FİZİK TEDAVİ KLİNİĞİNDE YATAN HASTALARIN FİZİKSEL, PSİKOLOJİK VE KONSTİPASYON DURUMLARININ DEĞERLENDİRİLMESİ

Amaç: Fizik tedavi kliniğinde yatan ve konstipasyon sorunu yaşayan hastaların demografik özelliklerinin, fiziksel durumlarının belirlenmesi, hasta veya bakıcılarının uyguladıkları geleneksel ve klinik tıbbi yöntemlerin belirlenmesi, konstipasyonun hasta üzerindeki psikolojik etkisinin değerlendirilmesi amacı ile yapılmıştır.Yöntem: Bu araştırma tanımlayıcı olarak yürütülmüştür. Örneklem seçimine gidilmemiş olup konstipasyon sorunu yaşayan ve gönüllü olan 110 hasta çalışmanın örneklemini oluşturmuştur. Araştırma verilerinin toplanmasında araştırmacılar tarafından oluşturulan ‘Kişisel Anket Formu’, ‘Roma III Tanı Kriterleri’, ‘Bristol Gaita Skalası’ ve ‘Beck Depresyon Ölçeği’ kullanılmıştır.Bulgular: Çalışmada hastaların %53.6’sı kadın, %34.5’i 65 yaş ve üstü, tanı grubuna göre hemiplejik olan bireyler grubun %40.9’unu, paraplejik olan bireyler grubun %30’unu oluşturdu. Hastaların %50.9’unun mobilizasyonda bağımlı, %41.8’inin yarı bağımlı olduğu belirlendi. Yürümeye yardımcı araç olarak en fazla tekerlekli sandalye kullandıkları belirlendi. Hastaların %70’inin defekasyonda bağımlı olduğu belirlendi. Hastaların 3/4’ünün en az üç gün defekasyona çıkamadığı ve bu durumun süreklilik arz ettiği (%93.6), yarısından fazlasının laksatif olarak lavman kullandığı ve 1/3’ünün orta düzey depresif belirtilere sahip olduğu saptanmıştır.Sonuç: Araştırma sonuçlarımıza göre konstipasyon sorunu yaşayan hastaları çoğunlukla bağımlı ve yarı bağımlı gruplar oluşturmaktadır. Konstipasyon sorunu yaşayan hastaların çoğunluğunun (%95.5) günlük sıvı tüketiminin 2500 cc altında olduğu sonucuna ulaşılmıştır. Hareketsizlik, sıvı tüketiminin az olması, beslenme öğün sayısı, yatış süresi konstipasyonu etkilemektedir.

EVALUATION OF PHYSICAL, PSYCHOLOGICAL AND CONSTIPATION STATUS OF PATIENTS HOSPITALIZED IN PHYSICAL THERAPY CLINIC

Aim: The demographic characteristics and physical conditions of the patients hospitalized in the physical therapy clinic with constipation problems, determining the traditional and intra-clinical medical methods applied by the patient or their caregivers were made descriptive for the purpose of evaluating the psychological effect of constipation on the patient.Methods: This research was conducted as descriptive. Sample selection was not made and 110 patients who had constipation problems and volunteered were the sample of the study. 'Personal Questionnaire Form', 'Rome III Diagnostic Criteria', ‘Bristol Stool Scale’ and 'Beck Depression Scale' were used by the researchers in the collection of research data.Results: In our study, 53.6% of the patients were women, 34.5% were 65 years and older, according to the diagnosis group, individuals with hemiplegia constituted 40.9% of the group, and individuals with paraplegia constituted 30% of the group. It was determined that 50.9% of the patients were dependent on mobilization and 41.8% were semi-dependent. It was determined that they mostly used wheelchairs as a walking aid. It was determined that 70% of the patients were dependent on defecation. It was determined that 3/4 of the patients could not defecate for at least three days and this situation was continuous (93.6%), more than half of them used enemas as laxatives and 1/3 of them had moderate depressive symptoms.Conclusion: According to our research results, immobile and semi-mobile groups mostly consist of patients with constipation problems. It is concluded that the majority of the patients (95.5%) who have constipation problems are below 2500cc daily fluid consumption. Inactivity, low fluid consumption, high number of nutritional meals, and high day of hospitalization affect the constipation.

Keywords:

depression, nursing constipation, rehabilitation, stroke,

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