TORAKOTOMİ SONRASI KONNEKTİF DOKU MASAJININ AĞRI ÜZERİNDEKİ ETKİSİNİN İNCELENMESİ - RANDOMİZE KONTROLLÜ ÇALIŞMA

Yıl 2024, Cilt: 35 Sayı: 1, 56 - 65, 20.04.2024

Neriman Temel Aksu , Abdullah Erdoğan

https://doi.org/10.21653/tjpr.1272245

Öz

Amaç: Konnektif doku masajının hastaların ağrılarına, uygulanan analjezik miktarlarına ve hastanede kalış sürelerine etkisinin değerlendirilmesi amaçlandı.
Yöntem: Çalışma prospektif, randomize, kontrollü bir klinik çalışmaydı ve bir üniversite hastanesinin göğüs cerrahisi bölümünde yürütüldü. Hastalar rastgele 2 gruptan 1'ine ayrıldı: bir kontrol grubu (n=27) ve çalışma grubu (n=27). Her iki gruba da standart medikal tedavi, bakım ve pulmoner rehabilitasyon programı uygulandı. Ayrıca çalışma grubuna toplam 5 seans konnektif doku masajı uygulandı. Hastaların ağrı düzeyi postoperatif 0. günden itibaren 24 saatte bir değerlendirildi. Ağrı değerlendirmesi için tek boyutlu bir ölçek olarak VAS kullanıldı. Hastaların toplam uygulanan analjezik miktarları ve hastanede kalış süreleri kaydedildi.
Sonuçlar: Cerrahi sonrası 0. ve 1. günlerde çalışma ve kontrol grupları arasında istatistiksel olarak anlamlı fark yoktu. Postoperatif 2., 3., 4., 5., 6. ve 7. günlerde VAS ortalamaları arasında istatistiksel olarak anlamlı fark bulundu (p<0,001). Hastaların toplam uygulanan analjezik miktarları postoperatif 2. günden itibaren anlamlı olarak azaldı (p<0,05). Çalışma grubunda hastanede kalış süresi kısaydı.
Tartışma: Çalışma grubunun ağrıları anlamlı olarak azaldı ve postoperatif 7. gün ağrıları oldukça azdı ve bu nedenle analjezik ilaç ihtiyacı önemli ölçüde azaldı.

Anahtar Kelimeler

ağrı, konnektif doku masajı, torakotomi, yaşam kalitesi

EXAMINING THE EFFECTS OF CONNECTIVE TISSUE MASSAGE ON PAIN AFTER THORACOTOMY - RANDOMIZED CONTROLLED TRIAL

Öz

Purpose: The objective was evaluate the effect of a connective tissue massage on pain, applied analgesic amounts and length of hospitalization of the patients.
Method: The study was a prospective, randomized, controlled clinical trial and conducted at a thoracic surgery department of university hospital. The patients were randomly allocated to 1 of 2 groups: a control group (n=27) and the experimental group (n=27). Standard medical treatment, care and pulmonary rehabilitation program were applied to both groups. In addition, a total of 5 sessions of connective tissue massage were applied to the experimental group. Pain level of the patients was evaluated at every 24 hours as of the zeroth postoperative day. VAS was used as a one-dimensional scale for pain assessment. Totally applied analgesic amounts and length of hospitalization of the patients were recorded.
Results: There was no statistically significant difference between the experimental and control groups on the postoperative 0th and 1st days. A statistically significant difference was found between VAS averages on postoperative 2nd, 3rd, 4th, 5th, 6th and 7th days (p<0.001). Totally applied analgesic amounts of the the patients decreased significantly from the postoperative 2nd day (p<0.05). The length of hospital stay in the experimental group was short.
Conclusions: The pain of the experimental group decreased significantly and their pain on the postoperative 7th day was quite low and therefore the need for analgesic drugs decreased significantly.

Anahtar Kelimeler

pain, thoracotomy, connective tissue massage, quality of life

Kaynakça

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