Yaşlı Hastaların Ameliyat Sonrası İyileşme Durumlarının Belirlenmesi

Yıl 2021, Cilt: 6 Sayı: 3, 413 - 418, 05.09.2021

Figen Dığın , Zeynep Kızılcık Özkan

https://doi.org/10.26453/otjhs.907564

Cited By: 1

Öz

Amaç: Bu araştırmanın amacı yaşlı hastaların ameliyat sonrası iyileşme durumlarını belirlemektir.

Materyal ve Metot: Tanımlayıcı türde olan bu araştırma, Temmuz 2019–Mart 2020 tarihleri arasında, bir üniversite hastanesinin genel cerrahi ile ortopedi ve travmatoloji kliniklerinde, elektif majör cerrahi uygulanan 167 yaşlı hastanın katılımıyla gerçekleştirildi. Araştırmada veri toplama araçları olarak Hasta Tanıtım Formu ve Ameliyat Sonrası İyileşme İndeksi kullanıldı.

Bulgular: Araştırmaya katılan hastaların yaş ortalaması 73,7±7,5 yıl, %58,1’i (n=97) kadın ve %84,4’ü (n=141) ilkokul mezunudur. Hastaların ameliyat sonrası iyileşme indeksi puan ortalamaları 2,7±0,9 olarak belirlendi. En yüksek puan ortalamasının 3,5±1,3 ile fiziksel aktiviteler ve en düşük puan ortalamasının 2,0±0,9 ile genel semptomlar alt boyutunda olduğu belirlendi. Hastaların ameliyat sonrası iyileşme indeksi toplam puan ortalamalarının yaş ile pozitif yönde orta düzey anlamlı ilişki gösterdiği ve cinsiyet, medeni durumu ve geçirilen operasyon tipine göre istatistiksel olarak anlamlı düzeyde farklılık gösterdiği belirlendi (p<0,05).

Sonuç: Ameliyat sonrası 3. günde yaşlı hastaların ameliyat sonrası iyileşmede çok zorlandığı belirlendi.

Anahtar Kelimeler

Ameliyat sonrası iyileşme indeksi, cerrahi, yaşlı hasta

Destekleyen Kurum

Yok

Proje Numarası

Yok

Teşekkür

Yok

Determination of Postoperative Recovery Status of Elderly Patients

Öz

Objective: The aim of this study is to determine the postoperative recovery status of elderly patients.

Materials and Methods: This descriptive study was conducted between July 2019 and March 2020 with the participation of 167 elderly patients who underwent elective major surgery in the general surgery and orthopedics and traumatology clinics of a university hospital. Patient Information Form and Postoperative Recovery Index were used as data collection tools in the study.

Results: The average age of the patients participating in the study was 73.7±7.5 year; 58.1% (n=97) of them were women and 84.4% (n=141) were primary school graduates. The mean score of the patients' postoperative recovery index was determined as 2.7±0.9. It was determined that the highest mean score was 3.5±1.3 in physical activities and the lowest mean score was 2.0±0.9 in the general symptoms sub-dimension. It was determined that the mean scores of the postoperative recovery index of the patients showed a moderate positive correlation with age and statistically significant differences according to gender, marital status and the type of operation performed (p<0.05).

Conclusion: On the 3rd postoperative day, it was determined that elderly patients had great difficulty in postoperative recovery.

Anahtar Kelimeler

Elderly patient, postoperative recovery index, surgery

Proje Numarası

Yok

Kaynakça

• Lirosi MC, Tirelli F, Biondi A, ve ark. Enhanced recovery program for colorectal surgery: a focus on elderly patients over 75 years old. J Gastrointest Surg. 2019;23:587-594.
• Kim SM, Youn HG, An JY, ve ark. Comparison of open and laparoscopic gastrectomy in elderly patients. J Gastrointest Surg. 2018;22(5):785-791.
• Fowler AJ, Abbotto TEF, Prowle J, Pearse RM. Age of patients undergoing surgery. Br J Surg. 2019;106(8):1012-1018.
• Aygin D. Yaşlı cerrahisinde bakım. İç: Cerrahi bakım vaka analizleri ile birlikte (Ed FE Aslan). Ankara: Akademisyen Tıp Kitabevi; 2017:181-247.
• Lee L, Tran T, Mayo NE, Carli F, Feldman LS. What does it really mean to ‘‘recover’’ from an operation? Surgery. 2014;155(2):211-216.
• Berg K, Idwall E, Nilsson U, Arestedt KF, Unosson M. Psychometric evaluation of the post-discharge surgical recovery scale. J Eval Clin Pract, 2010;16(4):794-801.
• Wu CL, Richman JM. Postoperative pain and quality of recovery. Curr Opin Anaesthesiol. 2004;17(5):455-460.
• Gustafsson S, Strömqvist M, Ekelund J, Engström Å. Factors influencing early postoperative recovery after laparoscopic cholecystectomy. J PeriAnesth Nurs. 2020;35:80-84.
• Yılmaz M. Cerrahi hastanın değerlendirilmesi. İç: Cerrahi bakım vaka analizleri ile birlikte (Ed FE Aslan). Ankara: Akademisyen Tıp Kitabevi; 2017;281-317.
• Herrera FJ, Wong J, Chung F. A systematic review of postoperative recovery outcomes measurements after ambulatory surgery. Anesth Analg. 2007;105(1):63-69.
• Brinson Z, Tang VL, Finlayson E. Postoperative functional outcomes in older adults. Curr Surg Rep. 2016;4(6):21.
• Cengiz H, Aygin D. Validity and reliability study of the Turkish version of the Postoperative Recovery Index of patients undergoing surgical intervention. Turk J Med Sci. 2019;49:566-573.
• Lin T, Meng Y, Li T, Jiang H, Gao R, Zhou X. Predictors of postoperative recovery based on health-related quality of life in patients after degenerative lumbar scoliosis surgery. World Neurosurg. 2018;109:539-545.
• Chong RC, Ong MW, Tan KY. Managing elderly with colorectal cancer. J Gastrointest Oncol. 2019;10(6):1266-1273.
• Rahman ARA, Mahdy NE, Kamaly A. Predictive factors affecting postoperative quality of recovery for patients undergoing surgery. IOSR-JNHS. 2017;6(3):50-60.
• Yolcu S, Akın S. Ortopedi, kalp ve genel cerrahi ameliyatları sonrası dönemde hastaların iyileşme durumları ve bakım gereksinimlerinin değerlendirilmesi. Sağlık ve Toplum. 2015;25(3):33-45.
• Buchanan FF, Myles PS, Cicuttini F. Effect of patient sex on general anaesthesia and recovery. Br J Anaesth. 2011;106(6):832-839.
• Ali MM, Khalifa N, Alhajj N. Quality of life and problems associated with obturators of patients with maxillectomies. Head & Face Medicine. 2018;14(2):1-9.
• Adogwa O, Elsamadicy AA, Vuong VD, ve ark. Effect- of social support and marital): status on perceived surgical effectiveness and 30-day hospital readmission. Global Spine J. 2017;7(8)774-779.
• Flick K, Sublette CM, Yip-Schneider MT, ve ark. Insurance type and marital status impact hospital length of stay after pancreatoduodenectomy. J Surg Res. 2021;257:587-592.
• Lall AC, Schwarzman GR, Battaglia MR, Chen SL, Maldonado DR, Domb BG. Effect of marital status on patient-reported outcomes following total hip arthroplasty: a matched analysis with minimum 2-year follow-up. HIP International. 2019; 31328566.
• O’Neill L, Bennett A, Guinan E, Reynolds JV, Hussey J. Physical recovery in the first six months following oesophago-gastric cancer surgery. Identifying rehabilitative needs: a qualitative interview study. Disabil Rehabil. 2019;31524528. doi: 10.1080/09638288.2019.1663946
• Berg K, Kjellgren K, Unosson M, Arestedt K. Postoperative recovery and its association with health-related quality of life among day surgery patients. BMC Nurs. 2012;11:24.
• Jonker LT, Lahr MM, Oonk MHM, de Bock GH, van Leeuwen BL. Post-discharge telemonitoring of physical activity, vital signs, and patient-reported symptoms in older patients undergoing cancer surgery. Ann Surg Oncol. 2021;33641013. doi:10.1245/s10434-021-09707-3
• Jakobsson J, Idwell E, Kumlien C. The lived experience of recovery during the first 6 months after colorectal cancer surgery. J Clin Nurs. 2017;7(26):4498-4505.
• Dahlberg K, Jaensson M, Nilsson U. “Let the patient decide” – Person-centered postoperative follow-up contacts, initiated via a phone app after day surgery: Secondary analysis of a randomized controlled trial. IJS. 2019;61:33-37.
• Deschler B, Ihorst G, Hüll M, Baier P. Regeneration of older patients after oncologic surgery. A temporal trajectory of geriatric assessment and quality of life parameters. J Geriatr Oncol. 2019;10:112-119.
• Sjoveian AKH, Leegaard M. Hip and knee arthroplasty - patient's experiences of pain and rehabilitation after discharge from hospital. Int J Orthop Trauma Nurs. 2017;27:28-35. doi:10.1016/j.ijotn.2017.07.001
• Sabharwal S, Archer S, Cadoux-Hudson D, Griffiths D, Gupte CM, Reilly P. Exploring elderly patients' experiences of recovery following complex proximal humerus fracture: A qualitative study. J Health Psychol. 2021;26(6):880-891. doi:10.1177/1359105319850883
• Amarilla-Donoso FJ, López-Espuela F, Roncero-Martín R, ve ark. Quality of life in elderly people after a hip fracture: a prospective study. Health Qual Life Outcomes. 2020;18(1):71. doi:10.1186/s12955-020-01314-2