Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Total Kalça Protezi Uygulanan Hastalarda Video Destekli Eğitimin Kalça İşlevi ve Günlük Yaşam Aktivitelerine Etkisi: Randomize Kontrollü Çalışma
The Effect of Video-Assisted Education on Hip Function and Activities of Daily Living in Patients with Total Hip Replacement: Randomized Controlled Trial
Betül ÇIĞLIa, Gülay ALTUN UĞRAŞb
aMersin Üniversitesi Sağlık Araştırma ve Uygulama Merkezi, Göğüs Cerrahisi ABD, Mersin, Türkiye
bMersin Üniversitesi Hemşirelik Fakültesi, Cerrahi Hastalıkları Hemşireliği ABD, Mersin, Türkiye
Turkiye Klinikleri J Nurs Sci. 2022;14(4):954-64
doi: 10.5336/nurses.2022-90035
Article Language: TR
Full Text
ÖZET
 Amaç: Araştırmada, total kalça protezi (TKP) uygulanan hastalara verilen video destekli eğitimin cerrahi girişim sonrası kalça işlevi ile günlük yaşam aktivitelerine (GYA) etkisini belirlemek amaçlandı. Gereç ve Yöntemler: Randomize kontrollü deneysel bu araştırmanın örneklemini TKP uygulanan 60 hasta oluşturdu. Araştırmada çalışma grubuna (n=30) video destekli eğitim verilirken; kontrol grubuna (n=30) rutin hemşirelik bakımı uygulandı. Araştırmada cerrahi girişim öncesi, taburculuk günü ve cerrahi girişim sonrası 1. ay kalça işlevleri Oxford Kalça Skoru; GYA ise GYA Ölçeği ile değerlendirildi. Veri analizinde; tanımlayıcı istatistikler, ki-kare, bağımsız gruplarda t-testi, tekrarlı ölçümlerde varyans analizi, çoklu karşılaştırmalarda Bonferroni testi kullanıldı. Bulgular: Araştırmada çalışma grubundaki hastaların TKP öncesi ve taburculuk günü kalça işlevi, TKP sonrası 1. aydan; kontrol grubundaki hastaların ise taburculuk günü kalça işlevi TKP öncesi ve sonrası 1. aya göre anlamlı olarak daha yüksekti (p<0,05). Çalışma grubundaki hastaların TKP öncesi kalça işlevi kontrol grubundan daha kötü iken, taburculuk günü ve TKP sonrası 1. aydaki kalça işlevi anlamlı olarak arttı (p<0,05). Çalışma grubundaki hastaların GYA'yı gerçekleştirme durumu kontrol grubuna göre taburculuk günü ve TKP sonrası 1. Ayda anlamlı olarak arttı (p<0,05). Sonuç: Araştırma, TKP uygulanan hastalarda video destekli eğitiminin kalça işlevini ve GYA'yı artırdığını ortaya koydu.

Anahtar Kelimeler: Kalça protezi; hasta eğitimi; günlük yaşam aktiviteleri
ABSTRACT
 Objective: The aim of this study was to determine the effect of video-assisted education on hip function and activities of daily living (ADL) after surgery in patients undergoing total hip replacement (THR). Material and Methods: The sample of this randomized controlled clinical trial study consisted of 60 patients who underwent THR. While the experimental group (n=30) received in video-assisted education, the control group (n=30) received routine nursing care. The patients' hip functions were measured using the Oxford Hip Score and their ADL scores were measured using the ADL Scale before surgery, on discharge day and 1st month after surgery. Data were analysed using descriptive statistics, chi-square, independent-samples t-test, analysis of variance with repeated measures, Bonferroni test. Results: The hip functions of the patients in the study group before THR and on the day of discharge were significantly higher than their hip functions 1st month after THR, and the hip functions of the patients in the control group on the day of discharge were significantly higher than their hip functions before and 1st month after THR (p<0.05). While the THR of the patients in the experimental group before surgery had worse hip function than the control group, their hip function on the day of discharge and 1st month after surgery increased significantly (p<0.05). In comparison with the ADL of the control group, the ADL performance of the patients in the experimental group increased significantly on the day of discharge and 1st month after surgery (p<0.05). Conclusion: The study demonstrated that video-assisted education improved hip functions and ADL in patients undergoing THR.

Keywords: Hip replacement; patient education; activities of daily living
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