GÜNÜBİRLİK CERRAHİYİ TAKİBEN HASTALARIN EV ORTAMINDAKİ DENEYİM VE GÜÇLÜKLERİ
Amaç: Bu çalışmanın amacı, günübirlik cerrahi işlem sonrası evde hastaların yaşadıkları güçlükler ve bu güçlükleri yönetme durumlarının belirlenmesidir. Yöntem: Bu çalışma İç Anadolu Bölgesi’nde bir ilde yer alan vakıf üniversitesine bağlı bir hastanenin günübirlik cerrahi ünitesinde Mart 2006 ve Nisan 2007 yılları arasında gerçekleştirilmiş, tanımlayıcı türden bir çalışmadır. Çalışmaya katılmayı kabul eden toplam 53 hastadan bir soru formu aracılığı ile veriler toplanmış ve hastalar taburcu olana kadar ünitede çalışan bir hemşire tarafından izlem formu aracılığı ile takip edilmiştir. Taburculuk sonrası ise hastalar 24. ve 72. saatler ve 7-10.günlerde telefon ile aranmış ve yaşadıkları güçlükler bir izlem formuna kaydedilmiştir. Bulgular: Çalışmaya katılan hastaların yaş ortalaması 50.1 olup %50.9’u kadındır. Taburculuk sonrası ilk 24 saatte hastaların %73.6’sı ağrı, %60.4’ü yorgunluk ve %20.8’i uykusuzluk tanımlamışlardır. Hastaların tamamına yakınında, yorgunluk dışında diğer sorunlar 7-10. günlerde ortadan kalkmıştır. Hastaların yarısından çoğunun genel olarak günlük yaşam aktivitelerini gerçekleştirmekte zorlanmadıkları; yürüme, merdiven çıkma ve giyinme gibi aktivitelerde zorlanmalarına rağmen yaptıkları; en az gerçekleştirilen aktivitelerin ise ev işleri, yemek ve alışveriş olduğu belirlenmiştir. Sonuç: Taburculuk sonrası hastanın bakım ve takibinin bu çalışmanın sonuçları dikkate alınarak planlanmasıyla hastanın bu dönemi daha rahat atlatması sağlanabilir. Daha geç dönemde ise günlük yaşam aktivitelerini yerine getirmede hastaların daha az zorlandıkları belirlenmekle birlikte yorgunluk faktörünün dikkate alınması önerilebilir
Anahtar Kelimeler:
Günübirlik cerrahi, günlük yaşam aktiviteleri, hasta, hemşirelik, taburculuk.
Patient’s Experiences and Difficulties at Home Following Day Surgery
Objective: The main aim of this study was to determine patients’ problems and self management at home after day case procedures. Method: This descriptive study was performed in the day surgery unit of Foundation University in a city located Central Anatolia Region, from March 2006 to April 2007 and have reached 53 patients. Data were collected via questionnaire from 53 patients who volunteered to participate in this study and patients were monitored by a nurse who work at unite, via a follow-up form until discharging; researchers called the patients 24 hours, 72 hours and 7-10 days after discharging and recorded on follow-up form. Results: Mean age of the patients was 50.1; of them 50.9 % were women. Following discharge in first 24 hours 73.6 % of them had pain, 60.4 % fatigue and 20.8 % reported insomnia. Between 7-10 days, all of these problems resolved in majority of the patients except fatigue. Overall more than half of the patients did not have difficulties in performing daily activities; however they had some difficulties in walking, step-up and dressing and less performed activities were house work, cooking and shopping. Conclusion: Results of this study can be taken as a reference when planning patient discharge and with careful planning patient would have comfortable in this period after day surgery. Although patients reported less difficulty in performing daily activities in later stage, fatigue should be considered as an impacting factor.
Keywords:
Günübirlik cerrahi, günlük yaşam aktiviteleri, hasta, hemşirelik, taburculuk,
___
- Aksoy G, Yazıcı-Sayın Y(2004) Günübirlik cer- rahide hastanın hazırlığı. C.Ü. Hemşirelik Yüksek Oku- lu Dergisi 8(2), 39-46.
- Anderson LG (1997) Ambulatory Care. In. Black J, Jacobs M (Eds.), Medical Surgical Nursing, Clinical Management For Contınuity of Care. (5th ed.), Saun- ders p:135-145.
- Bauer M, Böhrer H, Aichele G, Bach A, Martin E (2001) Measuring patients satisfaction with anesthe- sia: Perioperative questionnaire versus standardized face- to- face interview. Acta Anaesthesiologica Scan- dinavica 45(1), 65-72.
- Bellani ML(2008) Psychological aspects in day- case surgery. International Journal of Surgery 6, 44-46.
- Chung F(1995) Recovery pattern and home-re- adiness after. Ambulatory Surgery, Anesthesia and Analgesia 80, 896-902.
- Coley KC, Williams BA, DaPos SV, Chen C, Smith RB(2002) Retrospective evaluation of unanti- cipated admissions and readmissions after same day surgery and associated costs. Journal of Clinical Anesthesia 14, 349–353.
- Carroll NV, Miederhoff P, Cox FM, Hirsch JD (1995) Postoperative Nausea and Vomiting After Disc- harge from Outpatient Surgery Centers. Anesthe- sia&Analgesia 80, 903-909.
- Erkal S(2007) Patients’ experiences at home after day case cystoscopy. Journal of Clinical Nursing 16, 1118-1124.
- Gilmartin J(2004) Day surgery: Patients’ percep- tions of a nurse-led preadmission clinic. Journal of Clinical Nursing 13, 243–250.
- Gilmartin J(2007) Contemporary day surgery: Patients’ experience of discharge and recovery. Jour- nal of Clinical Nursing 16, 1109–1117.
- Gilmartin J, Wright K(2007) The nurse’s role in day surgery-a literature review. International Nursing Review 54, 183–190.
- Horvath KJ(2003) Postoperative recovery at ho- me after ambulatory gynecologic laparoscopic sur- gery. Journal of Peri Anesthesia Nursing 18(5), 324- 334.
- McMurray A, Johnson P, Wallis M, Patterson E, Griffiths S (2007) General surgical patients’ pers- pectives of the adequacy and appropriateness of disc- harge planning to facilitate health decision-making at home. Journal Of Clinical Nursing 16, 1602-1609.
- Marley RA, Swanson J(2001) Patient care after discharge from the ambulatory surgical center. Journal of Peri Anesthesia Nursing 16, 399-419.
- Mitchell M(1999) Patients perception of day sur- gery: A literature review. Ambulatory Surgery 7, 53- 65.
- Oberle K, Allen M, Lynokwski P(1994) Follow- up of same day surgery patients: A study of patients concerns. AORN Journal (59)5, 1016-1025.
- Pfisterer M, Ernst EM, Hirlekar G, Maser P, Shaalan AK, Haigh C, Upadhyaya B(2001) Post- operative nausea and vomiting in patients undergoing day-case surgery: An international, observational study. Ambulatory Surgery 9(1), 13-18.
- Pieper B, Sieggreen M, Freeland B, Kulwicki P, Frattaroli M, Sidor D, Palleschi MT, Burns J, Ber- darski D, Garretson B(2006) Discharge information needs of patients after surgery. Journal of Wound, Os- tomy and Continence Nursing 33(3), 281–290.
- Rawal N(2008) Postdischarge complications and rehabilitation after ambulatory surgery. Current Opini- on in Anaesthesiology 21,736-742.
- Rhodes L, Miles G, Pearson A(2006) Patient subjective experience satisfaction during the periope- rative period in the day surgery setting: A systematic review. International Journal of Nursing Practice 12, 178-192.
- Rowe WS, Yaffe MJ, Pepler C, Dulka IM(2000) Variables impacting on patients’ perceptions of disc- harge from short-stay hospitalisation or same-day sur- gery. Health and Social Care in The Community 8(6), 362–371.
- Smeltzer SC, Bare BG(1996) Postoperative Nur- sing management. In Smeltzer SC, Bare BG (Eds.), Brunner and Suddarth’ s Text Book of Medical Surgi- cal Nursing. (8 th. ed.), Lippincott, p: 411-412.
- Stephenson ME(1990) Discharge criteria in day surgery. Journal of Advanced Nursing 15, 601-613.
- Suhonen RA, Iivonen MK, Välimäki MA(2007) Day-case surgery patients’ health-related quality of li- fe. International Journal of Nursing Practice 2007 13, 121–129.
- Swan BA, Mailsin G, Traber KB(1998) Symptom distress and functional status changes du- ring the first seven days after ambulatory surgery. Anesthesia and Analgesia 86, 739-45.
- Waterman H, Leatherbarrow B, Slater R, Wa- terman C(1999) Post-operative pain, nausea and vo- miting: qualitative perspectives from telephone inter- views. Journal of Advanced Nursing 29, 690–696.
- Watson JW, Chung F, Chan VWS, McGillion M (2004) Pain management following discharge after ambulatory same-day surgery. Journal of Nursing Ma- nagement 12, 153-161.
- Westman L, Legeby M, Ekblom A (1996) A 3- Day postoperative study related to pain, nausea, vom- iting and tiredness in patients scheduled for day sur- gery. Ambulatory Surgery 4(2), 61-66.
- Young J, O’Connell B, McGregor S(2000) Day surgery patients’ convelescente at home: Does enhan- ced discharge education make a difference? Nursing and Health Science 2, 29–39
- ISSN: 1307-9557
- Başlangıç: 1999
- Yayıncı: Sade ajans
Sayıdaki Diğer Makaleler
İNMELİ YAŞLI BİREYLERİN BİLİŞSEL DÜZEYLERİ VE BESLENME DURUMLARI ARASINDAKİ İLİŞKİ
Mukadder MOLLAOĞLU, Tülay KARS-FERTELLİ, Fatma ÖZKAN-TUNCAY
ÇOCUKLUK ÇAĞI ŞİŞMANLIĞI: EPİDEMİ BOYUTUNDA SORUN
Ebru KILIÇARSLAN TÖRÜNER, Sevim SAVAŞER
Nuran AKDEMİR, Leyla ÖZDEMİR, Güler BALCI ALPARSLAN, Sevgisun KAPUCU, Yeliz AKKUŞ, İmatullah AKYAR
YAŞLI BİREYLERİN RUH SAĞLIĞININ ŞİDDETE MARUZ KALMA VE BAZI ÖZELLİKLER AÇISINDAN İNCELENMESİ
Dilek ÖZDEN, Meral KELLECİ, Nuran GÜLER
GÜNÜBİRLİK CERRAHİYİ TAKİBEN HASTALARIN EV ORTAMINDAKİ DENEYİM VE GÜÇLÜKLERİ
Azize KARAHAN, Sultan KAV, Aysel ABBASOĞLU, Nevin DOĞAN, Aylin TEPE