Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
The Use of Visual Material on Sleep Hygiene in Improving Sleep Quality in Patients Prior to Colorectal Surgery: A Randomized Controlled Study
Kolorektal Cerrahi Öncesi Hastalarda Uyku Kalitesini Artırmada Uyku Hijyeni Konusunda Görsel Materyal Kullanımı: Randomize Kontrollü Bir Çalışma
Seda Cansu YENİĞÜNa, Seher ÜNVERb
aDepartment of Surgical Nursing, Akdeniz University Kumluca Faculty of Health Sciences, Antalya, Türkiye
bDepartment of Surgical Nursing, Trakya University Faculty of Health Sciences, Edirne, Türkiye
Turkiye Klinikleri J Nurs Sci. 2022;14(1):1-10
doi: 10.5336/nurses.2021-82360
Article Language: EN
Full Text
ABSTRACT
 Objective: Surgical intervention takes the first place in the treatment of colorectal cancer, and anxiety, fear and concern in the preoperative period may cause difficulty in meeting the sleep requirements of these patients. This study is to investigate the effect on patients, who will undergo colorectal surgery, of providing information on sleep quality through the use of sleep hygiene visual material. Material and Methods: This randomized controlled and quasi-experimental study was conducted on 62 patients with 31 patients in study group and 31 controls who were scheduled to undergo colorectal surgery in the general surgery department of a university hospital in Türkiye between January 25,2018 and June 28, 2018. Data were collected using patient identification form, Richards-Campbell Sleep Questionnaire, and sleep hygiene visual material. Patients in both groups who were hospitalized 2 days prior to surgery were visited by the researcher in their rooms and verbally informed about sleep hygiene. Sleep hygiene visual material was used for instructing the patients in the study group. Sleep quality was evaluated on the day before surgery and on the day of operation. Results: In this study, both groups were informed about sleep hygiene and this process was was significantly higher in improving the sleep quality of patients in both groups on the morning of the operation (p=0.000; p=0.000, respectively). The evaluation of the study group on the morning of the operation, found that the mean sleep quality total scale score of the study group was significantly higher when compared with that of the control group (p=0.043). Conclusion: In the study, it was found that using visual material of sleep hygiene in informing patients about sleep hygiene in the preoperative period contributed positively to improving sleep quality of the patients. We recommend the use of visual materials to help the patient remember information.

Keywords: Colorectal surgery; perioperative nursing; sleep; sleep hygiene
ÖZET
 Amaç: Kolorektal kanser tedavisinde ilk sırada cerrahi girişimler yer almakta olup, ameliyat öncesi dönemde hastalarda oluşan anksiyete, korku ve endişe, hastaların uyku gereksinimlerini karşılamada zorlanmalarına neden olabilmektedir. Kolorektal cerrahi girişim geçirecek olan hastalara, uyku hijyeni görsel materyali kullanılarak yapılan bilgilendirmenin, hastaların uyku kalitesi üzerine etkisini incelemektir. Gereç ve Yöntemler: Randomize kontrollü ve yarı deneysel nitelikte olan bu araştırma, Türkiye'de bir üniversite hastanesinin genel cerrahi servisinde 25 Ocak-28 Haziran 2018 tarihleri arasında kolorektal cerrahi geçirmesi planlanan 62 hastada (çalışma grubu=31 hasta; kontrol grubu=31 hasta) yürütüldü. Verilerin toplanmasında hasta tanıtım formu, Richards-Campbell Uyku Ölçeği, ve uyku hijyeni görsel materyali kullanıldı. Ameliyattan 2 gün önce servise yatışı yapılan her 2 gruptaki hastalar araştırmacı tarafından ameliyat öncesi gün odalarında ziyaret edildi ve sözel anlatım yoluyla uyku hijyenine yönelik bilgilendirildi. Çalışma grubundaki hastaların bilgilendirilmesinde Uyku Hijyeni Görsel Materyali kullanıldı. Hastaların uyku kaliteleri, ameliyat öncesi gün ve ameliyat sabahında değerlendirildi. Bulgular: Bu çalışmada, her 2 gruba da uyku hijyeni hakkında bilgi verilmiş ve bu sürecin ameliyat sabahı her 2 gruptaki hastaların uyku kalitesini iyileştirmede istatistiksel olarak anlamlı olduğu bulunmuştur (p=0,000; p=0,000, sırasıyla). Ameliyat sabahı yapılan değerlendirmede, çalışma grubunun ortalama uyku kalitesi toplam ölçek puanı istatistiksel olarak anlamlı olduğu bulunmuştur (p=0,043). Sonuç: Araştırmada, hastaların ameliyat öncesi dönemde uyku hijyenine yönelik bilgilendirilmesinde uyku hijyeni görsel materyalinin kullanılmasının, hastaların uyku kalitesinin artırılmasına olumlu katkı sağladığı belirlendi. Hastalara verilecek uyku hijyeni bilgilendirmelerinde, bilgilerin hatırlanmasına yardımcı olmak amacıyla görsel materyallerin (uyku hijyeni görsel materyali gibi) kullanılmasını önermekteyiz.

Anahtar Kelimeler: Kolorektal cerrahi; perioperatif hemşirelik; uyku; uyku hijyeni
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