TRAVMAYA BAĞLI ALT EKSTREMİTE FRAKTÜR CERRAHİSİ HASTALARINDA OREM’İN ÖZ BAKIM TEORİSİNE TEMELLENDİRİLMİŞ TELE-HEMŞİRELİK UYGULAMASININ ÖZ BAKIM GÜCÜ VE GÜNLÜK YAŞAM AKTİVİTELERİNE ETKİSİ: RANDOMİZE KONTROLLÜ DENEYSEL ÇALIŞMA PROTOKOLÜ

Öz

Giriş: Travmatik yaralanmalar genellikle düşme, taşıt kazası ve şiddet kaynaklı gerçekleşerek mortalite, morbidite ve engelliliğe neden olmaktadır. Tele-hemşirelik izlemi ile hastaların taburculuk sonrası yaşadıkları sorunlarda yalnız kalmaları önlenirken, hemşirelik teorilerinin ve modellerinin kullanılması ile bu izlemlerde sağlığın korunması ve geliştirilmesinin yanı sıra, hemşirelere yol gösterici rol oynaması da sağlanabilmektedir. Bu çalışmada, travmaya bağlı alt ekstremite fraktür cerrahisi hastalarında Orem’in Öz Bakım Teorisine temellendirilmiş tele-hemşirelik uygulamasının öz bakım gücü ve günlük yaşam aktivitelerine etkisini belirlemek amaçlanmaktadır. Yöntem: Araştırmanın, Eylül 2022-Ocak 2024 tarihleri arasında yapılması planlanmaktadır. Araştırma, Türkiye’nin bir ilindeki kamu üniversitesi hastanesi ve şehir hastanesine bağlı Ortopedi ve Travmatoloji Kliniklerinde, randomize kontrollü deneysel araştırma tasarımı ile prospektif olarak gerçekleştirilecektir. Araştırmanın örneklemine, 26’sı müdahale, 26’sı kontrol üzere 52 hasta alınacaktır. Verilerin toplanmasında Özbakım Gücü Ölçeği, KATZ günlük yaşam aktiviteleri ölçeği (KGYAÖ), Lawton Brody Günlük Yaşam Aktiviteleri Ölçeği (LBGYAÖ) ve araştırmacılar tarafından literatür ışığında oluşturulacak tanıtıcı bilgi formu kullanılacaktır. Bulgular: Bu çalışma, randomize kontrollü deneysel çalışmanın protokolünü içermektedir. Çalışma verileri toplanıp analiz edildikten sonra bulgular açıklanacaktır. Sonuç: Travmaya bağlı alt ekstremite ameliyatı yapılan hastalarda taburculuk sonrası Orem’in Öz Bakım Teorisine temellendirilmiş tele-hemşirelik uygulamasının öz bakım ve günlük yaşam aktiviteleri üzerine etkinliği değerlendirilecektir.

Anahtar Kelimeler

• Travma
• Fraktür Cerrahisi
• Hemşirelik
• Tele-hemşirelik
• Öz bakım
• Günlük Yaşam Aktiviteleri

THE EFFECT OF TELE-NURSING PRACTİCE BASED ON OREM'S SELF-CARE THEORY ON THE SELF-CARE SKILL AND ACTIVITIES OF DAILY LIFE IN TRAUMA-RELATED LOWER EXTREMITY FRACTURE SURGERY PATIENTS: RANDOMIZED CONTROLLED EXPERIMENTAL STUDY PROTOCOL

Öz

Introduction: Traumatic injuries generally occur due to falls, vehicle accidents and violence, causing mortality, morbidity and disability. While tele-nursing monitoring prevents patients from being left alone in the problems they experience after discharge, the use of nursing models and theories can ensure that nurses play a guiding role, as well as protecting and improving health in these follow-ups. This study aims to determine the effect of tele-nursing application based on Orem's Self-Care Theory on self-care ability and daily living activities in trauma-related lower extremity fracture surgery patients. Method: The research is planned to be conducted between September 2022 and January 2024. The research will be carried out prospectively with a randomized controlled experimental research design in the Orthopedics and Traumatology Clinics of a public university hospital and a city hospital in a province of Turkey. The sample of the study will include 52 patients, 26 of whom are intervention and 26 are control. Self-Care Skills Scale, KATZ Activities of Daily Living Scale (KGARS), Lawton Brody Activities of Daily Living Scale (LBGSAS) and an introductory information form to be created by the researchers in the light of the literature will be used to collect data. Results: This study includes the protocol of a randomized controlled experimental study. Findings will be announced once the study data are collected and analyzed. Conclusion: The effectiveness of tele-nursing application based on Orem's Self-Care Theory on self-care and activities of daily living will be evaluated after discharge in patients who underwent trauma-related lower extremity surgery.

Anahtar Kelimeler

• Trauma
• Fracture Surgery
• Nursing
• Tele-nursing
• Self-care
• Activities of Daily Living

Kaynakça

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