Ortopedi kliniğinde ameliyat edilen hastalarda ameliyat sonrası psikiyatrik belirtiler

Year 2014, Volume: 11 Issue: 1, 15 - 22, 01.04.2014

Murat Semiz Özhan Pazarcı Önder Kavakcı Zekeriya Öztemur Okay Bulut

Abstract

Amaç: Bu çalışmanın amacı ortopedi ve travmatoloji O&T kliniğinde ameliyat edilen hastaların depresyon, anksiyete ve akut stres belirtilerinin yaygınlığının araştırılmasıdır.Metaryal ve metod: Bu çalışmada örneklem 01.08.2011-01.08.2012 tarihleri arasında O&T kliniğinde ameliyat edilen hastalardan oluşturulmuştur. Hastalara ameliyattan bir hafta sonra psikiyatri uzmanı tarafından birlikte Hastane Anksiyete - Depresyon Ölçeği HAD ve Olayların Etkisi Ölçeği IES-R uygulanmıştır.Bulgular: Çalışmaya 89'u erkek 43'ü kadın E: % 67, K: % 33 toplam 132 hasta katılmıştır. Anksiyete ölçeğinin ortalama puanı hasta grubunda 11.6±3.1 olarak bulundu ve bu ölçeğe göre hastaların % 66'sı n=87 anksiyöz olarak değerlendirildi. Depresyon ölçeğinin ortalama puanı 9.9±2.3 idi ve hastaların %85'inin n=111 HAD ölçeğine göre depresif belirtilerinin olduğu saptandı. Travma ölçeğinin ortalama puanı 47.7±12.9 idi.Sonuç: O&T kliniklerinde ameliyat edilen hastalarda psikiyatrik bozukluklar yaygındır. Ameliyata alış nedeni ne olursa olsun hastalarda psikolojik bozukluklar gelişebilir. Hastaların O&T ile ilgili tedavilerinin yanı sıra psikiyatrik bozukluklar da göz önünde bulundurulmalı ve psikiyatri bölümü ile işbirliği yapılmalıdır

Keywords

Ortopedik cerrahi, depresyon, anksiyete, akut stres bozukluğu

Post-operative psychiatric findings after orthopaedic surgery

Abstract

Background: We aimed to evaluate the depression, anxiety and acute stres symptoms after surgery in patients in an orthopedics and traumatology O&T department.Methods: We applied Hospital Anxiety-Depression Scale HAD and Impact of an Event Scale-Revised IES-R to the patients whom operated among 01 August 2011 – 01 August 2012 in our O&T department after one week of their operation.Results: 132 patients 89male 67% were included. 87 66% patients were found to had anxious according to HAD and the mean anxiety scale score was 11.6±3.1. 111 85% patients were found to had depressive symptoms according to HAD and the mean depression scale score was 9.9±2.3. And the mean IES-R scale score was 47.7±12.9.Conclusion: Psychyatric disorders were found in high incidence after operation O&T departments, independent of the type of the operation so cooperation should be made with psychiatry departments during the perioperative period

Keywords

Orthopedic surgery, depression, anxiety, acute stres disorder

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