Meme cerrahisinde preoperatif anksiyete ve akupresürün postoperatif bulanti ve kusmaya etkisi

Yazarlar

  • Gülşah Yurtseven Department of Anesthesiology and Reanimation, Ankara Atatürk Sanatoryum Eğitim ve Araştırma Hastanesi Ankara, Turkey.
  • Selda Muslu Department of Anesthesiology and Reanimation, Ankara Dr. Abdurrahman Yurtaslan Onkoloji Eğitim ve Araştırma Hastanesi Ankara, Turkey
  • Dilek Kalaycı Department of Anesthesiology and Reanimation, Ankara Dr. Abdurrahman Yurtaslan Onkoloji Eğitim ve Araştırma Hastanesi Ankara, Turkey
  • Suheyla Ünver Department of Anesthesiology and Reanimation, Ankara Dr. Abdurrahman Yurtaslan Onkoloji Eğitim ve Araştırma Hastanesi Ankara

DOI:

https://doi.org/10.5281/zenodo.7077636

Anahtar Kelimeler:

Ameliyat Sonrası Bulantı ve Kusma, Akupunktur, Akupresür, Nei Guan Akupunktur Noktası

Özet

Amaç: Bulantı ve kusma, ameliyat ve anestezi sonrası sık görülen komplikasyonlardır. Antiemetik ilaçlar postoperatif bulantı ve kusmayı önlemede oldukça etkilidir, ancak maliyetler artabilir ve istenmeyen yan etkiler ortaya çıkabilir. Akupunktur stimülasyon yöntemleri, ameliyat sonrası bulantı ve kusmayı başarılı bir şekilde önler ve invaziv değildir. Bu çalışmanın amacı meme cerrahisi geçiren hastalarda akupunktur noktasının postoperatif bulantı ve kusma üzerindeki etkinliğini değerlendirmektir. Gereç-Yöntem: Çalışmaya 18-60 yaş arası hastalar dahil edilmiştir. Hastalar iki gruptan birine randomize edilmiştir: akupresür ve kontrol. Akupresür grubunda ameliyattan 30 dakika önce P6 noktasına akupresür bileklikleri yerleştirilmiştir. Kontrollerde, akupunktur noktası olmayan bir bölgeye bilek bantları yerleştirilmiştir. Bulgular: Elli hasta akupresür aldı ve 50 hasta kontrol olarak incelendi. Gruplar arasında demografik özellikler açısından anlamlı fark yoktur. Postoperatif 24. saatte akupresür grubundaki hastaların %46'sında, kontrol grubunun %74'ünde bulantı ve kusma görülmüştür. Gruplar arasındaki fark anlamlıdır (p<0.05). 1, 4, 12, 18 ve 24. saatlerde postoperatif bulantı kusma skorları arasında anlamlı fark yoktur. Akupresür grubunda ameliyat sonrası bulantı ve kusma şiddeti anlamlı olarak daha düşüktür (p<0.05). Benzer şekilde antiemetik kullanım insidansı da anlamlı olarak daha düşüktür. Sonuç: Antiemetik ilaçlarla karşılaştırıldığında, akupresür ile herhangi bir yan etki veya ilaç etkileşimi yoktur. Böylece hastalar kolaylıkla kabul edebilirler. Bu nedenle, akupresür postoperatif antiemetik tedavi için etkili bir alternatif tedavi olabilir.

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İndir

Yayınlanmış

2022-07-27

Nasıl Atıf Yapılır

Yurtseven, G., Muslu, S., Kalaycı, D., & Ünver, S. (2022). Meme cerrahisinde preoperatif anksiyete ve akupresürün postoperatif bulanti ve kusmaya etkisi. Journal of Social and Analytical Health, 2(3), 233–238. https://doi.org/10.5281/zenodo.7077636

Sayı

Cilt 2 Sayı 3 (2022): JOURNAL OF SOCIAL AND ANALYTICAL HEALTH

Bölüm

Araştırma Makalesi

Lisans

Telif Hakkı (c) 2022 Journal of Social and Analytical Health

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