factors affectıng the perıanesthesıa patıent comfort

FACTORS AFFECTING THE PERIANESTHESIA
PATIENT COMFORT
Research Assistant Dilara Kunter
Adnan Menderes University/AYDIN/TURKEY
Patient comfort is one of the
important concepts used in
assessing the quality of nursing
care, and stands as a primary
concept in all attempts.
Pain
Physical
Anxiety
Psychospitual
Distress
Socio-cultural
Sadness
Environmental
SURGERY CAUSES THE EMERGENCE OF EXPERİENCES AFFECTİNG THE PATİENT COMFORT.
Nausea
Pain
Vomiting
Hypo
thermia
Anxiety
After the comfort
necessities of the patient
are determined, the nurse
must explore the factors
affecting the comfort
adversely and attempt to
reduce the effects on
patient.
With the implementation of oral
carbonhydrate solution before surgery,
the patient experiences less
preoperative feeling of hunger, anxiety,
thirstiness, dryness of the mouth, the
feeling of nausea; and after the surgery,
nausea and vomiting frequency and
necessity to analgesia decrease (2).
To inform patients before surgery about
how they will feel after surgery, where
they will be when they wake up, and
which restrictions will come up reduces
the level of anxiety after surgery and
pain scores are at lower levels (6, 7, 8).
With the preservation of
normothermia, time to stay in
reanimation unit after surgery
shortens, less blood loss occurs, and
development of infection and cardiac
complications decrease (3,9).
It is stated that relief of pain is closely
related to comfort, one of the most
important standards in perianesthesia
patient is pain assessment, and also
institutional support and the education
of medical staff play a key role (5).
As a result of these, the cost reduces, duration of stay in the hospital shortens, personel
employment period shortens, and the satisfaction of patient, nurse and staff increases.
1. Aygin, D. (2012). Perioperatif Bakımda Güncel Yaklaşımlar, Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 15(1): 63-67.
2. Ayoğlu, H., Uçan, B., Taşçılar, Ö., Atik, L., Kaptan, Y. M. ve Turan, I. Ö. (2009). Preoperatif Oral Karbonhidrat Solüsyonu Kullanılmasının Hasta Anksiyetesi ve
Konforu Üzerine Etkileri, Türk Anestezi ve Reanimasyon Dergisi, 37(6): 374-382.
3. Deren, M. D., Machan, J. T., DiGiovanni, C. W., Ehrlich, G. H. and Gillerman, R. G. (2011). Prewarming Operating Rooms for Prevention of Intraoperative
Hypothermia During Total Knee and Hip Arthroplasties, The Journal of Arthroplasty, 26(8): 1380-1386.
4. Erdemir, F. ve Çırlak, A. (2013). Rahatlık Kavramı ve Hemşirelikte Kullanımı, Dokuz Eylül Üniversitesi Hemşirelik Yüksekokul Elektronik Dergisi, 6(4): 224230.
5. Krenzischek, D. A., Windle, P. and Mamaril, M. (2004). A Survey of Current PeriAnesthesia Nursing Practice for Pain and Comfort Management, Journal of
PeriAnesthesia Nursing, 19(3): 138-149.
6. Wilson, L. and Kolcaba, K. (2004). Practical Application of Comfort Theory in Perianesthesia Setting, Journal of PeriAnesthesia Nursing, 19(3): 164-173.
7. Wilson, L. and Kolcaba, K. (2002). Comfort Care: A Framework for Perianesthesia Nursing, Journal of PeriAnesthesia Nursing, 17(2): 102-114.
8. Taşdemir, A., Erakgün, A., Deniz, M. N. ve Çertuğ, A. (2013). Preoperatif Bilgilendirme Yapılan Hastalarda Ameliyat Öncesi ve Sonrası Anksiyete
Düzeylerinin State-Trait Anxiety Inventory Test ile Karşılaştırılması, Türk Anestezi ve Reanimasyon Dergisi, 41: 44-49.
9. Türk Anesteziyoloji ve Reanimasyon Derneği İstenmeyen Perioperatif Hipoterminin Önlenmesi Rehberi (2013). Türk Anestezi ve Reanimasyon Dergisi, 41:
188-90.
Abstract ID: PP 087