4-7 yaş çocuklarda perioperatif kaygı düzeyinin azaltılmasında 3 farklı yöntemin karşılaştırılması: Randomize kontrollü bir çalışma
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Date
2022
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Tekirdağ Namık Kemal Üniversitesi
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info:eu-repo/semantics/openAccess
Abstract
Araştırma, 4-7 yaş çocuklarda üç farklı yöntem ile verilen ameliyat öncesi hasta eğitiminin, perioperatif kaygi düzeyi üzerindeki etkisini belirlemek amacıyla yapıldı. Araştırma 1 Haziran - 31 Kasım 2021 tarihleri arasında Tekirdağ Namık Kemal Üniversitesi Sağlık Uygulama ve Araştırma Merkezi Çocuk Cerrahisi Anabilim Dalı'nda yapıldı. Yarı deneysel türde planlanan araştirmaya, dahil edilme kriterlerini karşılayan ve tabakalı randomizasyon yöntemi ile her bir gruba 22 hasta olmak üzere toplam 66 hasta alındı. Araştırma verileri "Hasta Tanılama Formu" ve ameliyat öncesi ve sonrası uygulanan "Okul Öncesi Çocuklarda Kaygı Ölçeği" kullanılarak elde edildi. Birinci deney grubundaki çocuklara ameliyat öncesi hasta eğitimi servis hemşiresi tarafından oyunlaştırılarak verildi. İkinci deney grubundaki çocuklara ameliyat öncesi hasta eğitimi servis hemşiresi tarafından oyunlaştırılarak verildi, ayrıca ameliyathane hemşiresi tarafından hasta ziyareti sağlandı ve oyunlaştırarak ameliyathane ortamı anlatıldı. Üçüncü deney grubundaki çocuklara ameliyat öncesi hasta eğitimi servis hemşiresi tarafından oyunlaştırılarak verildi, sonrasında ameliyathaneye gidene kadar anneye ait ses kaydı dinletildi. Araştırmaya katılan çocukların annelerin yaşı %69.7 si 30 yaş ve üzeri, %37.9'unun lisans mezunu ve %51.5 in çalışmadığı belirlendi. Çocuklarının önceden ameliyat deneyimi olmayanların genel kaygı bozukluğu düzeyleri önceden ameliyat deneyimi olanlara göre anlamlı derecede yüksek belirlendi (p<0.05). Ameliyat öncesi uygulanan yöntemler arasında kaygı düzeyini etkilemeleri açısından anlamlı farklılık saptandı (p<0.05). Çocukların kaygı düzeylerini azaltmada hem servis hemşiresi hem de ameliyathane hemşiresi tarafından birlikte oyunlaştırılarak verilen eğitimin diğer yöntemlere göre daha etkili olduğu ve aralarında istatistiksel açıdan anlamlı fark olduğu saptandı (p<0.05).
The study was conducted to evaluate the effect of preoperative patient education given by three different methods on the level of perioperative anxiety in children aged 4-7 years. The research was carried out between 1 June - 31 November 2021 at Tekirdag Namık Kemal University Health Practice and Research Center, Department of Pediatric Surgery. A total of 66 patients, 22 patients in each group, who met the inclusion criteria and were included in the stratified randomization method, were included in the planned quasi-experimental study. Research data were obtained by using the "Patient Diagnosis Form" and the "Anxiety Scale in Preschool Children" administered before and after the surgery. Pre-operative patient education was given to the children in the first experimental group by the service nurse. The children in the second experimental group were given pre-operative patient education by the service nurse, in addition, patient visits were provided by the operating room nurse and the operating room environment was explained through play. The children in the third experimental group were given pre-operative patient education by the service nurse, after which they listened to the mother's voice recording and loving words until they went to the operating room. It was determined that 69.7% of the mothers of the children participating in the study were 30 years and older, 81.8% were married, 37.9% were undergraduate graduates, and 51.5% were unemployed. The general anxiety disorder levels of those who had no previous surgery experience were found significantly higher than those who had previous surgery experience (p<0.05). In terms of affecting the anxiety level, there was a significant difference between the preoperative methods (p<0.05). It was determined that the education given by both the service nurse and the operating room nurse together was more effective than other methods in reducing the anxiety levels of children, and there was a statistically significant difference between them. (p<0.05)
The study was conducted to evaluate the effect of preoperative patient education given by three different methods on the level of perioperative anxiety in children aged 4-7 years. The research was carried out between 1 June - 31 November 2021 at Tekirdag Namık Kemal University Health Practice and Research Center, Department of Pediatric Surgery. A total of 66 patients, 22 patients in each group, who met the inclusion criteria and were included in the stratified randomization method, were included in the planned quasi-experimental study. Research data were obtained by using the "Patient Diagnosis Form" and the "Anxiety Scale in Preschool Children" administered before and after the surgery. Pre-operative patient education was given to the children in the first experimental group by the service nurse. The children in the second experimental group were given pre-operative patient education by the service nurse, in addition, patient visits were provided by the operating room nurse and the operating room environment was explained through play. The children in the third experimental group were given pre-operative patient education by the service nurse, after which they listened to the mother's voice recording and loving words until they went to the operating room. It was determined that 69.7% of the mothers of the children participating in the study were 30 years and older, 81.8% were married, 37.9% were undergraduate graduates, and 51.5% were unemployed. The general anxiety disorder levels of those who had no previous surgery experience were found significantly higher than those who had previous surgery experience (p<0.05). In terms of affecting the anxiety level, there was a significant difference between the preoperative methods (p<0.05). It was determined that the education given by both the service nurse and the operating room nurse together was more effective than other methods in reducing the anxiety levels of children, and there was a statistically significant difference between them. (p<0.05)
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Keywords
Kaygı, çocuk hasta, cerrahi hemşirelik, Anxiety, child sick, surgical nursing, Çocuk Cerrahisi, Pediatric Surgery
