ERKEKLERİN MİZAÇ ÖZELLİKLERİNİN ENJEKSİYON KORKUSUNA ETKİSİ

Abstract

Amaç: Enjeksiyon korkusu, temel tanı ve tedavi işlemlerinden kaçınmaya yol açabilen yaygın bir durumdur. Mizaç gibi bireysel farklılıkların kaygı duyarlılığını ve ağrı algısını etkilediği bilinmesine rağmen, erkeklerin mizaç profilleri ile enjeksiyon korkusu arasındaki ilişki daha önce incelenmemiştir. Bu çalışma, erkeklerin mizaç özelliklerinin enjeksiyon korkusu üzerindeki etkisini değerlendirmeyi amaçlamıştır. Yöntemler: Bu tanımlayıcı çalışma, Temmuz-Ağustos 2025 tarihleri ​​arasında Türkiye'deki bir üçüncü basamak hastanesinin kas içi enjeksiyon ünitesine başvuran 229 yetişkin erkek arasında gerçekleştirilmiştir. Veriler, sosyodemografik anket, TEMPS-A Mizaç Ölçeği ve Çok Boyutlu Enjeksiyon Korkusu Ölçeği kullanılarak toplanmıştır. Tanımlayıcı istatistikler, bağımsız örneklem t-testi, Bonferroni post-hoc testleri ile tek yönlü ANOVA ve Pearson korelasyon analizi SPSS 27.0 kullanılarak yapılmıştır. İstatistiksel anlamlılık düzeyi p<0,05 olarak belirlenmiştir. Sonuçlar: Katılımcıların ortalama yaşı 30,61±11,14 yıl olup, %34,4'ü enjeksiyon korkusu bildirdi. Ortalama enjeksiyon korkusu puanı 21,67±5,52 idi. İşsiz olan ve enjeksiyon korkusu bildiren erkeklerde enjeksiyon korkusu düzeyleri anlamlı derecede daha yüksekti (p<0,05). TEMPS-A alt ölçek ortalamaları şu şekildeydi: depresif 5,52±4,10, siklotimik 9,20±5,30, hipertimik 10,04±4,59, sinirli 5,06±4,55 ve kaygılı 7,74±6,21. Depresif, siklotimik, sinirli ve kaygılı mizaçlı erkeklerde enjeksiyon korkusu puanları anlamlı derecede daha yüksekti, hipertimik mizaçla ise anlamlı bir ilişki bulunmadı. Pearson korelasyon analizi, enjeksiyon korkusu ile depresif (r=0,337), siklotimik (r=0,405), sinirli (r=0,264) ve kaygılı mizaçlar (r=0,319) arasında pozitif korelasyonlar olduğunu ortaya koymuştur (p<0,001). Sonuç: Erkeklerin mizaç özellikleri, enjeksiyon korkusunun önemli psikolojik belirleyicileridir. Özellikle depresif, siklotimik, sinirli ve kaygılı mizaçlar, daha büyük korku tepkileriyle ilişkilidir. Bu bulgular, enjeksiyonla ilgili kaygıyı azaltmada ve tıbbi işlemler sırasında işbirliğini iyileştirmede mizaç odaklı hemşirelik yaklaşımlarının önemini vurgulamaktadır.

Keywords

• enjeksiyon korkusu
• kaygı
• mizaç
• erkek sağlığı
• hemşirelik
• TEMPS-A

Supporting Institution

Çalışma herhangi bir kurum tarafından desteklenmemiştir.

Project Number

No

Ethical Statement

Bu çalışma için Erzurum Tıp Fakültesi Bilimsel Araştırma Etik Kurulu'ndan etik kurul onayı alınmıştır (Tarih: 9 Nisan 2025, Numara: 04/112).

Thanks

Çalışmaya katılan tüm erkeklere teşekkür ederiz.

The Predictive Role of Temperament Traits in Fear of Injection Among Men: A Cross-Sectional Study

Abstract

Objective: This study aimed to examine the relationship between temperament traits and fear of injection among men and to determine the predictive role of temperament traits in fear of injection. Methods: This cross-sectional study was conducted with 218 men who presented to the intramuscular injection unit of a tertiary hospital in Türkiye between July and August 2025. Data were collected using a Personal Information Form, the TEMPS-A Temperament Scale, and the Multidimensional Fear of Injection Scale. Descriptive statistics and Pearson correlation analysis were used to examine participant characteristics and relationships between temperament traits and injection fear. Hierarchical multiple linear regression analysis was performed to determine the independent predictive role of temperament traits after controlling for age, educational status, and employment status. Statistical significance was set at p<.05. Results: The participants had a mean age of 30.61 ± 11.14 years, and 34.4% reported fear of injections. The mean Multidimensional Fear of Injection Scale score was 21.67 ± 5.52. Fear of injection was positively correlated with depressive (r=.337), cyclothymic (r=.405), irritable (r=.264), and anxious (r=.319) temperament traits (all p<.001), whereas hyperthymic temperament was not significantly correlated with injection fear. In the hierarchical regression analysis, the final model explained 21.0% of the variance in injection fear (R²=.210, adjusted R²=.176, p<.001), with temperament traits accounting for an additional 13.8% of the variance beyond sociodemographic characteristics (ΔR²=.138, p<.001). After controlling for the other variables, cyclothymic temperament was the only significant independent predictor of injection fear (B=.403, β=.229, 95% CI [.080, .726], p=.015). Conclusion: Several affective temperament traits were associated with fear of injection among men; however, cyclothymic temperament was the only significant independent predictor after controlling for sociodemographic characteristics and other temperament dimensions. These findings highlight the importance of considering individual differences in emotional reactivity when assessing injection-related fear. Individualized and gender-responsive nursing approaches may facilitate the identification and support of men who are particularly vulnerable to injection fear.

Keywords

• fear of injection
• affective temperament
• cyclothymic temperament
• men’s health
• nursing
• TEMPS-A

Supporting Institution

It is not supported by any institution.

Project Number

No

Ethical Statement

Ethics committee approval was received for this study from the ethics committee of Erzurum Faculty of Medicine Scientific Research Ethics Committee (Date: April 9, 2025, Number: 04/112).

Thanks

We thank all the men who participated in the study.

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