Septorinoplasti Olacak Hastalara Verilen Eğitimin Cerrahi Anksiyete, Ağrı Korkusu, Ağrı ve Konfor Düzeyi Üzerine Etkisinin İncelenmesi: Randomize Kontrollü Çalışma

Yıl 2023, Cilt: 12 Sayı: 4, 1711 - 1721, 26.12.2023

Pınar Yılmaz Eker , Pervin Köksel

https://doi.org/10.37989/gumussagbil.1271343

Cited By: 1

Öz

Bu çalışma, septorinoplasti hastalarına ameliyat öncesi verilen eğitimin cerrahi anksiyete, ağrı korkusu, ağrı ve konfor düzeyi üzerine etkisinin incelenmesi amacı ile yapıldı. Çalışma, randomize kontrollü yarı deneysel tipte bir çalışma olup bir üniversite hastanesinin kulak burun boğaz servisinde yürütüldü. Çalışma, 75 deney 75 kontrol grubu olmak üzere toplam 150 hasta ile tamamlandı. Verilerin toplanmasında kişisel bilgi formu, cerrahi anksiyete ölçeği, ağrı korkusu ölçeği, ağrı düzeyini ve hasta konforunu ölçmek için de vizüel analog skala (VAS) olmak üzere 4 adet form kullanıldı. Deney grubundaki hastalara cerrahi öncesi araştırmacılar tarafından hazırlanan eğitim kitapçığı ile sözel eğitim verildi. Kontrol grubundaki hastalara klinikte uygulanan rutin uygulamaların dışında uygulama yapılmadı. Deney ve kontrol grubundaki hastalara ameliyattan hemen önce cerrahi anksiyete ölçeği ve ağrı korkusu ölçeği uygulandı. Ameliyattan sonra ilk doz analjezik uygulanmadan hemen önce ve ikinci doz analjezik uygulanmadan önce hastaların ağrı ve konfor düzeyleri VAS ile değerlendirildi. Deney grubundaki hastaların cerrahi anksiyete düzeyleri ve ağrı korkusu ölçeği puan ortalamaları, ağrı puan ortalamaları kontrol grubuna göre istatistiksel olarak anlamlı ve düşük, konfor puan ortalamaları ise kontrol grubuna oranla daha yüksek ve istatistiksel olarak anlamlı bulundu (p<0,05). Ölçekler arasında yapılan doğrulayıcı faktör analizi modelinde cerrahi anksiyete ve ağrı korkusu arasında yüksek düzeyde anlamlı ilişki bulundu (NNFI=0,98, CFI=0,992, GFI=0,966, AGFI=0,911). Sonuç olarak, septorinoplasti olacak hastalara eğitim verilmesinin hastaların ağrı, ağrı korkusu ve anksiyetesini azaltacağı ve konfor düzeyini artıracağı söylenebilir.

Anahtar Kelimeler

Ağrı düzeyi, Ağrı korkusu, Cerrahi anksiyete, Konfor, Septorinoplasti

Investigation of The Effect of Training Given to Patients with Septorhinoplasty on The Level of Surgical Anxiety, Fear of Pain, Pain and Comfort: A Randomized Controlled Trial

Öz

This study was conducted with the aim of investigating the effect of preoperative education provided to septorhinoplasty patients on surgical anxiety, fear of pain, pain levels, and comfort. It was a randomized controlled semi-experimental study conducted in the Ear, Nose, and Throat Department of a university hospital. The study was completed with a total of 150 patients, consisting of 75 in the experimental group and 75 in the control group. Data collection involved the use of four forms: a personal information form, a surgical anxiety scale, a fear of pain scale, and a Visual Analog Scale (VAS) to measure pain levels and patient comfort. Patients in the experimental group were provided with verbal education using a prepared educational booklet by the researchers before surgery. No additional interventions beyond routine clinical practices were administered to the control group. Surgical anxiety and fear of pain scales were applied to both experimental and control group patients just before surgery. After surgery, patients' pain and comfort levels were assessed using VAS, both immediately before the first dose of analgesic medication and immediately before the second dose. The surgical anxiety levels and fear of pain scale scores of patients in the experimental group were found to be statistically significantly lower compared to the control group, with pain scores being lower and comfort scores being higher than the control group, which was also statistically significant (p<0.05). Confirmatory factor analysis between the scales revealed a highly significant relationship between surgical anxiety and fear of pain (NNFI=0.98, CFI=0.992, GFI=0.966, AGFI=0.911). In conclusion, providing education to patients undergoing septorhinoplasty can be said to reduce patients' pain, fear of pain, and anxiety, while increasing their comfort levels

Anahtar Kelimeler

Level of pain, . Fear of pain, Surgical anxiety, Comfort, Septorhinoplasty

Kaynakça

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