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Yıl:2014; Cilt: 5; Sayı: 2>> Özet
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Psikiyatri Hemşireliği Dergisi; 2014;5(2):92-97
Huzurevinde yaşayan yaşlılara uygulanan el masajının ağrı ve depresyona etkisi: pilot çalışma
S Erol, M Ertunç, T Öztürk
Marmara Üniversitesi, İstanbul
Amaç: Bu araştırma, huzurevinde yaşayan yaşlı bireylere uygulanan el masajının ağrı ve depresyona, kan basıncı, nabız ve solunum sayısına etkisini incelemek amacıyla yapıldı. Gereç ve Yöntem: Çalışma ön-son test, tek gruplu yarı deneysel araştırma tasarımı ile İstanbul’da Aile ve Sosyal Politikalar Bakanlığı’na bağlı bir huzurevinde Aralık 2012-Mayıs 2013 tarihleri arasında yürütüldü. Araştırma katılmayı kabul eden toplam 20 yaşlı ile yürütüldü. Araştırmanın verileri, “Anket Formu”, “McGill-Melzack Ağrı Formu” ve “Geriatrik Depresyon Ölçeği” kullanılarak toplandı. El masajı Kolcaba’nın El Masajı Protokolü’ne göre araştırmacılar tarafından haftada üç gün, altı hafta boyunca toplam 18 seans yaşlının odasında uygulandı. Verilerin değerlendirilmesinde Wilcoxon ve Friedman testi kullanıldı. Bulgular: Çalışmada yaşlı bireylerin yaş ortalaması 79.00±6.24 bulundu. Onsekiz seans el masajı sonunda yaşlıların ağrı düzeylerinde (Z=3.207; p=0.001) ve depresyon puanlarında (Z=2.46; p=0.01) istatistiksel olarak anlamlı bir azalma olduğu saptandı. Yaşlıların masaj uygulamasından önce, hemen sonra ve 30 dakika sonra alınan sistolik kan basıncında birinci, üçüncü ve altıncı haftalardaki tüm ölçümlerde istatistiksel olarak anlamlı azalma görüldü (p<0.001). Yaşlıların diyastolik kan basıncı (p<0.05), nabız (p<0.001) ve solum sayısı (p<0.001) değerlerinde, masaj uygulamasından önce, hemen sonra ve 30 dakika sonrasındaki ölçümlerde üçüncü ve altıncı haftalar arasında istatistiksel anlamlı azalma görüldü. Sonuç: El masajının yaşlıların ağrı ve depresyon puanlarını azaltmada etkili olduğu sonucuna varıldı.
The effect of a hand massage on pain and depression in the older people living in a nursing home: pilot study
Objectives: This study was conducted to analyze the effect of a hand massage on pain and depression, blood pressure, pulse and respiration number in older people living in a nursing home. Methods: The research was carried out using pre-post tests in a single- group quasi-experimental design and took place over the period from February to May 2013 in Istanbul. The study was conducted with 20 elderly individuals. The data for the study were collected with the “Questionnaire Form “, “McGill-Melzack Pain Questionnaire,” and the “Geriatric Depression Scale.” The hand massages were administered by the researchers according to the Kolcaba Hand Massage Protocol; the massage was given three days a week during six weeks, a total of 18 sessions, in the individual’s room. The Wilcoxon and Friedman Tests were used in the evaluation. Results: The age of the elderly individuals in the study was 79.00±6.24 years. After the 18 sessions of hand massaging in the study, pain levels of the subjects (p<0.001) and their depression scores (p<0.01) displayed a significant decrease. In systolic blood pressure taken before, immediately after, and 30 minutes after, the massage exhibited a significant decrease after the first, third and sixth weeks in all of the readings (p<0.001). Diastolic blood pressure values, pulse and respiration rates taken before, immediately after, and 30 minutes after, the massage exhibited significant decreases after the third and sixth weeks (p<0.001). Conclusion: It was concluded that hand massage is effective in reducing pain and depression scores in the elderly.

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