Effect of a mobilization program administered after open cholecystectomy on sleep duration and several other clinical variables

Year 2020, Volume: 45 Issue: 2, 613 - 620, 30.06.2020

Kadriye Aldemir , Aylin Aydın Sayılan

https://doi.org/10.17826/cumj.691723

Cited By: 3

Abstract

Purpose: The purpose of this study was to determine the effect on sleep duration, pain level, first flatus and defecation time, and discharge of a mobilization program administered under nurse supervision and monitoring following open cholecystectomy.
Materials and Methods: This experimental study was performed in February-August 2019 in the general surgery clinic of a public hospital. Considering the possibility of data loss, 68 patients meeting the research criteria were included. Two patients from the experimental group and two from the control group subsequently dropped out, and the study was finally completed with 64 patients. Data were collected using a patient description form, a Visual Analogue Scale, and a walking chart on which pedometer output was recorded.
Results: Length of hospitalization was shorter, first flatus and defecation time occurred earlier, and walking distances were longer in the experimental group compared to the control group. No difference was determined between the groups in terms of amount of drainage, or times to spontaneous urination. It was determined that the pain levels in the control were lower than those in the experimental group on postoperative day 1, and sleep durations on postoperative days 2 and 3 were significantly longer.
Conclusion: Earlier first flatus, defecation time, and discharge, and significantly longer walking distances, were determined in the experimental group compared to the control group. However, the mobilization program had no effect on sleep duration or pain levels.

Keywords

Cholecystectomy, postop mobilization

Açık kolesistektomi sonrası hastalara uygulanan bir mobilizasyon programının uyku süresi ve diğer klinik değişkenlere etkisi

Abstract

Amaç: Bu çalışma açık kolesistektomi sonrası hastalara hemşire gözetimi ve denetiminde uygulanan mobilizasyon programının uyku süresi, ağrı düzeyi, ilk flatus, gayta çıkışı ve taburculuk üzerine etkisinin belirlenmesi amacıyla yapıldı.
Gereç Yöntem: Deneysel tipteki çalışma bir devlet hastanesinin genel cerrahi kliniğinde Şubat-Ağustos 2019 tarihleri arasında yapıldı. Veri kaybı olasılığı göz önüne alındığında, araştırma kriterlerini karşılayan 68 hasta çalışmaya dahil edildi. Çalışma süresince iki hasta deney grubundan iki hasta kontrol grubundan çıkarıldı ve çalışma 64 hastayla tamamlandı. Veriler hasta tanıtım formu, postoperatif izlem çizelgesi, Görsel kıyaslama ölçeği, pedometre çıktılarının kaydedildiği yürüme çizelgesi ile toplandı.
Bulgular: Deney grubu hastaların, kontrol grubuna göre hastanede yatış sürelerinin kısa, gaz ve gaita çıkış saatlerinin daha erken, yürüme mesafelerinin ise uzun olduğu, dren geleni ve spontan idrara çıkış zamanları açısından iki grup arasında fark olmadığı saptandı. Kontrol grubunun postop 1. gün ağrı düzeylerinin anlamlı düzeyde daha düşük, postop 2 ve 3. günde ise fark olmadığı, uyku süreleri ise, postop 1. ve 2. günde kontrol grubunun deney grubundan daha yüksek olduğu belirlendi.
Sonuç: Deney grubu hastaların ilk gaz ve gayta çıkışlarının, taburculukların kontrol gruba göre erken olduğu, yürüme mesafelerinin anlamlı şekilde uzun olduğu saptandı. Buna rağmen mobilizasyon programının uyku süreleri ve ağrı düzeylerine etkisi olmadığı belirlendi.

Keywords

Cholecystectomy, Mobilization

Supporting Institution

yok

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