Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
The Effect of Self-Care Agency and Patient Features on Comfort After Abdominal Surgery: A Cross-Sectional Study
Abdominal Cerrahi Sonrası Hastaların Öz Bakım Gücü ve Tanıtıcı Özelliklerinin Konfora Etkisi: Kesitsel Bir Çalışma
Buket ÖZKANa , Özge İŞERİb
aGazi University Faculty of Medicine, Unit of General Surgical Intensive Care, Ankara, Türkiye
bOndokuz Mayıs University Faculty of Health Sciences, Department of Nursing, Samsun, Türkiye
Turkiye Klinikleri J Nurs Sci. 2024;16(3):631-9
doi: 10.5336/nurses.2023-101037
Article Language: EN
Full Text
ABSTRACT
 Objective: To reveal the effects of self-care agency and patient features on comfort. Material and Methods: The study was conducted with 221 patients who had undergone abdominal surgery in the general surgery clinic and intensive care unit between August 23 and November 23, 2021. Data were collected with The Descriptive Characteristics Form, The Exercise of Self Care Agency Scale and the Perianesthesia Comfort Scale. Institutional permission, ethics committee approval, and written consent from the participants were obtained. Results: The average age of the participants were 46.73±16.95. The participants comprised 51.1% were women, 70.6% were married, 75.6% had children, 37.1% were high school graduates and 58.8% were unemployed. It was found that 54.8% of the participants didn't have a chronic disease and 54.8% didn't have a surgery before. 57.9% of the patients had laparoscopic surgery and 78.7% took less than four hours to operate. Age, having a child, place of residence, level of education, working status, presence of a chronic disease, previous surgery, the type and duration of the surgery affect the comfort level. A moderate and positive relationship was found between self-care agency and comfort. It was revealed that a one-unit increase in the self-care agency of the participants increased their comfort by 0.013. Conclusion: It has been determined that as participants' self-care agency increases, their comfort level increases. Therefore, it is important for nurses to identify the self-care agency and comfort of abdominal surgery patients.

Keywords: Abdominal surgery; self-care agency; comfort; nursing
ÖZET
 Amaç: Hastaların öz bakım gücü ve tanıtıcı özelliklerinin konfora etkisini incelemektir. Gereç ve Yöntemler: Bu çalışma, 23 Ağustos-23 Kasım 2021 tarihleri arasında genel cerrahi kliniği ve yoğun bakım ünitesinde 221 abdominal cerrahi geçirmiş hastayla yapılmıştır. Veriler Tanımlayıcı Özellikler Formu, Öz Bakım Gücü ve Perianestezi Konfor Ölçeği kullanılarak toplanmış ve araştırma öncesinde kurum izni, etik kurul onayı ve katılımcılardan yazılı onam alınmıştır. Bulgular: Katılımcıların yaş ortalaması 46,73±16,95'ti. Katılımcıların %51,1'i kadın, %70,6'sı evli, %75,6'sı çocuk sahibi, %37,1'i lise mezunu, %58,8'i çalışmamaktaydı. Katılımcıların %54,8'inin kronik hastalığının olmadığı, %54,8'inin ise daha önce herhangi bir ameliyat geçirmediği belirlendi. Hastaların %57,9'una laparoskopik cerrahi uygulandı ve %78,7'sinin ameliyatı 4 saatten kısa sürdü. Yaş, çocuk sahibi olma, yaşanılan yer, eğitim düzeyi, çalışma durumu, kronik hastalık varlığı, daha önce geçirilmiş ameliyat varlığı, ameliyatın türü ve süresi konfor düzeyini etkiledi. Öz-bakım gücü ile konfor arasında orta düzeyde ve pozitif bir ilişki bulundu. Katılımcıların öz-bakım gücündeki bir birimlik artışın konfor düzeyini 0,013 oranında artırdığı saptandı. Sonuç: Bireylerin öz bakım gücü arttıkça konfor düzeylerinin de arttığı belirlendi. Bu yüzden hemşirelerin abdominal cerrahi hastalarının öz bakım güçlerini ve konfor düzeyini incelemeleri önemlidir.

Anahtar Kelimeler: Abdominal cerrahi; öz bakım gücü; konfor; hemşirelik
REFERENCES:
  1. Kodera Y. The current state of stomach cancer surgery in the world. Jpn J Clin Oncol. 2016;46(11):1062-71. [Crossref]  [PubMed] 
  2. Zhu T, Lu W, Wang W, Zhou L, Yan W. Effect of patient-controlled epidural analgesia (PCEA) based on ERAS on postoperative recovery of patients undergoing gynecological laparoscopic surgery. Evid Based Complement Alternat Med. 2022;2022:6458525. [Crossref]  [PubMed]  [PMC] 
  3. Miskovic A, Lumb AB. Postoperative pulmonary complications. Br J Anaesth. 2017;118(3):317-34. [Crossref]  [PubMed] 
  4. Kubat Bakır G, Yurt S. Evaluation of the comfort level of the post-surgical patients. Journal of Health and Society. 2020;20(3):158-65. [Link] 
  5. Loor MM, Shah P, Olavarria OA, Dhanani N, Franz MG, Trautner BW, et al. postoperative work and activity restrictions after abdominal surgery: a systematic review. Ann Surg. 2021;274(2):290-7. [Crossref]  [PubMed] 
  6. Akortiakuma, SJ, Dzansi G, Aziato L. Psychological well-being of patients recovering from abdominal surgery: a qualitative study. Perioperative Care and Operating Room Management. 2022;26(5):228-31. [Crossref] 
  7. Matarese M, Lommi M, De Marinis MG, Riegel B. A systematic review and integration of concept analyses of self-care and related concepts. J Nurs Scholarsh. 2018;50(3):296-305. [Crossref]  [PubMed] 
  8. Linton M, Koonmen J. Self-care as an ethical obligation for nurses. Nurs Ethics. 2020:969733020940371. [Crossref]  [PubMed] 
  9. Torres-Soto NY, Corral-Verdugo V, Corral-Frías NS. The relationship between self-care, positive family environment, and human wellbeing. Wellbeing, Space and Society. Rep. 2022;3:100076. [Crossref] 
  10. Phamornpon S, Nooyam B, Kanjanasilp P. Effects of self-efficacy-promoting programme on self-care ability of persons with stoma. TJNC. 2021;36(1):52-70. [Link] 
  11. Merkler AE, Ch'ang J, Parker WE, Murthy SB, Kamel H. The rate of complications after ventriculoperitoneal shunt surgery. World Neurosurg. 2017;98:654-8. [Crossref]  [PubMed]  [PMC] 
  12. Wensley C, Botti M, McKillop A, Merry AF. Maximising comfort: how do patients describe the care that matters? A two-stage qualitative descriptive study to develop a quality improvement framework for comfort-related care in inpatient settings. BMJ Open. 2020;10(5):e033336. [Crossref]  [PubMed]  [PMC] 
  13. Yılmaz E, Çeçen D, Kızıl Toğaç H, Mutlu S, Kara H, Aslan A, et al. Ameliyat sürecindeki hastaların konfor düzeyleri ve hemşirelik bakımları [Life comfort and nursing care during the operation]. CBU-SBED. 2018;5(1):3-9. [Link] 
  14. Tosun H, Ödül Özkaya B, Uz F, Gül A. Cerrahi girişim uygulanan hastalarda ağrı ve konfor ilişkisi [The relationship between pain and comfort in patients with surgical interference]. Online Turkish Journal of Health Sciences. 2022;7(1):47-52. [Crossref] 
  15. Elshatarat RA, Ebeid IA, Elhenawy KA, Saleh ZT, Raddaha AHA, Aljohani MS. Jordanian ostomates' health problems and self-care ability to manage their intestinal ostomy: a cross-sectional study. J Res Nurs. 2020;25(8):679-96. [Crossref]  [PubMed]  [PMC] 
  16. Robleda G, Roche-Campo F, Sánchez V, Gich I, Baños JE. Postoperative discomfort after abdominal surgery: an observational study. J Perianesth Nurs. 2015;30(4):272-9. [Crossref]  [PubMed] 
  17. Bozkurt M, Nazik E. Determination of the comfort level and self-care agency of the women with urinary incontinence. J Contemp Med. 2021;11(2):185-90. [Crossref] 
  18. Kearney BY, Fleischer BJ. Development of an instrument to measure Exercise of Self-Care Agency. Res Nurs Health. 1979;2(1):25-34. [Crossref]  [PubMed] 
  19. Nahcivan NO. A Turkish language equivalence of the Exercise of Self-Care Agency Scale. West J Nurs Res. 2004;26(7):813-24. [Crossref]  [PubMed] 
  20. Kolcaba K, Wilson L. Comfort care: a framework for perianesthesia nursing. J Perianesth Nurs. 2002;17(2):102-11; quiz 111-3. [Crossref]  [PubMed] 
  21. Üstündağ H, Eti Aslan F. Perianestezi Konfor Ölçeğinin Türkçeye uyarlaması [The Turkish adaptation of Perianesthesia Comfort Questionnaire]. Turkiye Klinikleri J Nurs. 2010;2(2):94-9. [Link] 
  22. Aydıngülü N, Arslan S. Cerrahi geçiren hastaların erken dönem konfor düzeyleri [Comfort levels of patients at early postoperative period]. KSU Medical Journal. 2021;16(3):401-6. [Crossref] 
  23. Karacabay K, Savcı A, Kabu Hergül F. Investigating relationships between pain, comfort, anxiety and depression in surgical patients. Cyprus J Med Sci. 2022;7(1):40-7. [Crossref] 
  24. Zhang XF, Chen J, Wang PG, Luo SM, Liu NX, Li XM, et al. [Surgical site infection after abdominal surgery in China: a multicenter cross-sectional study]. Zhonghua Wei Chang Wai Ke Za Zhi. 2020;23(11):1036-42. Chinese. [PubMed] 
  25. Qian H, Zhou J, Huang T, Cao X, Zhou C, Yang M, et al. Comfort nursing can alleviate pain and negative emotion of patients after surgery for LVCFs and improve their living ability. Am J Transl Res. 2021;13(4):2939-46. [PubMed]  [PMC] 
  26. Gurcayir D, Karabulut N. The effects of the training provided to patients who are scheduled for hip prosthesis surgery on the level of postoperative comfort and daily activities. Int J Caring Sci. 2017;10(1):403-12. [Link] 
  27. Ören B. Göğüs cerrahisi uygulanan hastaların konfor ve anksiyete düzeyini etkileyen faktörler [Factors affecting the comfort and anxiety level of patients who underwent thoracic surgery]. Arch Health Sci Res. 2018;5:324-32. [Crossref] 
  28. Yönem Amaç H, Çam R. Günübirlik cerrahide hasta konforu ve hasta konforunu etkileyen etmenler [The patient comfort in day surgery patients and factors affecting the patient comfort]. ADYU Journal of Health Sciences. 2019;5(1):1222-37. [Crossref] 
  29. Johnson MF, Lin M, Mangalik S, Murphy DJ, Kramer AM. Patients' perceptions of physicians' recommendations for comfort care differ by patient age and gender. J Gen Intern Med. 2000;15(4):248-55. [Crossref]  [PubMed]  [PMC] 
  30. Seyedfatemi N, Rafii F, Rezaei M, Kolcaba K. Comfort and hope in the preanesthesia stage in patients undergoing surgery. J Perianesth Nurs. 2014;29(3):213-20. [Crossref]  [PubMed] 

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