Yaşlı bireylerin cerrahi girişim sonrası evde yaşadıkları sorunların belirlenmesi
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Dosyalar
Tarih
2019
Yazarlar
Dergi Başlığı
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Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Araştırma, 65 yaş ve üstü bireylerin cerrahi girişim sonrası evde yaşadıkları sorunları belirlemek, sorun yaşama durumu ilesosyo-demografik özellikler arasındaki ilişkiyi değerlendirmek amacıyla tanımlayıcı olarak yapıldı.Gereç ve Yöntem: Araştırma, Mart-Temmuz 2016 tarihleri arasında Konya il merkezinde bulunan bir tıp fakültesi hastanesinincerrahi kliniklerinde gerçekleştirildi. Araştırmanın örneklemini bu cerrahi kliniklerde yatan ve cerrahi girişim geçiren 65 yaş veüstü 227 birey oluşturdu. Veriler, bireylerin sosyo-demografik özelliklerini içeren tanıtıcı bilgi formu ile taburculuk sonrası evdeyaşanan sorunları belirlemeye yönelik soru formu kullanılarak birinci görüşmede hasta odasında yüz yüze, ikinci görüşmede taburculuktan bir hafta sonra poliklinikte yüz yüze, poliklinikte görülmeyen hastalarla telefonla görüşülerek toplandı. Verilerinanalizinde ortalama, standart sapma, medyan, sıklık ve oran, Mann Whitney U testi ve Pearson Ki-Kare testi (Yates ContinuityCorrection, Fisher’s Exact test ve Fisher Freeman Halton) kullanıldı.Bulgular: Araştırmada yaşlı bireylerin %74,4’ünün taburculuk sonrası evde sorun yaşadığı belirlendi. Cerrahi girişim sonrası evdeyaşanan sorunların türleri incelendiğinde en fazla cerrahi girişim bölgesi (%64,3) ve öz-bakım aktivitesi’ne (%52,9) ilişkin olduğusaptandı. Cinsiyet, bakımdan sorumlu olan kişinin kim olduğu, cerrahi girişim sonrası hastanede yatma süresi ve toplam hastanede yatma süresi ile evde sorun yaşama durumu arasında ilişki olduğu saptandı (p0,01).Sonuç: Yaşlı bireylerin cerrahi girişim sonrası evde en fazla cerrahi girişim bölgesine ve özbakıma ilişkin sorunlar yaşadığı belirlenmiştir. Bu doğrultuda hemşirelik uygulamalarında yaşlı bireylerin gereksinimleri ve özellikleri doğrultusunda bireyselleştirilmişeğitimlerin yapılması ve cerrahi girişim sonrası evde yaşanan sorunların belirlenmesi ve kontrol altına alınmasında izlemlerinyapılması gerekmektedir.
Objective: The study was conducted as a descriptive study to determine the problems experienced by individuals aged 65 yearsand older at home after surgical interventions and to evaluate the relationship between socio-demographic characteristics andproblematic status.Materials and Methods: The research was carried out between March and July 2016 in the surgical clinics of a university hospitalin the city of Konya. The sample of the study consisted of 227 individuals aged 65 years and older who underwent surgicalinterventions in these surgical clinics. A questionnaire developed by the researcher was used for collecting the data. In the firstmeeting, the data were collected by the researcher face to face in patients’ rooms and in the second meeting, they were collectedface to face in the polyclinics a week after the discharge and the data of the patients who were not seen were collected over thephone. In the analysis of the data, mean, standard deviation, median, frequency and ratio, Mann Whitney U test and PearsonChi-square test (Yates Continuity Correction, Fisher’s Exact test and Fisher Freeman Halton) were used.Findings: It was determined that 74,4%of the elderly individuals had problems at home after discharge. When these types ofproblems experienced at home after surgery were examined, it was found that most of them were related to the surgery area(64.3%) followed by self-care activity (52.9%). Statistically significant differences were found in relation to the gender who isresponsible for the domiciliary care, previous periods while the patient stayed at the hospital , the surgery hospital where thepatient stayed, the status of staying at the hospital after the surgery , length of and the total hospital stays in addition to thesituation of living problems at home (p0,01).Conclusions: It was determined that elderly individuals had problems mostly related to surgical interventions and self-care athome after surgical interventions. In this direction, it is necessary to make individualized training in accordance with the needsand characteristics of the elderly individuals in nursing practice and to follow and control the problems experienced at home afterthe surgical intervention.
Objective: The study was conducted as a descriptive study to determine the problems experienced by individuals aged 65 yearsand older at home after surgical interventions and to evaluate the relationship between socio-demographic characteristics andproblematic status.Materials and Methods: The research was carried out between March and July 2016 in the surgical clinics of a university hospitalin the city of Konya. The sample of the study consisted of 227 individuals aged 65 years and older who underwent surgicalinterventions in these surgical clinics. A questionnaire developed by the researcher was used for collecting the data. In the firstmeeting, the data were collected by the researcher face to face in patients’ rooms and in the second meeting, they were collectedface to face in the polyclinics a week after the discharge and the data of the patients who were not seen were collected over thephone. In the analysis of the data, mean, standard deviation, median, frequency and ratio, Mann Whitney U test and PearsonChi-square test (Yates Continuity Correction, Fisher’s Exact test and Fisher Freeman Halton) were used.Findings: It was determined that 74,4%of the elderly individuals had problems at home after discharge. When these types ofproblems experienced at home after surgery were examined, it was found that most of them were related to the surgery area(64.3%) followed by self-care activity (52.9%). Statistically significant differences were found in relation to the gender who isresponsible for the domiciliary care, previous periods while the patient stayed at the hospital , the surgery hospital where thepatient stayed, the status of staying at the hospital after the surgery , length of and the total hospital stays in addition to thesituation of living problems at home (p0,01).Conclusions: It was determined that elderly individuals had problems mostly related to surgical interventions and self-care athome after surgical interventions. In this direction, it is necessary to make individualized training in accordance with the needsand characteristics of the elderly individuals in nursing practice and to follow and control the problems experienced at home afterthe surgical intervention.
Açıklama
Anahtar Kelimeler
Genel ve Dahili Tıp, Cerrahi girişim, evde bakım, yaşlılık
Kaynak
Acıbadem Sağlık Bilimleri Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
10
Sayı
3
Künye
Dinçer, A., Kurşun, Ş. (2019). Yaşlı Bireylerin Cerrahi Girişim Sonrası Evde Yaşadıkları Sorunların Belirlenmesi. Acıbadem Sağlık Bilimleri Dergisi, 10(3), 518-523.
