THE RELATIONSHIP BETWEEN PREOPERATIVE PAIN BELIEFS AND SURGICAL FEAR WITH POSTOPERATIVE PAIN IN SURGICAL PATIENTS

Abstract

Objective: The study aimed to examine the relationship between preoperative surgical fear and pain beliefs and pain scores recorded in the first 24 hours after surgery. Method: A descriptive and correlational research design was employed in the study. The study included 292 surgical patients who underwent surgery in the general surgery clinic of a training and research hospital. The data were collected through face-to-face interviews using the Patient Identification Form, Visual Analog Scale-Pain, Pain Beliefs Questionnaire, and Surgical Fear Questionnaire. The data were analyzed using the SPSS program. Results: In the first 24 hours after surgery, the patients' mean pain and surgical fear level scores were found to be low, and the mean pain beliefs subscale scores were found to be moderate. A significant correlation was found between patients' pain level and surgical fear mean scores (r=.28, p<.001), while no significant correlation was found with pain belief mean scores (r=.04, p=0.44). Patients' pain levels were also found to differ significantly according to gender (p<.01), chronic disease (p<.05), surgical interventions (p<.001), and type of surgery (p<.05). Conclusion: In this study, a significant relationship was identified between preoperative surgical fear and postoperative pain intensity. Accordingly, systematic assessment of fear levels during the preoperative period is essential, particularly for providing early information, psychological support, and the development of appropriate coping strategies for high-risk patients. It is considered that such multidisciplinary approaches will facilitate patients' adaptation to the surgical process and optimize clinical outcomes.

Keywords

• Preoperative Care
• Fear
• Postoperative Care
• Pain
• Nursing Care

CERRAHİ HASTALARDA AMELİYAT ÖNCESİ AĞRI İNANÇLARI VE CERRAHİ KORKU İLE AMELİYAT SONRASI AĞRI ARASINDAKİ İLİŞKİ

Abstract

Amaç: Çalışma, ameliyat öncesi cerrahi korku ve ağrı inanç düzeyleriyle ameliyat sonrası ilk 24 saatte kaydedilen ağrı düzeyleri arasındaki ilişkiyi incelemek amacıyla yapıldı. Yöntem: Çalışmada tanımlayıcı ve ilişki arayıcı bir araştırma tasarımı kullanıldı. Çalışmaya, bir eğitim ve araştırma hastanesinin genel cerrahi kliniğinde ameliyat olan 292 hasta dahil edildi. Veriler, Hasta Tanımlama Formu, Görsel Analog Skala-Ağrı, Ağrı İnançları Ölçeği ve Cerrahi Korku Ölçeği kullanılarak, yüz yüze görüşme yoluyla toplandı. Veriler SPSS programı kullanılarak analiz edildi. Bulgular: Ameliyat sonrası ilk 24 saatte hastaların ortalama ağrı ve cerrahi korku düzeyi puan ortalamalarının düşük, ağrı inançları alt ölçek puan ortalamalarının ise orta düzeyde olduğu bulundu. Hastaların ağrı düzeyi puan ortalamaları ile cerrahi korku puan ortalamaları arasında anlamlı bir ilişki olduğu (r=.28, p<.001), ağrı inancı puan ortalaması arasındaki ilişkinin anlamlı olmadığı belirlendi (r=.04, p=.44). Hastaların ağrı düzeylerinin; cinsiyet (p<.01), kronik hastalık (p<.05), önceki cerrahi müdahaleler (p<.001) ve ameliyat türü (p<.05) değişkenlerine göre de anlamlı farklılık gösterdiği belirlendi. Sonuç: Bu çalışmada, cerrahi korku düzeyi ile postoperatif ağrı şiddeti arasında anlamlı bir ilişki olduğu saptandı. Bu doğrultuda, preoperatif dönemde hastaların korku düzeylerinin sistematik olarak değerlendirilmesi ve özellikle yüksek risk grubundaki hastalara yönelik erken dönem bilgilendirme, psikolojik destek ve uygun baş etme stratejilerinin geliştirilmesi önemlidir. Bu tür yaklaşımların, hastaların cerrahi sürece uyumunu kolaylaştıracağı ve klinik çıktıları optimize edeceği düşünülmektedir.

Keywords

• Preoperatif Bakım
• Korku
• Postoperatif Bakım
• Ağrı
• Hemşirelik Bakımı

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