DİSTRES TERMOMETRESİ CERRAHİYE BAĞLI STRESİ ÖLÇMEK İÇİN KULLANILABİLİR Mİ?

Abstract

Amaç: Çalışmanın amacı Distres Termometresinin (DT) hastaların ameliyat olacakları için yaşadıkları stresi ölçmek için kullanılabilecek geçerli ve güvenilir bir ölçüm aracı olma durumunu değerlendirmektir.
Yöntem: Bu metadolojik çalışma 200 cerrahi hastası ile yürütülmüştür. Veri toplama formu olarak bilgi formu, Hastane Anksiyete ve Depresyon Ölçeği (HADÖ), Distres Termometresi ve cerrahi ilişkili Stres Nedenleri Listesi kullanılmıştır. Distres Termometresinin validasyonu Hastane Anksiyete ve Depresyon Ölçeği ile yapıldı.
Bulgular: Çalışma sonuçlarında, hastaların distres puanı ortalamasının 4.4 (SD 2.4) ve hastaların %47.5’inin distres düzeyinin bu ortalamanın üstünde olduğu belirlendi. Kesme noktası beş ve üzeri olarak saptanan HADÖ ye ait duyarlılık %72.5, özgüllük %59.3 olarak saptandı. Ameliyattan sonra enfeksiyon gelişme korkusu en sık ifade edilen stres nedeni olarak ifade edildi. Termometre puanı ile toplam stres nedenleri listesi puanı, HADS-A ve HADS toplam puanı arasında orta derecede bir ilişki bulundu.
Sonuç: Distres Termometresi ameliyatla ilgili stresi belirlemede geçerli bir araç olarak kullanılabilir. Ayrıca, strese yol açan faktörlerini belirlemek için stres nedenleri listesi kullanılabilir. Bu çalışmada, DT için HADS bir ölçüt olarak kullanıldı ve bu ölçüte göre termometrenin duyarlılığı yüksek ve özgüllüğü orta düzeydedir. Termometre farklı ölçekler kullanılarak yeniden test edilebilir.

Keywords

• anksiyete
• distres termometresi
• preoperatif
• cerrahi

CAN DISTRESS THERMOMETER BE USED TO MEASURE ANXIETY INDUCED SURGERY?

Abstract

Aim: The aim of the study is to evaluate the Distress Thermometer (DT) as a valid and reliable measurement tool that can be used to measure the patients' stress because of surgery.
Method: This was a methodological study conducted with 200 patients. Data were collected using the Hospital Anxiety and Depression Scale (HADS), the Distress Thermometer (DT) and surgery-related distress causes list (DCL) for preoperative patients. The validation of the Distress Thermometer was performed in conjunction with the Hospital Anxiety and Depression Scale (HADS).
Results: Study results determined that the distress score average of the patients was 4.4 (SD 2.4), and the distress level of 47.5% of the patients was above this average. The sensitivity of HADS, which had a cut-off point of five or more, was 72.5% and specificity was 59.3%. The most expressed causes of distress were the development of infection after surgery. There was a moderate relation between the thermometer score and the total DCL score and the HADS total score.
Conclusion: The distress thermometer can be used as a valid tool in determining surgery-related anxiety. And also distress causes list can be used to determine distress factors. In this study, the HADS was used as a criterion for DT-DCL, and according to this scale, the sensitivity of the thermometer was high, and the specificity was moderate. The tool can be retested by using different distress scales.

Keywords

• distress thermometer
• anxiety
• preoperative
• surgery

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