Determination of Learning Needs of Patients Undergoing Total Knee Replacement Surgery at Discharge

Emel Ceyhan; Hande Cengiz Açıl

Makale detayları

Determination of Learning Needs of Patients Undergoing Total Knee Replacement Surgery at Discharge

Yazarlar:

Emel Ceyhan | Hande Cengiz Açıl

Yayıncı:

Sakarya University

Ana Başlıklar:

Cerrahi (Diğer) | Ortopedi

Dergi:

Sakarya Tıp Dergisi Vol.14 Issue 4, pp.354-367

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001334112

pISSN:

2146-409X

Anahtar kelimeler:

Özet:

 Introduction: This study was planned to determine the learning needs of patients who underwent total knee replacement TKR surgery at discharge. Materials and Methods: The research sample consisted of 60 patients aged 18 and over who had undergone total knee replacement surgery in the orthopedic service of a Training and Research Hospital and agreed to participate in the study. Patients were interviewed in the postoperative period using the Personal Data Form and the Patient Learning Needs Scale PLNS. Results: The average age of the patients who underwent surgery was 65.036.88 and the average BMI was 29.583.52. While the average length of hospital stay days was 5.301.69, 78.3 were women and 88.3 underwent spinal anesthesia. All patients and caregivers received discharge training on home care. The patient PLNS score is 168.9032.34.It was observed that the highest importance level score among the patients scale subgroups was treatment and complications. Conclusions: The learning needs of the patients were found to be moderately important. It was determined that the importance levels of patient education needs were higher for those with spinal anesthesia, those with primary school education or higher, those who were single, and those whose income was less than their expenses. It was observed that the importance levels of the feelings about the situation and treatment complications subdimensions of the PLNS were higher in those who had not had surgery before than in those who had surgery.

 Introduction: This study was planned to determine the learning needs of patients who underwent total knee replacement TKR surgery at discharge. Materials and Methods: The research sample consisted of 60 patients aged 18 and over who had undergone total knee replacement surgery in the orthopedic service of a Training and Research Hospital and agreed to participate in the study. Patients were interviewed in the postoperative period using the Personal Data Form and the Patient Learning Needs Scale PLNS. Results: The average age of the patients who underwent surgery was 65.036.88 and the average BMI was 29.583.52. While the average length of hospital stay days was 5.301.69, 78.3 were women and 88.3 underwent spinal anesthesia. All patients and caregivers received discharge training on home care. The patient PLNS score is 168.9032.34.It was observed that the highest importance level score among the patients scale subgroups was treatment and complications. Conclusions: The learning needs of the patients were found to be moderately important. It was determined that the importance levels of patient education needs were higher for those with spinal anesthesia, those with primary school education or higher, those who were single, and those whose income was less than their expenses. It was observed that the importance levels of the feelings about the situation and treatment complications subdimensions of the PLNS were higher in those who had not had surgery before than in those who had surgery.

 Introduction: This study was planned to determine the learning needs of patients who underwent total knee replacement TKR surgery at discharge. Materials and Methods: The research sample consisted of 60 patients aged 18 and over who had undergone total knee replacement surgery in the orthopedic service of a Training and Research Hospital and agreed to participate in the study. Patients were interviewed in the postoperative period using the Personal Data Form and the Patient Learning Needs Scale PLNS. Results: The average age of the patients who underwent surgery was 65.036.88 and the average BMI was 29.583.52. While the average length of hospital stay days was 5.301.69, 78.3 were women and 88.3 underwent spinal anesthesia. All patients and caregivers received discharge training on home care. The patient PLNS score is 168.9032.34.It was observed that the highest importance level score among the patients scale subgroups was treatment and complications. Conclusions: The learning needs of the patients were found to be moderately important. It was determined that the importance levels of patient education needs were higher for those with spinal anesthesia, those with primary school education or higher, those who were single, and those whose income was less than their expenses. It was observed that the importance levels of the feelings about the situation and treatment complications subdimensions of the PLNS were higher in those who had not had surgery before than in those who had surgery.

 Amaç: Total diz protezi TDP ameliyatı taburculuğu sonrası hastaneye sürekli yatışlar ve buna bağlı enfeksiyon gibi olumsuzlukların önlenebilmesi için verilecek taburculuk eğitiminin hastanın gereksinimlerini karşılaması gerekmektedir. Bu bağlamda bu çalışma TDP ameliyatı geçiren hastaların taburculuktaki öğrenme gereksinimlerinin belirlenmesi amacıyla planlandı. Gereç ve Yöntemler: Araştırma örneklemini bir Eğitim ve Araştırma Hastanesi ortopedi servisinde 18 yaş ve üzeri total diz protezi ameliyatı geçirmiş hastalardan çalışmayı katılmayı kabul eden 60 hasta oluşturdu. Ameliyat sonrası dönemde hastalar ile Kişisel Veri Formu ve Hasta Öğrenim Gereksinimleri Ölçeği HÖGÖ kullanılarak görüşüldü. Bulgular: Ameliyat olan hastaların ortalama yaşları 65,036,88 olup Beden Kitle İndeksi BKİ ortalaması 29,583,52 dir. Hastanede yatış süre gün ortalaması 5,301,69 iken 78,3ü kadın, 88,3üne spinal anestezi uygulanmıştı. Hastaların ve bakım verenlerin hepsi evde bakıma yönelik taburculuk eğitimi almıştı. Hasta öğrenim gereksinimleri HÖG ölçek skoru 168,9032,34 tür. Hastaların ölçek alt gruplarından en yüksek önemlilik düzeyi puanının tedavi ve komplikasyonlar olduğu görüldü. Sonuç: HÖG nin orta derecede önemli olduğu saptandı. Spinal anestezi olanların ilkokul ve üstü eğitim durumu olup bekâr olanlar ile geliri giderinden az olanların HÖG önemlilik düzeyleri daha yüksek olduğu saptandı. Daha önce ameliyat olmayanların HÖG ölçeğinin duruma ilişkin duygular ve tedavi komplikasyonlar alt boyutlarından ameliyat olanlara göre önemlilik düzeyleri daha yüksek olduğu görüldü. TDP ameliyatı olan grup genellikle ileri yaş grubunda olduğundan hemşirelerin ileri yaş grubuna yönelik vücut sistematiğine hâkim olması bakım verirken ve hasta ile iletişime geçerken oldukça önemlidir.

Makale detayları

Determination of Learning Needs of Patients Undergoing Total Knee Replacement Surgery at Discharge

Yazarlar:

Emel Ceyhan | Hande Cengiz Açıl

Yayıncı:

Sakarya University

Ana Başlıklar:

Cerrahi (Diğer) | Ortopedi

Dergi:

Sakarya Tıp Dergisi Vol.14 Issue 4, pp.354-367

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001334112

pISSN:

2146-409X

Care

Orthopedic nursing

Post-surgical

Total knee replacementBakım

cerrahi sonrası hemşirelik

ortopedi hemşireliği

Sayı

Makale detayları

Determination of Learning Needs of Patients Undergoing Total Knee Replacement Surgery at Discharge

Yazarlar: Emel Ceyhan | Hande Cengiz Açıl

Yayıncı: Sakarya University

Ana Başlıklar: Cerrahi (Diğer) | Ortopedi

Dergi: Sakarya Tıp Dergisi Vol.14 Issue 4, pp.354-367

Belge Tipi: Makale

Yayın Tarihi: 12/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001334112

pISSN: 2146-409X

Care

Orthopedic nursing

Post-surgical

Total knee replacementBakım

cerrahi sonrası hemşirelik

ortopedi hemşireliği

Sayı

Yazarlar:

Emel Ceyhan | Hande Cengiz Açıl

Yayıncı:

Sakarya University

Ana Başlıklar:

Cerrahi (Diğer) | Ortopedi

Dergi:

Sakarya Tıp Dergisi Vol.14 Issue 4, pp.354-367

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001334112

pISSN:

2146-409X