Artroskopik Diz Ameliyatı Sonrası Kullanılan Üç Farklı Soğuk Uygulama Yönteminin Etkileri

Giriş: Soğuk uygulama artroskopik cerrahi sonrası yaygın olarak kullanılmaktadır. Amaç: Araştırma, artroskopik diz ameliyatından sonra kullanılan soğuk uygulama yöntemlerinin etkilerini belirlemek amacıyla yapılmıştır. Yöntem: Araştırma yarı deneysel olarak yapılmıştır. Araştırmanın örneklemini 60 hasta oluşturmuştur. Hastalar her grupta 20 hasta olacak şekilde üç gruba (buz paketi, soğuk paket ve kombine soğuk kompresyon yöntemi) ayrılmıştır. Araştırmada ilk olarak soğuk uygulama yöntemlerine ilişkin standart işlem basamakları geliştirilmiştir. Daha sonra soğuk uygulama yöntemlerinin deri sıcaklığı, diz çevresi, eklem hareket açıklığı ve hasta memnuniyetine etkisi değerlendirilmiştir. Veriler, hastaları tanıtıcı özelliklere ilişkin anket formu, gözlem ve değerlendirme formları ve hasta memnuniyeti anket formu ile toplanmıştır. Bulgular: Araştırmada buz paketinin 15. dakikadan sonra deri sıcaklığını düşürmede en etkili yöntem olduğu, soğuk paketin 10. dakikadan sonra deri sıcaklığını düşürmede etkili olmadığı, hastaların en çok kombine soğuk kompresyon sistemi uygulamasından memnun oldukları ancak diz çevresi ve eklem hareket açıklığı değerleri açısından gruplar arasında fark olmadığı belirlenmiştir. Sonuç: Araştırmada deri sıcaklığını azaltmada buz paketinin etkili bir yöntem olduğu ancak hemşirelerin diğer uygulama yöntemlerinin avantajlarını da göz önüne almaları önerilmektedir

Anahtar Kelimeler:

Artroskopi, Soğuk Uygulama, Deri Sıcaklığı, Hasta Memnuniyeti.

The Effects of Three Different Cold Therapy Methods After Arthroscopic Knee Surgery

Background: Cold therapy is commonly used after arthroscopic surgery. Objectives: The aim in this study was to compare the effects of cold therapy methods after arthroscopic knee surgery. Methods: This study was quasi-experimental study. The study sample comprised 60 patients; 20 patients each were included in three different cold therapy method groups (combined cold and compression system, ice pack, and cold pack groups). First, a standard protocol for cold application was established. Thereafter, the effects of the cold therapy methods on skin temperature, knee circumference, range of motion, and patient satisfaction were examined. Data were collected from the records of the patients’ descriptive characteristics, observation and evaluation forms, and patient satisfaction questionnaires. Results: The ice packs were the most effective method for reducing skin temperature after 15 min. Cold packs were ineffective at lowering skin temperature after 10 min. The patients were most satisfied with the combined cold and compression therapy. However, the knee circumference and range of motion did not differ among the groups. Conclusion: This study indicates that ice packs are an effective method for reducing skin temperature; however, the nurses should also consider the advantages of other methods.

Keywords:

Arthroscopy, Cold Therapy, Skin Temperature, Patient Satisfaction.,

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