Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Ürolojik Cerrahi Girişim Uygulanan Hastalarda Ameliyat Öncesi Açlık Süresi İle Ameliyat Sonrası İyileşme Kalitesi Arasındaki İlişkinin Belirlenmesi: Tanımlayıcı Çalışma
Determination of the Relationship Between Preoperative Fasting Time and Postoperative Recovery Quality in Patients Undergoing Urological Surgery: A Descriptive Study
Hatice DEMİRDAĞa , Hatice ÖNER CENGİZb , Büşra ERDOĞANc , Ece Sümeyra SOYTÜRKd , Batuhan KURTa , Alime Nur UYGUNe
aÜsküdar Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, İstanbul, Türkiye
bAnkara Üniversitesi Hemşirelik Fakültesi, Cerrahi Hastalıklar Hemşireliği ABD, Ankara, Türkiye
cAcıbadem Altunizade Hastanesi, İstanbul, Türkiye
dDr. Siyami Ersek Göğüs Kalp ve Damar Cerrahisi Eğitim ve Araştırma Hastanesi, İstanbul, Türkiye
eÜmraniye Eğitim ve Araştırma Hastanesi, İstanbul, Türkiye
Turkiye Klinikleri J Nurs Sci. 2024;16(1):17-25
doi: 10.5336/nurses.2023-100158
Article Language: TR
Full Text
ÖZET
 Amaç: Ürolojik cerrahi girişim uygulanacak hastaların ameliyat öncesi dönemde belirli bir süre aç kalmaları sağlanmaktadır. Ancak, açlık sürelerinin uzaması ameliyat sonrası bazı komplikasyonların ortaya çıkmasına neden olabilmektedir. Bu çalışmanın amacı, ürolojik cerrahi girişim uygulanan hastaların ameliyat öncesi açlık süreleri ile ameliyat sonrası iyileşme kalitesi arasındaki ilişkiyi belirlemektir. Gereç ve Yöntemler: Araştırma, 1 Haziran-1 Kasım 2022 tarihleri arasında bir eğitim ve araştırma hastanesinin üroloji kliniğinde yatan hastalarla tanımlayıcı olarak gerçekleştirildi. Verilerin analizinde sayı, yüzde, ortalama ve standart sapma değerleri, Independent Sample ttest, varyans analizi testi ve Pearson korelasyon kullanıldı. Bulgular: Hastaların yaş ortalaması 55,01±14,91 olup, %68,6'sı erkek idi. Hastaların ameliyat öncesi katı ve sıvı gıda açlık süresi ortalamalarının sırasıyla 12,92±2,56 ve 12,47±2,70, ameliyat öncesi ve sonrası toplam açlık süresi ortalamalarının ise 20,46±4,73 olduğu saptandı. Hastaların iyileşme kalitesi toplam puan ortalamasının 174,74±17,93, toplam açlık süresi ile İyileşme Kalitesi Ölçeği toplam puan ortalamaları arasında negatif yönde zayıf bir ilişki olduğu belirlendi (r=-0,34, p<0,05). Toplam açlık süresi ortalamalarına göre hastanede yatış süreleri arasında istatistiksel olarak anlamlı düzeyde fark olduğu (p<0,05), farkın 3 gün ve üzerinde yatan hastaların açlık süresi ortalamalarından (24,88±5,53) kaynaklandığı belirlendi. Hastaların ameliyat öncesi ve sonrası toplam açlık süresi ortalamaları ile ilk mobilize olma saati ortalamaları arasında pozitif yönlü zayıf ilişki olduğu belirlendi (r=0,42, p<0,05). Sonuç: Hastaların ameliyat öncesi katı ve sıvı açlık süreleri ile iyileşme kalitesi arasında ilişki olmadığı ancak, ameliyat öncesi ve sonrası toplam açlık süreleri ile iyileşme kalitesi arasında negatif yönde ilişki olduğu saptanmıştır. Ameliyat öncesi dönemin yanı sıra ameliyat sonrası oral alım kısıtlama sürelerinin de gözden geçirilmesi önerilebilir.

Anahtar Kelimeler: Açlık; ameliyat öncesi dönem; cerrahi sonrası hızlandırılmış iyileşme; ürolojik cerrahi işlemler; perioperatif hemşirelik
ABSTRACT
 Objective: Patients undergoing urological surgery are fasted for a certain period of time in the preoperative period. However, prolonged fasting periods may cause some postoperative complications. The aim of this study was to determine the relationship between preoperative fasting periods and postoperative recovery quality in patients undergoing urological surgery. Material and Methods: The descriptive study was conducted with patients hospitalized in the urology clinic of a training and research hospital between 1 June and 1 November 2022. Number, percentage, mean and Standard deviation values, Independent Sample t-test, analysis of variance test, and Pearson correlation were used to analyze the data. Results: The mean age of the patients was 55.01±14.91 years and 68.6% were male. The mean preoperative solid and liquid food fasting duration was 12.92±2.56 and 12.47±2.70, respectively, and the mean preoperative and postoperative total fasting duration was 20.46±4.73. It was determined that the mean total recovery quality score of the patients was 174.74±17.93, and there was a weak negative correlation between total fasting time and total recovery Quality Scale Score (r=-0.34, p<0.05). It was determined that there was a statistically significant difference between the duration of hospitalization according to the mean total fasting time (p<0.05), and the difference was due to the mean fasting time of patients hospitalized for 3 days or more (24.88±5.53). There was a weak positive correlation between the mean preoperative and postoperative total fasting time and the mean time of first mobilization (r=0.42, p<0.05). Conclusion: It was found that there was no relationship between preoperative solid and liquid fasting periods and quality of recovery, but there was a negative relationship between preoperative and postoperative total fasting periods and quality of recovery. It may be recommended to review the preoperative period as well as postoperative oral intake restriction periods.

Keywords: Fasting; preoperative period; accelerated recovery after surgery; urological surgical procedures; perioperative nursing
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