Video onam alınarak laparoskopik kolesistektomi uygulanan hastalarda anksiyete ve memnuniyet düzeylerinin değerlendirilmesi.

Year 2021, , 299 - 302, 31.08.2021

Yunus Dönder , Ömer Topuz , Saliha Karagöz Eren , Ramazan Azar , Tamer Ertan , Yusuf Sevim

https://doi.org/10.20492/aeahtd.915157

Abstract

Amaç
Hastaya uygulanacak ameliyatın videosunu, ameliyatı yapan cerrah tarafından anlatmanın kaygıyı azaltacağı ve memnuniyeti artıracağı düşünülmektedir. Bu çalışmada da video ve sözlü onam grupları arasında kaygı ve memnuniyet oranlarının karşılaştırılması amaçlanmıştır.
Gereç ve Yöntem
Çalışma prospektif randomize olarak planlandı. Hastalar video onam ve sözel onam olmak üzere iki gruba ayrıldı. Video onam grubuna cerrahi işlem ve gelişebilecek komplikasyonlar, ameliyat videosu izletilerek anlatıldı. Diğer gruba rutinde uygulandığı gibi sözlü olarak bilgi verildi. Hastalara ameliyat sabahı Amsterdam anksiyete ölçeği uygulanarak anksiyete düzeyleri ölçüldü. Postoperatif dönemde visuel analog skala ile 3.,8. ve 24. saatlerde ağrı düzeyleri ölçüldü. Postoperatif 1. ayda her iki gruba da memnuniyet skoru anketi uygulandı.
Bulgular
Çalışmaya 53 hasta katıldı. Çalışmaya dahil edilen 40 hastanın 16 (%40) sı erkek, 24 (%60) ü kadındı. Video ile bilgilendirilmiş grupta Amsterdam anksiyete ölçeği puanı, sözlü bilgilendirilmiş gruba göre anlamlı olarak düşüktü (p <0.05). Ağrı, visuel analog skala ile değerlendirildiğinde sonuçlar gruplar arasında anlamlı farklılık göstermezken (p> 0.05), her grup kendi içinde karşılaştırıldığında 24. saatte ağrının daha az olduğu görüldü (<0.05).
Sonuç
Bu çalışmada video onam alınan gruptaki hastaların anksiyetelerinin daha az olduğu görüldü. İki grup arasındaki ağrı düzeyleri arasında anlamlı fark tespit edilemedi. Bunun gibi çalışmaların artmasıyla yakın gelecekte ameliyat onamlarının video onam şeklinde alınabileceği düşünülmektedir.
Anahtar Kelimeler: Kolesistektomi; Kolelitiazis; Sözel bilgilendirilmiş onam; Video bilgilendirilmiş onam

Keywords

Kolesistektomi, Kolelitiazis, Sözel bilgilendirilmiş onam

Supporting Institution

yok

Evaluation of anxiety levels and satisfaction rates in patients who underwent laparoscopic cholecystectomy with video consent

Abstract

Aim
It is thought that explaining the video of the surgery to be applied to the patient by the surgeon performing the operation will reduce anxiety and increase satisfaction. In this study, it was aimed to compare the anxiety and satisfaction rates between the video and verbal consent groups.
Material and Method
The study was planned as a prospective randomized. The patients were divided into two groups as video consent and verbal consent. The surgical procedure and possible complications were explained to the video consent group by watching the surgery video. Verbal information was given to the other group as routinely. The Amsterdam anxiety scale was applied to the patients on the morning of the surgery and their anxiety levels were measured. Postoperative visual analog scale 3., 8. Pain levels were measured at and 24 hours. Satisfaction score questionnaire was applied to both groups in the postoperative 1st month.
Results
53 patients participated in the study. 13 patients were excluded from the study. Sixteen (40%) of the 40 patients included in the study were male. The Amsterdam anxiety scale score was significantly lower in the video informed group than in the verbally informed group (p <0.05). When the pain was evaluated with a visual analog scale, the results did not differ significantly between the groups (p> 0.05). When each group was compared within itself, it was observed that the pain was less at the 24th hour (<0.05).
Conclusion
In this study, it was observed that the patients in the group whose video consent was obtained had less anxiety. There was no significant difference between the pain levels between the two groups. With the increase of such studies, it is thought that surgical consent can be obtained in the form of video consent in the near future.

Keywords

Cholecystectomy, Cholelithiasis, Informed consent, Video informed consent

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