Amaç: Bu çalışma açık kolesistektomi sonrası hastalara hemşire gözetimi ve denetiminde uygulanan mobilizasyon programının uyku süresi, ağrı düzeyi, ilk flatus, gayta çıkışı ve taburculuk üzerine etkisinin belirlenmesi amacıyla yapıldı. Gereç Yöntem: Deneysel tipteki çalışma bir devlet hastanesinin genel cerrahi kliniğinde Şubat-Ağustos 2019 tarihleri arasında yapıldı. Veri kaybı olasılığı göz önüne alındığında, araştırma kriterlerini karşılayan 68 hasta çalışmaya dahil edildi. Çalışma süresince iki hasta deney grubundan iki hasta kontrol grubundan çıkarıldı ve çalışma 64 hastayla tamamlandı. Veriler hasta tanıtım formu, postoperatif izlem çizelgesi, Görsel kıyaslama ölçeği, pedometre çıktılarının kaydedildiği yürüme çizelgesi ile toplandı. Bulgular: Deney grubu hastaların, kontrol grubuna göre hastanede yatış sürelerinin kısa, gaz ve gaita çıkış saatlerinin daha erken, yürüme mesafelerinin ise uzun olduğu, dren geleni ve spontan idrara çıkış zamanları açısından iki grup arasında fark olmadığı saptandı. Kontrol grubunun postop 1. gün ağrı düzeylerinin anlamlı düzeyde daha düşük, postop 2 ve 3. günde ise fark olmadığı, uyku süreleri ise, postop 1. ve 2. günde kontrol grubunun deney grubundan daha yüksek olduğu belirlendi. Sonuç: Deney grubu hastaların ilk gaz ve gayta çıkışlarının, taburculukların kontrol gruba göre erken olduğu, yürüme mesafelerinin anlamlı şekilde uzun olduğu saptandı. Buna rağmen mobilizasyon programının uyku süreleri ve ağrı düzeylerine etkisi olmadığı belirlendi.
Purpose: This study was conducted with the aim of comparing the impact of web-supported teaching and co-education on the knowledge and skills of nursing students in stoma care. In the study, students were divided into two groups: a web-supported training group (n=33) and a co-education group (n=34) . First, the theoretical course on stoma care was taught to all students and then the preliminary test was applied. In the web-supported training group; the low-reality simulator and the skill laboratory were taken by the researcher for stoma care and the video was uploaded to the Edpuzzle program and the group's students were able to watch the video. In the co-training group, the researcher told co-training co-training co-training co-training co-training co-training co-training co-training co-training co-training co-training co-training co-training co-training co-training co-training co-training co-training co-training co-training co-training co-training. Co-educators evaluated students by doing stoma care to the co-education group with a low-reality simulator. Then all of the students in both groups were observed by the researcher by doing the stoma care application with a low reality simulator and evaluated by the researcher. All students were tested for the final test. Results: The information score average was 71.21±12.50 and 77.27±9.69 in the Web-supported Training Group for the pre-test and final test; 67.50±10.46 and 78.24±8.52 in the Coach Training Group respectively. At the end of the training for both groups, the information test score average increased significantly. The result: According to the research, the score of information in both groups has increased. In nursing training, it is recommended to use web-backed training and co-education methods.
Purpose: The purpose of this study was to determine the effect on sleep duration, pain level, first flatus and defecation time, and discharge of a mobilization program administered under nurse supervision and monitoring following open cholecystectomy. Materials and Methods: This experimental study was performed in February-August 2019 in the general surgery clinic of a public hospital. Considering the possibility of data loss, 68 patients meeting the research criteria were included. Two patients from the experimental group and two from the control group subsequently dropped out, and the study was finally completed with 64 patients. Data were collected using a patient description form, a Visual Analogue Scale, and a walking chart on which pedometer output was recorded. Results: Length of hospitalization was shorter, first flatus and defecation time occurred earlier, and walking distances were longer in the experimental group compared to the control group. No difference was determined between the groups in terms of amount of drainage, or times to spontaneous urination. It was determined that the pain levels in the control were lower than those in the experimental group on postoperative day 1, and sleep durations on postoperative days 2 and 3 were significantly longer. Conclusion: Earlier first flatus, defecation time, and discharge, and significantly longer walking distances, were determined in the experimental group compared to the control group. However, the mobilization program had no effect on sleep duration or pain levels.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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