Lokal Anestezi Altında Lipom Eksizyonu Yapılan Bireylerde Stres Küpü ile Dikkati Başka Yöne Çekme Uygulamasının Ağrı ve Anksiyete Üzerine Etkisi: Randomize Kontrollü Deneysel Çalışma

Saliha Bozdoğan Yeşilot; Hatice Çiftçi; Mehmet Kemal Yener

doi:10.19161/etd.990564

EN TR

The effect of using fidget cube on pain and anxiety during lipoma excision

Abstract

Aim: Pain and anxiety that occur in individuals during surgical procedures performed under local anesthesia are important health care problems that need to be managed. This study aimed to evaluate the effect using fidget cube on pain and anxiety in patients during lipoma excision. Material and Methods: This was a randomized controlled trial. The study was carried out between October 1, 2019, and March 1, 2020. Inclusion criteria for individuals were that they were over 18 years old and agree to take part in this study, undergoing lipoma excision with local anesthesia, having sufficient vision, hearing, and speech functions, speaking Turkish. Personal Information Form, State Anxiety Inventory, and Numeric Rating Scale were used to collect data Ethics committee permission was obtained. The study was performed with a total of 92 individuals, 46 of them were intervention group and the rest were control group. The intervention group used fidget cube additionally during lipoma excision, and the control group took only routine treatment in the hospital. Results: 68.5% of the participant was male and 31.5% was female. The mean age of the participants was similar in the intervention (41.67±11.48) and the control (44.59±13.83) groups (p=0.275). There was significant difference between the intervention (2.67±1.69) and control (4.46±2.82) groups in terms of the mean pain intensity during the excision procedure (p<0.001). The means of anxiety scores of the intervention (38.63±5.24) and control (40.39±6.04) groups before excision were similar (p=0.139). There was no significant difference between the means of anxiety scores (Intervention group=42.63±5.26; Control group 41.76±5.50) after intervention (p=0.440). Conclusion: In this study it was determined that the intervention reduced the pain during lipoma excision but had no effect on participants’ anxiety. It has been suggested that this intervention should be used routinely for managing the pain during the procedure.

Keywords

Lokal Anestezi Altında Lipom Eksizyonu Yapılan Bireylerde Stres Küpü ile Dikkati Başka Yöne Çekme Uygulamasının Ağrı ve Anksiyete Üzerine Etkisi: Randomize Kontrollü Deneysel Çalışma

Öz

Amaç: Lokal anestezi altında gerçekleştirilen cerrahi işlemlerde bireylerde oluşan ağrı ve anksiyete yönetilmesi gereken önemli sağlık bakım sorunlarındandır. Bu araştırma lipom eksizyonu sırasında stres küpü kullanılarak dikkati başka yöne çekmenin ağrı ve anksiyete üzerine etkisinin değerlendirilmesi amacı ile gerçekleştirilmiştir. Gereç ve Yöntem: Araştırma 1 Ekim 2019-1 Mart 2020 tarihleri arasında gerçekleştirilmiştir. Lokal anestezi altında lipom eksizyonu yapılacak, 18 yaşından büyük, yeterli görme, işitme ve konuşma işlevlerine sahip, Türkçe bilen, çalışmaya katılmayı kabul eden bireyler çalışmaya dahil edilmiştir. Verilerin toplanmasında Kişisel Bilgi Formu, Durumluk Kaygı Envanteri ve Sayısal Derecelendirme Ölçeği kullanılmıştır. Çalışma müdahale grubunda 46 kontrol grubunda 46 olmak üzere toplam 92 bireyle gerçekleştirilmiştir. Müdahale grubu lipom eksizyonu sırasında stres küpü kullanmış, kontrol grubu hastanedeki rutin tedavisini almıştır. Bulgular: Katılımcıların %68,5’i erkek, %31,5’i kadındır. Araştırmaya katılan bireylerin yaş ortalaması müdahale (41,67±11,48) ve kontrol (44,59±13,83) grubunda benzerdir (p=0,275). Eksizyon işlemi sırasındaki ağrı şiddeti ortalamaları bakımından müdahale (2,67±1,69) ve kontrol (4,46±2,82) grubu arasında istatistiksel anlamlı bir fark vardır (p<0,001). Eksizyon işlemi öncesi müdahale (38,63±5,24) ve kontrol (40,39±6,04) grubunun anksiyete puan ortalamaları benzerdir (p=0,139). Girişim sonrası gruplar arasında (Müdahale grubu=42,63±5,26; Kontrol grubu= 41,76±5,50) anksiyete puan ortalamaları arasında anlamlı fark yoktur (p=0,440). Sonuç: Bu araştırma sonucunda yapılan girişimin lipom eksizyonu sırasındaki ağrıyı azalttığı ancak anksiyete üzerine etkisinin olmadığı belirlenmiştir. Bu girişimin lokal anestezi altında gerçekleştirilen lipom eksiyonlarında işlem sırasındaki ağrının azaltılmasında rutin olarak kullanılması önerilmiştir

Anahtar Kelimeler

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Details

Primary Language

Turkish

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Saliha Bozdoğan Yeşilot ^*
0000-0001-6294-6115
Türkiye

Hatice Çiftçi
0000-0002-9901-2962
Türkiye

Mehmet Kemal Yener
0000-0001-7044-8060
Türkiye

Publication Date

September 13, 2021

Submission Date

July 29, 2020

Acceptance Date

January 19, 2021

Published in Issue

Year 2021 Volume: 60 Number: 3

DOI

https://doi.org/10.19161/etd.990564

IZ

https://izlik.org/JA22XK72KZ

Cite

RIS / Bibtex

Vancouver

1.Saliha Bozdoğan Yeşilot, Hatice Çiftçi, Mehmet Kemal Yener. Lokal Anestezi Altında Lipom Eksizyonu Yapılan Bireylerde Stres Küpü ile Dikkati Başka Yöne Çekme Uygulamasının Ağrı ve Anksiyete Üzerine Etkisi: Randomize Kontrollü Deneysel Çalışma. EJM. 2021 Sep. 1;60(3):219-2. doi:10.19161/etd.990564

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