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EVALUATION OF THE RELATIONSHIP BETWEEN PREOPERATIVE PATIENT ANXIETY LEVEL AND HEALTH LITERACY

Year 2023, , 540 - 544, 31.05.2023
https://doi.org/10.16899/jcm.1261546

Abstract

ABSTRACT
Aim: Sociodemographic characteristics such as age, gender, and educational status are factors associated with preoperative anxiety. Health literacy may be the influencing factor in different results obtained in various studies regarding the relationship between educational status and preoperative anxiety.

Materials and Methods: This prospective survey was carried out on 155 patients scheduled for elective surgery at the Department of Otorhinolaryngology between September and November 2019. Sociodemographic and basic health status data were recorded using the State-Trait Anxiety Inventory (STAI-I) and the Health Literacy Index (HLI).

Results: While there was a highly statistically significant difference between average scores of the access, understanding and appraisal of health information subscales according to the HLI (p<0,01), no significant difference was found with average score of the application of health information subscale (p>0,05). A negative medium level relationship was found between average scores of the STAI-I and the HLI (r=-0,424) and application subscale (r=-0,482), and a negative low level relationship was found between the overall STAI-I and the access (r=-0,335), understanding (r=-0,368) and appraisal of health information (r=-0,353) subscales.

Conclusions: It was concluded that the low level of health literacy may be effective in the increased preoperative anxiety levels in patients, and further studies are required to be conducted in this matter.

References

  • 1. Wells JK, Howard GS, Nowlin WF, Vargas MJ. Presurgical anxiety and postsurgical pain and adjustment: effects of a stress inoculation procedure. J Consult Clin Psychol. 1986;54(6):831-5.
  • 2. Gürler H, Yılmaz M, Türk KE. Preoperative Anxiety Levels in Surgical Patients: A Comparison of Three Different Scale Scores. J Perianesth Nurs. 2022;37(1):69-74.
  • 3. Navarro-Gastón D, Munuera-Martínez PV. Prevalence of Preoperative Anxiety and Its Relationship with Postoperative Pain in Foot Nail Surgery: A Cross-Sectional Study. Int J Environ Res Public Health. 2020;22;17(12):4481.
  • 4. Institute of Medicine (US) Committee on Health Literacy. Health Literacy: A Prescription to End Confusion. Nielsen-Bohlman L, Panzer AM, Kindig DA, editors. Washington (DC): National Academies Press (US); 2004.
  • 5. Furuya Y, Kondo N, Yamagata Z, Hashimoto H. Health literacy, socioeconomic status and self-rated health in Japan. Health Promot Int. 2015;30(3):505-13.
  • 6. Kohan S, Ghasemi S, Dodangeh M. Associations between maternal health literacy and prenatal care and pregnancy outcome. Iranian J Nursing Midwifery Research. 2007; 12(4): 146-152.
  • 7. Spielberger C, Gorsuch R, Lushene R. STAI manual for the State-Trait Anxiety Inventory. Palo Alto: Calif. Consulting Psychologists Press; 1983.
  • 8. Aras Z, Temel BA. Sağlık Okuryazarlığı Anketinin Türkçe Geçerlik Güvenilirliğinin Değerlendirilmesi. Florence Nightingale J Nursing. 2017; 25(2): 85-94.
  • 9. Toçi E, Burazeri G, Sorensen K et al. Health literacy and socio economic characteristics among older people in transitional Kosovo. British Journal of Medicine & Medical Research. 2013; 3(4): 1646-1658.
  • 10. Erkilic E, Kesimci E, Soykut C, Doger C, Gumus T, Kanbak O. Factors associated with preoperative anxiety levels of Turkish surgical patients: from a single center in Ankara. Patient preference and adherence. 2017, 291-296.
  • 11. Akinsulore Adesanmi, Owojuyigbe AM, Faponle AF, Fatoye, FO. Assessment of preoperative and postoperative anxiety among elective major surgery patients in a tertiary hospital in Nigeria. Middle East J Anaesthesiol. 2015, 23.2: 235-40.
  • 12. Domar AD, Everett LL, Keller MG. Preoperative anxiety: Is it a predictable entity?. Anesth Analg. 1989; 69(6): 763-767.
  • 13. Ferede YA, Bizuneh YB, Workie MM, Admass BA. Prevalence and associated factors of preoperative anxiety among obstetric patients who underwent cesarean section: A cross-sectional study. Ann Med Surg (Lond). 2022;4;74:103272.
  • 14. Demir A, Akyurt D, Ergün B, Haytural C, Yiğit T, Taşoğlu İ. Kalp cerrahisi geçirecek olgularda anksiyete sağaltımı. Turkish Journal of Thoracic and Cardiovascular Surgery. 2010; 18(3): 177-182.
  • 15. Badner NH, Nielson WR, Munk S, Kwiatkowska C, Gelb AW. Preoperative anxiety: detection and contributing factors. Can J Anaest. 1990; 37(4): 444- 447.
  • 16. Abate SM, Chekol YA, Basu B. Global prevalence and determinants of preoperative anxiety among surgical patients: a systematic review and meta analysis. Int J Surg Open. 2020;25:6–16
  • 17. Matthias AT, Samarasekera DN. Preoperative anxiety in surgical patients-experience of a single unit. Acta Anaesthesiol Taiwanica. 2012; 50(1): 3-6.
  • 18. Kamberi H, Hysa B, Toçi E, Jerliu N, Qirjako G, Burazeri G. Functional health literacy among primary health care users in transitional Kosovo. Med Arch. 2013; 67(3): 375-377.
  • 19. Taylor DM, Fraser S, Dudley C et al. Health literacy and patient outcomes in chronic kidney disease: a systematic review. Nephrol Dial Transplant. 2018; 33(9): 1545-1558.
  • 20. Jovanić M, Zdravković M, Stanisavljević D, Jović Vraneš A. Exploring the importance of health literacy for the quality of life in patients with heart failure. Int J Environ Res Public Health. 2018; 15(8): 1761.
  • 21. Caumo W, Schmidt AP, Schenider CN et al. Risk factors for preoperative anxiety in adults. Acta Anaesthesiol Scan. 2001; 45(3): 298-307.
  • 22. Gu X, Zhang Y, Wei W, Zhu J. Effects of Preoperative Anxiety on Postoperative Outcomes and Sleep Quality in Patients Undergoing Laparoscopic Gynecological Surgery. J Clin Med. 2023;24;12(5):1835.
  • 23. Sağır G, Kaya M., Eskiçırak HE, Kapusuz Ö, Kadıoğulları AN. Spinal anestezi planlanan hastalarda görsel bilgilendirmenin preoperatif anksiyete üzerine etkisi. Türk J Anesth Reanim. 2012; 40(5): 274–278.
  • 24. Kutner M, Greenberg E, Jin Y, Paulsen C. The Health literacy of America’s adults: Results from the 2003 national assessment of adult literacy (NCES 2006-483). U.S. Department of Education. Washington: National Center for Education Statistics; 2006.
  • 25. Özdemir H, Alper Z, Uncu Y, Bilgel N Health literacy among adults: A study from Turkey. Health Educ Res. 2010; 25(3): 464-477.
  • 26. Beauchamp A, Buchbinder R, Dodson S et al. Distribution of health literacy strengths and weaknesses across socio-demographic groups: a cross-sectional survey using the health literacy questionnaire (HLQ). BMC Public Health. 2015; 15(1): 1-13.
  • 27. Vandenbosch J, Van den Broucke S, Vancorenland S, Avalosse H, Verniest R, Callens M. Health literacy and the use of healthcare services in Belgium. J Epidemiol Community Health. 2016; 70(10): 1032-1038.
  • 28. Jeong SH, Kim HK. Health literacy and barriers to health ınformation seeking: A Nationwide survey in South Korea. Patient Educ Couns. 2016; 99(11): 1880-1887.
  • 29. Palumbo R, Annarumma C, Adinolfi P, Musella M, Piscopo G. The Italian health literacy project: Insights from the assessment of health literacy skills in İtaly. Health Policy. 2016; 120(9): 1087-1094. 30. ACSQHC (Australian Commission on Safety and Quality in Health Care), Consumers, the health system and health literacy: Taking action to improve safety and quality, Consultation Paper, Sydney; 2013. 31. Berkman ND, Davis TC, McCormack L. Health literacy: what is it?, J Health Commun. 2010; 15(2): 9-19.

PREOPERATİF HASTA ANKSİYETE DÜZEYLERİ İLE SAĞLIK OKURYAZARLIĞI ARASINDAKİ İLİŞKİNİN DEĞERLENDİRİLMESİ

Year 2023, , 540 - 544, 31.05.2023
https://doi.org/10.16899/jcm.1261546

Abstract

ÖZET
Amaç: Yaş, cinsiyet, öğrenim düzeyi gibi sosyodemografik özellikler preoperatif anksiyete ile ilişkili faktörlerdir. Öğrenim düzeyi ile preoperatif anksiyete ilişkisinin çalışmalar arasında farklılık göstermesinde sağlık okuryazarlığı etkili olabilir.

Gereç ve yöntem: Kesitsel türdeki bu anket çalışması, Eylül-Kasım 2019 tarihleri arasında Kulak Burun Boğaz Bölümü’nde elektif operasyon planlanan 155 hasta üzerinde gerçekleştirildi. Hastalara Durumluk Kaygı Ölçeği (STAI-D) ile Sağlık Okuryazarlığı Ölçeği (SOYÖ) uygulanarak, sosyodemografik ve temel sağlık durumu ile ilgili veriler kaydedildi.

Bulgular: Eğitim durumlarına göre SOYÖ ile bilgiye erişim, bilgiyi anlama ve değer biçme alt boyutu puan ortalamalarında istatistiksel açıdan ileri derecede anlamlı bir fark olduğu saptanırken (p<0,01), uygulama alt boyutu puan ortalamasında anlamlı fark tespit edilmedi (p>0,05). STAI-D ile SOYÖ (r=-0,424) ve uygulama alt boyutu (r=-0,482) puan ortalamaları arasında negatif yönde orta düzeyli bir ilişki ve STAI-D ölçeği ile bilgiye erişim (r=-0,335), bilgiyi anlama (r=-0,368) ve değer biçme (r=-0,353) alt boyutları arasında negatif yönde düşük düzeyli bir ilişki olduğu tespit edildi.

Sonuç: Preoperatif anksiyete düzeyindeki artışta düşük sağlık okuryazarlığı seviyesi etkili olabilir. Bu konuda daha ileri çalışmaların yapılması önerilir.

References

  • 1. Wells JK, Howard GS, Nowlin WF, Vargas MJ. Presurgical anxiety and postsurgical pain and adjustment: effects of a stress inoculation procedure. J Consult Clin Psychol. 1986;54(6):831-5.
  • 2. Gürler H, Yılmaz M, Türk KE. Preoperative Anxiety Levels in Surgical Patients: A Comparison of Three Different Scale Scores. J Perianesth Nurs. 2022;37(1):69-74.
  • 3. Navarro-Gastón D, Munuera-Martínez PV. Prevalence of Preoperative Anxiety and Its Relationship with Postoperative Pain in Foot Nail Surgery: A Cross-Sectional Study. Int J Environ Res Public Health. 2020;22;17(12):4481.
  • 4. Institute of Medicine (US) Committee on Health Literacy. Health Literacy: A Prescription to End Confusion. Nielsen-Bohlman L, Panzer AM, Kindig DA, editors. Washington (DC): National Academies Press (US); 2004.
  • 5. Furuya Y, Kondo N, Yamagata Z, Hashimoto H. Health literacy, socioeconomic status and self-rated health in Japan. Health Promot Int. 2015;30(3):505-13.
  • 6. Kohan S, Ghasemi S, Dodangeh M. Associations between maternal health literacy and prenatal care and pregnancy outcome. Iranian J Nursing Midwifery Research. 2007; 12(4): 146-152.
  • 7. Spielberger C, Gorsuch R, Lushene R. STAI manual for the State-Trait Anxiety Inventory. Palo Alto: Calif. Consulting Psychologists Press; 1983.
  • 8. Aras Z, Temel BA. Sağlık Okuryazarlığı Anketinin Türkçe Geçerlik Güvenilirliğinin Değerlendirilmesi. Florence Nightingale J Nursing. 2017; 25(2): 85-94.
  • 9. Toçi E, Burazeri G, Sorensen K et al. Health literacy and socio economic characteristics among older people in transitional Kosovo. British Journal of Medicine & Medical Research. 2013; 3(4): 1646-1658.
  • 10. Erkilic E, Kesimci E, Soykut C, Doger C, Gumus T, Kanbak O. Factors associated with preoperative anxiety levels of Turkish surgical patients: from a single center in Ankara. Patient preference and adherence. 2017, 291-296.
  • 11. Akinsulore Adesanmi, Owojuyigbe AM, Faponle AF, Fatoye, FO. Assessment of preoperative and postoperative anxiety among elective major surgery patients in a tertiary hospital in Nigeria. Middle East J Anaesthesiol. 2015, 23.2: 235-40.
  • 12. Domar AD, Everett LL, Keller MG. Preoperative anxiety: Is it a predictable entity?. Anesth Analg. 1989; 69(6): 763-767.
  • 13. Ferede YA, Bizuneh YB, Workie MM, Admass BA. Prevalence and associated factors of preoperative anxiety among obstetric patients who underwent cesarean section: A cross-sectional study. Ann Med Surg (Lond). 2022;4;74:103272.
  • 14. Demir A, Akyurt D, Ergün B, Haytural C, Yiğit T, Taşoğlu İ. Kalp cerrahisi geçirecek olgularda anksiyete sağaltımı. Turkish Journal of Thoracic and Cardiovascular Surgery. 2010; 18(3): 177-182.
  • 15. Badner NH, Nielson WR, Munk S, Kwiatkowska C, Gelb AW. Preoperative anxiety: detection and contributing factors. Can J Anaest. 1990; 37(4): 444- 447.
  • 16. Abate SM, Chekol YA, Basu B. Global prevalence and determinants of preoperative anxiety among surgical patients: a systematic review and meta analysis. Int J Surg Open. 2020;25:6–16
  • 17. Matthias AT, Samarasekera DN. Preoperative anxiety in surgical patients-experience of a single unit. Acta Anaesthesiol Taiwanica. 2012; 50(1): 3-6.
  • 18. Kamberi H, Hysa B, Toçi E, Jerliu N, Qirjako G, Burazeri G. Functional health literacy among primary health care users in transitional Kosovo. Med Arch. 2013; 67(3): 375-377.
  • 19. Taylor DM, Fraser S, Dudley C et al. Health literacy and patient outcomes in chronic kidney disease: a systematic review. Nephrol Dial Transplant. 2018; 33(9): 1545-1558.
  • 20. Jovanić M, Zdravković M, Stanisavljević D, Jović Vraneš A. Exploring the importance of health literacy for the quality of life in patients with heart failure. Int J Environ Res Public Health. 2018; 15(8): 1761.
  • 21. Caumo W, Schmidt AP, Schenider CN et al. Risk factors for preoperative anxiety in adults. Acta Anaesthesiol Scan. 2001; 45(3): 298-307.
  • 22. Gu X, Zhang Y, Wei W, Zhu J. Effects of Preoperative Anxiety on Postoperative Outcomes and Sleep Quality in Patients Undergoing Laparoscopic Gynecological Surgery. J Clin Med. 2023;24;12(5):1835.
  • 23. Sağır G, Kaya M., Eskiçırak HE, Kapusuz Ö, Kadıoğulları AN. Spinal anestezi planlanan hastalarda görsel bilgilendirmenin preoperatif anksiyete üzerine etkisi. Türk J Anesth Reanim. 2012; 40(5): 274–278.
  • 24. Kutner M, Greenberg E, Jin Y, Paulsen C. The Health literacy of America’s adults: Results from the 2003 national assessment of adult literacy (NCES 2006-483). U.S. Department of Education. Washington: National Center for Education Statistics; 2006.
  • 25. Özdemir H, Alper Z, Uncu Y, Bilgel N Health literacy among adults: A study from Turkey. Health Educ Res. 2010; 25(3): 464-477.
  • 26. Beauchamp A, Buchbinder R, Dodson S et al. Distribution of health literacy strengths and weaknesses across socio-demographic groups: a cross-sectional survey using the health literacy questionnaire (HLQ). BMC Public Health. 2015; 15(1): 1-13.
  • 27. Vandenbosch J, Van den Broucke S, Vancorenland S, Avalosse H, Verniest R, Callens M. Health literacy and the use of healthcare services in Belgium. J Epidemiol Community Health. 2016; 70(10): 1032-1038.
  • 28. Jeong SH, Kim HK. Health literacy and barriers to health ınformation seeking: A Nationwide survey in South Korea. Patient Educ Couns. 2016; 99(11): 1880-1887.
  • 29. Palumbo R, Annarumma C, Adinolfi P, Musella M, Piscopo G. The Italian health literacy project: Insights from the assessment of health literacy skills in İtaly. Health Policy. 2016; 120(9): 1087-1094. 30. ACSQHC (Australian Commission on Safety and Quality in Health Care), Consumers, the health system and health literacy: Taking action to improve safety and quality, Consultation Paper, Sydney; 2013. 31. Berkman ND, Davis TC, McCormack L. Health literacy: what is it?, J Health Commun. 2010; 15(2): 9-19.
There are 29 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Research
Authors

Merve Bulun Yediyıldız 0000-0002-1809-0791

Resul Yılmaz 0000-0002-5527-2893

Gülçin Büyükbezirci 0000-0002-9438-3414

Şule Arıcan 0000-0002-8634-1150

Aybars Tavlan 0000-0002-6064-0179

Publication Date May 31, 2023
Acceptance Date May 8, 2023
Published in Issue Year 2023

Cite

AMA Bulun Yediyıldız M, Yılmaz R, Büyükbezirci G, Arıcan Ş, Tavlan A. EVALUATION OF THE RELATIONSHIP BETWEEN PREOPERATIVE PATIENT ANXIETY LEVEL AND HEALTH LITERACY. J Contemp Med. May 2023;13(3):540-544. doi:10.16899/jcm.1261546