Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Batın Ameliyatı Sonrası Hastaların Ağrıya İlişkin Hemşirelik Uygulamalarından Memnuniyet Düzeyleri: Tanımlayıcı Bir Çalışma
The Level of Patients' Satisfaction with Practices Related to Pain After Abdominal Surgery: A Descriptive Study
Gürkan KAPIKIRANa, Hüseyin GÜNEŞb, Semra BÜLBÜLOĞLUc, Serdar SARITAŞd
aBingöl Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Bingöl, TÜRKİYE
bMalatya Eğitim ve Araştırma Hastanesi, Ortopedi Kliniği, Malatya, TÜRKİYE
cGaziosmanpaşa Üniversitesi Erbaa Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Tokat, TÜRKİYE
dİnönü Üniversitesi Hemşirelik Fakültesi, Cerrahi Hastalıkları Hemşireliği ABD, Malatya, TÜRKİYE
Turkiye Klinikleri J Nurs Sci. 2021;13(4):786-94
doi: 10.5336/nurses.2021-82032
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmada, batın cerrahisi uygulanmış hastaların, ameliyat sonrası dönemde uygulanan ağrı yönetimine ilişkin uygulamalardan memnuniyet düzeylerini incelemek amaçlandı. Gereç ve Yöntemler: Çalışma tanımlayıcı türde, eğitim ve araştırma hastanesinin genel cerrahi ünitesinde yatan n=167 hasta ile yapıldı. Veri toplamada, Postoperatif Ağrı Yönetim Kalitesinin Geliştirilmesi Anketi kullanıldı. Veri toplama araştırmacılar tarafında yüz yüze görüşme yöntemi ile yapıldı. Veri analizinde SPSS 25.0 IBM istatistik programı ile tanımlayıcı yöntemler, Independent Sample t-testi, ANOVA ve 'post hoc' analizleri kullanıldı. Bulgular: Çalışmada; katılımcıların %31,7'si 40-55 yaş aralığında, %58,7'si erkek, %82'si evli, %31,7'sinin apendektomi olduğu belirlendi. Hastaların tamamına analjezik ilaç uygulandığı, %32,3'üne ilaç dışı girişimler yapıldığı saptandı. İnce bağırsak perforasyonu onarımı ve enterostomi hastalarının en yüksek düzeyde ağrı ve memnuniyet duyduğu tespit edildi (p=0,000). Sonuç: Hemşirelerin ameliyat öncesi dönemde hastalara cerrahi ağrı ile ilgili detaylı bilgilendirmeler yapması, ameliyat sonrası dönemde ise yalnızca ilaç yöntemleriyle değil aynı zamanda ilaç dışı yöntemlerle de ağrı yönetimi stratejilerini uygulanması gerekir.

Anahtar Kelimeler: Ağrı yönetimi; cerrahi; hasta memnuniyeti; ilaç etkileri
ABSTRACT
 Objective: In this study; it was aimed to examine the satisfaction levels of the patients who have undergone abdominal surgery from the interventions related to pain management applied in the postoperative period. Material and Methods: The study was conducted in a descriptive type with n=167 patients hospitalized in the general surgery unit of the education and research hospital. Quality Improvement in Postoperative Pain Management Questionnaire was used for data collection. Data collection was done by the researchers using face-to-face interview method. In data analysis, descriptive methods, Independent Sample ttest, ANOVA and 'post hoc' analysis were used with SPSS 25.0 IBM statistical program. Results: In the study; 31.7% of the participants were in the 40-55 age range, 58.7% were male, 82% were married, 31.7% had appendectomy. It was found that analgesic drugs were administered to all patients, and non-drug interventions were performed in 32.3% of them. It was found that patients with small bowel perforation repair and enterostomia felt the highest level of pain and satisfaction (p=0.000). Conclusion: Nurses should provide detailed information to patients about surgical pain in the preoperative period, and in the postoperative period, pain management strategies should be applied not only with drug methods but also with non-drug methods.

Keywords: Pain management; surgical; patient satisfaction; drug effects
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