Tiroid- paratiroid cerrahisi sonrası ağrı yönetimi, konfor ve memnuniyetin sağlanmasında sanal gerçeklik kullanımı
Küçük Resim Yok
Tarih
2023
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Trakya Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Giriş ve Amaç: Cerrahi girişim geçiren hastaların ameliyat sonrası süreçte bakım memnuniyetini artırmada, ağrı ve konfor yönetimine yönelik girişimler önemli yer tutmaktadır. Son yıllarda, ameliyat sonrası ağrı yönetiminde kullanılan sanal gerçeklik uygulamalarının cerrahi hastalarının hemşirelik bakımına yansıdığı görülmektedir. Bu deneysel araştırmanın amacı, tiroidektomi-paratiroidektomi uygulanan hastalarda sanal gerçeklik uygulamasının ağrı yönetimi, konfor ve bakım memnuniyeti üzerindeki etkisini incelemektir. Gereç ve Yöntemler: Araştırma 06.02.2023-13.09.2023 tarihleri arasında Trakya Üniversitesi Sağlık Uygulama ve Araştırma Merkezi Genel Cerrahi Servisi'nde planlı olarak tiroid veya paratiroid cerrahisi uygulanan 35 deney ve 34 kontrol grubu olmak üzere toplam 69 hasta ile yürütüldü. Araştırma verileri "Veri Toplama Formu", "Sayısal Değerlendirme Ölçeği" ve "Genel Konfor Ölçeği-Kısa Form" ile toplandı. Hastalar randomize olarak deney ve kontrol grubuna dahil edildi. Deney grubundaki hastalara ameliyat sonrası 1. gün 15 dakika süre ile doğa ve deniz görüntülerini içeren ve arka planında müzik çalan sanal gerçeklik videosu izletildi. Hastaların işlem öncesi değerlendirilen ağrı şiddetleri sanal gerçeklik uygulamasının bitiminde tekrar değerlendirildi. Kontrol grubunda ağrı değerlendirmesi 0. ve 15. dakikalarda yapıldı. Hastaların ağrı değerlendirmelerinin ardından hastaların konfor ve memnuniyet düzeyleri de değerlendirildi. Veriler tanımlayıcı istatistiksel yöntemler, t testi, varyans analizi ve korelasyon analizi kullanılarak, %95 güven aralığında, anlamlılık p<0,05 altında değerlendirildi. Bulgular: Kontrol grubundaki hastaların ameliyat sonrası 1. günde deneyimledikleri ağrı düzeyleri ile konfor düzeyleri arasında negatif yönlü ilişki bulunduğu saptandı. Deney grubundaki hastaların sanal gerçeklik uygulaması öncesi ve sonrasında değerlendirilen ağrı düzeyleri ile kontrol grubundaki hastaların ilk ve 15 dakika sonra değerlendirilen ağrı düzeylerindeki azalmanın istatistiksel olarak anlamlı olduğu bulundu. Hastaların ağrı ve konfor ile bakımdan duydukları memnuniyet düzeyleri arasındaki ilişkiler açısından gruplar arasında fark bulunmadığı belirlendi. Sonuç: Araştırma bulgularına dayanılarak; tiroidektomi-paratiroidektomi sonrası hastaların yaşadıkları ağrının azaltılmasında sanal gerçeklik uygulamalarının yardımcı bir yöntem olabileceği söylenebilir. Ameliyat sonrası ağrı kontrolünün yanısıra hasta konforunun sağlanmasını amaçlayan hemşirelik bakımında basit ve risksiz bir uygulama olarak sanal gerçekliğin kullanılması, farklı cerrahi işlemlerde uygulamanın etkinliğini inceleyen, daha büyük örnekleme sahip yeni çalışmaların yapılması önerilmektedir.
Background and Aim: Interventions for pain and comfort management have an important place in increasing the care satisfaction of patients undergoing surgical intervention in the postoperative period. In recent years, virtual reality applications used in postoperative pain management have been reflected in the nursing care of surgical patients. The aim of this experimental study was to examine the effect of virtual reality application on pain management, comfort and care satisfaction in patients undergoing thyroidectomy-parathyroidectomy. Material and Methods: The study was conducted between 06.02.2023-13.09.2023 with a total of 69 patients, 35 experimental and 34 control group, who underwent planned thyroid or parathyroid surgery in Trakya University Health Application and Research Centre General Surgery Clinic. Data were collected using the "Data Collection Form", "Quantitative Assessment Scale" and "General Comfort Scale-Short Form". Patients were randomly assigned to experimental and control groups. Patients in the experimental group were shown a virtual reality video containing nature and sea images with music playing in the background for 15 minutes on the 1st postoperative day. The pain intensity of the patients evaluated before the procedure was re-evaluated at the end of the virtual reality application. In the control group, pain assessment was performed at 0 and 15 minutes. After the pain evaluations of the patients, the comfort and satisfaction levels of the patients were also evaluated. Data were assessed using descriptive statistical methods, t test, analysis of variance, and correlation analysis at 95% confidence interval, with significance at p<0.05. Results: It was found that there was a negative correlation between the pain levels experienced by the patients in the control groups on the 1st postoperative day and their comfort levels. It was found that the decrease in the pain levels of the patients in the experimental group evaluated before and after the virtual reality application and the pain levels of the patients in the control group evaluated at the first and 15 minutes after the virtual reality application were statistically significant. It was determined that there was no difference between the groups in terms of the relationships between patients' pain and comfort and their satisfaction with care. Conclusion: Based on the findings of the study, it can be said that virtual reality applications may be an auxiliary method in reducing the pain experienced by patients after thyroidectomy-parathyroidectomy. It is recommended to use virtual reality as a simple and risk-free application in nursing care aiming to provide patient comfort as well as postoperative pain control, and to conduct new studies with larger samples examining the effectiveness of the application in different surgical procedures.
Background and Aim: Interventions for pain and comfort management have an important place in increasing the care satisfaction of patients undergoing surgical intervention in the postoperative period. In recent years, virtual reality applications used in postoperative pain management have been reflected in the nursing care of surgical patients. The aim of this experimental study was to examine the effect of virtual reality application on pain management, comfort and care satisfaction in patients undergoing thyroidectomy-parathyroidectomy. Material and Methods: The study was conducted between 06.02.2023-13.09.2023 with a total of 69 patients, 35 experimental and 34 control group, who underwent planned thyroid or parathyroid surgery in Trakya University Health Application and Research Centre General Surgery Clinic. Data were collected using the "Data Collection Form", "Quantitative Assessment Scale" and "General Comfort Scale-Short Form". Patients were randomly assigned to experimental and control groups. Patients in the experimental group were shown a virtual reality video containing nature and sea images with music playing in the background for 15 minutes on the 1st postoperative day. The pain intensity of the patients evaluated before the procedure was re-evaluated at the end of the virtual reality application. In the control group, pain assessment was performed at 0 and 15 minutes. After the pain evaluations of the patients, the comfort and satisfaction levels of the patients were also evaluated. Data were assessed using descriptive statistical methods, t test, analysis of variance, and correlation analysis at 95% confidence interval, with significance at p<0.05. Results: It was found that there was a negative correlation between the pain levels experienced by the patients in the control groups on the 1st postoperative day and their comfort levels. It was found that the decrease in the pain levels of the patients in the experimental group evaluated before and after the virtual reality application and the pain levels of the patients in the control group evaluated at the first and 15 minutes after the virtual reality application were statistically significant. It was determined that there was no difference between the groups in terms of the relationships between patients' pain and comfort and their satisfaction with care. Conclusion: Based on the findings of the study, it can be said that virtual reality applications may be an auxiliary method in reducing the pain experienced by patients after thyroidectomy-parathyroidectomy. It is recommended to use virtual reality as a simple and risk-free application in nursing care aiming to provide patient comfort as well as postoperative pain control, and to conduct new studies with larger samples examining the effectiveness of the application in different surgical procedures.
Açıklama
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Anahtar Kelimeler
Hemşirelik, Nursing
