KALP KAPAĞI REPLASMANI YAPILAN HASTALARA VERİLEN TABURCULUK EĞİTİMİNİN DEĞERLENDİRİLMESİ


Thesis Type: Postgraduate

Institution Of The Thesis: Gazi University, Sağlık Bilimleri Enstitüsü, Turkey

Approval Date: 2008

Thesis Language: Turkish

Student: Yesim YAMAN

Abstract:

The research was conducted semi – experimentally with the objective of evaluating the discharge training given to the patients undergone heart valve surgery. The research was conducted on 80 patients who underwent heart valve surgery between the dates June 25th 2007 and December 19th 2007, in the Clinic of Cardiovascular Surgery of Turkey High Expertise Education and Research Hospital. 40 patients were assigned to the experiment group and the other 40 patients were assigned to the control group. The data of the research was collected using the “Patient Identification Form”, “Self – Care Power Measure”, “Information Assessment Form” and “Form of Problems Encountered after being Discharged”. The literature of the subject has been scanned and a training booklet has been prepared by the researcher The data obtained in the research was evaluated using the SPSS 12 Packet Program. The chi – square test, Fischer’s chi – square test, Mann – Whitney U, Wilcoxen Z, Pearson correlation test and Kruskall Wallis tests were used. Based on the results that were obtained during the research; it was determined that the all of the patients who were included during the research demanded information for the cases such as pain, care of the incision part, usage of medicine, nutrition, exercises, bath, activity, controls, situations requiring them to consult the hospital. The information score of the patients that were given being discharged training were found higher than those of the patients in the control group and this difference was found to be statistically significant (p<0,05). In addition, 1st month self – care points averages was found to be higher in the experiment group and this difference was found to be statistically significant (p<0,05). It was determined that the patients in the experiment and control groups consulted the hospital at a rate of 12, 5 % : 22, 5 %, but this difference was not found to be statistically significant (p>0,05). The experiment group patients encountered problems such as “infirmity, weakness, exhaustion” and “gingival hemorrhage” less than the control group did, and this difference was also found to be statistically significant (p<0,05). In addition, even tough not statistically significant, it was found that the control group patients encountered problems such as “nausea-vomiting”, “palpitation”, “fever”, “insomnia”, “epistaxis” more than the experimental group did (p>0,05). In addition to this, there was no statistically significant difference found between the two groups with regards to the problems that were encountered (p>0,05). There have been some proposals given based on the results obtained from the research.