Koroner anjiyografi işlemi öncesi yapılan progresif gevşeme egzersizlerinin bireylerin yaşam bulguları, anksiyete ve konfor düzeyine etkisi
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Dosyalar
Tarih
2023
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Düzce Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Randomize olmayan kontrol gruplu deneysel araştırmanın amacı, ilk defa elektif koroner anjiografi (KAG) işlemine girecek hastalarda, progresif gevşeme egzersizlerinin (PGE) hastaların yaşam bulgularına, anksiyete ve konfor düzeylerine, girişim yeri komplikasyonlarına etkisini incelemektir. Araştırma, Düzce Üniversitesi Sağlık Uygulama ve Araştırma Merkezi'nin Kardiyoloji Servisinde ve günübirlik anjio ünitesinde Haziran 2022–Aralık 2022 tarihleri arasında yürütülmüştür. Araştırmanın örneklemini, randomizasyonla belirlenen 35'i müdahale grubu ve 35'i kontrol grubu olmak üzere toplam 70 hasta oluşturmuştur. Müdahale grubuna KAG işlemi öncesi sessiz bir odada 20 dakika boyunca PGE uygulanmıştır. Kontrol grubu standart hemşirelik bakımı almış olup araştırmacı tarafından uygulamada bulunulmamıştır. Araştırmanın verileri, "Hasta Tanıtım Formu", "Yaşam Bulguları Takip Çizelgesi Takip Formu", "Görsel Analog Skala (VAS)","Durumluluk Anksiyete Ölçeği (DAÖ)" ve "Genel Konfor Ölçeği Kısa Formu (GKÖ-KF)" ile toplanmıştır. Her iki grupta yer alan hastaların yatışları yapıldığında birinci ölçüm; KAG işleminden önce PGE uygulanan grubun ve herhangi bir uygulama yapılmayan kontrol grubunun ikinci ölçüm; KAG işleminden 30 dakika sonra her iki grubun üçüncü ölçüm verileri toplanmıştır. PGE uygulaması sonrası, müdahale grubunun DAÖ ve ağrı puanı azalıp (p<0,05), GKÖ-KF puanı artmıştır (p<0,05). Müdahale ve kontrol gruplarının ikinci ölçüm (PGE uygulaması sonrası-KAG öncesi) solunum sayısı, DAÖ ve GKÖ-KF puanı ortalamaları arasında istatistiksel olarak anlamlı fark vardır (p<0,05). Bu araştırmada, PGE uygulaması ilk defa KAG işlemine girecek hastaların anksiyete ve ağrı düzeylerini azaltmada, konfor düzeyini artırmada, yaşam bulguları parametrelerinden SKB, nabız ve solunum sayıları üzerinde olumlu yönde etki göstermiştir PGE'nin, hemşireler tarafından KAG işlemine girecek hastaların anksiyete ve ağrı düzeylerini azaltmak, konfor düzeyini artırmak, yaşam bulguları üzerindeki olumlu etkisinden yararlanmak ve hemşirelik bakımının kalitesini artırmak için kullanılması önerilmektedir. Anahtar Sözcükler: Anksiyete, Hasta konforu, Koroner anjiyografi, Progresif gevşeme egzersizleri, Yaşam bulguları
The aim of the experimental with non-randomized control group research is to examine the effects of progressive relaxation exercises (PGE) on vital signs, anxiety and comfort levels in patients undergoing elective coronary angiography (CAG) for the first time. The research was carried out in the Cardiology Service of Düzce University Health Practice and Research Center and the daily angio unit between June 2022 and December 2022. The sample of the research consisted of a total of 70 patients, 35 of whom were in the intervention group and 35 in the control group, determined by randomization. PGE was applied to the intervention group for 20 minutes in a quiet room before the CAG procedure.The control group received standard nursing care and was not applied any intervention by the researcher. The data of the research was collected with, "Patient Description Form", "Vital Signs Follow-up Chart Form", "Visual Analogue Scale (VAS)", "State Anxiety Scale (DAS)" and "General Comfort Scale Short Form (GAS-BF) ". When the patients in both groups were hospitalized, the first measurement; the second measurement of the group that received PGE before CAG and the control group that did not receive any treatment; the third measurement data of both groups were collected 30 minutes after the CAG procedure. After the PGE application, DAS and pain scores of the intervention group decreased (p<0,05), and the DAS-SF scores increased (p<0,05). There was a statistically significant difference between intervention and control groups in the second measurement (after PGE application-before CAG), respiratory rate, DAS and GAS-SF score averages (p<0,05). In this study, PGE application had a positive effect on reducing anxiety and pain levels, increasing comfort level, and SBP, pulse and respiratory rates, which are vital signs parameters of patients who will undergo CAG for the first time. PGE is recommended to be used by nurses to reduce the anxiety and pain levels of patients who will undergo CAG, to increase their comfort level, to benefit from its positive effect on vital signs, and to increase the quality of nursing care. Keywords: Anxiety, Coronary angiography, Patient comfort, Progressive relaxation exercises, Vital signs
The aim of the experimental with non-randomized control group research is to examine the effects of progressive relaxation exercises (PGE) on vital signs, anxiety and comfort levels in patients undergoing elective coronary angiography (CAG) for the first time. The research was carried out in the Cardiology Service of Düzce University Health Practice and Research Center and the daily angio unit between June 2022 and December 2022. The sample of the research consisted of a total of 70 patients, 35 of whom were in the intervention group and 35 in the control group, determined by randomization. PGE was applied to the intervention group for 20 minutes in a quiet room before the CAG procedure.The control group received standard nursing care and was not applied any intervention by the researcher. The data of the research was collected with, "Patient Description Form", "Vital Signs Follow-up Chart Form", "Visual Analogue Scale (VAS)", "State Anxiety Scale (DAS)" and "General Comfort Scale Short Form (GAS-BF) ". When the patients in both groups were hospitalized, the first measurement; the second measurement of the group that received PGE before CAG and the control group that did not receive any treatment; the third measurement data of both groups were collected 30 minutes after the CAG procedure. After the PGE application, DAS and pain scores of the intervention group decreased (p<0,05), and the DAS-SF scores increased (p<0,05). There was a statistically significant difference between intervention and control groups in the second measurement (after PGE application-before CAG), respiratory rate, DAS and GAS-SF score averages (p<0,05). In this study, PGE application had a positive effect on reducing anxiety and pain levels, increasing comfort level, and SBP, pulse and respiratory rates, which are vital signs parameters of patients who will undergo CAG for the first time. PGE is recommended to be used by nurses to reduce the anxiety and pain levels of patients who will undergo CAG, to increase their comfort level, to benefit from its positive effect on vital signs, and to increase the quality of nursing care. Keywords: Anxiety, Coronary angiography, Patient comfort, Progressive relaxation exercises, Vital signs
Açıklama
Anahtar Kelimeler
Hemşirelik, Nursing
