Açık kalp cerrahisi olan hastaların spiritüel bakım ve konfor gereksiniminin belirlenmesi
Küçük Resim Yok
Tarih
2023
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
İzmir Bakırçay Üniversitesi Lisansüstü Eğitim Enstitüsü
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Açık kalp cerrahisi geçiren hastanın spiritüel bakım ve konfor gereksinimlerinin belirlenmesidir. Gereç-Yöntem: Çalışma 1 Mayıs 2022-1 Kasım 2022 tarihleri arasında İzmir S.B.Ü. Tepecik Eğitim Araştırma Hastanesi'ndeki Kalp ve Damar Cerrahisi Yoğun Bakım Ünitesinde gerçekleştirilmiş tanımlayıcı tipte bir araştırmadır. Araştırmanın evrenini veri toplama tarihlerinde yoğun bakımda bulunan 240 hasta oluşturmuş ve çalışmaya katılmayı kabul eden, dahil edilme kriterlerini sağlayan 147 hasta ile araştırma yürütülmüştür. Yoğun bakım ünitesinden servise çıkma kriterlerini sağlayan halen yoğun bakım ünitesinde yatmakta olan hastalarla, yüz yüze görüşme tekniği kullanılarak, BGOF imzalatılarak, ortalama 20 dk süre ile toplanmıştır. Veri toplama araçları olarak Katılımcı Tanıtım Formu, Perianestezi Konfor Ölçeği(PKÖ). Spiritüel Bakım Gereksinimleri Ölçeği(SBGÖ) kullanılmıştır. Çalışmada verilerinin analizinde (sayı, yüzde, ortalama, standart sapma, medyan, minimum ve maksimum), normallik varsayımı için Shapiro Wilk testi, Normallik varsayımının karşılandığı bağımsız iki grup ortalamaları arasındaki farkın incelenmesi için Bağımsız Örneklem T testi; varsayım sağlanmadığı durumda ise Mann Whitney U testi, normallik varsayımının karşılandığı bağımsız üç ve daha fazla grubun ortalamaları arasındaki farkı incelenmesi için Anova testi, varsayım karşılanmadığı durumda ise Kruskal Wallis testi, farkı yaratan grup ya da grupların ortaya çıkartılması için Post Hoc Bonferroni testi, normal dağılıma uygun olmayan sürekli değişkenlerin aralarındaki ilişkinin ölçülmesi için Spearman korelasyonundan yararlanılmıştır. Analizler IBM SPSS 25 programında gerçekleştirilmiştir. Bulgular: Hastaların PKÖ toplam puan ortalaması 4,15±0,41 bulunup, orta düzeyde konforlu oldukları saptanmıştır. Hastaların medeni durumlara göre PKÖ toplam puan ortalamaları arasında istatistiksel olarak anlamlı bir fark bulunmuştur (p<0,05). Bekar olan hastaların konfor düzeyi daha yüksek bulunmuştur. Hastalara uygulanan ameliyat türlerine göre PKÖ toplam puan ortalamaları arasında istatistiksel olarak anlamlı bir fark bulunmuştur (p<0,05). Diseksiyon onarımı ameliyatı olan hastaların konfor düzeyleri en düşük bulunmuştur. Ameliyatın planlı olup olmaması durumuna göre PKÖ toplam puan ortalamaları arasında istatistiksel olarak anlamlı bir fark bulunmuştur (p<0,05). Planlı ameliyat olan hastaların konforları daha yüksek bulunmuştur. Ağrı durumuna göre PKÖ toplam puan ortalamaları arasında istatistiksel olarak anlamlı bir fark tespit edilmiştir (p<0,05). Ağrısı olmayan hastaların konforları daha yüksek bulunmuştur. Hastaların SBGÖ ortalaması 87,31±9,75 bulunup, yüksek düzeyde bakım gereksinimleri oldukları; Anlam ve Umut Alt Boyutu ortalaması 56,25±6,99 bulunup, yüksek düzeyde anlam ve umut gereksinimleri olduğu ve Önemseme ve Saygı Alt Boyutu ortalaması 31,05±3,67 bulunup orta düzeyde önemsenme ve saygı gereksinimleri olduğu sonucuna ulaşılmıştır. Hastaların cinsiyet ve eğitim durumuyla SBGÖ toplam puan arasında istatistiksel olarak anlamlı bir fark bulunmuştur (p<0,05). Cinsiyeti kadın olanların ve üniversite mezunu olanların manevi gereksinimleri daha yüksek bulunmuştur. Kronik hastalık durumu göre SBGÖ toplam puan ortalamaları arasında istatistiksel olarak anlamlı bir fark bulunmuştur (p<0,05). Kronik hastalığı olmayan hastaların manevi bakım gereksinimleri daha yüksek bulunmuştur. Sonuç: Açık kalp cerrahisi geçirmiş hastaların konforlarının orta düzeyde ve spiritüel bakım gereksinimlerinin orta düzeyde olduğu bulunmuştur. Çalışmanın farklı örneklem gruplarında ameliyat öncesi ve sonrası karşılaştırma yapılarak yenilenmesi önerilmektedir.
Objective: The aim of this study is to determine the spiritual care and comfort needs of patients undergoing open heart surgery. Materials and Methods: The study is a descriptive study conducted at the Cardiac and Vascular Surgery Intensive Care Unit of Izmir S.B.Ü. Tepecik Training and Research Hospital between May 1, 2022, and November 1, 2022. The study population consisted of 240 patients who were present in the intensive care unit during the data collection period. The research was carried out with 147 patients who agreed to participate and met the inclusion criteria. Data Collection and Analysis: The patients who met the criteria for discharge from the intensive care unit but were still hospitalized in the intensive care unit were interviewed using face-to-face communication technique. Informed Consent Forms were obtained from the participants before the interviews, which lasted an average of 20 minutes. The data collection tools included a Participant Information Form, Perianesthesia Comfort Scale , and Spiritual Care Needs Scale . In the analysis of the data, descriptive statistics (number, percentage, mean, standard deviation, median, minimum, and maximum) were used. The Shapiro-Wilk test was conducted to assess the normality assumption, independent samples t-test was used to examine the differences between independent two group means when the normality assumption was met; Mann-Whitney U test was used when the assumption was not met. For the comparison of means between independent three or more groups when the normality assumption was met, ANOVA test was used; and Kruskal-Wallis test was used when the assumption was not met. Post hoc Bonferroni test was performed to determine the groups that caused the difference. Spearman correlation was used to measure the relationship between non-normally distributed continuous variables. The analyses were conducted using IBM SPSS 25 software. Findings: The average Perianesthesia Comfort Scale score of the patients was found to be 4.15±0.41, indicating a moderate level of comfort. There was a statistically significant difference in the mean Perianesthesia Comfort Scale total scores among patients based on their marital status (p<0.05). Single patients had higher levels of comfort. There was a statistically significant difference in the mean Perianesthesia Comfort Scale total scores among patients based on the type of surgery they underwent (p<0.05). Patients who had a dissection surgery had the lowest comfort levels. There was a statistically significant difference in the mean Perianesthesia Comfort Scale total scores based on whether the surgery was planned or unplanned (p<0.05). Patients who had a planned surgery had higher comfort levels. There was a statistically significant difference in the mean Perianesthesia Comfort Scale total scores based on the presence of pain (p<0.05). Patients without pain had higher comfort levels. The mean of the mental care needs scale of the patients was 87.31±9.75 and they had high levels of care needs; The mean of the Meaning and Hope Sub-Dimension was found to be 56.25±6.99 and it was concluded that there were high levels of meaning and hope requirements and the average of the Importance and Respect Sub-Dimension was 31.05±3.67 and there were moderate levels of importance and respect requirements. There was a statistically significant difference in the Spiritual Care Needs Scale total scores based on the patients' gender and education level (p<0.05). Female patients and university graduates had higher spiritual care needs. There was a statistically significant difference in the mean Spiritual Care Needs Scale total scores based on the presence of chronic illness (p<0.05). Patients without chronic illness had higher spiritual care needs. Conclusion: Patients who underwent open heart surgery had a moderate level of comfort and moderate level of spiritual care needs. It is recommended to conduct further studies comparing pre- and post-operative conditions in different sample groups.
Objective: The aim of this study is to determine the spiritual care and comfort needs of patients undergoing open heart surgery. Materials and Methods: The study is a descriptive study conducted at the Cardiac and Vascular Surgery Intensive Care Unit of Izmir S.B.Ü. Tepecik Training and Research Hospital between May 1, 2022, and November 1, 2022. The study population consisted of 240 patients who were present in the intensive care unit during the data collection period. The research was carried out with 147 patients who agreed to participate and met the inclusion criteria. Data Collection and Analysis: The patients who met the criteria for discharge from the intensive care unit but were still hospitalized in the intensive care unit were interviewed using face-to-face communication technique. Informed Consent Forms were obtained from the participants before the interviews, which lasted an average of 20 minutes. The data collection tools included a Participant Information Form, Perianesthesia Comfort Scale , and Spiritual Care Needs Scale . In the analysis of the data, descriptive statistics (number, percentage, mean, standard deviation, median, minimum, and maximum) were used. The Shapiro-Wilk test was conducted to assess the normality assumption, independent samples t-test was used to examine the differences between independent two group means when the normality assumption was met; Mann-Whitney U test was used when the assumption was not met. For the comparison of means between independent three or more groups when the normality assumption was met, ANOVA test was used; and Kruskal-Wallis test was used when the assumption was not met. Post hoc Bonferroni test was performed to determine the groups that caused the difference. Spearman correlation was used to measure the relationship between non-normally distributed continuous variables. The analyses were conducted using IBM SPSS 25 software. Findings: The average Perianesthesia Comfort Scale score of the patients was found to be 4.15±0.41, indicating a moderate level of comfort. There was a statistically significant difference in the mean Perianesthesia Comfort Scale total scores among patients based on their marital status (p<0.05). Single patients had higher levels of comfort. There was a statistically significant difference in the mean Perianesthesia Comfort Scale total scores among patients based on the type of surgery they underwent (p<0.05). Patients who had a dissection surgery had the lowest comfort levels. There was a statistically significant difference in the mean Perianesthesia Comfort Scale total scores based on whether the surgery was planned or unplanned (p<0.05). Patients who had a planned surgery had higher comfort levels. There was a statistically significant difference in the mean Perianesthesia Comfort Scale total scores based on the presence of pain (p<0.05). Patients without pain had higher comfort levels. The mean of the mental care needs scale of the patients was 87.31±9.75 and they had high levels of care needs; The mean of the Meaning and Hope Sub-Dimension was found to be 56.25±6.99 and it was concluded that there were high levels of meaning and hope requirements and the average of the Importance and Respect Sub-Dimension was 31.05±3.67 and there were moderate levels of importance and respect requirements. There was a statistically significant difference in the Spiritual Care Needs Scale total scores based on the patients' gender and education level (p<0.05). Female patients and university graduates had higher spiritual care needs. There was a statistically significant difference in the mean Spiritual Care Needs Scale total scores based on the presence of chronic illness (p<0.05). Patients without chronic illness had higher spiritual care needs. Conclusion: Patients who underwent open heart surgery had a moderate level of comfort and moderate level of spiritual care needs. It is recommended to conduct further studies comparing pre- and post-operative conditions in different sample groups.
Açıklama
Anahtar Kelimeler
Hemşirelik, Nursing, Açık kalp cerrahisi; Konfor; Spiritüel Bakım; Hemşirelik, Open heart surgery; Comfort; Spiritual Care; Nursing
