Evaluating the Anxiety Levels of Parents of Children Underwenting Hypospadias Surgery

Year 2020, , 23 - 28, 30.04.2020

Ali Onur Erdem , Bilge Doğan , Çağdaş Öykü Memiş , Levent Sevinçok , Mesut Yazıcı , Sezen Karaca Özkısacık

https://doi.org/10.18678/dtfd.651928

Abstract

Aim: Hypospadias is an anomaly in which urethral meatus is located more proximally. Its treatment is surgery. Children undergoing hypospadias surgery are much more prone to emotional disorders than the other surgical procedures. In this study, it was aimed to evaluate the emotional and temperament characteristics of the parents of children undergoing hypospadias surgery and normally circumcised.
Material and Methods: All voluntary parents of children with hypospadias surgery and of children with normal circumcision were included in this study. A semi-structured sociodemographic data form, The Temperament Evaluation of Memphis, Pisa, Paris and San Diego Autoquestionnaire (TEMPS-A), State-Trait Anxiety Inventory (STAI) I-II, and Beck Depression Scale (BDS) were used to collect data from these parents.
Results: There was no significant difference between the parents in terms of sociodemographic and clinical characteristics. When the parents of children with hypospadias and normal circumcision were compared in terms of TEMPS-A temperament scale scores, STAI total and I-II subscale scores, and BDS scores, no statistically significant difference was found.
Conclusion: Hypospadias is a complex biological development defect. In men who underwent hypospadias surgery, sexual dysfunctions that develop in further period usually develop on psychological grounds. Parents' anxiety levels should be taken into consideration and everyone should act together in management process of hypospadias, operation of which is planned in early period and may have many effects in the future. We think that the study we have done with parents in this area may guide to other studies.

Keywords

Anxiety, parents, hypospadias, children, surgery

Hipospadias Cerrahisi Geçiren Çocukların Ebeveynlerinin Kaygı Düzeyinin Değerlendirilmesi

Abstract

Amaç: Hipospadias, üretral meanın daha proksimalde lokalize olduğu bir anomalidir. Cerrahi olarak tedavi edilir. Hipospadias cerrahisi geçiren çocuklar, duygusal bozukluklara diğer cerrahi yöntemlere göre daha fazla yatkın olmaktadırlar. Bu çalışmada normal sünnet yapılan ve hipospadias cerrahisi geçiren çocukların ebeveynlerinin duygusal ve karakteristik mizaçlarının değerlendirilmesi amaçlanmıştır.
Gereç ve Yöntemler: Bu çalışmaya hipospadias cerrahisi geçiren çocukların ve normal sünnet yapılan çocukların ebeveynlerinden gönüllü olanların tümü dahil edilmiştir. Ebeveynlerden veri toplamak için yarı yapılandırılmış sosyodemografik veri formu, Memphis, Pisa, Paris ve San Diego Mizaç Değerlendirme Anketi (The Temperament Evaluation of Memphis, Pisa, Paris and San Diego Autoquestionnaire, TEMPS-A), Durumluluk-Süreklilik Kaygı Envanteri (State-Trait Anxiety Inventory, STAI) I-II ve Beck Depresyon Ölçeği (BDÖ) kullanılmıştır.
Bulgular: Ebeveynler arasında klinik ve sosyodemografik özellikler açısından anlamlı bir fark yoktu. Hipospadiaslı olan ve normal sünnet olan çocukların ebeveynleri TEMPS-A mizaç ölçeği puanları, STAI toplam ve I-II alt ölçek puanları ve BDÖ puanları açısından karşılaştırıldığında da istatistiksel olarak anlamlı bir fark bulunmadı.
Sonuç: Hipospadias karmaşık bir biyolojik gelişme defektidir. Hipospadias ameliyatı geçiren erkeklerde, ileriki dönemde gelişen cinsel işlev bozuklukları genellikle psikolojik nedenlerle gelişir. Ebeveynlerin kaygı düzeyleri dikkate alınmalı ve operasyonu erken dönemde planlanan ve gelecekte birçok etkisi olabilecek olan hipospadias tedavi sürecinde herkes birlikte hareket etmelidir. Bu alanda ebeveynlerle yaptığımız bu çalışmanın diğer çalışmalara rehberlik edebileceğini düşünüyoruz.

Keywords

Kaygı, ebeveynler, hipospadias, çocuk, cerrahi

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