Evaluating The Anger and Self-Care Ability Levels of Surgical Patients Experiencing Organ Loss

Abstract

Objective: This study was conducted to assess the levels of anger and self-care ability among surgical patients following organ loss. Material and Methods: The data of this descriptive study were collected from 60 patients who underwent mastectomy, gastrectomy, cholecystectomy, and thyroidectomy at the University Hospital, General Surgery Clinic of a state university between December 2016 and April 2017. A personal information form, the trait anger and anger expression scales, and the exercise of self-care agency scale were used to collect data. The scales used in the study were applied to the patients twice (before the operation and during the discharge period). The researcher collected the data by using the face-to-face interview technique. Results: The mean age of the patients (n=60) was 54.6±13.2, 68% (n=41) were female, 90% (n=54) were married, and 65% (n=39) were literate. The results of the study showed that the level of trait anger was higher before the operation in patients undergoing thyroidectomy and after the operation in those undergoing gastrectomy (p<0.01). Anger levels increased in those undergoing gastrectomy and mastectomy and decreased in those undergoing thyroidectomy and cholecystectomy after the operation (p<0.01). In addition, the postoperative self-care agency of the patients undergoing cholecystectomy was high (p<0.05). Conclusion: Organ loss increases the anger level of patients and decreases their self-care agency. Recommendations for the planning and implementation of nursing care practices to reduce the anger of surgical patients who experience organ loss and to increase their self-care agency must be put in place.

Keywords

• Anger
• nursing
• self-care
• surgery
• surgical nursing

Supporting Institution

Destekleyen kurum bulunmamaktadır. Araştırmacılar giderleri kendileri karşıladılar.

Ethical Statement

Araştırmaya veri toplamadan önce etik kurul ve kurum izni alınmıştır. Ayrıca katılımcılardan sözlü onam alınmıştır.

References

1. 1. Aksoy G. Surgery and surgical nursing. In: Aksoy G, Kanan N, Akyolcu N, editors. Surgical Nursing I. Istanbul: Nobel Bookstore; 2020. p.1-38. google scholar
2. 2. Ogce F. Skeletal system diseases: leg amputations. In: Aslan FE, editor. With Surgical Care Case Studies. Ankara: Academician Medical Bookstore; 2016. p.871-909. google scholar
3. 3. Ministry of Health. Public Hospitals Authority Turkey (T. C.). Public hospitals statistics yearbook 2017.Ankara; 2018. Access Date: 25.06.2023 Available from: https://dosyamerkez.saglik. gov.tr/Eklenti/21853/0/kamu-hastaneleri-istatistik-raporu--2017pdf.pdf google scholar
4. 4. Serel S, Tuzlali ZY, Akkaya Z, Uzun Q, Kaya B, Bayar S. Physical effects of unilateral mastectomy on spine deformity. Clinical Breast Cancer 2017;17(1):29-33. https://doi.org/10.1016/j. clbc.2016.10.004 google scholar
5. 5. Adesina MA, Olajire TI. Physical and psychological complications of mastectomy: the role of physiotherapy. World News of Natural Sciences 2020; 29(3): 212-4 google scholar
6. 6. Mingo SR. Understanding pre-entry baccalaureate nursing students’ academic failure: Applying Kübler-Ross’s stages of grief. Teaching and Learning in Nursing 2023;18(1):228-31. google scholar
7. 7. Ozsoy I, Okyayuz UH. Coping skills of people with amputation: case presentation. Journal of Clinical Psychiatry 2016;19(1):45-51. https://doi.org/10.5505/kpd.2016.30074 google scholar
8. 8. Bregman L. Kübler-Ross and re-visioning death as a loss: Religious appropriation and responses. Journal of Pastoral Care & Counseling 2019;73(1):4-8. https://doi. org/10.1177/1542305019831 google scholar

9. 9. Corr CA. Elisabeth Kübler-Ross and the “Five Stages” Model in a sampling of recent American Textbooks, OMEGA Journal of Death and Dying 2018:1-29. https://doi.org/ 10.1177/0030222818809766. google scholar
10. 10. Eroglu F, Irdem S. The anger phenomenon and anger management in organizations. New Ideas Journal 2016;7:17. google scholar
11. 11. Olt MC, Zümreler H, Bozkurt M, Ötünçtemur A. Pre-operative anxiety assessment in women with bladder tumor diagnosis. Journal of Reconstructive Urology 2021;11(1):1-6 https://doi. org/10.5336/urology.2020-80021 google scholar
12. 12. Corr DM, Corr CA. Elisabeth Kübler-Ross and the five stages model in a sampling of recent North American nursing textbooks. Journal of Hospice & Palliative Nursing 2020;22(1):61-7. https://doi.org/10.1097/NJH.0000000000000615 google scholar
13. 13. Kayar Z, Erdem R. A conceptual study on socio-psychology of the operating process. SDU Healthcare Management Journal 2022;4(1):26-42. google scholar
14. 14. Demirci B, Şahin SY. The effect of surgical fear levels of patients before lumbar disc herniation surgery on postoperative pain and quality of recovery. Karya Journal of Health Science 2023;4(1):19-25. https://doi.org/10.52831/kjhs.1182953 google scholar
15. 15. Regan PO, McCarthy G, Reilly SO, Power D, Bird BH, Murphy CG. et al. Cancer-related fatigue and self-care agency: a multicentre survey of patients receiving chemotherapy. Journal of Clinical Nursing 2019; 28(23-24):4424-33. https://doi.org/ 10.1111/jocn.15026 google scholar
16. 16. Güler S, Karataş H, Ordin YS. Quality of life, self-care strength, symptoms, and difficulties of liver transplant recipients living away from the transplant center. Gevher Nesibe Journal of Medical and Health Sciences 2023;8(1):245-53. https://doi. org/10.5281/zenodo.7604085 google scholar
17. 17. Eraydin C, Sunal N. Self-Care Ability and Affecting Factors in Patients With Stoma, Akdeniz Medical Journal 2021;(1):57-64. https://doi.org/10.17954/amj.2021.2677 google scholar
18. 18. Sahbaz B, Kocaslı S, Tekeli Kunt A. The evaluation of selfcare after discharge following varicose vein surgery, Turk J Cardiovasc Nurs 2023;14(33):8-16. https://doi.org/10.5543/ khd.2022.63634 google scholar
19. 19. Bayrı F, Kelleci M. The relationship between general health stade with trait anger level and anger expression style of nurses. Turkey Clinical Journal of Nursing Sciences 2009;1(2):65-70. https://doi.org/10.1177/2158244018772874 google scholar
20. 20. Ozer AK. Preliminary study of trait anger (t-anger) and anger expression scales. Turkish Journal of Psychology 1994; 9(31):26-35. google scholar
21. 21. Nahcivan NÖ. A Turkish language equivalence of the exercise of self-care agency scale. Nursing Bulletin 1994;7(33):109-118. https://doi.org/10.1177/0193945904267599 google scholar
22. 22. Kheyran-Alnesa M, Mirzaian B, Yar-Ali D. The effectiveness of acceptance and commitment-based therapy on anger, anxiety, and hostility for heart surgery patients. Journal of Biochemical Technology 2018; 9(4):43-9. google scholar
23. 23. Pettersson ME, Ohlén J, Friberg F, Hydén LC, Wallengren C, Sarenmalm EK. et al. Prepared for surgery-Communication in nurses’ preoperative consultations with patients undergoing surgery for colorectal cancer after a person-centered intervention. Journal of Clinical Nursing 2018;27(13-14):2904-16. https://doi.org/10.1111/jocn.14312 google scholar
24. 24. Mqcik D. Loss of attributes of femininity, anxiety, and value crisis. Women with polycystic ovary syndrome compared to women after mastectomy and in menopause. Health Psychology Report 2016;4(2):159-69. google scholar
25. 25. Miller-Matero LR, Bryce K, Saulino CK, Dykhuis KE, Genaw J, Carlin AM. Problematic eating behaviors predict outcomes after bariatric surgery. Obesity Surgery 2018;28:1910-15. https://doi.org/10.1007/s11695-018-3124-0 google scholar
26. 26. Tutus S, Saz A. Homeopathic approach to subacute thyroiditis treatment: Two case reports. Journal of Traditional Medical Complementary Therapies 2021;4(2): 306-10 https://doi. org/10.5336/jtracom.2020-77912 google scholar
27. 27. Rogers SN, Mepani V, Jackson S, Lowe D. Health-related quality of life, fear of recurrence, and emotional distress in patients treated for thyroid cancer. British Journal of Oral and Maxillofacial Surgery 2017;55(7):666-73. https://doi. org/10.1016/j.bjoms.2016.09.001 google scholar
28. 28. Miery Terán-Ellis S, Sanchez-Morales GE, Peña-Islas MA, Sarre-Lazcano RC, Alfaro-Goldaracena AA Rare cause of gastric necrosis treated with total gastrectomy and esophagojejunostomy. ACS Case Reviews in Surgery 2022;3(8):21-3. google scholar
29. 29. Isselhard A, Tüchler A, Dick J, Scherer A, Aue V, Schmutzler RK. et al. Psychological distress and decision-making factors for prophylactic bilateral mastectomy in cancer-unaffected BRCA1/2 pathogenic variant carriers. Psycho-Oncology 2023;32(4):640-48. https://doi.org/10.1002/pon.6111 google scholar
30. 30. Donmez YC, Van Giersbergen MY, Basli AA, Yildiz MD, Yildiz E. Determination of healthy lifestyle behaviors and selfcare agency of patients with lumbar disc hernia. Adiyaman University Journal of Health Sciences 2019;5(2):1628-41. https://doi.org/10.30569.adiyamansaglik.545233 google scholar
31. 31. Firat S, Oztunc G. The effect of education given to patients with total laryngectomy on self-care. Cukurova Medical Journal 2019;44(3):911-21. https://doi.org/10.17826/cumj.451753 google scholar
32. 32. Guner SI, Kaymakci S. The examination of the relationship between health promotion lifestyle profile and self-care agency of women who underwent mastectomy surgery. Eastern Journal of Medicine 2014;9:71-8. google scholar
33. 33. Ece I, Acar F, Yilmaz H, Colak B, Yormaz S, Sahin, M. Short-term oncologic outcomes in the treatment of open and laparoscopic distal subtotal gastrectomy for gastric cancer. Firat Med J 2018;23(2):78-81. google scholar
34. 34. Yaman F, Karaca G, Colak S, Ates G, Pehlivanlı F, Gencay I. Transversus abdominis plane (TAP) block for postoperative analgesia after laparoscopic cholecystectomy, a retrospective study. JARSS 2019;27(4): 88-94 https://doi.org/10.5222/ jarss.2019.83584 google scholar
35. 35. Almonacid CIF, Ramos AJ, Rodríguez-Borrego MA. Level of anxiety versus self-care in the preoperative and postoperative periods of total laryngectomy patients. Revista LatinoAmericana De Enfermagem 2016;24: e2707. https://doi. org/10.1590/1518-8345.0743.2707 google scholar
36. 36. Raharjo R, Wahyudi G, Fitriyah I. Relationship of stress to selfcare of breast cancer patients post-mastectomy surgery at Genteng Hospital Banyuwangi. Journal for Quality in Public Health 2022;6(1):90-5. https://doi.org/10.30994/jqph.v6i1.390 google scholar