Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Total Diz Protezi Uygulanan Hastalarda Hareket Korkusu, Hasta Hareketliliği ve Etkileyen Faktörler: Tanımlayıcı ve Korelasyonel Araştırma
Fear of Movement, Patient Mobility and Affecting Factors in Patients Undergoing Total Knee Replacement: Descriptive and Correlational Research
Sıla ÖZDEMİRa , Ebru KARAZEYBEKb
aAntalya Eğitim ve Araştırma Hastanesi, Kardiyoloji Kliniği, Antalya, Türkiye
bAkdeniz Üniversitesi Hemşirelik Fakültesi, Cerrahi Hastalıkları Hemşireliği AD, Antalya, Türkiye
Turkiye Klinikleri J Nurs Sci. 2024;16(2):309-18
doi: 10.5336/nurses.2023-99830
Article Language: TR
Full Text
ÖZET
 Amaç: Bu araştırma, total diz protezi uygulanan hastalarda hareket korkusu (kinezyofobi), hasta hareketliliği ve etkileyen faktörlerin incelenmesi amacıyla yapıldı. Gereç ve Yöntemler: Araştırma tanımlayıcı ve ilişki arayıcı tiptedir. Araştırma Ekim 2019 ile Aralık 2022 tarihleri arasında ortopedi ve travmatoloji servislerinde total diz protezi uygulanan 205 hasta ile gerçekleştirildi. Veriler ''Tanıtıcı Özellikler Formu'', ''Tampa Kinezyofobi Ölçeği'' ve ''Hasta Hareketlilik Ölçeği'' ile toplandı. Verilerin değerlendirmesinde tanımlayıcı istatistikler, Pearson ve Spearman korelasyon testi ve çoklu lineer regresyon analizi kullanıldı. Bulgular: Tampa Kinezyofobi Ölçeği puan ortalaması 40,47±7,01 (minimum-maksimum: 17-68) ve Hasta Hareketlilik Ölçeği puan ortalaması 79,94±18,92 (minimum-maksimum: 0-120) olarak belirlendi. Yalnız yaşayan hastaların ve ameliyat öncesi dönemde daha aktif mobilize olan hastaların kinezyofobisi daha düşük olduğu bulundu. Kinezyofobiyle eğitim düzeyi arasında negatif yönde (r=-0,281) ve yaşları ile pozitif yönde zayıf (r=0,228) bir ilişki tespit edildi. Kinezyofobi ile hasta hareketliliği arasında pozitif yönde orta (r=0,463) düzeyde bir ilişki olduğu saptandı. Çift taraflı diz protezi ameliyatı olma (β=0,216) ve artan kinezyofobi puanının (β=0,465) hareketlilik puanları ile pozitif yönde ilişkisi olduğu saptandı. Sonuç: Bu araştırmada, hastaların yaşının artmasının ve eğitim seviyesinin düşmesinin hareket korkusunu arttırdığı bulundu. Çift taraflı total diz protezi ameliyatı olma ve hareket korkusunun yüksek olmasının hastaların hareketliliğini olumsuz yönde etkilediği sonucuna ulaşıldı.

Anahtar Kelimeler: Hareket korkusu; hasta hareketliliği; hemşirelik; total diz protezi
ABSTRACT
 Objective: This study was conducted to investigate fear of movement (kinesiophobia), patient mobility and the factors affecting it in patients undergoing total knee replacement. Material and Methods: The study is descriptive and correlational. The study was conducted with 205 patients who underwent total knee replacement in orthopedics and traumatology services between October 2019 and December 2022. Data were collected with ''Descriptive Characteristics Form'', ''Tampa Kinesiophobia Scale'' and ''Patient Mobility Scale''. Descriptive statistics, Pearson correlation test and multiple linear regression analysis were used to evaluate the data. Results: The mean score of the Tampa Kinesiophobia Scale was 40.47±7.01 (minimummaximum: 17-68) and the mean score of the Patient Mobility Scale was 79.94±18.92 (minimum-maxsimum: 0-120). Patients living alone and patients who were more actively mobilized in the preoperative period were found to have lower kinesiophobia. There was a negative correlation between kinesiophobia and educational level (r=-0.281) and a weak positive correlation with age (r=0.228). There was a moderate (r=0.463) positive correlation between kinesiophobia and patient mobility. Having bilateral knee replacement surgery (β=0.216) and increasing kinesiophobia score (β=0.465) were positively associated with mobility scores. Conclusion: In this study, it was found that increasing the age and decreasing education level of the patients increased the fear of movement. It was concluded that having bilateral total knee prosthesis surgery and high fear of movement negatively affected the mobility of the patients.

Keywords: Fear of movement; patient mobility; nursing; total knee replacement
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