3-6 yaş grubu bronkopnömonili çocuklarda kullanılan jet ve mesh nebülizatörlerin fiziksel parametrelere ve anksiyete düzeylerine etkisi
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Dosyalar
Tarih
2023
Yazarlar
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Yayıncı
Düzce Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Araştırma 3-6 yaş grubu bronkopnömonili çocuklarda inhaler ilaç tedavisinde kullanılan jet ve mesh nebülizatörlerin fiziksel parametrelere ve anksiyete düzeyine etkisini belirlemek amacıyla randomize kontrollü deneysel tasarımlı çalışma olarak planlanmıştır. Çalışma Aralık 2022-Şubat 2023 tarihleri arasında Bolu İzzet Baysal Devlet Hastanesi Kadın Doğum ve Çocuk Hastalıkları Hastanesi Pediatri Yoğun Bakım Ünitesi'nde gerçekleştirilmiştir. Araştırmanın örneklemini yapılan güç analizi sonucuna göre, çalışmaya katılmayı kabul eden ve örneklem seçim kriterlerine uyan toplam 60 çocuk (30 deney ve 30 kontrol grubu) oluşturmuştur. Çocukların gruplara dağılımı rastlantısal olarak yapılmıştır. Çalışmanın veri toplama sürecinde ''Çocuk ve Ebeveyn Tanıtıcı Bilgi Formu'', ''Fiziksel Parametreler Kayıt Formu'' ve ''Çocukların Duygusal Dışa Vurumunu Değerlendirme Ölçeği''(ÇDDVDÖ) kullanılmıştır. Kontrol grubundaki çocuklara klinikte rutin olarak kullanılan jet nebülizatör ile inhaler tedavi uygulanırken deney grubundaki çocuklara mesh nebülizatör ile inhaler tedavi uygulanmıştır. Her iki grubun uygulama öncesi, sırasında ve sonrasında fiziksel paremetreleri(vücut sıcaklığı, solunum sayısı, kalp atım hızı, SPO2) ölçülmüş ve iki gruba da ÇDDVDÖ uygulanmıştır. Elde edilen veriler, SPSS 25.0 (Statistical PackageForSocialScience) paket programında araştırma verilerine uygun istatistiksel yöntemlerle değerlendirilmiştir. İki gruba sahip değişkenlerde Independent sample t test kullanılmıştır. Varyansların homojen dağılmadığı durumlarda ikili gruplarda Mann Whitney U test kullanılmıştır. Kategorik değişkenler arasındaki ilişki Chi-Square test ile değerlendirilmiştir. Sayısal değişkenler için grupların zamana göre karşılaştırmaları, tekrarlı ölçümlerde tek yönlü varyans analizi (Repeated Measures one-way ANOVA) ile gerçekleştirilmiştir. Çoklu karşılaştırma testi olarak Bonferroni testi kullanılmıştır. Anlamlılık düzeyi p<0,05 olarak kabul edilmiştir. Araştırma verileri incelendiğinde çocukların ÇDDVDÖ puanları gruplar arası fark istatistiksel olarak anlamlı bulunmuştur (p<0,05). Buna göre kontrol grubunun anksiyete düzeyi deney grubuna göre daha yüksek bulunmuştur. Gruplar arası ölçüm zamanlarına göre vücut sıcaklığı bulgularında anlamlı derecede fark bulunmazken (p>0,05), solunum sayısı, kalp atım hızı ve oksijen satürasyonu değerleri açısından istatistiksel olarak anlamlı farklılık bulunmuştur(p<0,05). Bu bulgulara göre mesh nebülizatörün çocuklarda jet nebülizatöre göre daha az anksiyeteye sebep olduğu ve fiziksel parametrelerini olumlu yönde etkilediği sonucuna ulaşılmıştır. Mesh nebülizatörün anksiyeteyi, ve olumsuz fizyolojik parametreleri düşürebileceği bu nedenle çocuk acil, çocuk yoğun bakım ve çocuk sağlığı kliniklerinde kullanımı önerilmektedir. Anahtar Sözcükler: Nebülizatör, Mesh Nebülizatör, Jet Nebülizatör, Anksiyete, Çocuk Fiziksel Parametreleri.
The study was planned as a randomised controlled experimental design study to determine the effect of jet and mesh nebulisers used in inhaler drug treatment on physical parameters and anxiety level in children aged 3-6 years with bronchopneumonia. The study was conducted between December 2022 and February 2023 in the Paediatric Intensive Care Unit of Bolu Izzet Baysal State Hospital Obstetrics and Gynecology Hospital. According to the results of the power analysis, a total of 60 children (30 experimental and 30 control groups) who agreed to participate in the study and met the sample selection criteria constituted the sample of the study. The distribution of children to the groups was done randomly. In the data collection process of the study, ''Child and Parent Introductory Information Form'', ''Physical Parameters Record Form'' and ''Children's Emotional Exposure Assessment Scale'' (CEEAS) were used. The children in the control group received inhaler treatment with a jet nebuliser routinely used in the clinic, while the children in the experimental group received inhaler treatment with a mesh nebuliser. Physical parameters (body temperature, respiratory rate, heart rate, SPO2) of both groups were measured before, during and after the treatment and both groups were administered with the CEEAS. The data obtained were evaluated with statistical methods appropriate to the research data in SPSS 25.0 (Statistical PackageForSocialScience) package programme. Independent sample t test was used in variables with two groups. In cases where variances were not distributed homogeneously, Mann Whitney U test was used in paired groups. The relationship between categorical variables was evaluated by Chi-Square test. For numerical variables, comparisons of the groups according to time were performed with Repeated Measures one-way ANOVA. Bonferroni test was used as multiple comparison test. The significance level was accepted as p<0,05. When the research data were analysed, the difference between the groups in children's CEEAS scores was found to be statistically significant (p<0,05). Accordingly, the anxiety level of the control group was found to be higher than the experimental group. While there was no significant difference in body temperature findings according to the measurement times between the groups (p>0,05), a statistically significant difference was found in terms of respiratory rate, heart rate and oxygen saturation values (p<0,05). According to these findings, it was concluded that the mesh nebuliser caused less anxiety in children than the jet nebuliser and positively affected their physical parameters. Mesh nebuliser may reduce anxiety and negative physiological parameters and therefore, it is recommended to be used in paediatric emergency, paediatric intensive care and paediatric health clinics. Keywords: Nebulizer, Mesh Nebulizer, Jet Nebulizer, Anxiety, Physical Parameters
The study was planned as a randomised controlled experimental design study to determine the effect of jet and mesh nebulisers used in inhaler drug treatment on physical parameters and anxiety level in children aged 3-6 years with bronchopneumonia. The study was conducted between December 2022 and February 2023 in the Paediatric Intensive Care Unit of Bolu Izzet Baysal State Hospital Obstetrics and Gynecology Hospital. According to the results of the power analysis, a total of 60 children (30 experimental and 30 control groups) who agreed to participate in the study and met the sample selection criteria constituted the sample of the study. The distribution of children to the groups was done randomly. In the data collection process of the study, ''Child and Parent Introductory Information Form'', ''Physical Parameters Record Form'' and ''Children's Emotional Exposure Assessment Scale'' (CEEAS) were used. The children in the control group received inhaler treatment with a jet nebuliser routinely used in the clinic, while the children in the experimental group received inhaler treatment with a mesh nebuliser. Physical parameters (body temperature, respiratory rate, heart rate, SPO2) of both groups were measured before, during and after the treatment and both groups were administered with the CEEAS. The data obtained were evaluated with statistical methods appropriate to the research data in SPSS 25.0 (Statistical PackageForSocialScience) package programme. Independent sample t test was used in variables with two groups. In cases where variances were not distributed homogeneously, Mann Whitney U test was used in paired groups. The relationship between categorical variables was evaluated by Chi-Square test. For numerical variables, comparisons of the groups according to time were performed with Repeated Measures one-way ANOVA. Bonferroni test was used as multiple comparison test. The significance level was accepted as p<0,05. When the research data were analysed, the difference between the groups in children's CEEAS scores was found to be statistically significant (p<0,05). Accordingly, the anxiety level of the control group was found to be higher than the experimental group. While there was no significant difference in body temperature findings according to the measurement times between the groups (p>0,05), a statistically significant difference was found in terms of respiratory rate, heart rate and oxygen saturation values (p<0,05). According to these findings, it was concluded that the mesh nebuliser caused less anxiety in children than the jet nebuliser and positively affected their physical parameters. Mesh nebuliser may reduce anxiety and negative physiological parameters and therefore, it is recommended to be used in paediatric emergency, paediatric intensive care and paediatric health clinics. Keywords: Nebulizer, Mesh Nebulizer, Jet Nebulizer, Anxiety, Physical Parameters
Açıklama
Anahtar Kelimeler
Hemşirelik, Nursing, Çocuk Sağlığı ve Hastalıkları
