Publication: Koroner arter bypass greft uygulamasında düşleme ve müziğin iyileşme sürecine etkisi
Abstract
Çalışma, Koroner Arter Bypass Greft (KABG) uygulanan hastalarda düşleme ve müzik dinletisinin anksiyete düzeyi, algılanan ağrı şiddeti, analjezik kullanım miktarı, YBÜ ve hastanede kalış süresine etkisini belirlemek amacıyla prospektif kohort olarak yapıldı. Araştırmanın evrenini Sağlık Bakanlığı’na bağlı bir eğitim ve araştırma hastanesinin cerrahi kliniklerinde Koroner Arter Bypass Cerrahisi uygulanacak hastalar oluşturdu. Evreni temsil edecek örneklem sayısı deney ve kontrol gruplarının her birinde 35 hasta olmak üzere 70 hasta olarak belirlendi. Veriler araştırmacı tarafından hazırlanan “Bireysel Özellikler Formu”, “Cerrahi Girişim Öncesi Ve Sonrası Hasta İzlem Formları” Türkiye’de geçerlilik ve güvenirlik çalışmaları yapılmış ve kullanılmakta olan “Durumluk-Sürekli Anksiyete Ölçeği” ve “Görsel Kıyaslama Ölçeği” aracılığıyla yüz yüze görüşme ve izlem yoluyla elde edildi. Verilerin değerlendirilmesinde yüzdelik, ortalama (X), standart sapma (SD), c2, t testi kullanıldı. Kontrol ve deney grubu hastalar arasında cerrahi işlem öncesi sürekli ve durumluk, taburculuk öncesi durumluk anksiyete düzeyleri; Yoğun Bakım Ünitesi’nde ve klinikte algılanan ağrı şiddeti ve uykusuzluk düzeyleri; ilk mobilizasyon ve taburcu olma süreleri; klinikte kullanılan analjezik miktarları açısından istatistiksel olarak anlamlı farklılık (p<0.05; p<0.01) olduğu belirlendi. Araştırmada elde edilen bulgular koroner arter bypass cerrahisinde düşlemenin ve müzik dinletisinin, gevşemeyi sağlayarak anksiyete düzeyinin ve algılanan ağrı şiddetinin azaltılmasında etkili olduğunu göstermekte olup, KABC uygulanan hastalarda uygulanması önerilmektedir. KABC, müzik dinletisi, düşleme, ağrı, anksiyete THE EFFECT OF GUIDED IMAGERY AND MUSIC ON RECOVERY PROCESS AFTER CORONER ARTERY BYPASS SURGERY
This is a prospective cohort study done to investigate the effect of guided imagery and music on the level of anxiety, strength of the perceived pain, analgesic dose, length of intensive care unit and overall hospital stay in patients who have undergone coronary artery bypass surgery. The patient pool was obtained from surgery clinics of a teaching hospital of Ministery of Health and included the patients who were scheduled to undergo coronary bypass surgery. Whole group included 70 patients; study and control groups 35 patients each. Data was obtained by face-to-face interviews and follow-up using “Personal Speciality Form” and “Patient Follow-up Charts Before and After the Surgery” prepared by the investigator and the “State-Trait Anxiety Inventory ” and “Visual Analog Scale” which were verified by validity and reliability studies in Turkey. Statistical analysis was done by percentage, mean (X), standard deviation (SD), c2, t test. The level of anxiety before surgery and right before discharge from the hospital, the difference of the level of pain and sleeplessness in intensive care unit and ward, first mobilisation and length of hospital stay, analgesic dosage used in the ward were statistically significant (p<0.05; p<0.01) between control and the study group. The data obtained form the study showed that in coronary artery bypass surgery guided imagery and music decrease the level of anxiety and perceived pain by relaxation. This method is recommended in CABG patients. CABG, music, guided imagery, pain, anxiety
This is a prospective cohort study done to investigate the effect of guided imagery and music on the level of anxiety, strength of the perceived pain, analgesic dose, length of intensive care unit and overall hospital stay in patients who have undergone coronary artery bypass surgery. The patient pool was obtained from surgery clinics of a teaching hospital of Ministery of Health and included the patients who were scheduled to undergo coronary bypass surgery. Whole group included 70 patients; study and control groups 35 patients each. Data was obtained by face-to-face interviews and follow-up using “Personal Speciality Form” and “Patient Follow-up Charts Before and After the Surgery” prepared by the investigator and the “State-Trait Anxiety Inventory ” and “Visual Analog Scale” which were verified by validity and reliability studies in Turkey. Statistical analysis was done by percentage, mean (X), standard deviation (SD), c2, t test. The level of anxiety before surgery and right before discharge from the hospital, the difference of the level of pain and sleeplessness in intensive care unit and ward, first mobilisation and length of hospital stay, analgesic dosage used in the ward were statistically significant (p<0.05; p<0.01) between control and the study group. The data obtained form the study showed that in coronary artery bypass surgery guided imagery and music decrease the level of anxiety and perceived pain by relaxation. This method is recommended in CABG patients. CABG, music, guided imagery, pain, anxiety