuk kompresyon sistemi
uygulamasından memnun oldukları ancak diz çevresi ve eklem hareket açıklığı değerleri açısından gruplar arasında fark
olmadığı belirlenmiştir. Sonuç: Araştırmada deri sıcaklığını azaltmada buz paketinin etkili bir yöntem olduğu ancak
hemşirelerin diğer uygulama yöntemlerinin avantajlarını da göz önüne almaları önerilmektedir

Anahtar Kelimeler

Artroskopi, Soğuk Uygulama, Deri Sıcaklığı, Hasta Memnuniyeti.

The Effects of Three Different Cold Therapy Methods After Arthroscopic Knee Surgery

Öz

Background: Cold therapy is commonly used after arthroscopic surgery. Objectives: The aim in this study was to compare
the effects of cold therapy methods after arthroscopic knee surgery. Methods: This study was quasi-experimental study. The
study sample comprised 60 patients; 20 patients each were included in three different cold therapy method groups (combined
cold and compression system, ice pack, and cold pack groups). First, a standard protocol for cold application was established.
Thereafter, the effects of the cold therapy methods on skin temperature, knee circumference, range of motion, and patient
satisfaction were examined. Data were collected from the records of the patients’ descriptive characteristics, observation and
evaluation forms, and patient satisfaction questionnaires. Results: The ice packs were the most effective method for reducing
skin temperature after 15 min. Cold packs were ineffective at lowering skin temperature after 10 min. The patients were most
satisfied with the combined cold and compression therapy. However, the knee circumference and range of motion did not
differ among the groups. Conclusion: This study indicates that ice packs are an effective method for reducing skin
temperature; however, the nurses should also consider the advantages of other methods.

Anahtar Kelimeler

Arthroscopy, Cold Therapy, Skin Temperature, Patient Satisfaction.

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