İki Farklı Fiziksel Hastalık Tanısı Olan Bireylerde Anksiyete, Depresyon ve Stresle Başa Çıkma Düzeylerinin Belirlenmesi

Year 2021, , 277 - 284, 31.12.2021

Havva Tel Hesna Gürler

https://doi.org/10.31125/hunhemsire.1050350

Abstract

Amaç: Araştırmada, ortopedik problem ve kanser nedeni ile cerrahi girişim uygulanan bireylerde anksiyete, depresyon ve stresle başa çıkma durumunun belirlenmesi ve her iki gruptaki bireylerin ele alınan değişkenler açısından karşılaştırılması amaçlandı.
Gereç ve Yöntem: Araştırmaya 124 ortopedi, 78 cerrahi onkoloji hastası alındı. Araştırma verileri Tanıtıcı Bilgi Formu, Hastane Anksiyete Depresyon Ölçeği ve Stresle Başa Çıkma Tarzları Ölçeği ile toplandı. Çalışmadan elde edilen veriler SPSS 22.00 programı ile değerlendirildi. Verilerin değerlendirilmesinde ortalama, standart sapma, sayı, yüzdelik, Kolmogorov Smirnov, Ki-Kare, Mann Whitney U, Kruskal Wallis testi ve Spearman korelasyon analizi kullanıldı.
Bulgular: Çalışmada cerrahi onkoloji hastalarının depresyon yaşadığı belirlendi. Her iki hasta gurubunda da anksiyete depresyon düzeyleri ile kendine güvenli yaklaşım ve iyimser yaklaşım ölçek skorları arasında negatif ilişki, çaresiz yaklaşım ve boyun eğici yaklaşım ölçek skorları arasında ise pozitif ilişki olduğu saptandı (p<0.05).
Sonuç: Çalışmada cerrahi onkoloji hastalarının depresyon yaşadığı, her iki hasta grubunda da kendine güvenli yaklaşım ve iyimser yaklaşım ölçek skorları artıkça anksiyete ve depresyon düzeylerinin azaldığı belirlendi. Bu nedenle onkoloji ve ortopedi hastaları ile çalışan sağlık personelinin hastanın tedavi ve bakımında psikososyal bütünlüğü sürdürmesinin desteklenmesine yönelik planlamalar yapılması ve konsültasyon liyezon hizmetlerinin geliştirilmesi önerilmektedir.

Keywords

Anksiyete, baş etme, depresyon, fiziksel hastalık

Determination of Levels of Anxiety, Depression and Coping with Stress in Individuals Diagnosed with Two Different Physical Illnesses

Abstract

Aim: The study was carried out to determine levels of anxiety, depression, and coping with stress in individuals undergoing surgery because of orthopedic problem and cancer and to compare the individuals in both groups in terms of the variables considered.
Material and Methods: 124 orthopedic and 78 surgical oncology patients were included in the study. Data were collected with the Introductory Information Form, Hospital Anxiety Depression Scale and the Styles of Coping with Stress Scale. The data were evaluated using the SPSS 22.0 program. Mean, standard deviation, number, percentage, Kolmogorov Smirnov test, Chi-square test, Mann Whitney U test, Kruskal Wallis test, and Spearmen correlation analysis were used to evaluate the data.
Results: It was determined that surgical oncology patients experienced depression. There was a negative relationship between anxiety-depression levels and self-confident and optimistic approach scale scores, and a positive relationship between helpless and submissive approach scale scores in both patient groups (p<0.05).
Conclusion: The study determined that surgical oncology patients experienced depression, and anxiety and depression levels decreased as the self-confident approach and optimistic approach scale scores increased in both patient groups. Therefore, it is suggested that healthcare personnel working with oncology and orthopedic patients make plans to support the maintenance of psychosocial integrity in the treatment and care of the patient and develop consultation-liaison services.

Keywords

Anxiety, coping, depression, physical disease

References

• 1. Kelleci M, Aydın D, Sabancıoğulları S, Doğan S. Hastanede yatan hastaların bazı tanı gruplarına göre anksiyete ve depresyon düzeyleri. Klinik Psikiyatri. 2009;12(2):90-8.
• 2. Brekel LV, van der Baan VH, Zweers D, Koldenhof JJ, Vos JBH, Graeff A, et al. Predicting anxiety in hospitalized cancer patients. J Pain and Symptom Manage. 2020;60(3):522-31.
• 3. Giammanco MD, Gitto L. Coping, uncertainty and health-related quality of life as determinants of anxiety and depression on a sample of hospitalized cardiac patients in Southern Italy. Qual Life Res. 2016;25(11):2941-56.
• 4. Kulkarni AG, Mulye MM, Darediya NN, Raja VR, Khese TR. Prevalence of anxiety and depression in hospitalized patients. Int J Health Sci and Res. 2021;11(1);248-51.
• 5. Ghoneim MM, O’Hara MW. Depression and and postoperative complications: an overview. BMC Surgery. 2016;16(5):1-10.
• 6. Shoar S, Naderan M, Aghajani M, Sahimi-Izadian E, Hosseini-ARaghi N, Khorgami Z. Prevalence and determinants of depression and anxiety symptoms in surgical patients. Oman Med J. 2016;31(3):176-81.
• 7. Yan ZY, Gu MJ, Zhong BL, Wang C, Tang HL, Ling YQ, et al. Prevalence, risk factors and recognition rates of depressive disorders among in patients of tertiary general hospitals in Shanghai, China. J Psychosom Res. 2013;75(1):65-71.
• 8. Basak F, Hasbahceci M, Guner S, Sisik A, Acar A, Yucel M, et al. Prediction of anxiety and depression in general surgery inpatients: A prospective cohort study of 200 consecutive patients. Int J Surg. 2015;23(2015):18-22
• 9. Milligan F, Martinez F, Aal SHMA, Ahmed SA , Joby B , Matalam JS, et al. Assessing anxiety and depression in cancer patients. Br. J Nurs. 2018;27(10):18-23.
• 10. Kayhan F, Çiçek E, Uguz F, Karababa IF, Kucur R. Mood and anxiety disorders among inpatients of university hospital in Turkey. Gen Hosp Psychiatry. 2013;35(4):417-22.
• 11. Folkman S, Lazarus RS. An analysis of coping in a middle-aged community sample. J Health Soc Behav. 1980;21(3):219-39.
• 12. Şahin NH, Dural A. Üniversite öğrencileri için bir stresle başa çıkma tarzları ölçeği. Türk Psikoloji Dergisi. 1995;10(34):56-73.
• 13. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361-70.
• 14. Aydemir Ö. Hastane Anksiyete ve Depresyon Ölçeği Türkçe formunun geçerlilik ve güvenilirlik çalışması. Türk Psikiyatri Dergisi. 1997;8(4):280-7.
• 15. Avcı D, Sabancıoğulları, Yılmaz TF. Investigation of the relationship between suicide probability in inpatients and their psychological symptoms and coping strategies. Neurosciences (Riyadh). 2016;21(4):345–51.
• 16. Batista dos Santos MM, Amado Martins JC, Nunes Oliveira LM. Anxiety, depression and stress in the preoperative surgical patient. Revista de Enfermagem Referência. 2014;4(3):7-15.
• 17. Shi C, Lamba N, Zheng LJ, Cote D, Regestein QR, Liu CM, et al. Depression and survival of glioma patients: A systematic review and metaanalysis. Clin Neurol and Neurosurg. 2018;172(2018):8-19.
• 18. Rieke K, Schmid KK, Lydiatt W, Houfek J, Boilesen E, Watanabe-Galloway S. Depression and survival in head and neck cancer patients. Oral Oncol. 2017;65(2017):76–82.
• 19. Beleckas CM, Wright M, Prather H, Chamberlain A, Guattery J, Calfee RP. Relative prevalence of anxiety and depression in patients with upper extremity conditions. J Hand Surg Am. 2018;43(6):571-78.
• 20. Demir Zincirci A, Yıldız C, Ulusoy S, Özdemir F. Kemoterapi alan kanser hastalarının anksiyete ve depresyon düzeylerini etkileyen faktörler. Türkiye Klinikleri J of Nurs Science. 2015;7(1):1-9.
• 21. Kumar S, Verma V, Kushwaha U, Hynes EJC, Arya A, Agarwal A. Prevalence and association of depression in in-patient orthopaedic trauma patients: A single centre study in India. J Clin Orthop and Trauma. 2020;11(2020):573-7.
• 22. Zhou X, Li J, Gu W, Wang J , Zhu Y, Zhang G, et al. Prevalence and associated factors of anxiety and depression among patients with chronic respiratory diseases in eight general hospitals in Jiangsu Province of China: A cross-sectional study. Psychiatry Res. 2017;251(2017):48-53.
• 23. Büker N, Akkaya S, Oto M, Kitis A. Rehabilitasyon programına alınan kırık hastalarının anksiyete ve depresyonlarının değerlendirilmesi. Anatolian Journal of Clinical Investigation. 2011;5(4):181-5.
• 24. Demir B, Gürsu S, Yıldırım T, Er T. Evaluation of anxiety levels in patients with chronic orthopedic diseases. Acta Orthop Traumatol Turc. 2012;46(6):420-4.
• 25. Oflazoğlu K, Mellema JJ, Menendez ME, Mudgal CS, Ring D, Chen NC. Prevalence of and factors associated with major depressiona in patients with upper extremity conditions. J Hand Surg Am. 2016;41(2):263-9.
• 26. Biresaw MS, Jilcha TF, Gebeyehu ET. Prevalence of psychological distress and associated factors among orthopedic trauma patients at Tikur Anbessa specialized hospital, Addis Ababa, Ethiopia: A crosssectional study. Neurol Neurosci Rep. 2019;2:1-6.
• 27. Strøm J, Bjerrum MB, Nielsen CV, Thisted CN, Nielsen TL, Laursen M, et al. Anxiety and depression in spine surgery—a systematic integrative review. Spine J. 2018;18(7):1272-85.
• 28. Yang Y, Tang TT, Chen M, Xiang MY, Li L, Hou X. Prevalence and association of anxiety and depression among orthopaedic trauma inpatients: a retrospective analysis of 1994 cases. J Orthop Surg and Res. 2020;15(587):1-7.
• 29. Chen PY, Chang HC. The coping process of patients with cancer. Eur J Oncol Nurs. 2012;16(2012):10-6.
• 30. Zamanian H, Amini-Tehrani M, Jalali Z, Daryaafzoon M, Ala S, Tabrizian S, et al. Perceived social support, coping strategies, anxiety and depression among women with breast cancer: Evaluation of a mediation model. Eur J Oncol Nurs. 2021;50(101892):1-8.
• 31. Kang Y, Son H. Age differences in the coping strategies of patients with colorectal cancer. Cancer Nurs. 2018;42(4):286-94.