Serife Kursun
Selcuk University, Turkey
Title: Determination of old individuals’ problems which they have at their home after surgical intervention
Biography
Biography: Serife Kursun
Abstract
Aim: The research has been done restrictively and in correlational condition in order to determine the problems of individuals aged 65 and older, they live at their homes after surgical operation, to the situation of having a trouble and socio-demographic characteristics, health features and the status of receiving information
Method: The research has been done between the dates of 15th of March and 16th of July in the clinics of brain surgery, general surgery, eye diseases, thoracic surgery, gynecology, cardiovascular surgery, ear, nose and throat surgery, orthopedics and traumatology, plastic and reconstructive surgery and urology in university hospital in Konya. The Research population was consisted of 907 individuals aged 65 and older who stayed in surgery clinics and had operation. The research has been performed with 227 patients by using stratified sampling method. A questionnaire developed by the researcher was used for collecting the data. In the first meeting, the data were collected by the researcher face to face in the rooms of patients and in the second meeting, they were collected face to face in policlinics a week after the discharge and the data of the patients who were not seen were collected by meeting on the phone. The mean, standard deviation, median, frequency and rate, Mann Whitney U test, Pearson's and chi-square test (Yates Continuity Correction, Fisher’s Exact test and Fisher Freeman Halton) have been used for analyzing the data.
Results: There was determined in the study that 74,4% of old people live problems at their homes after the discharge. There was determined that the problems were mostly towards the operating zone (64,3%) and self-care activity (52,9%) and the problems which were lived in minimum level were towards the use of drugs (5,7%) and gastrointestinal system (10,1%), while the kinds of problems lived at homes after the operation were examined. While the status of providing benefits of the discharge education given towards the experienced problems was asked, it was determined that 67,8% of patients specified that this education became beneficial. There was determined a relation between some facts as sexuality, who is responsible for the domiciliary care, previous periods while the patient stayed at hospital, surgery hospital where the patient stayed, the status of staying at hospital after surgery , length of at the total hospital stay and the situation of living problems at home (p<0,01).
Conclusion: Consequently, there has been seen that the old individuals live some problems about the pain and self-care after surgery and the discharge education given is adequate. Relevance to clinical practice: Nurses may be advised to provide adequate discharge training to the patient and his / her family for home care of elder individuals after surgical intervention and to make attempts to gain necessary knowledge and skills.