Kronik obstrüktif akciğer hastalığı olan bireylerde progresif gevşeme egzersizlerinin dispne ve konfor düzeyi üzerine etkisi: Randomize kontrollü bir çalışma
Küçük Resim Yok
Tarih
2024
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
İzmir Bakırçay Üniversitesi Lisansüstü Eğitim Enstitüsü
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Araştırma kronik obstrüktif akciğer hastalığı olan bireylerde progresif gevşeme egzersizlerinin dispne ve konfor düzeyi üzerine etkisini incelemek amacıyla yapılmış randomize kontrollü deneysel bir çalışmadır. Araştırma Ocak-Ağustos 2023 tarihleri arasında İzmir Urla Devlet Hastanesi Dahiliye Kliniğinde yürütülmüştür. Araştırmada tabakalı ve blok randomizasyon yöntemi kullanılmış, 21 müdahale grubu ve 21 kontrol grubu olmak üzere 42 hasta ile tamamlanmıştır. Müdahale grubundaki hastalara 6 hafta süresince 30 dakikalık progresif gevşeme egzersizleri uygulanmıştır. Kontrol grubunda yer alan hastalara standart bakım uygulamaları dışında herhangi bir girişim uygulanmamıştır. Araştırmanın verileri; Tanıtıcı Bilgi Formu, Medikal Araştırma Kurulu Dispne Skalası, Genel Konfor Ölçeği-Kısa Formu ve Hasta İzlem Formu kullanılarak yüz yüze görüşme yöntemiyle toplanmıştır. Araştırmadan elde edilen verilerin analizinde tanımlayıcı istatistikler, Shapiro Wilk testi, Levene testi, Mauchly's W testi, bağımsız örneklem t testi, Mann Whitney U testi, bağımlı örneklem t testi, Wilcoxon İşaretli Sıralar testi, Friedman testi, Benferoni testi ve Fisher's Exact testi kullanılmıştır. Müdahale grubundaki hastaların 6. hafta dispne düzeyi puan ortalamalarının kontrol grubuna göre daha düşük olduğu ve gruplar arasındaki bu farkın istatistiksel olarak anlamlı olduğu belirlenmiştir (p<0,05). Müdahale grubundaki hastaların kalp atım hızı; kontrol grubundaki hastaların oksijen saturasyonu ön test-son test oksijen saturasyonu değerleri arasındaki farkın istatistiksel olarak anlamlı olduğu belirlenmiştir. (p<0,05). Müdahale grubunda yer alan hastaların izlem dönemlerine göre konfor düzeyi puan ortalamalarındaki azalmanın istatistiksel olarak anlamlı olduğu tespit edilmiştir (p<0,05). Araştırma sonuçlarına göre progresif gevşeme egzersizleri KOAH'lı hastalarda dispne yönetimini sağlamada etkili bir hemşirelik müdahalesi olarak önerilebilir. Bu randomize kontrollü araştırma ClinicalTrials.gov'a kayıtlıdır (ID No: NCT06459882).
The study is a randomised controlled experimental study conducted to examine the effect of progressive relaxation exercises on dyspnea and comfort level in individuals with chronic obstructive pulmonary disease. The study was conducted between January and August 2023 in the Internal Medicine Clinic of Izmir Urla State Hospital. Stratified and block randomisation method was used in the study and 42 patients, 21 intervention group and 21 control group, were completed. Patients in the intervention group received 30-minute progressive relaxation exercises for 6 weeks. Patients in the control group did not receive any intervention other than standard care practices. The data of the study were collected by face-to-face interview method using the Descriptive Information Form, Medical Research Council Dyspnea Scale, General Comfort Scale-Short Form and Patient Follow-up Form. Descriptive statistics, Shapiro Wilk test, Levene's test, Mauchly's W test, independent sample T test, Mann Whitney U test, dependent sample t test, Wilcoxon Signed Ranks test, Friedman test, Benferoni test and Fisher's Exact test were used to analyse the data obtained from the study. It was determined that the mean dyspnea level scores of the patients in the intervention group at week 6 were lower than the control group and this difference between the groups was statistically significant (p<0.05). It was determined that the difference between the heart rate of the patients in the intervention group and the oxygen saturation pre-test-post-test oxygen saturation values of the patients in the control group was statistically significant (p<0.05). It was determined that the decrease in the mean comfort level scores of the patients in the intervention group according to the follow-up periods was statistically significant (p<0.05). According to the results of the study, progressive relaxation exercises can be recommended as an effective nursing intervention to provide dyspnoea management in patients with COPD. This randomized controlled trial is registered at ClinicalTrials.gov (ID Number: NCT06459882).
The study is a randomised controlled experimental study conducted to examine the effect of progressive relaxation exercises on dyspnea and comfort level in individuals with chronic obstructive pulmonary disease. The study was conducted between January and August 2023 in the Internal Medicine Clinic of Izmir Urla State Hospital. Stratified and block randomisation method was used in the study and 42 patients, 21 intervention group and 21 control group, were completed. Patients in the intervention group received 30-minute progressive relaxation exercises for 6 weeks. Patients in the control group did not receive any intervention other than standard care practices. The data of the study were collected by face-to-face interview method using the Descriptive Information Form, Medical Research Council Dyspnea Scale, General Comfort Scale-Short Form and Patient Follow-up Form. Descriptive statistics, Shapiro Wilk test, Levene's test, Mauchly's W test, independent sample T test, Mann Whitney U test, dependent sample t test, Wilcoxon Signed Ranks test, Friedman test, Benferoni test and Fisher's Exact test were used to analyse the data obtained from the study. It was determined that the mean dyspnea level scores of the patients in the intervention group at week 6 were lower than the control group and this difference between the groups was statistically significant (p<0.05). It was determined that the difference between the heart rate of the patients in the intervention group and the oxygen saturation pre-test-post-test oxygen saturation values of the patients in the control group was statistically significant (p<0.05). It was determined that the decrease in the mean comfort level scores of the patients in the intervention group according to the follow-up periods was statistically significant (p<0.05). According to the results of the study, progressive relaxation exercises can be recommended as an effective nursing intervention to provide dyspnoea management in patients with COPD. This randomized controlled trial is registered at ClinicalTrials.gov (ID Number: NCT06459882).
Açıklama
Anahtar Kelimeler
Hemşirelik, Nursing
