Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Ameliyat Sonrası Hastaların Ayağa Kalkma Durumlarını Etkileyen Faktörlerin İncelenmesi
Investigation of the Factors Affecting the Standing Conditions of Patients After Surgery
Rasima MAHMUDOVAa, Yelda CANDAN DÖNMEZb
aCerrahi Hastalıkları Hemşireliği AD Yüksek Lisans Programı, Ege Üniversitesi Sağlık Bilimleri Enstitüsü,
bCerrahi Hastalıkları Hemşireliği AD, Ege Üniversitesi Hemşirelik Fakültesi, İzmir, TÜRKİYE
Turkiye Klinikleri J Nurs Sci. 2019;11(1):1-6
doi: 10.5336/nurses.2018-60409
Article Language: TR
Full Text
ÖZET
 Amaç: Kolesistektomi ameliyatı sonrası hastaların ayağa kalkma durumlarını etkileyen faktörlerin incelenmesidir. Gereç ve Yöntemler: Tanımlayıcı ve kesitsel tipte olan bu çalışma, bir devlet hastanesinin genel cerrahi kliniğinde yatan açık veya laparoskopik yöntemle kolesistektomi ameliyatı olan 206 hasta ile gerçekleştirilmiştir. Örnekleme dâhil edilen hastalara, araştırmacılar tarafından literatür doğrultusunda oluşturulan "Hasta tanıtım formu" ve 38 sorudan oluşan "Ameliyat sonrası hastaların ayağa kalkma durumlarına yönelik soru formu" yüz yüze görüşme yöntemi ile uygulandı. Bulgular: Çalışma kapsamına alınan hastaların yaş ortalaması 51,34±12,56 yıl ve %51,0'ının kadın olduğu saptandı. Hastaların %79,6'sının laparoskopik kolesistektomi ameliyatı olduğu, %61,7'sinin 31-60 dk arasında ameliyatının sürdüğü ve %96,6'sının 0-12 saat arasında yoğun bakımda kaldığı belirlendi. Hastaların ameliyat sonrası ilk ayağa kalkma zamanının 3-26 saat arasında ve ortalama 8,94±3,24 saat olduğu, ilk ayağa kalkma süresinin 5 ile 20 dk arasında ve ortalama 5,97±2,26 dk olduğu, hastanede en kısa kalış süresinin 1,87±0,59 gün olduğu bulundu. Hastaların ayağa kalkma öncesi ve sonrası yaşam bulguları arasında istatistiksel olarak anlamlı fark olduğu saptandı. Araştırma kapsamına alınan hastaların, ilk ayağa kalkma ile ağrı ve bulantı durumu arasında istatistiksel olarak anlamlı ilişki belirlenmedi. Sonuç: Kolesistektomi ameliyatı geçiren hastalarda ameliyat sonrası ayağa kalkma öncesi ve yaşam bulguları arasında istatistiksel olarak fark olduğu saptandı. Araştırma kapsamına alınan gruplar arasında, ilk ayağa kalkma zamanı ile ağrı durumu, ameliyat tipi, bulantı durumu arasında istatistiksel olarak anlamlı fark belirlenmedi.

Anahtar Kelimeler: Kolesistektomi; ameliyat sonrası dönem; erken ayağa kalkma
ABSTRACT
 Objective: The aim of this study was to investigate the factors affecting the patients' stand up after cholecystectomy surgery. Material and Methods: This descriptive and crosssectional study was conducted with 206 patients who underwent open or laparoscopic cholecystectomy surgery in the general surgery clinic of a state hospital. The patients included in the sampling were applied by face-to-face interview method, "Patient presentation form" prepared by the researchers in the direction of the literature and "Questionnaire on the standing conditions of patients after surgery" which is consist of 38 questions. Results: The average age of the patients included in the study is 51.34±12.56, 51.0% are women. Of the patients, 79.6% had undergone laparoscopic cholecystectomy, 61.7% had undergone surgery between 31-60 minutes. The average time for the patients to get up to the first leg was 8.94±3.24 hours, the mean time to lift to the first leg was 5-20 minutes, the mean was 5.97±2.26 minutes and the shortest duration was 1.87±0.59 days found. It was found that there was a statistically significant difference between the pre and post life symptoms of the patients. There was no statistically significant relationship between the first leg lift and the pain and nausea of the patients included in the study. Conclusion: Patients undergoing cholecystectomy surgery were found to have a statistically significant difference between life symptoms before and after the operation. There was no statistically significant difference between the time taken to reach the first leg and the pain status, operation type and nausea status among the groups included in the study.

Keywords: Cholecystectomy; postoperative period; early mobilization
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