Examining the Adaptation of Septorhinoplasty Patients to Their Postoperative Life According to the Roy Adaptation Model

Yıl 2024, Cilt: 17 Sayı: 4, 622 - 636, 15.10.2024

Pervin Köksel , Hülya Kocyigit Kavak , Şerife Karagözoğlu

https://doi.org/10.46483/jnef.1566709

Öz

Background: The Roy Adaptation Model is one of the commonly used models in nursing for systematic care delivery. This model assists individuals in developing adaptive responses to the problems they encounter, thereby aiding the individual in adapting to life changes.

Objective: The aim of the study is to qualitatively investigate the adaptation status of septorhinoplasty patients according to the Roy Adaptation Model after surgery.

Method: The conceptual framework of the study, designed as a descriptive qualitative research, is based on the Roy Adaptation Model. The sample of the research consisted of 14 patients who underwent primary septorhinoplasty. Data were collected using the “Individual Information Form and Semi-structured Interview Form” developed by the researchers, employing an in-depth interview technique. The data were analyzed using the Maxqda program.

Results: According to the Roy Adaptation Model of patients with septorhinoplasty, in the Physiological Field; protection, neurological, sensory, nutrition, activity-rest and oxygenation; positive and negative physical appearance in the Self-Concept Field; not having problems in fulfilling their responsibilities or postponing their responsibilities in the Role Functioning Field; and it has been determined that they exhibited compatible and incompatible behaviors towards situations such as support sources, esteem and information needs in the Field of Mutual Commitment.

Conclusion: It was determined that after septorhinoplasty surgery, patients exhibited compatible and incompatible behaviors in all four areas according to the Roy Adaptation Model, and a behavior experienced in any adaptation area also affected other areas. It is recommended that effective nursing interventions be planned and implemented to identify patients’ incompatible behaviors and turn them into compatible behaviors.

Anahtar Kelimeler

Septorhinoplasty, Roy Adaptation Model, Nursing, Phenomenological Study

Septorinoplasti Hastalarının Ameliyat Sonrası Yaşamlarına Uyum Durumlarının Roy Adaptasyon Modeline Göre İncelenmesi

Öz

Giriş: Roy Adaptasyon Modeli hemşirelikte sistematik bakım sunumunda yaygın olarak kullanılan modellerden biridir. Bu model, bireylerin karşılaştıkları sorunlara uyum sağlayıcı tepkiler geliştirmelerine yardımcı olarak bireyin yaşam değişikliklerine uyum sağlamasına yardımcı olur.

Amaç: Çalışmanın amacı septorinoplasti hastalarının ameliyat sonrası uyum durumlarını Roy Uyum Modeline göre araştırmaktır.

Yöntem: Tanımlayıcı nitel bir araştırma olarak tasarlanan çalışmanın kavramsal çerçevesi Roy Uyum Modeli’ne dayanmaktadır. Araştırmanın örneklemini primer septorinoplasti ameliyatı geçiren 14 hasta oluşturmuştur. Veriler, araştırmacılar tarafından geliştirilen ve derinlemesine görüşme tekniği kullanılarak hazırlanan “Kişisel Bilgi Formu ve Yarı Yapılandırılmış Görüşme Formu” kullanılarak toplanmıştır. Veriler Maxqda programı kullanılarak analiz edildi.

Bulgular: Septorinoplasti ameliyatı olan hastaların Roy Uyum Modeline göre Fizyolojik Alanda; korunma, nörolojik, duyusal, beslenme, aktivite-dinlenme ve oksijenlenme; Benlik Kavramı Alanında olumlu ve olumsuz fiziksel görünüm; Rol İşleyiş Alanında sorumluluklarını yerine getirmede veya sorumluluklarını ertelemede sorun yaşamamak; Karşılıklı Bağlılık Alanında destek kaynakları, saygınlık ve bilgi ihtiyaçları gibi durumlara yönelik uyumlu ve uyumsuz davranışlar sergilemişlerdir.

Sonuç: Septorinoplasti ameliyatı sonrasında hastaların Roy Adaptasyon Modeline göre dört alanda da uyumlu ve uyumsuz davranışlar sergiledikleri, herhangi bir adaptasyon alanında yaşanan davranışın diğer alanları da etkilediği belirlendi. Hastaların uyumsuz davranışlarının belirlenerek uyumlu davranışlara dönüştürülmesine yönelik etkili hemşirelik girişimlerinin planlanması ve uygulanması önerilmektedir.

Anahtar Kelimeler

Septorinoplasti, Roy Uyum Modeli, Hemşirelik, Fenomenolojik Çalışma

Kaynakça

• Akyol E, İbrahimoglu O (2020). Kalp Nakli Olan Hastanın Roy Adaptasyon Modeli’ne Göre Hemşirelik Bakımı. Kardiyovas-küler Hemşirelik Dergisi, 11(26), 140 - 148. 10.5543/khd.2020.21043
• AlHarethy, S., Al-Angari, S. S., Syouri, F., Islam, T., ve Jang, Y. J. (2017). Assessment of satisfaction based on age and gender in functional and aesthetic rhinoplasty. Europe an archives of oto-rhino-laryngology: officia ljournal of the European Fe-deration of Oto-Rhino-Laryngological Societies (EUFOS): affiliated with the German Society for Oto-Rhino-Laryngology – Head and Neck Surgery, 274(7), 2809–2812. https://doi.org/10.1007/s00405-017-4566-z
• Arastaman, G., Öztürk Fidan, İ., ve Fidan, T. (2018). Nitel Araştırmada Geçerlik ve Güvenirlik: Kuramsal Bir İnceleme. Van Yüzüncü Yıl Üniversitesi Eğitim Fakültesi Dergisi, 15(1), 37-75.
• Balikci, H. H., veGurdal, M. M. (2014). Satisfaction outcomes in open functional septorhinoplasty: prospective analy-sis. The Journal of cranio facial surgery, 25(2), 377–379. https://doi.org/10.1097/SCS.0000000000000638
• Baltacı, A. (2018). Nitel Araştırmalarda Örnekleme Yöntemleri ve Örnek Hacmi Sorunsalı Üzerine Kavramsal Bir İnceleme. Bitlis Eren Üniversitesi Sosyal Bilimler Dergisi, 7(1), 231-274.
• Baltacı, A. (2018). Nitel Araştırmalarda Örnekleme Yöntemleri ve Örnek Hacmi Sorunsalı Üzerine Kavramsal Bir İnceleme. Bitlis Eren Üniversitesi Sosyal Bilimler Dergisi, 7(1), 231-274.
• Barone, M., Cogliandro, A., Di Stefano, N., Tambone, V., ve Persichetti, P. (2017). A systematic review of patient-reported outcome measures after rhinoplasty. European archives of oto-rhino-laryngology: official journal of the European Fede-ration of Oto-Rhino-Laryngological Societies (EUFOS): affiliated with the German Society for Oto-Rhino-Laryngology – Head and Neck Surgery, 274(4), 1807–1811. https://doi.org/10.1007/s00405-016-4359-9
• Başer, E., Kocagöz, G. D., Çalim, Ö. F., Verim, A., Yilmaz, F., veÖzturan, O. (2016). Assessment of Patient Satisfaction with Evaluation Methods in Open Technique Septorhinoplasty. The Journal of cranio facial surgery, 27(2), 420–424. https://doi.org/10.1097/SCS.0000000000002321
• Braizat, O., Jafarian, N., Al-Majid, D., El-Debs, M., ve Althalathini, M. (2023). The Difference in Scar-Related Quality of Life in Open Versus Closed Septorhinoplasty. Cureus, 15(6), e40541. https://doi.org/10.7759/cureus.40541
• Bulut, O. C., Wallner, F., Oladokun, D., Kayser, C., Plath, M., Schulz, E., Plinkert, P. K., ve Baumann, I. (2018). Long-term quality of life changes after primary septorhinoplasty. Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 27(4), 987–991. https://doi.org/10.1007/s11136-017-1761-8
• Gassner H. G. (2019). Zur Lebens qualität nach funktionell-ästhetischer Septorhinoplastik [Quality of life after functional aesthetic septorhinoplasty]. HNO, 67(3), 190–191. https://doi.org/10.1007/s00106-019-0616-8
• Gerecci, D., Casanueva, F. J., Mace, J. C., Annen, A., Barrett, D. M., Kim, M. M., Wang, T. D., Smith, T. L., ve Loyo, M. (2019). Nasal obstruction symptom evaluation (NOSE) score out comes after septorhinoplasty. The Laryngoscope, 129(4), 841–846. https://doi.org/10.1002/lary.27578
• Gökçe Kütük, S., ve Arıkan, O. K. (2019). Evaluation of the effects of open and closed rhinoplasty on the psycho social stres level and quality of life of rhinoplasty patients. Journal of plastic, reconstructive veaesthetic surgery: JPRAS, 72 (8), 1347–1354. https://doi.org/10.1016/j.bjps.2019.03.020
• Hohenberger, R., Endres, P., Salzmann, I., Plinkert, P. K., Wallner, F., Baumann, I., Alt, J., Riedel, F., Lippert, B. M., ve Bulut, O. C. (2023). Quality of Life and Screening on Body Dysmorphic Disorder, Depression, Anxiety in Septorhinoplasty. The Laryngoscope, 10.1002/lary.31212. Advance online publication. https://doi.org/10.1002/lary.31212
• Ishii, L. E., Tollefson, T. T., Basura, G. J., Rosenfeld, R. M., Abramson, P. J., Chaiet, S. R., Davis, K. S., Doghramji, K., Farrior, E. H., Finestone, S. A., Ishman, S. L., Murphy, R. X., Jr, Park, J. G., Setzen, M., Strike, D. J., Walsh, S. A., Warner, J. P., veN-nacheta, L. C. (2017). Clinical Practice Guideline: Improving Nasal Form and Function after Rhinoplasty Executive Sum-mary. Otolaryngology—head and neck surgery : officia ljournal of Academy of Otolaryngology-Head and Neck Sur-gery, 156(2), 205–219. https://doi.org/10.1177/0194599816683156
• Kokubo, L. C. P., Carvalho, T. B. O., Fornazieri, M. A., Gomes, E. M. C., Alves, C. M. F., ve Sampaio, A. L. L. (2019). Effects of septorhinoplasty on smell perception. European archives of oto-rhino-laryngology: journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS): affiliated with the German Society for Oto-Rhino-Laryngology – Head and Neck Surgery, 276(4), 1247–1250. https://doi.org/10.1007/s00405-019-05356-1
• Koybasi, S., Bicer, Y. O., Seyhan, S., ve Kesgin, S. (2018). Satisfaction in rhinoplasty: the possible impact of anxiety and functional outcome. European archives of oto-rhino-laryngology: officia ljournal of the European Federation of Oto-Rhino-Laryngologica lSocieties (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology – Head and Neck Surgery, 275(3), 729–733. https://doi.org/10.1007/s00405-017-4860-9
• McCurry, M. K., Revell, S. M., ve Roy, S. C. (2010). Knowledge for the good of the individual and society: linking philosophy, disciplinary goals, theory, and practice. Nursing philosophy: an international journal for health care professionals, 11(1), 42–52. https://doi.org/10.1111/j.1466-769X.2009.00423.x
• Miyahara, L. K., Stefanini, R., Suguri, V. M., Wawginiak, G. H., Balsalobre, R. A., ve Haddad, F. L. M. (2019). Evaluation of sleep quality and risk of obstructive sleep apnea in patients referred for aesthetic rhinoplasty. Sleepscience (Sao Paulo, Brazil), 12(3), 126–131. https://doi.org/10.5935/1984-0063.20190077
• Mohebbi, A., ve Yarahmadi, A. (2022). Association Between Satisfaction with Nasal Appearance and Olfactory Function in Patients Undergoing Septorhinoplasty Surgery. Archives of Iranian medicine, 25(5), 314–318. https://doi.org/10.34172/aim.2022.51
• Moubayed, S. P., ve Most, S. P. (2022). Evaluation and Management of the Nasal Airway. Clinics in plastic surgery, 49(1), 23–31. https://doi.org/10.1016/j.cps.2021.08.001
• Oppermann, P. O., Rabaioli, L., Feijó, C., Pilati, N. P., Hrisomalos, E. N., Migliavacca, R. O., ve Lavinsky-Wolff, M. (2022). Overall quality of life impact on candidates for septorhinoplasty according to the World Health Organization quality of life brief questionnaire (WHOQOL-Brief). Brazilian journal of otorhinolaryngology, 88(4), 570–575. https://doi.org/10.1016/j.bjorl.2020.07.015
• Panchapakesan, V., Klassen, A. F., Cano, S. J., Scott, A. M., ve Pusic, A. L. (2013). Development and psychometric evalua-tion of the FACE-Q Aging Appraisal Scale and Patient-Perceived Age Visual Analog Scale. Aesthetic surgery journal, 33(8), 1099–1109. https://doi.org/10.1177/1090820X13510170
• Rot, P., Skrzypiec, Ł., Jadczak, M., ve Jurkiewicz, D. (2018). Comparison of quality of life before and after open septorhi-noplasty with the WHOQOL-BREF questionnaire. Otolaryngologiapolska = The Polishotolaryngology, 73(1), 1–4. https://doi.org/10.5604/01.3001.0012.6900Roy C. (2011). Research based on the Roy adaptation model: last 25 ye-ars. Nursing science quarterly, 24(4), 312–320. https://doi.org/10.1177/0894318411419218
• Sasindran, V., Harikrishan, B., ve Mathew, N. (2020). Cosmetic and Functional Outcomes of Septorhinoplasty. Indian jour-nal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of In-dia, 72(2), 194–199. https://doi.org/10.1007/s12070-019-01756-1
• Shafiee, A., Arabzadeh Bahri, R., Teymouri Athar, M. M., Beiky, M., Rostaii, O., Golpayegani, G., veSoltani Abhari, F. (2023). Pain management following septorhinoplasty surgery: evidence from a systematic review. European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology – Head and Neck Surgery, 280 (9), 3931–3952. https://doi.org/10.1007/s00405-023-08044-3
• Simsek, T., Erdoğan, M. M., Özçetinkaya Erdoğan, S., Kazaz, H., Tezcan, E., ve Seyhan, S. (2021). Assessment of functional and aesthetic outcomes in septorhinoplasty. European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology – Head and Neck Surgery, 278(4), 1089–1097. https://doi.org/10.1007/s00405-020-06387-9
• Strazdins, E., Nie, Y. F., Ramli, R., Palesy, T., Christensen, J. M., Alvarado, R., Marcells, G. N., ve Harvey, R. J. (2018). Asso-ciation Between Mental Health Status and Patient Satisfaction With the Functional Outcomes of Rhinoplasty. JAMA facial plastic surgery, 20(4), 284–291. https://doi.org/10.1001/jamafacial.2018.0001
• Topal Hançer, A., ve Köksel, P. (2023). TheEffect of PreoperativePainFear on PostoperativePain, AnalgesicUse, andComfort Level. Pain management nursing : official journal of the American Society of Pain Management Nurses, 24(5), 521–527. https://doi.org/10.1016/j.pmn.2023.06.008
• Yamasaki, A., Warinner, C., ve Lindsay, R. (2022). Patient Recovery and Satisfaction with Perioperative Care After Rhinop-lasty. Facial plastic surgery ve aesthetic medicine, 24(4), 282–288. https://doi.org/10.1089/fpsam.2021.0034
• Yang, F., Liu, Y., Xiao, H., Li, Y., Cun, H., ve Zhao, Y. (2018). Evaluation of Preoperative and Postoperative Patient Satisfac-tion and Quality of Life in Patients Undergoing Rhinoplasty: A Systematic Review and Meta-Analysis. Plastic and reconst-ructive surgery, 141(3), 603–611. https://doi.org/10.1097/PRS.0000000000004102
• Zuhur, Ş., ve Özpancar, N. (2017). Türkiye’de kronik hastalık yönetiminde hemşirelik modellerinin kullanımı: sistematik derleme. Hemşirelikte Araştırma Geliştirme Dergisi, 19(2), 57-74.