Hastalar�n Ameliyat �ncesi D�nemde E�itim Alma Durumu ve Hasta Doyumu ile Kar��la�t�r�lmas�

¹Ba��ms�z Ara�t�rmac�
²�stinye �niversitesi, Sa�l�k Bilimleri Fak�ltesi, Hem�irelik B�l�m�, �stanbul, T�rkiye

Ama�: Bu �al��ma cerrahi i�lem ge�iren hastalar�n ameliyat �ncesi e�itim alma durumlar�n� belirlemek ve hasta doyumu d�zeyi ile kar��la�t�rmak amac�yla ger�ekle�tirilmi�tir.
Y�ntem: Tan�mlay�c�, kesitsel t�rdeki bu ara�t�rman�n evrenini bir �zel hastanede cerrahi kliniklerde yatan hastalar, �rneklemini ise �rnekleme al�nma �l��tlerine uyan 246 hasta olu�turmu�tur. Veriler, ara�t�rmac�lar taraf�ndan geli�tirilen anket formu ve G�rsel Analog Hasta Tatmini Skalas� kullan�larak toplanm��t�r. Veriler tan�mlay�c� istatistiklerle birlikte Mann-Whitney U testi, Kruskal-Wallis H testi, Tamhane�s T2 testi ve ROC analizi: Kesme noktas� testleriyle analiz edilmi�tir.
Bulgular: �al��mada hastalar�n ve yak�nlar�n�n %95,5�inin ameliyat �ncesi e�itim ald�klar�, %79,3��n�n hekimden bilgi ald�� ve %88,2�inin sadece s�zl� olarak bilgi ald�� saptanm��t�r. Hastalar�n en �ok ameliyat �ncesi yap�lacak tetkikler (%91,9), ameliyat ak�� (%83,3), uygulanacak anestezi t�r� (%81,7), ameliyat sonras� al�nacaklar� yer (%68,7), ameliyata haz�rlanma (%69,1) konular�nda bilgi ald�klar� bulunmu�tur. Hastalar�n en az bilgi ald�klar� konular ise, ameliyat sonras� erken hareketin (mobilizasyonun) �nemi (%7,3) ve uygulanacak egzersizler (solunum, �ks�r�k, yatak i�i egzersizler) (%2,8) olarak belirlenmi�tir. Hasta doyumu puan ortalamas� 7,66 (SS=1,8) olarak orta d�zeyin �zerinde bulunmu�tur. Hastalar�n ameliyat �ncesi e�itim alma durumlar� ve ald�klar� e�itimin kapsam� ile doyum puanlar� aras�nda istatistiksel anlaml� farkl�l�k saptanm��t�r (p<0,001; p<0,01).
Sonu�: Ara�t�rma sonucuna g�re cerrahi hem�irelerinin ameliyat �ncesi hasta e�itim etkinliklerinin kapsaml� ve etkili olabilmesi i�in, e�itim s�reci a�amalar� do�rultusunda, kan�ta dayal� protokoller olu�turarak �ok disiplinli bir yakla��mla planl� ve sistemli bir �ekilde uygulanmas� gerekti�i sonucuna var�lm��t�r.

Anahtar Kelimeler:

Patients' Receipt of Education in the Preoperative Period and Comparison with Patient Satisfaction

¹Independent Researcher
²Istinye University, Faculty of Health Sciences, Department of Nursing, Istanbul, T�rkiye

Aim: This study was carried out to determine the preoperative education status of patients undergoing surgical procedure and to compare it with the level of patient satisfaction.
Method: The population of this descriptive, cross-sectional study consisted of patients hospitalized in surgical clinics in a private hospital and the sample consisted of 246 patients who met the inclusion criteria. Data were collected using a questionnaire developed by the researchers and the Visual Analog Patient Satisfaction Scale. Data were analysed with descriptive statistics and Mann Whitney U test, Kruskal-Wallis H test, Tamhane's T2 test and ROC analysis: cut-off point test.
Results: In the study, it was found that 95.5% of the patients and theirrelatives received preoperative education, 79.3% received information from the physician and 98.8% received information only verbally. It was found that patients received the most information about the preoperative tests (91.9%), the flow of surgery (83.3%), the type of anesthesia to be administered (81.7%), the place where they would be taken after surgery (68.7%), and preparation for surgery (69.1%). The least informed subjects were the importance of early mobilization after surgery (7.3%) and the exercises to be applied (breathing, cough, in-bed exercises) (2.8%). The mean patient satisfaction score was found to be 7.66 (SD=1.8), which is above the moderate level. A statistically significant difference was found between the preoperative education status of the patients and the scope of the education and satisfaction scores (p<0.001; p<0.01).
Conclusion: According to the results of the study, it was concluded that in order for the preoperative patient education activities of surgical nurses to be comprehensive and effective, they should be implemented in a planned and systematic manner with a multidisciplinary approach by creating evidence-based protocols in line with the stages of the education process.

Keywords:

Sebiha Canda�, Tu�ba Ye�ilyurt. Patients' Receipt of Education in the Preoperative Period and Comparison with Patient Satisfaction. Journal of Health and Nursing Management. 2024; 11(2): 207-218

Sorumlu Yazar: Tu�ba Ye�ilyurt, T�rkiye