Research Article
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Determining the Difficulties Experienced by Patients in Activities of Daily Living After Appendectomy: A Prospective Observational Study

Year 2023, Volume: 5 Issue: 3, 171 - 178, 13.12.2023
https://doi.org/10.48071/sbuhemsirelik.1278304

Abstract

Introduction: Appendectomies are among the most frequently performed emergency surgical
procedures and patients often encounter difficulties in performing activities of daily living.
Aim: The aim of this study was to determine the difficulties experienced by patients after appendectomy.
Method: A total of 60 patients who underwent an appendectomy were included in the study was
conducted. The data of the study were collected using Personal Information Form and the Effect of
the Surgery on the Patients’ Daily Life Activities form. Descriptive statistical methods, Mann Whitney
U, and Friedman tests were used to evaluate the data.
Results: After appendectomy surgery, patients experienced difficulties in performing activities of daily
living and these difficulties were higher in the first two weeks but decreased statistically significantly
over time (p < 0.05). Postoperative nausea and vomiting 0.53 ± 1.2, pain during mobilization 4.07
± 1.41, loss of appetite 0.7 ± 1.26, discomfort at the wound site 1.47 ± 1.78, and the desire to hide
the wound 0.4 ± 1.07 were more common in the female patients than in the male patients after
the appendectomy. In addition, patients who underwent open appendectomy experienced more
postoperative difficulty (p < 0.05).
Conclusion: From the results of the study, the patients undergoing appendectomy experienced
difficulties. It is recommended that patients who have undergone an appendectomy be followed up
by phone and provided counseling after discharge in order to prevent the potential difficulties they
may experience.

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References

  • Addiss, D.G., Shaffer, N., Fowler, B.S., & Tauxe, R.V. (1990). The epidemiology of appendicitis and appendectomy in the United States. Am Journal Epidemiol, 132, 910–925. doi: 10.1093/oxfordjournals.aje.a115734.
  • Alsoueni, H., Mohammed, M., Nawar, A., & Ali, A.A. (2020). Laparoscopic appendectomy versus open appendectomy in young female patients. Benha Medical Journal, 37(1), 271-284. doi: 10.21608/bmfj.2020.85868
  • Atasayar, S., & Guler Demir, S. (2019). Determination of the Problems Experienced by patients post thyroidectomy. Clinical Nursing Research, 28(5),615-635. doi:10.1177/ 1054773817729074.
  • Aydoğdu, Ö., & Yılmaz, Ü.D. (2020). Patient’s experiences and difficulties at home following day surgery. Turkiye Klinikleri Journal Nursing Science, 12(1), 1-9. doi: 10.5336/nurses.2019-66571.
  • Becker, P., Fichtner-Feigl, S., & Schilling, D. (2018). Clinical management of appendicitis. Visceral Medicine, 34(6),453-458. doi:10.1159/000494883.
  • Best, J.T., Musgrave, B., Pratt, K., Hill, R., Evans, C., & Corbitt, D. (2018). The impact of scripted pain education on patient satisfaction in outpatient abdominal surgery patients. Journal of Perianesthesia Nursing, 33(4), 453- 460. doi: 10.1016/j.jopan.2016.02.014.
  • Biondi, A., Di Stefano, C., Ferrara, F., Bellia, A., Vacante, M., & Piazza, L.(2016). Laparoscopic versus open appendectomy: a retrospective cohort study assessing outcomes and cost-effectiveness. World Journal Emergence Surgery, 11(1), 44. doi:10.1186/s13017-016-0102-5.
  • Bozkul, G., & Bulut, H. (2018). Apendektomi Cerrahisi Uygulanan Hastanın Hemşirelik Bakımı: Olgu Sunumu. 6. International 17. National Nursing Congress, Ankara, Turkey. (Poster Statement). 787. (in Turkish)
  • Cachemaille, M., Grass, F., Fournier, N., Suter, M. R., Demartines, N., Hübner,M., Blanc C. (2020). Pain Intensity in the first 96 hours after abdominal surgery: A Prospective cohort study. Pain Medicine, 21(4), 803-813. doi:10.1093/pm/pnz156.
  • Çelik, Y., & Erbil, O.A. (2019). Comparison of complications of open and laparoscopic appendectomy, Laparoscopic Endoscopic Surgical Sciences, 26(1), 5-10. doi: 10.14744/less.2019.06332
  • Das, N.T., & Deshpande, C. (2017). Effects of intraperitoneal local anaesthetics bupivacaine and ropivacaine versus placebo on postoperative pain after laparoscopic cholecystectomy: A randomised double-blind study. Journal Clinical Diagnostic Research, 11(7), UC08-UC12. doi:10.7860/ JCDR/2017/26162.10188.
  • Deshmukh, S.N., & Pawar, A.P. (2020). Open versus laparoscopic appendicectomy: A prospective comparative study. International Surgical Journal, 7, 1122-6. doi: 10.18203/2349-2902.isj20201383.
  • Haripriya, A., & Baghel, A. (2020). A comparative study of laparoscopic appendectomy versus open appendectomy for the treatment of acute appendicitis. Journal of Advanced Medical and Dental Sciences Research, 8(12), 42-45. doi: 10.21276/jamdsr.
  • Hofmann, D., Murray, C., Beck, J., & Homann, R. (2017). Acupressure in management of postoperative nausea and vomiting in high-risk ambulatory surgical patients. Journal of Perianesthesia Nursing. 32(4), 271-278. doi: 10.1016/j.jopan.2015.09.010.
  • Kalas, G.L., Akhtar, N., Khan, A.H., & Altaf, A. (2019). Early post-operative pain in Laparoscopic appendectomy versus open appendectomy, Pakistan Journal Surgical,35(3),201-04.
  • Karahan, A., Kav, S., Abbasoğlu, A., Doğan, N., & Tepe, A. (2010). Patients’experiences and difficulties in the home environment following day surgery.Hemşirelikte Araştırma ve Geliştirme Dergisi, 12(3), 38-48.
  • Kehlet, H. (2018). Postoperative pain, analgesia, and recovery-bedfellows that cannot be ignored. Pain, 159 (1), 11-16. doi: 10.1097/j.pain.0000000000001243.
  • Khadilkar, R., Panditrao, A.A., & Inturi, R. (2020). A comparative study of laparoscopic appendectomy versus open appendectomy. International Surgical Journal, 7, 138-43.
  • Kırman, Ü.N., Keser, B.N., Akten, H., Çolapkulu, N., Sürek, A., Erçetin, C., …Alimoğlu, O. (2022). Acute appendicitis in Istanbul: An 8-year retrospective cohort study. Medical Journal Bakirkoy, 18, 21-24.
  • Kokotovic, D., Berkfors, A., Gögenur, I., Ekeloef, S., & Burcharth, J. (2021). The effect of postoperative respiratory and mobilization interventions on postoperative complications following abdominal surgery: a systematic review and meta-analysis. European Journal of Trauma and Emergency Surgery, 47(4), 975-990. doi:10.1007/s00068-020-01522-x.
  • Koumarelas, K., Theodoropoulos, G.E., Spyropoulos, B.G., Bramis, K., Manouras, A., & Zografos, G. (2014). A prospective longitudinal evaluation and affecting factors of health-related quality of life after appendectomy. International Journal of Surgery, 12(8),848-857. doi: 10.1016/j.ijsu.2014.06.015.
  • Kumar, S., Jalan, A., Patowary, B.N., & Shrestha, S. (2016). Laparoscopic appendectomy versus open appendectomy for acute appendicitis: A prospective comparative study. Kathmandu University Medical Journal, 14(55),244-248.
  • Licari, L., Guercio, G., Campanella, S., Scerrino, G., Bonventre, S., Tutino, R.,… Salamone, G. (2019). Clinical and functional outcome after abdominal wall incisional hernia repair: Evaluation of quality-of-life improvement and comparison of assessment scales. World Journal Surgical, 43(8),1914- 1920. doi:10.1007/s00268-019-05003-0
  • Melese Ayele, W. (2021). Prevalence of postoperative unfavorable outcome and associated factors in patients with appendicitis: A cross-sectional study. Open Access Emergency Medicine, 13, 169-176. doi:10.2147/OAEM. S305905.
  • Nilsson, U., Jaensson, M., Dahlberg, K., & Hugelius, K. (2019). Postoperative recovery after general and regional anesthesia in patients undergoing day surgery: A mixed methods study. Journal of Perianesthesia Nursing, 34(3), 517-528. doi: 10.1016/j.jopan.2018.08.003.
  • Powell, R., Scott, N. W., Manyande, A., Bruce, J., Vögele, C., Byrne-Davis,… Johnston, M. (2016). Psychological preparation and postoperative outcomes for adults undergoing surgery under general anaesthesia. The Cochrane Database of Systematic Reviews, (5), CD008646. doi:10.1002/14651858. CD008646.pub2
  • Rafiq, M.S., & Khan, M.M. (2016). Scar pain, cosmesis and patient satisfaction in laparoscopic and open cholecystectomy. Journal of the College of Physicians and Surgeons Pakistan, 26 (3), 216-219.
  • Rampes, S., Ma, K., Divecha, Y.A., Alam, A., & Ma, D. (2019). Postoperative sleep disorders and their potential impacts on surgical outcomes. Journal Biomedical Research, 34(4), 271-280. doi:10.7555/JBR.33.20190054.
  • Ribeiro, M.D.C., Simone, J.C.C., Ramiro, T.H.S., Santos, V.S., Nunes M.S., & Alves, J.A.B. (2014). Pain in patients undergoing appendectomy, Revista Dor. São Paulo,15(3), 198-201. doi: 10.5935/1806-0013.20140043.
  • Salazar-Parra M., Guzman-Ramirez B.G., Pintor-Belmontes K.J., Barbosa- Camacho, F. J., Bernal-Hernández, A., Cruz-Neri, …. Gonzalez-Ojeda A. (2020). Gender differences in postoperative pain, nausea and vomiting after elective laparoscopic cholecystectomy. World Journal Surgery, 44(12), 4070-4076. doi:10.1007/s00268-020-05744-3.
  • Seok, Y., Suh, E.E., Yu, S.Y., Park, J., Park, H., & Lee, E. (2021). Effectiveness of integrated education to reduce postoperative nausea, vomiting, and dizziness after abdominal surgery under general anesthesia. International Journal Environment Research and Public Health, 18(11), 6124. doi:10.3390/ ijerph18116124.
  • Su, X., & Wang, D.X. (2018). Improve postoperative sleep: What can we do? Current Opinion Anaesthesiology, 31(1),83-88. doi:10.1097/ ACO.0000000000000538.
  • Subramanian, P., Ramasamy, S., Ng, K.H., Chinna, K., & Rosli, R. (2016). Pain experience and satisfaction with postoperative pain control among surgical patients. International Journal Nursing Practice, 22(3), 232-238. doi:10.1111/ijn.12363.
  • Svensson-Raskh, A., Schandl, A., Holdar, U., Fagevik Olsén, M., & Nygren- Bonnier M. (2020). “I have everything to win and nothing to lose”: Patient experiences of mobilization out of bed immediately after abdominal surgery. Physical Therapy, 100(12), 2079-2089. doi:10.1093/ptj/pzaa168.
  • Urbach, D.R., Harnish, J.L., & Long, G. (2005). Short-term health-related quality of life after abdominal surgery: a conceptual framework. Surgical Innovation. 12(3), 243-247. doi:10.1177/155335060501200310.
  • van Boekel, R.L.M., Warlé, M.C., Nielen, R.G.C., Vissers, K. C. P., van der Sande, R., Bronkhorst, E.M., … Steegers M.A.H. (2019). Relationship between postoperative pain and overall 30-day complications in a broad surgical population: An observational study. Annals of Surgery, 269(5), 856-865. doi:10.1097/SLA.0000000 000002583.
  • Zümrüt Acar, E. & Yıldız Fındık, Ü. (2021). The problems of the patients that after surgery living at home and post-surgery patients problems at home on ilness perception. Journal of Ege Unıversıty Nursing Faculty, 37 (3) , 197-206 . doi: 10.53490/egehemsire.943140

Apendektomi Sonrası Hastaların Günlük Yaşam Aktivitelerinde Yaşadıkları Güçlüklerin Belirlenmesi: Prospektif Gözlemsel Bir Çalışma

Year 2023, Volume: 5 Issue: 3, 171 - 178, 13.12.2023
https://doi.org/10.48071/sbuhemsirelik.1278304

Abstract

Giriş: Apendektomiler en sık uygulanan acil cerrahi prosedürler arasındadır ve hastalar günlük yaşam
aktivitelerini yerine getirmede sıklıkla güçlüklerle karşılaşırlar.
Amaç: Bu çalışmanın amacı hastaların apendektomi ameliyatı sonrası yaşadıkları güçlükleri
belirlemektir.
Yöntem: Çalışmaya apendektomi geçiren toplam 60 hasta dahil edildi. Çalışmanın verileri Hasta
Tanıtıcı Bilgiler Formu ve Ameliyatın Hastaların Günlük Yaşam Aktiviteleri Üzerindeki Etkisi Formu
kullanılarak toplandı. Verilerin değerlendirilmesinde tanımlayıcı istatistiksel yöntemler, Mann Whitney
U ve Friedman testleri kullanıldı.
Bulgular: Apendektomi ameliyatı sonrası hastalar günlük yaşam aktivitelerini gerçekleştirirken güçlük
yaşamıştır ve bu güçlükler ilk iki hafta daha yüksekken zaman içinde istatistiksel olarak anlamlı şekilde
azalmıştır (p < 0,05). Apendektomi ameliyatı sonrasında bulantı ve kusma 0,53 ± 1,2, mobilizasyon
sırasında ağrı 4,07 ± 1,41, iştahsızlık 0,7 ± 1,26, yara yerinde rahatsızlık 1,47 ± 1,78 ve yarayı gizleme isteği
0.4±1.07 kadın hastalarda erkek hastalara kıyasla daha yaygındır. Ayrıca, açık apendektomi geçiren
hastalar ameliyat sonrası daha fazla güçlük yaşamıştır (p < 0,05).
Sonuç: Çalışmanın sonuçlarına göre, apendektomi geçiren hastalar güçlükler yaşamıştır. Apendektomi
geçiren hastaların yaşayabilecekleri olası güçlükleri önlemek için taburcu olduktan sonra telefonla takip
edilmeleri ve danışmanlık verilmesi önerilmektedir.

Project Number

-

References

  • Addiss, D.G., Shaffer, N., Fowler, B.S., & Tauxe, R.V. (1990). The epidemiology of appendicitis and appendectomy in the United States. Am Journal Epidemiol, 132, 910–925. doi: 10.1093/oxfordjournals.aje.a115734.
  • Alsoueni, H., Mohammed, M., Nawar, A., & Ali, A.A. (2020). Laparoscopic appendectomy versus open appendectomy in young female patients. Benha Medical Journal, 37(1), 271-284. doi: 10.21608/bmfj.2020.85868
  • Atasayar, S., & Guler Demir, S. (2019). Determination of the Problems Experienced by patients post thyroidectomy. Clinical Nursing Research, 28(5),615-635. doi:10.1177/ 1054773817729074.
  • Aydoğdu, Ö., & Yılmaz, Ü.D. (2020). Patient’s experiences and difficulties at home following day surgery. Turkiye Klinikleri Journal Nursing Science, 12(1), 1-9. doi: 10.5336/nurses.2019-66571.
  • Becker, P., Fichtner-Feigl, S., & Schilling, D. (2018). Clinical management of appendicitis. Visceral Medicine, 34(6),453-458. doi:10.1159/000494883.
  • Best, J.T., Musgrave, B., Pratt, K., Hill, R., Evans, C., & Corbitt, D. (2018). The impact of scripted pain education on patient satisfaction in outpatient abdominal surgery patients. Journal of Perianesthesia Nursing, 33(4), 453- 460. doi: 10.1016/j.jopan.2016.02.014.
  • Biondi, A., Di Stefano, C., Ferrara, F., Bellia, A., Vacante, M., & Piazza, L.(2016). Laparoscopic versus open appendectomy: a retrospective cohort study assessing outcomes and cost-effectiveness. World Journal Emergence Surgery, 11(1), 44. doi:10.1186/s13017-016-0102-5.
  • Bozkul, G., & Bulut, H. (2018). Apendektomi Cerrahisi Uygulanan Hastanın Hemşirelik Bakımı: Olgu Sunumu. 6. International 17. National Nursing Congress, Ankara, Turkey. (Poster Statement). 787. (in Turkish)
  • Cachemaille, M., Grass, F., Fournier, N., Suter, M. R., Demartines, N., Hübner,M., Blanc C. (2020). Pain Intensity in the first 96 hours after abdominal surgery: A Prospective cohort study. Pain Medicine, 21(4), 803-813. doi:10.1093/pm/pnz156.
  • Çelik, Y., & Erbil, O.A. (2019). Comparison of complications of open and laparoscopic appendectomy, Laparoscopic Endoscopic Surgical Sciences, 26(1), 5-10. doi: 10.14744/less.2019.06332
  • Das, N.T., & Deshpande, C. (2017). Effects of intraperitoneal local anaesthetics bupivacaine and ropivacaine versus placebo on postoperative pain after laparoscopic cholecystectomy: A randomised double-blind study. Journal Clinical Diagnostic Research, 11(7), UC08-UC12. doi:10.7860/ JCDR/2017/26162.10188.
  • Deshmukh, S.N., & Pawar, A.P. (2020). Open versus laparoscopic appendicectomy: A prospective comparative study. International Surgical Journal, 7, 1122-6. doi: 10.18203/2349-2902.isj20201383.
  • Haripriya, A., & Baghel, A. (2020). A comparative study of laparoscopic appendectomy versus open appendectomy for the treatment of acute appendicitis. Journal of Advanced Medical and Dental Sciences Research, 8(12), 42-45. doi: 10.21276/jamdsr.
  • Hofmann, D., Murray, C., Beck, J., & Homann, R. (2017). Acupressure in management of postoperative nausea and vomiting in high-risk ambulatory surgical patients. Journal of Perianesthesia Nursing. 32(4), 271-278. doi: 10.1016/j.jopan.2015.09.010.
  • Kalas, G.L., Akhtar, N., Khan, A.H., & Altaf, A. (2019). Early post-operative pain in Laparoscopic appendectomy versus open appendectomy, Pakistan Journal Surgical,35(3),201-04.
  • Karahan, A., Kav, S., Abbasoğlu, A., Doğan, N., & Tepe, A. (2010). Patients’experiences and difficulties in the home environment following day surgery.Hemşirelikte Araştırma ve Geliştirme Dergisi, 12(3), 38-48.
  • Kehlet, H. (2018). Postoperative pain, analgesia, and recovery-bedfellows that cannot be ignored. Pain, 159 (1), 11-16. doi: 10.1097/j.pain.0000000000001243.
  • Khadilkar, R., Panditrao, A.A., & Inturi, R. (2020). A comparative study of laparoscopic appendectomy versus open appendectomy. International Surgical Journal, 7, 138-43.
  • Kırman, Ü.N., Keser, B.N., Akten, H., Çolapkulu, N., Sürek, A., Erçetin, C., …Alimoğlu, O. (2022). Acute appendicitis in Istanbul: An 8-year retrospective cohort study. Medical Journal Bakirkoy, 18, 21-24.
  • Kokotovic, D., Berkfors, A., Gögenur, I., Ekeloef, S., & Burcharth, J. (2021). The effect of postoperative respiratory and mobilization interventions on postoperative complications following abdominal surgery: a systematic review and meta-analysis. European Journal of Trauma and Emergency Surgery, 47(4), 975-990. doi:10.1007/s00068-020-01522-x.
  • Koumarelas, K., Theodoropoulos, G.E., Spyropoulos, B.G., Bramis, K., Manouras, A., & Zografos, G. (2014). A prospective longitudinal evaluation and affecting factors of health-related quality of life after appendectomy. International Journal of Surgery, 12(8),848-857. doi: 10.1016/j.ijsu.2014.06.015.
  • Kumar, S., Jalan, A., Patowary, B.N., & Shrestha, S. (2016). Laparoscopic appendectomy versus open appendectomy for acute appendicitis: A prospective comparative study. Kathmandu University Medical Journal, 14(55),244-248.
  • Licari, L., Guercio, G., Campanella, S., Scerrino, G., Bonventre, S., Tutino, R.,… Salamone, G. (2019). Clinical and functional outcome after abdominal wall incisional hernia repair: Evaluation of quality-of-life improvement and comparison of assessment scales. World Journal Surgical, 43(8),1914- 1920. doi:10.1007/s00268-019-05003-0
  • Melese Ayele, W. (2021). Prevalence of postoperative unfavorable outcome and associated factors in patients with appendicitis: A cross-sectional study. Open Access Emergency Medicine, 13, 169-176. doi:10.2147/OAEM. S305905.
  • Nilsson, U., Jaensson, M., Dahlberg, K., & Hugelius, K. (2019). Postoperative recovery after general and regional anesthesia in patients undergoing day surgery: A mixed methods study. Journal of Perianesthesia Nursing, 34(3), 517-528. doi: 10.1016/j.jopan.2018.08.003.
  • Powell, R., Scott, N. W., Manyande, A., Bruce, J., Vögele, C., Byrne-Davis,… Johnston, M. (2016). Psychological preparation and postoperative outcomes for adults undergoing surgery under general anaesthesia. The Cochrane Database of Systematic Reviews, (5), CD008646. doi:10.1002/14651858. CD008646.pub2
  • Rafiq, M.S., & Khan, M.M. (2016). Scar pain, cosmesis and patient satisfaction in laparoscopic and open cholecystectomy. Journal of the College of Physicians and Surgeons Pakistan, 26 (3), 216-219.
  • Rampes, S., Ma, K., Divecha, Y.A., Alam, A., & Ma, D. (2019). Postoperative sleep disorders and their potential impacts on surgical outcomes. Journal Biomedical Research, 34(4), 271-280. doi:10.7555/JBR.33.20190054.
  • Ribeiro, M.D.C., Simone, J.C.C., Ramiro, T.H.S., Santos, V.S., Nunes M.S., & Alves, J.A.B. (2014). Pain in patients undergoing appendectomy, Revista Dor. São Paulo,15(3), 198-201. doi: 10.5935/1806-0013.20140043.
  • Salazar-Parra M., Guzman-Ramirez B.G., Pintor-Belmontes K.J., Barbosa- Camacho, F. J., Bernal-Hernández, A., Cruz-Neri, …. Gonzalez-Ojeda A. (2020). Gender differences in postoperative pain, nausea and vomiting after elective laparoscopic cholecystectomy. World Journal Surgery, 44(12), 4070-4076. doi:10.1007/s00268-020-05744-3.
  • Seok, Y., Suh, E.E., Yu, S.Y., Park, J., Park, H., & Lee, E. (2021). Effectiveness of integrated education to reduce postoperative nausea, vomiting, and dizziness after abdominal surgery under general anesthesia. International Journal Environment Research and Public Health, 18(11), 6124. doi:10.3390/ ijerph18116124.
  • Su, X., & Wang, D.X. (2018). Improve postoperative sleep: What can we do? Current Opinion Anaesthesiology, 31(1),83-88. doi:10.1097/ ACO.0000000000000538.
  • Subramanian, P., Ramasamy, S., Ng, K.H., Chinna, K., & Rosli, R. (2016). Pain experience and satisfaction with postoperative pain control among surgical patients. International Journal Nursing Practice, 22(3), 232-238. doi:10.1111/ijn.12363.
  • Svensson-Raskh, A., Schandl, A., Holdar, U., Fagevik Olsén, M., & Nygren- Bonnier M. (2020). “I have everything to win and nothing to lose”: Patient experiences of mobilization out of bed immediately after abdominal surgery. Physical Therapy, 100(12), 2079-2089. doi:10.1093/ptj/pzaa168.
  • Urbach, D.R., Harnish, J.L., & Long, G. (2005). Short-term health-related quality of life after abdominal surgery: a conceptual framework. Surgical Innovation. 12(3), 243-247. doi:10.1177/155335060501200310.
  • van Boekel, R.L.M., Warlé, M.C., Nielen, R.G.C., Vissers, K. C. P., van der Sande, R., Bronkhorst, E.M., … Steegers M.A.H. (2019). Relationship between postoperative pain and overall 30-day complications in a broad surgical population: An observational study. Annals of Surgery, 269(5), 856-865. doi:10.1097/SLA.0000000 000002583.
  • Zümrüt Acar, E. & Yıldız Fındık, Ü. (2021). The problems of the patients that after surgery living at home and post-surgery patients problems at home on ilness perception. Journal of Ege Unıversıty Nursing Faculty, 37 (3) , 197-206 . doi: 10.53490/egehemsire.943140
There are 37 citations in total.

Details

Primary Language English
Subjects Nursing
Journal Section Araştırma Makaleleri
Authors

Gamze Bozkul 0000-0002-7509-9741

Hülya Bulut 0000-0001-8241-989X

Project Number -
Early Pub Date December 8, 2023
Publication Date December 13, 2023
Published in Issue Year 2023 Volume: 5 Issue: 3

Cite

APA Bozkul, G., & Bulut, H. (2023). Determining the Difficulties Experienced by Patients in Activities of Daily Living After Appendectomy: A Prospective Observational Study. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi, 5(3), 171-178. https://doi.org/10.48071/sbuhemsirelik.1278304
AMA Bozkul G, Bulut H. Determining the Difficulties Experienced by Patients in Activities of Daily Living After Appendectomy: A Prospective Observational Study. UHSJN. December 2023;5(3):171-178. doi:10.48071/sbuhemsirelik.1278304
Chicago Bozkul, Gamze, and Hülya Bulut. “Determining the Difficulties Experienced by Patients in Activities of Daily Living After Appendectomy: A Prospective Observational Study”. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi 5, no. 3 (December 2023): 171-78. https://doi.org/10.48071/sbuhemsirelik.1278304.
EndNote Bozkul G, Bulut H (December 1, 2023) Determining the Difficulties Experienced by Patients in Activities of Daily Living After Appendectomy: A Prospective Observational Study. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi 5 3 171–178.
IEEE G. Bozkul and H. Bulut, “Determining the Difficulties Experienced by Patients in Activities of Daily Living After Appendectomy: A Prospective Observational Study”, UHSJN, vol. 5, no. 3, pp. 171–178, 2023, doi: 10.48071/sbuhemsirelik.1278304.
ISNAD Bozkul, Gamze - Bulut, Hülya. “Determining the Difficulties Experienced by Patients in Activities of Daily Living After Appendectomy: A Prospective Observational Study”. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi 5/3 (December 2023), 171-178. https://doi.org/10.48071/sbuhemsirelik.1278304.
JAMA Bozkul G, Bulut H. Determining the Difficulties Experienced by Patients in Activities of Daily Living After Appendectomy: A Prospective Observational Study. UHSJN. 2023;5:171–178.
MLA Bozkul, Gamze and Hülya Bulut. “Determining the Difficulties Experienced by Patients in Activities of Daily Living After Appendectomy: A Prospective Observational Study”. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi, vol. 5, no. 3, 2023, pp. 171-8, doi:10.48071/sbuhemsirelik.1278304.
Vancouver Bozkul G, Bulut H. Determining the Difficulties Experienced by Patients in Activities of Daily Living After Appendectomy: A Prospective Observational Study. UHSJN. 2023;5(3):171-8.

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