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ÖZ Amaç: Bu çalışma pilonidal sinüs ameliyatı sonrası farklı yatış pozisyonunun drenaj miktarı üzerine etkisini belirlemek amacıyla girişimsel olarak yürütüldü. Yöntem: Çalışmanın evrenini Nisan 2014 – Mayıs 2015 tarihleri arasında Kars Harakani Devlet Hastanesi Genel Cerrahi Servisinde pilonidal sinüs ameliyatı planlanan hastalar oluşturdu. Örneklemi ise; belirtilen evrenden olasılıksız rastlantısal örnekleme yöntemi ile araştırmaya alınma kriterlerini taşıyan 60 hasta (30 yüzüstü, 30 sol lateral/yarı sırtüstü yatış grubu) oluşturdu. Veri toplamada hastalar için “Tanıtıcı Özellikler Formu” ve “Pilonidal Sinüs Eksizyonu Postoperatif Drenaj Miktarı Takip Formu” kullanıldı. Verilerin analizinde tanımlayıcı istatistikler, ki-kare (x2), Mauchly’s W ve t testi yapıldı. Bulgular: Çalışmada grupların tanıtıcı özellikler yönünden homojen olduğu tespit edildi. Kontrol grubunda ameliyat sonrası yüzüstü pozisyonunda yatırılan hastalarda ortalama 24. saat sonunda 25.16±15.32, 48. saat sonunda 4.80±3.82, 72. saat sonunda 1.03±2.04, toplam 30.96±19.35 olarak bulundu. Deney grubunda ameliyat sonrası sol lateral/yarı sırtüstü pozisyonunda yatırılan hastalarda ortalama 24. saat sonunda 17.76±8.83, 48. saat sonunda 3.26±2.72, 72. saat sonunda 1.10±2.00, toplam 22.13±11.56 olarak saptandı. Sonuç: Çalışma sonucuna göre ameliyat sonrası yüzüstü pozisyonunda yatırılan pilonidal sinüs hastalarının drenaj miktarı sol lateral/yarı sırtüstü pozisyonunda yatan pilonidal sinüs hastalarından daha fazla olduğu görüldü.
ABSTRACT Aim: This study was conducted interventionally to determine the effect of different lying position on drainage amount after pilonidal sinus surgery. Methods: The study population consisted of patients with pilonidal sinus who were hospitalized in Kars Harakani State Hospital General Surgery Department between April 2014 and May 2015. The sample is; 60 patients (30 prone, 30 left lateral/semi supine hospitalization group) who met the inclusion criteria by random sampling method. "Introductory Features Form" and "Pilonidal Sinus Excision Postoperative Drainage Amount Tracking Form" were used for data collection. Descriptive statistics, chi-square (x2), Mauchlys W and t tests were used to analyze the data. Results: In the study, it was determined that the groups were homogeneous. In the control group, 25.16 ± 15.32 at the end of the 24th hour and 4.80 ± 3.82 at the 48th hour and 1.03 ± 2.04 at the 72th hour and 30.96 ± 19.35 at the end of the operation. In the experimental group, 17.76 ± 8.83 at the end of 24 hours, 3.26 ± 2.72 at the 48th hour, 1.10 ± 2.00 at the end of the 72th hour and a total of 22.13 ± 11.56 at the end of the operation. Conclusion: According to the results of the study, the amount of drainage of the pilonidal sinus patients in the postoperative position prone was higher than the pilonidal sinus in the left lateral/semi supine.
ABSTRACT Aim: This study was conducted interventionally to determine the effect of different lying position on drainage amount after pilonidal sinus surgery. Methods: The study population consisted of patients with pilonidal sinus who were hospitalized in Kars Harakani State Hospital General Surgery Department between April 2014 and May 2015. The sample is; 60 patients (30 prone, 30 left lateral/semi supine hospitalization group) who met the inclusion criteria by random sampling method. “Introductory Features Form” and “Pilonidal Sinus Excision Postoperative Drainage Amount Tracking Form” were used for data collection. Descriptive statistics, chi-square (x2), Mauchlys W and t tests were used to analyze the data. Results: In the study, it was determined that the groups were homogeneous. In the control group, 25.16 ± 15.32 at the end of the 24th hour and 4.80 ± 3.82 at the 48th hour and 1.03 ± 2.04 at the 72th hour and 30.96 ± 19.35 at the end of the operation. In the experimental group, 17.76 ± 8.83 at the end of 24 hours, 3.26 ± 2.72 at the 48th hour, 1.10 ± 2.00 at the end of the 72th hour and a total of 22.13 ± 11.56 at the end of the operation. Conclusion: According to the results of the study, the amount of drainage of the pilonidal sinus patients in the postoperative position prone was higher than the pilonidal sinus in the left lateral/semi supine.
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