Roy Uyum Modeli’ne Temellendirilmiş Total Diz Protezi Ameliyatına Hazırlık Programı

Giriş: Kavramsal modellerin değeri, hemşireliğin temel kavramlarına ortak bir anlam getirmeleridir. Bu katkının sağlanması için bir teori ya da modelin, uygulamalarda rehber olarak kullanılması önemlidir. Roy Uyum Modeli bu modellerden birisidir. Bireylerin, ailelerin ve grupların uyum gereksinimlerini belirlemede büyük rol oynayan bu model, insanın adaptif sisteminde ve çevresinde meydana gelen değişimlere odaklanmaktadır. Fizyolojik, benlik kavramı, rol fonksiyonu ve karşılıklı bağlılık alanları olmak üzere dört uyum alanını içeren Roy Uyum Modeli’nde insan, çevresiyle sürekli etkileşim halinde olan ve uyaranlardan etkilenen biyopsikososyal bir oluşum olarak tanımlanmaktadır. Bu makalede osteoartrit nedeniyle Total Diz Protezi ameliyat endikasyonu olan hastaların ameliyat öncesi hazırlığı ve hemşirelik bakımına yönelik video eğitiminin içeriği Roy Adaptasyon Modeli çerçevesinde açıklanmıştır.

The Total Knee Replacement Surgery Preparation Program is Based on Roy Adaptation Model

The value of conceptual models in nursing which is bring a common meaning to the basic concepts of nursing. This contributes to provide, it is important that using a theory or model as a guide in practices. Roy Adaptation Model is one of these models. The model which plays a major role to determine for adaptation needs of Individuals, families and groups is focused on the changes that occur in adaptive system of human and his environment. A human is defined as biophysicosocial formation which affects from stimulus and being in constant interaction with the environment in Roy Adaptation Model is consist four dimensions of adaptation which are included physiologic, self-concept, role function and interdependence modes. The content of video education within the framework of the Roy Adaptation Model related pre-operative preparation and nursing care of patients who have an indication of total knee replacement surgery due to osteoarthritis is described in this article.

___

  • Akbayrak, N., Erkal, S., Ançel, G., Albayrak, A. (2007). Hemşirelik Bakım Planları (Dahiliye- Cerrahi Hemşireliği ve Psikososyal Boyut) Ankara.
  • Alligood, M.R., & Tomey, A.M. (2006). Nursing Theory Utilization & Application. Mosby Year Book (3rd ed., pp. 68-79). Unted State.
  • Almada, P., Archer, R. (2009). Planning ahead for better outcomes preparation for joint replacement surgery begins at home. Orhopaedic Nursing, 28(1), 3-8.
  • Barksdale, P., & Backer, J. (2005). Health-related stressors experienced by patients who underwent total knee replacement seven days after being discharged home. Orhopaedic Nursing, 24(5), 336-343.
  • Bisaillion, S., Faraone, J., Elliott, K., Cuthberg, J., Doucette, C., & Shaw, J. (2004).Improving care for orthopaedic patients undergoing surgery for hip fracture and total knee replacement through best practice. Journal of Orthopaedic Nursing, 8, 215- 220.
  • Chen, S.R., Chen, C.S., & Lin, P.C. (2013). The effect of educational intervention on the pain and rehabilitation performance of patients who undergo a total knee replacement. Journal of Clinical Nursing, 23, 279-287.
  • Chetty, C., & Ehlers, V.J. (2009). Orthopaedic patients’ perceptions about their pre-operative information, Curationis, 32(4), 55-60.
  • Dinah, A.F, & Mears, S.C. (2008). Yaşlılarda primer diz artroplastisi. Current Opinion in Orthopaedics, 3(1), 48-52.
  • Edwards, C.(2003).Exploration of the orthopaedic patient’ s ‘need to know’. Journal of Orthopaedic Nursing, 7 (1), 18-25.
  • Ethgen, O., Bruyere, O., Richy, F., Dardennes, C., & Reginstre, J.Y. (2004). Health-reated quality of life in total hip and knee arthoplasty: A qualitative and Systemic Rewiev of literature. Journal of Bone and Joint Surgery American, 86, 963-974.
  • Fagermoen, M., & Hamilton , G., (2006). Patient information at discharge: a study of acombined approach. Patient Education And Counselling, 63, 169-176.
  • Fawcett, J. (2005). Contemporary nursing knowledge analysis and evaluation of nursing models and theories. İn Roy's adaptation model. (ed 2. pp. 364- 437). Philadelphia, F. A. Davis Company
  • Goh, M.L., & Chua, J.Y. (2014). Total knee replacement pre-operative education in a Singapore tertiary hospital: A best practice implementation project. International Journal of Orthopaedic and Trauma Nursing, 1-10
  • Heikkinen, K., Leino-Kilpi, H., Hiltunen, A., Johansson, K., Kljonen, A., & Rankinen S.(2007). Ambulatory orthopaedic surgery patients knowledge expectations and perceptions of received knowledge. Journal of Advanced Nursing, 60, 270-278.
  • Johansson, K., Nuutila, L., Virtanen, H., Katajisto, J., & Salantera, S. (2005). Preoperative education for ortopaedic patients: systematic review. Journal of Advanced Nursing, 50(2), 212-223.
  • Johansson, K., Salantera, S.,& Katajisto, J. (2007). Emprowering orthopaedic patients through preadmission education: results from a clinical study. Patient Education and Counselling, 66,84-91.
  • Johansson, K., Salentara, S., Katajisto, J., & Leino-Kilpi H. (2003). Written orthopaedic patient education materials from the point of view of empowerment by education. Patient Education and Counselling, 52, 175-181.
  • Johansson, K.., Salentara, S., Katajisto, J., & Leino-Kilpi H. (2002). Patient education in orthopaedic nursing, Journal of Orthopaedic Nursing, 6, 220-226.
  • Kagan, I., & Bar-tal, Y. (2008). The effect of preoperative uncertanity and anxiety on short time recoery after elective arthoplasty. Journal Clinical Nursing, 17, 576-583.
  • Kaupilla, A.M., Kyllönen, E., & Ohtonen, P. (20109. Multidisciplinary rehabilitation after primary total knee arthroplasty: a randomized controlled study of its effects on functional capacity and quality of life. Clinical Rehabilitation, 24, 398-411.
  • Kearney, M., Jennirch, M.K., Lyons, S., Robinson, R., & Berger, B., (2011). Effects of Preoperatif Education On Patient Outcomes After Joint Replacement Surgery. Orthopaedic Nursing, 30(6), 391-396.
  • Kruzik, N. (2009). Benefits of preoperative education for adult elective surgery Patients. Journal of AORN, 90(3), 381-387.
  • Lewis, C., Gunta, K., & Wong, D. (2002). Patient knowledge, behavior, and satisfaction with the use of a preoperative DVD. Orthopaedic Nursing, 21(6), 41-49
  • Lucas, B. (2007). Preparing patients for hip and knee replacement surgery, Nursing Standard. 22(2), 50-56.
  • Lucas, B., Cox, C., Perry, L., & Bridges, J. (2012). Preoperative prepation of patients for total knee replacement: an action research study. International Journal of Orthopaedic Truma Nursing,1-11
  • Lucas, B., Cox, C., Perry, L., & Bridges, J. (2013). Changing clinical team practices in preparation of patients for Total Knee Replacement: Using social Cognitive Theory to examine outcomes of an action research study. International Journal of Orthopaedic and Trauma Nursing, 17, 140- 150.
  • Lucas, B., Sample, V. A. (2001). Survey of registered nurses’ activities in British orthopaedic pre-operative assessment clinics. Journal of Orthopaedic Nursing, 5, 30-36.
  • Malkin, K. F. (2000). Patients’ perceptions of a preadmission clinic. Journal of Nursing Management, 8, 107-113.
  • Marek, J.F, Boehnlein, M.J. (2007). “Preoperative Nursing, Intraoperative Nursing. Preoperative Nursing. In Phipps, W.J, Sands J.K, Marek J.F. (Ed.), Medical Surgical Nursing “Concepts & Clinical Practice” (pp.469-568). Sixth Edition. Mosby A Harcourt Health Sciences Company, USA.
  • McDonald, S., Hetrick, S.E., & Green, S. (2008). Preoperative Education for Hip or Knee Replacement. Cochrane Database of Systematic Reviews, 4.issue, 1-31
  • Montin, L., Johanasson, K., Kettunen, J., Katajisto, J., & Kilpi, H. (2010). Total Joint Arthroplasty Patients’ Perception Of Received Knowledge Of Care, Orthopaedic Nursing, 29(4), 246-253.
  • National Association of Orthopaedic Nurses (NAON). Total Knee Replacement. Patient Education Series 2009; www.orthonurse.org Erişim tar: 14.06.2014.
  • Niemi-murola, L., Pöyhia, R., Onkinen, K., rhen, B., Makela, A., & Niemi T. T. (2007). Patient satisfation with postoperative pain management-efffect of preopertive faktors. Pain Management Nurisng, 8(3), 122-129.
  • Ouellet, L.L, Hodgins, M.H, Pond, S., Knorr, S., & Geldart, G. (2003). Post-discharge telephone followup for orthopaedic surgical patients: a pilot study. Journal of Orthopaedic Nursing, 7, 87-93.
  • Rankinen, S., Salantare, S., Heikkinen, K., Johansson, K., Kaljonen. A., Virtanen, H., ve ark. (2007).
  • Expectations and received kknowledge by surgical patients. International Journal for Quality in Health Care, 19(2),113-119.
  • Roy, S. C. (2009). The Roy Adaptation Model. Pearson Education. Inc,Upper Saddle River;New Jersey. Santy, J. ( 2001). An investigation of the reality of nursing work with orthopaedic patients. Journal of Orthopaedic Nursing, 5, 22-9.
  • Smith, M.A., Jacobs, L., Rodier, L., Taylor, A., & TaylorWhite, C. (2011). Clinical Quality Indicators Infection prophylaxis for total knee arthroplasty. Orthopaedic Nursing, 30(5), 31-306.
  • Su, H.H., Tsai, Y.F., Chen, W.J., Chen, M.C. (2010). Health care needs of patients during early recovery after total knee-replacement surgery. Journal of Clinical Nursing, 19, 673-681.
  • Suhonen, R., & Leino-Kilpi, H. (2006). Adult surgical patients and the information provided to them by nurses: a literature review. Patient Education Counselling,, 61(1), 5-15.
  • Syx, R.L. (2008). The practice of patient education the theoretical perspective. Orthopaedic Nursing, 27(1), 50-56.
  • Şendir, M., Büyükyılmaz F. & Muşovi D. (2013). Patients Discharge information needs after total hip and arthoplasty: A quasi-qualitative pilot study. Association of Rehabilitation Nurses Rehabilitation Nursing, 2013, 38, 264-271.
  • Thıbodeau, J.A. (1983). Nursing Models: Analysis and Evaluation. Wadswortth Health Sciences Division Monterey California.
  • Uesugi, Y., Hayashi, S., Fujishiro, T., Kanzaki, N., & Nishiyama, T. (2013). Effectiveness of distance education interventionusing video footage in postoperative patients after total hip arthroplasty. International Journal of Orthopaedic and Trauma Nursing, 17, 91–98.
  • Velioğlu, P. (2012). Hemşirelikte Kavram ve Kuramlar. (2. Baskı pp.372-399). Esen ofset. İstanbul.
  • Walker, J., (2012). Care of patients undergoing joint replacement. Nursing Older People, 24(1), 14-20.
  • Wood, I., Douglas, J., & Priest, H. (2004). Education and training for acute care delivery: a needs analysis. Nursing in Critical Care, 9(4), 159-166.
  • Wright, J.G., Santaguida, P.L., Young, N., Hawker, G.A., Shemitsch, E., Oven, J.L.( 2010). Patient preferences before and after total knee arthroplasty. Jornal of Clinical Epidemiology, 63, 774-782.
  • Yavuz, M. (2010). Kas İskelet Sistemi Hastalıklarında Tedavi ve Bakım Modelleri. Editör, Karadakovan A, Eti Aslan F. Dahili ve Cerrahi Hastalıklarda Bakım, Ünite-16:1327-29.
  • Yeh, M.L., Chen, H.H., Liu, P.H. (2005). Effects of multimedia with printed nursing guide in education on self-efficacy and functional activity and hospitalization in patients with hip replacement. Patient Education and Counseling, 57, 217–224.
  • Yıldırım, N. & Özmen, B. (2012). Video paylaşım sistemlerin eğitim amaçlı kullanımı. Education Sciences, (7), 1, 288-295.