Lomber Disk Hernisi Cerrahisi Olan Hastaların Taburculuk Sonrası Fonksiyonelliklerinin İncelenmesi

Yıl 2025, Cilt: 8 Sayı: 1, 51 - 58, 05.04.2025

Yasemin Yılmaz , Ayla Yava , Aynur Koyuncu

https://doi.org/10.38108/ouhcd.1417669

Öz

Amaç: Bu çalışmanın amacı lomber disk hernisi (LDH) ameliyatı geçiren hastaların taburcu olduktan sonra evdeki aktivitelerinde yaşadıkları sorunları, takip sırasındaki ağrı düzeylerini ve fonksiyonelliklerini incelemektir.
Yöntem: Tanımlayıcı ve korelasyonel nitelikteki bu çalışma bir üniversite hastanesinin beyin cerrahisi polikliniğinde gerçekleştirildi. Nisan-Aralık 2019 tarihleri arasında LDH ameliyatı geçiren hastalar, taburculuk sonrası kontrol muayenesi için doktorları tarafından beyin cerrahisi polikliniğine davet edildi. Bunlardan dahil edilme kriterlerini karşılayan 121 hasta çalışmanın örneklemine dahil edildi. Hastalardan “tanımlayıcı özellikler veri formu”, “hastalık bilgi formu”, “görsel analog ölçek” ve “Oswestry Disabilite İndeksi (ODİ)” kullanılarak veriler toplandı.
Bulgular: Yaşlı hastaların (65 yaş ve üzeri) %55.6'sında ciddi fonksiyonel yetersizlik yaşandı (p<0.05). Genel sağlık durumunu “çok iyi” hisseden hastaların %58.3’ünde, genel sağlık durumunu “mükemmel” hisseden hastaların ise %100’ünde fonksiyonel özürlülüğün günlük yaşamda sorun olmadığı belirlendi (p<0.05). Hastaların ODİ sonuçları fonksiyonel yetersizlik arttıkça ağrı düzeylerinin de arttığını ortaya koydu (sırasıyla 1.00, 1.60 ve 3.00; p<0.05).
Sonuç: Yaşlı hastaların yarısından fazlası taburcu olduktan sonra ciddi fonksiyonel yetersizlikler yaşamaktadır. Taburculuk sonrası yaşanan ağrı hastanın fonksiyonelliğini ve konforunu olumsuz etkiler.

Anahtar Kelimeler

Lomber disk herni, fonksiyonel yetersizlik, ağrı, hastalar, cerrahi

Investigation of Postdischarge Functionality of Patients Undergoing Lumbar Disc Hernia Surgery

Öz

Objective: This study aims to examine the problems experienced by patients who underwent lumbar disc herniation (LDH) surgery in their home activities after discharge, their pain levels, and their functionality during follow-up.
Methods: This descriptive and correlational study was conducted in the neurosurgery outpatient clinic of a university hospital. Patients who underwent LDH surgery between April and December 2019 were invited to the neurosurgery outpatient clinic by their doctors for a post-discharge control examination. Of these 121 patients who met the inclusion criteria were included in the study sample. Data were collected from the patients using the "descriptive characteristics data form", "disease information form", "visual analog scale" and "Oswestry Disability Index (ODI)".
Results: 55.6% of elderly patients (65 years and older) experienced severe functional disability (p<0.05). It was determined that functional disability was not a problem in daily life in 58.3% of the patients who felt their general health condition was "very good" and in 100% of the patients who felt their general health condition was "excellent" (p<0.05). ODI results of the patients revealed that pain levels increased as functional disability increased (1.00, 1.60, and 3.00, respectively; p<0.05).
Conclusions: More than half of elderly patients experience serious functional disabilities after discharge. Pain experienced after discharge negatively affects the patient's functionality and comfort.

Anahtar Kelimeler

Lumbar disc hernia, functional disability, pain, patients, surgery

Kaynakça

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