Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Beden Kitle İndeksinin Lomber Disk Hernisi Ameliyatı Geçiren Hastaların Yaşadığı Sorunlara Etkisi
The Effect of Body Mass Index Underwent Lumbar Disc Herniation Surgery on the Problems Experienced by Patients
Arzu TAT ÇATALa, Fatma CEBECİa
aAkdeniz Üniversitesi Hemşirelik Fakültesi, Cerrahi Hastalıkları Hemşireliği ABD, Antalya, TÜRKİYE
Turkiye Klinikleri J Health Sci. 2020;5(3):401-7
doi: 10.5336/healthsci.2019-73236
Article Language: TR
Full Text
ÖZET
 Amaç: Beden kitle indeksi (BKİ)nin lomber disk hernisi ameliyatı geçiren hastaların yaşadığı sorunlara etkisini belirlemektir. Gereç ve Yöntemler: Çalışma tanımlayıcı, kesitsel ve ilişki arayıcı tasarımlıdır. Çalışmanın örneklemini, Ocak 2016-Haziran 2016 tarihleri arasında lomber disk hernisi nedeniyle kliniğe gelen ve örneklem kriterlerine uyan 39 hasta oluşturmuştur. Araştırmanın verileri, kişisel bilgi formları ve vizüel analog skala ile toplanmıştır. Verilerin değerlendirilmesinde sayı, yüzde, ortalama, standart sapma, ki-kare ve Fisher'in kesin ki-kare testi kullanılmış, p<0,05 düzeyi anlamlı kabul edilmiştir. Bulgular: Araştırma kapsamına alınan hastaların yarısından fazlasının erkek (%69,2) ve evli (%79,5) olduğu görülmüştür. Hastaların %71,8'inin BKİ'sinin normalin üzerinde olduğu ve %56,4'ünün düzenli egzersiz yapmadığı saptanmıştır. Çalışmada, BKİ ile bel ağrısı, uykusuzluk, hâlsizlik- güçsüzlük-yorgunluk, hareket etmekten korkma, kabızlık ve yaşanan toplam sorun sayısı arasında anlamlı bir ilişki görülmüştür (p<0,05). Sonuç: Araştırma sonucunda, hastaların BKİ ile taburculukta bel ağrısı ve yaşadıkları toplam sorun sayısı arasında ilişki bulunmuştur. Fazla kilolu ve obez olan hastaların lomber disk hernisi ameliyatı sonrası bel ağrısı ve diğer sorunları yaşama oranının yüksek olması, hasta bakımında bu durumun ele alınmasını gerekli kılmaktadır.

Anahtar Kelimeler: İntervertebral disk kayması; vizüel analog skala; beden kitle indeksi; yaşanan sorunlar
ABSTRACT
 Objective: The aim is to determine the effect of BMI on the problems experienced by underwent lumbar disc herniation surgery patients. Material and Methods: The study is descriptive, cross-sectional, and cause-effect. The sample of the study consisted of 39 patients who came to the clinic due to lumbar disc herniation between January 2016-June 2016 and met the sample criteria. The data were collected using personal information forms and the visual analog scale. Data were evaluated using numbers, percentages, means, standard deviations and chi-square test, Fisher's exact chi-square test and p<0.05 was regarded as significant. Results: More than half of the patients who were included in the research were male (69.2%) and married (79.5%). It was found that 71.8% BMI of patients was above normal and 56.4% were not exercising regularly. It was concluded that there was a significant relationship between BMI, low back pain, insomnia, weakness and fatigue, fear of movement, constipation and total number of problems (p<0.05). Conclusion: A relationship was found between the patients' BMI, low back pain during discharge and the total number of problems. In patients overweight and obesity the high rate of low back pain and other problems after lumbar disc herniation surgery require addressing this situation in patient care.

Keywords: Intervertebral disc displacement; visual analog scale; body mass index; experienced problems
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