Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Preoperatif Diz Eklemi Fonksiyonu ve Açlık Süresinin Diz Artroplastisi Sonrası Kısa Dönem Hasta Sonuçlarına Etkisinin Belirlenmesi: Analitik Çalışma
Determining the Effect of Preoperative Knee Joint Function and Fasting Time on Short-Term Patient Outcomes After Knee Arthroplasty: Analytical Study
Çiğdem CANBOLAT SEYMANa, Çiğdem KAYAb
aHacettepe Üniversitesi Hemşirelik Fakültesi, Cerrahi Hastalıkları Hemşireliği ABD, Ankara, Türkiye
bUşak Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu, Sağlık Bakım Hizmetleri Bölümü, Uşak, Türkiye
Turkiye Klinikleri J Nurs Sci. 2023;15(1):17-23
doi: 10.5336/nurses.2022-92991
Article Language: TR
Full Text
ÖZET
 Amaç: Son dönem osteoartrite bağlı ağrıyı gidermek ve fonksiyonel kapasiteyi artırmak için en etkili tedavi yöntemi total eklem artroplastisidir. Total diz artroplastisi (TDA) dünya üzerinde en çok yapılan cerrahi prosedürdür. Bu nedenle postoperatif hasta sonuçlarını değerlendirmek oldukça önemlidir. Bu araştırmada, preoperatif diz eklemi fonksiyonu ve açlık süresinin diz artroplastisi sonrası kısa dönem hasta sonuçlarına etkisini belirlemek amaçlanmıştır. Gereç ve Yöntemler: Etki arayıcı türde yapılan bu çalışma, bir üniversite hastanesinin ortopedi ve travmatoloji kliniğinde 16 Şubat-16 Haziran 2022 tarihleri arasında, 214 hasta üzerinde yürütülmüştür. Araştırmanın verileri Tanıtıcı Özellikler Formu, Oxford Diz Skoru (ODS) ve Postoperatif Hasta Sonuçları Formu aracılığıyla toplanmıştır. Veriler; tanımlayıcı istatistikler, ki-kare testi ve Pearson korelasyon testi kullanılarak analiz edilmiştir. Bulgular: Araştırmaya katılan 214 hastanın %51,9'unun sol diz TDA geçirdiği, %86'sının kadın, %85'inin kronik hastalıkları olduğu, yaş ortalamalarının 65,6, preoperatif aç bırakılma süre ortalamalarının 11,5 saat ve ODS puan ortalamalarının ise 9,9 olduğu bulunmuştur. Ayrıca ODS puanı azaldıkça postoperatif ağrı şiddetinin arttığı ve preoperatif açlık süresi uzadıkça postoperatif ağrı şiddetinin arttığı ve hastanede yatış süresinin uzadığı saptanmıştır. Sonuç: TDA hastalarının preoperatif diz eklemi fonksiyonunun kötü olması ve preoperatif açlık sürelerinin uzamasının postoperatif erken dönem sorunlara yol açtığı görülmektedir. Bu faktörlerin düzenlenmesinin erken dönem komplikasyonları azaltacağı düşünülmektedir.

Anahtar Kelimeler: Diz fonksiyonu; preoperatif açlık; diz artroplastisi; hasta sonuçları
ABSTRACT
 Objective: Total joint arthroplasty is the most effective treatment method to relieve pain and increase functional capacity due to end-stage osteoarthritis. Total knee arthroplasty (TKA) is the most performed surgical procedure in the world, so it is very important to evaluate postoperative patient outcomes. In this study, it was aimed to determine the effect of preoperative knee joint function and fasting time on short-term patient outcomes after knee arthroplasty. Material and Methods: This analytical study was conducted on 214 patients in the orthopedics and traumatology clinic of a university hospital between 16 February and 16 June 2022. The data of the study were collected with Personal Information Form, Oxford Knee Score (OKS) and Postoperative Patient Outcomes Form. Data were analyzed using descriptive statistics, chi-square test, and Pearson correlation test. Results: Out of 214 patients, 51.9% had left TKA, 86% were women, 85% had chronic diseases, their mean age was 65.6, the mean preoperative fasting time was 11.5 hours, and the mean OKS score was 9.9. In addition, it was found that as the OKS score decreases, the severity of postoperative pain increases, and as the preoperative fasting period increases, the severity of postoperative pain and the length of hospital stay increase. Conclusion: It is seen that the preoperative knee joint function of TKA patients is poor and the prolongation of the preoperative fasting period causes early postoperative problems. It is thought that the regulation of these factors will reduce early complications.

Keywords: Knee function; preoperative fasting; knee arthroplasty; patient outcomes
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