.: ORİJİNAL ARAŞTIRMA
Effect of Spirometry Use in the Pre-Op Period on Stress and Anxiety Levels in the Post-Op Period in Total Hip Replacement and Knee Replacement Surgeries: A Quantitative Quasi-Experimental Study
Total Kalça Protezi ve Diz Protezi Ameliyatlarında Pre-Op Dönemde Spirometre Kullanımının Post-Op Döneminde Stres ve Anksiyete Düzeyine Etkisi: Nicel Yarı Deneysel Çalışma
Turkiye Klinikleri J Nurs Sci. 2025;17(3):941-7
doi: 10.5336/nurses.2024-107199
Makale Dili: EN
Tam Metin
ABSTRACT
Objective: This research aimed to determine the effect of preoperative use of spirometer on stress and anxiety levels in the postoperative period in total hip replacement and knee replacement surgeries. Material and Methods: The study was carried out in a quasiexperimental design. The study was conducted in the orthopaedic clinic of İstanbul Gaziosmanpaşa Training and Research Hospital in June 2022, in İstanbul, with 30 patients with hip prostheses (n=17) and knee prostheses (n=13). Spirometry was used after the Perceived Stress Scale (PSS), and the Beck Anxiety Inventory (BAI) was applied preoperatively, and the PSS, and the BAI was applied again postoperatively. Results: In intra-group comparisons, a decrease was observed in the anxiety scores of patients with hip and knee prostheses (p=0.000). In inter-group comparisons, there was a difference in the postoperative BAI scores, while there was a difference in the preoperative and postoperative PSS scores (p<0.01). A positive relationship was detected between postoperative PSS and the BAI of those in the hip replacement group (r=0.493; p=0.044). Conclusion: The results demonstrated that preoperative use of spirometer can reduce patients' stress and anxiety levels. Providing education to patients and their families before and after surgery can be recommended to enable them to resume their daily life activities.
Keywords: Anxiety; knee replacement; spirometer; stress; hip replacement
Objective: This research aimed to determine the effect of preoperative use of spirometer on stress and anxiety levels in the postoperative period in total hip replacement and knee replacement surgeries. Material and Methods: The study was carried out in a quasiexperimental design. The study was conducted in the orthopaedic clinic of İstanbul Gaziosmanpaşa Training and Research Hospital in June 2022, in İstanbul, with 30 patients with hip prostheses (n=17) and knee prostheses (n=13). Spirometry was used after the Perceived Stress Scale (PSS), and the Beck Anxiety Inventory (BAI) was applied preoperatively, and the PSS, and the BAI was applied again postoperatively. Results: In intra-group comparisons, a decrease was observed in the anxiety scores of patients with hip and knee prostheses (p=0.000). In inter-group comparisons, there was a difference in the postoperative BAI scores, while there was a difference in the preoperative and postoperative PSS scores (p<0.01). A positive relationship was detected between postoperative PSS and the BAI of those in the hip replacement group (r=0.493; p=0.044). Conclusion: The results demonstrated that preoperative use of spirometer can reduce patients' stress and anxiety levels. Providing education to patients and their families before and after surgery can be recommended to enable them to resume their daily life activities.
Keywords: Anxiety; knee replacement; spirometer; stress; hip replacement
ÖZET
Amaç: Bu çalışma, total kalça protezi ve diz protezi ameliyatlarında ameliyat öncesi spirometre kullanımının ameliyat sonrası dönemdeki stres ve anksiyete düzeylerine etkisinin belirlenmesi amacıyla gerçekleştirildi. Gereç ve Yöntemler: Çalışma yarı deneysel tasarımda yürütülmüştür. Çalışma, Haziran 2022 tarihinde İstanbul Gaziosmanpaşa Eğitim ve Araştırma Hastanesi Ortopedi Kliniği'nde, kalça protezi (n=17) ve diz protezi (n=13) olan 30 hasta ile yürütülmüştür. Ameliyat öncesinde Algılanan Stres Ölçeği [Perceived Stress Scale (PSS)] ve Beck Anksiyete Envanteri [Beck Anxiety Inventory (BAI)] uygulandıktan sonra spirometre kullandırılmış ve ameliyat sonrasında PSS ve BAI tekrar uygulanmıştır. Bulgular: Grup içi karşılaştırmalarda kalça ve diz protezi olan hastaların anksiyete puanlarında azalma gözlendi (p=0,000). Gruplar arası karşılaştırmalarda BAI ameliyat sonrası puanlarında farklılık görülürken, PSS ameliyat öncesi ve sonrası puanlarında fark görülmüştür (p<0,01). Kalça protezi grubunda ameliyat sonrası PSS ile BAI arasında pozitif bir ilişki saptanmıştır (r=0,493; p=0,044). Sonuç: Sonuçlar, spirometrenin ameliyat öncesi kullanımının hastaların stres ve anksiyete düzeylerini azaltabileceğini göstermiştir. Ameliyat öncesi ve sonrası hastalara ve ailelerine günlük yaşam aktivitelerine dönebilmeleri için eğitim verilmesi önerilebilir.
Anahtar Kelimeler: Anksiyete; diz protezi; spirometre; stres; kalça protezi
Amaç: Bu çalışma, total kalça protezi ve diz protezi ameliyatlarında ameliyat öncesi spirometre kullanımının ameliyat sonrası dönemdeki stres ve anksiyete düzeylerine etkisinin belirlenmesi amacıyla gerçekleştirildi. Gereç ve Yöntemler: Çalışma yarı deneysel tasarımda yürütülmüştür. Çalışma, Haziran 2022 tarihinde İstanbul Gaziosmanpaşa Eğitim ve Araştırma Hastanesi Ortopedi Kliniği'nde, kalça protezi (n=17) ve diz protezi (n=13) olan 30 hasta ile yürütülmüştür. Ameliyat öncesinde Algılanan Stres Ölçeği [Perceived Stress Scale (PSS)] ve Beck Anksiyete Envanteri [Beck Anxiety Inventory (BAI)] uygulandıktan sonra spirometre kullandırılmış ve ameliyat sonrasında PSS ve BAI tekrar uygulanmıştır. Bulgular: Grup içi karşılaştırmalarda kalça ve diz protezi olan hastaların anksiyete puanlarında azalma gözlendi (p=0,000). Gruplar arası karşılaştırmalarda BAI ameliyat sonrası puanlarında farklılık görülürken, PSS ameliyat öncesi ve sonrası puanlarında fark görülmüştür (p<0,01). Kalça protezi grubunda ameliyat sonrası PSS ile BAI arasında pozitif bir ilişki saptanmıştır (r=0,493; p=0,044). Sonuç: Sonuçlar, spirometrenin ameliyat öncesi kullanımının hastaların stres ve anksiyete düzeylerini azaltabileceğini göstermiştir. Ameliyat öncesi ve sonrası hastalara ve ailelerine günlük yaşam aktivitelerine dönebilmeleri için eğitim verilmesi önerilebilir.
Anahtar Kelimeler: Anksiyete; diz protezi; spirometre; stres; kalça protezi
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