Koroner arter baypas greft cerrahisi hastalarında eğitimin etkililik beklenti, ağrı ve kaygı düzeylerine etkisi
Yükleniyor...
Dosyalar
Tarih
2019
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Ege Üniversitesi, Sağlık Bilimleri Enstitüsü
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Yarı deneysel tipteki bu araştırma, KABG cerrahisi hastalarında eğitimin etkililik beklenti, ağrı ve kaygı düzeylerine etkisini belirlemek amacıyla yapıldı. Araştırma kapsamına, Haziran 2018-Ekim 2018 tarihleri arasında Ege Üniversitesi Sağlık Uygulama ve Araştırma Merkezi Kalp ve Damar Cerrahi Anabilim Dalı Kliniği'nde yatan 18-65 yaş arasındaki 60 hasta dahil edildi. Kontrol ve girişim grubu olmak üzere hastalar iki gruba ayrıldı. Araştırma önce kontrol grubuna, daha sonra girişim grubuna uygulandı. Kontrol grubundaki hastalara rutinde uygulandığı şekilde klinik eğitim verilirken; girişim grubundaki hastalara klinik eğitiminin yanında eğitim kitapçığı ile eğitim verildi. Girişim ve kontrol grubundaki hastalara ameliyat öncesi klinikte Mini Mental Test, Hasta Bilgi Formu, Vizüel Analog Ağrı Skalası (VAS) ve Spielberg Durumluluk-Sürekli Kaygı Ölçeği uygulandı. Ameliyattan sonra klinikte 2. kez Spielberg Durumluluk Kaygı Ölçeği ve VAS ağrı ölçeği uygulandı ve taburcu olacakları gün 3. kez Spielberg Durumluluk Kaygı Ölçeği, Barnason Etkililik Beklenti Ölçeği, VAS ağrı ölçeği ile birlikte eğitimi değerlendirme formu uygulandı. Araştırma verileri;SPSS for Windows 25.0 Paket Programı kullanılarak analiz edildi. Araştırmanın sonucunda; girişim grubundaki hastaların Barnason Etkililik ölçek puan ortalamalarının 49.26±5.22, kontrol grubundaki hastaların 36.00±5.67 olduğu; girişim grubundaki hastaların %96.7'sinin aldığı eğitimden memnun olduğu, kontrol grubundaki hastaların %70.0'ının aldığı eğitimden memnun olmadığı; girişim grubundaki hastaların taburculuk günü Spielberg Durumluluk Kaygı Ölçeğinden aldıkları puan ortalamalarının 35.36±10.23, kontrol grubundaki hastaların ise 39.93±8.91 olduğu; girişim grubundaki hastaların taburculuk günü VAS ağrı puan ortalamalarının 1.13±1.04, kontrol grubundaki hastaların 2.63±1.47 olduğu ve aralarındaki farkın istatistiksel olarak anlamlı olduğu belirlendi (t=1.841; p<0.05). Sonuç olarak, girişim grubu hastalarının taburculuk döneminde rutin klinik eğitim ile eğitim verilen hastalara göre etkililik beklenti düzeyinin daha yüksek, ağrı ve kaygı düzeylerinin daha düşük olduğu belirlendi. Bu sonuçlar doğrultusunda; KABG cerrahisi hastalarının eğitiminde, rutin klinik eğitimin yanında eğitim kitapçığının da kullanılması; hastalarda özetkililiği arttırabilecek farklı eğitim yöntemlerini kapsayan farklı araştırmaların da yapılması önerilmektedir.
This semi-experimental study was conducted to determine the effect of education on expectancy, pain and anxiety levels in patients with coronary artery bypass grafting (CABG). Sixty patients between the ages of 18-65 who were hospitalized at Ege University Health Research and Application Center, Department of Cardiovascular Surgery between June 2018 and October 2018 were included in the study. The patients were divided into two groups as control and experiment. In order to prevent patients from being affected from each other, the study was applied first to the control group and then to the experimental group without using randomization method. While clinical education was given to patients in the control group in the routine manner; training booklet was given to the patients in the experimental group. Mini Mental Test, Patient Information Form, Visual Analogue Pain Scale (VAS) and Spielberg State-Trait Anxiety Inventory were applied to the patients in the experimental and control groups. After the operation, the Spielberg State Anxiety Inventory and VAS pain scale were applied for the second time and the Spielberg State Anxiety Scale, Barnason Effectiveness Questionnaire Scale, VAS pain scale and training evaluation form were applied for the third time. The data obtained from the research analysed with the SPSS for Windows 25.0. As a result of the research; In the experimental group, the mean scores of the Barnason Synopsis scale were found to be 49.26 ± 5.22, while the mean score of the patients in the control group was 36.00 ± 5.67 ; %96.7 of the patients who were trained with the training booklet were satisfied with the training, whereas %70.0 of the patients who received routine clinical training were not satisfied with the training that they received; the mean score of Spielberg State Anxiety Scale on the day of discharge was 35.36 ± 10.23 and 39.93 ± 8.91 for the control group; The mean VAS pain score on the day of discharge was 1.13 ± 1.04, the control group was 2.63 ± 1.47, and the difference was statistically significant (t = 1.841; p <0.05). As a result, it was determined that CABG surgery patients who were trained with the training booklet have higher expectation level of efficacy and lower pain and anxiety levels were than the patients who were given routine clinical training during the discharge period. According to results; it was recommended that using of the training booklet in the training of CABG surgery patients, besides the routine clinical training, and different researches should be carried out including different training methods that may increase self-efficacy in patients.
This semi-experimental study was conducted to determine the effect of education on expectancy, pain and anxiety levels in patients with coronary artery bypass grafting (CABG). Sixty patients between the ages of 18-65 who were hospitalized at Ege University Health Research and Application Center, Department of Cardiovascular Surgery between June 2018 and October 2018 were included in the study. The patients were divided into two groups as control and experiment. In order to prevent patients from being affected from each other, the study was applied first to the control group and then to the experimental group without using randomization method. While clinical education was given to patients in the control group in the routine manner; training booklet was given to the patients in the experimental group. Mini Mental Test, Patient Information Form, Visual Analogue Pain Scale (VAS) and Spielberg State-Trait Anxiety Inventory were applied to the patients in the experimental and control groups. After the operation, the Spielberg State Anxiety Inventory and VAS pain scale were applied for the second time and the Spielberg State Anxiety Scale, Barnason Effectiveness Questionnaire Scale, VAS pain scale and training evaluation form were applied for the third time. The data obtained from the research analysed with the SPSS for Windows 25.0. As a result of the research; In the experimental group, the mean scores of the Barnason Synopsis scale were found to be 49.26 ± 5.22, while the mean score of the patients in the control group was 36.00 ± 5.67 ; %96.7 of the patients who were trained with the training booklet were satisfied with the training, whereas %70.0 of the patients who received routine clinical training were not satisfied with the training that they received; the mean score of Spielberg State Anxiety Scale on the day of discharge was 35.36 ± 10.23 and 39.93 ± 8.91 for the control group; The mean VAS pain score on the day of discharge was 1.13 ± 1.04, the control group was 2.63 ± 1.47, and the difference was statistically significant (t = 1.841; p <0.05). As a result, it was determined that CABG surgery patients who were trained with the training booklet have higher expectation level of efficacy and lower pain and anxiety levels were than the patients who were given routine clinical training during the discharge period. According to results; it was recommended that using of the training booklet in the training of CABG surgery patients, besides the routine clinical training, and different researches should be carried out including different training methods that may increase self-efficacy in patients.
Açıklama
Anahtar Kelimeler
Eğitim, Etkililik Beklenti, Ağrı, Kaygı, Koroner Arter Baypas Greft Cerrahi, Education, Efficiency Expectation, Pain, Anxiety, Coronary Artery Bypass Graft Surgery
