Effects of Diagnostic Methods for Adenoid Hypertrophy on Anxiety Levels in Children

Year 2025, Volume: 8 Issue: 3, 301 - 307, 22.10.2025

Esra Sizer , Songül Demir , Remzi Oğulcan Çıray , Ediz Yorgancılar

https://doi.org/10.53446/actamednicomedia.1689957

Abstract

Objective: In this study, we aimed to evaluate the effects of lateral nasopharyngography and nasal endoscopy—diagnostic methods used in adenoid hypertrophy—on children’s fear of medical procedures by assessing their emotional and behavioral responses during these procedures. We also examined the impact of these diagnostic methods on parents’ levels of anxiety.
Methods: A total of 135 children aged 4–8 years who presented with suspected adenoid hypertrophy were included; 70 underwent lateral nasopharyngography (GG) and 65 underwent nasal endoscopy (NEG). In both groups, the Children’s Anxiety Scale–State (ÇAS-D) and the Children’s Fear Scale (ÇKÖ) were administered before and after the procedure, while parents completed the State Anxiety Inventory (STAI–State) after the procedure.
Results: No significant differences were found between the NEG and GG groups in terms of age or gender (p=0.211; p=0.233). Before the procedure, there were no significant differences between the groups in Children’s Fear Scale or Children’s Anxiety Scale–State scores (p=0.583; p=0.059). After the procedure, the mean Children’s Fear Scale score in the NEG group (2.80 ± 1.12) was significantly higher than that in the GG group (0.86 ± 1.03) (p<0.001). Similarly, the mean Children’s Anxiety Scale–State score was also significantly higher in the NEG group (7.00 ± 2.46) than in the GG group (3.17 ± 1.93) (p<0.001). Additionally, the effect of the diagnostic method on both scales was found to vary by gender (p=0.012; p=0.001).
Conclusion: Nasal endoscopy was observed to cause higher levels of anxiety in both children and their parents compared to lateral nasopharyngography. Therefore, as with all medical procedures, it is recommended that information aimed at reducing pre-procedural anxiety in children be tailored specifically to the procedure; structured by considering individual characteristics such as age, gender, and cognitive development level; and, if necessary, reinforced with supportive psychosocial approaches.

Keywords

Adenoid hypertrophy , Anxiety , Child , Endoscopy , Radiography

Çocuklarda Adenoid Hipertrofisi Tanısında Kullanılan Yöntemlerin Kaygı Üzerindeki Etkileri

Abstract

Amaç: Bu çalışmada, adenoid hipertrofisi tanısında kullanılan lateral nazofaringografi ve nazal endoskopi sırasında çocukların duygusal ve davranışsal tepkilerini değerlendirerek bu yöntemlerin tıbbi işlem korkusu üzerindeki etkilerini, ayrıca ebeveynlerin kaygı düzeyleri üzerindeki etkilerini incelemeyi amaçladık.
Yöntem: Adenoid hipertrofisi şüphesiyle başvuran 4–8 yaş aralığındaki toplam 135 çocuk değerlendirildi; 70’ine lateral nazofaringografi (GG), 65’ine nazal endoskopi (NEG) uygulandı. Her iki grupta işlem öncesi ve sonrası Çocuk Anksiyete Skalası–Durumluluk (ÇAS-D) ve Çocuk Korku Ölçeği (ÇKÖ), ebeveynlere ise işlem sonrası Durumluk Kaygı Envanteri (STAI–Durumluk) uygulandı.
Bulgular: NEG ve GG arasında yaş ve cinsiyet açısından anlamlı fark saptanmadı (p=0,211; p=0,233). İşlem öncesi gruplar arasında ÇKÖ ve ÇAS-D puanları açısından anlamlı fark gözlenmedi (p=0,583; p=0,059).İşlem sonrasında NEG’ de ÇKÖ puanı (ort: 2,80 ± 1,12), GG grubuna göre (ort: 0,86 ± 1,03) anlamlı derecede yüksek bulundu (p<0,001). Benzer şekilde, ÇAS-D puanı da NEG’ de (ort: 7,00 ± 2,46) GG' ye göre (ort: 3,17 ± 1,93) anlamlı olarak daha yüksekti (p<0,001). Ayrıca, tanı yönteminin ÇKÖ ve ÇAS-D puanları üzerindeki etkisinin cinsiyete bağlı olarak değiştiği saptandı (p=0,012; p=0,001).
Sonuç: Nazal endoskopi uygulamasının, lateral nazofaringografiye kıyasla hem çocuklarda hem de ebeveynlerde daha yüksek düzeyde kaygıya neden olduğu gözlemlenmiştir. Bu nedenle, tüm tıbbi girişimlerde olduğu gibi, işleme özgü olacak şekilde çocuklarda işlem öncesi kaygının azaltılmasına yönelik bilgilendirmenin; yaş, cinsiyet ve bilişsel gelişim düzeyi gibi bireysel özellikler göz önünde bulundurularak yapılandırılması ve gerekirse destekleyici psikososyal yaklaşımlarla güçlendirilmesi önerilmektedir

Keywords

adenoid hipertrofisi , kaygı , çocuk , endoskopi , grafi

Ethical Statement

Bu çalışma için Sağlık Bilimleri Üniversitesi Gaziyaşargil Eğitim ve Araştırma Hastanesi Klinik Araştırmalar Etik Kurulu’ndan onay alınmıştır (Onay Numarası: 407/26-05-2023). Çalışma Helsinki Bildirgesi'ne uygun olarak yürütülmüştür

Supporting Institution

yok

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