Bel fıtığı ameliyatı sonrası soğuk uygulamanın ağrı, anksiyete-depresyon, fonksiyonellik düzeyi ve yaşam kalitesine etkisi
Bibliographic record
Abstract
Amaç:Araştırma bel fıtığı ameliyatı sonrası soğuk uygulamanın ağrı, anksiyete-depresyon, fonksiyonellik düzeyi ve yaşam kalitesine etkisini incelemek amacıyla randomize kontrollü çalışma olarak yapıldı. \nGereç ve Yöntem:Araştırmanın evrenini Sağlık Bakanlığı’na bağlı bireğitim ve araştırma hastanesinin beyin ve sinir cerrahisi kliniğindebel fıtığı nedeniyle ameliyat olan hastalar oluşturdu. Örneklem büyüklüğü güç analizi yapılarak belirlenmiş olupdeney ve kontrol grubunda 30 hasta olmak üzere toplam 60 hasta olarak belirlendi.Veriler araştırmacı tarafından hazırlanan “Tanıtıcı Özellikler Formu”, “Hasta Takip Formları” ile Türkiye’de geçerlilik ve güvenirlilik çalışmaları yapılan “Kısa Form McGill Ağrı Anketi”,“Sayısal Değerlendirme Ölçeği”, “Roland Morris Engellilik Anketi”, “Hastane Anksiyete ve Depresyon Ölçeği” ve “Kısa Form SF-36 Yaşam Kalitesi Ölçeği” aracılığıyla toplandı. Verilerin değerlendirilmesinde oran, orantı, ortalama (x̄), standart sapma (SD), Student t testi, Mann Whitney U, Paired Sample t, Wilcoxon Signed Ranks, Repeated Measures test (Tekrarlı ölçümlerde Varyans Analizi), Friedman test, Spearman korelasyon analizi, Pearson Ki-Kare, Fisher Freeman Halton ve Fisher’s Exact testi kullanıldı. \nBulgular: Kontrol grubu hastalara göre soğuk uygulama yapılan deney grubu hastaların ameliyat öncesi ve taburculuktan 1 ay sonraağrı, engellilik, anksiyete-depresyon ve yaşam kalitesi düzeyleri arasında istatistiksel olarak anlamlı fark (p<0,05) belirlendi. \nSonuç: Araştırmada elde edilen bulgular,ameliyat sonrası uygulanan soğuk uygulamanın hastaların ağrı, engellilik, anksiyete-depresyon ve yaşam kalitesi düzeyleri üzerinde olumlu etkisi olduğunu gösterdi. Hastaların hastanede yattıkları süreçte uygulanan rutin hemşirelik bakımına ek olarak soğuk uygulamanın da rutin bakımın bir parçası olarak kullanılması ve taburculuk eğitimlerinde konuya yer verilmesi önerilir. \n \n-------------------- \nAim:This randomized controlled study was carried out in order to investigate the effect of cold application following herniated disk surgery on pain, anxiety-depression, functionality, and quality of life. \nMaterials and Method:The study population included patients who underwent herniated disk surgery in the neurosurgery clinic of a research and training hospital under the Ministry of Health. The minimal sample size in the population was specified by carrying out a power analysis and it included 60 patients in total, 30 in the experimental group and 30 in the control group. The data were collected using the Characteristic Features Form and the Patient Monitoring Forms prepared by the researcher and the Short-form McGill Pain Questionnaire, the Numerical Assessment Scale, the Roland-Morris Disability Questionnaire, the Hospital Anxiety and Depression Scale, and the Short-form SF-36 Quality of Life Scale, the validity and reliability of which were studied in Turkey. Rate, ratio, mean (x̄), standard deviation (SD), Student t-test, Mann Whitney U, Paired Sample t, Wilcoxon Signed Ranks, Repeated Measures test (variance analysis in repeated measures), Friedman test, Spearman correlation analysis, Pearson Chi-square, Fisher Freeman Halton, and Fisher’s Exact tests were used for the assessment of data. \nFindings:A statistically significant difference (p< 0.05) was determined between the levels of pain, disability, anxiety-depression, and quality of life prior to the surgery and 1 month after the discharge in the control patients receiving cold application compared to the control patients. \nConclusion:The data obtained in the study revealed that cold application following surgery had a positive effect on the levels of pain, disability, anxiety-depression, and quality of life of patients. It is recommended that cold application be used as part of routine care in addition to the routine nursing care implemented during the hospitalization of patients and be included in discharge trainings.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.005 | 0.008 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.002 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.037 | 0.006 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".