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            <front>

                <journal-meta>
                                                                <journal-id>mersin univ saglık bilim derg</journal-id>
            <journal-title-group>
                                                                                    <journal-title>Mersin Üniversitesi Sağlık Bilimleri Dergisi</journal-title>
            </journal-title-group>
                                        <issn pub-type="epub">1308-0830</issn>
                                                                                            <publisher>
                    <publisher-name>Mersin University</publisher-name>
                </publisher>
                    </journal-meta>
                <article-meta>
                                        <article-id/>
                                                                <article-categories>
                                            <subj-group  xml:lang="en">
                                                            <subject>Health Care Administration</subject>
                                                    </subj-group>
                                            <subj-group  xml:lang="tr">
                                                            <subject>Sağlık Kurumları Yönetimi</subject>
                                                    </subj-group>
                                    </article-categories>
                                                                                                                                                        <title-group>
                                                                                                                        <article-title>Uzayan pandemide göğüs cerrahisi geçiren hastalarda COVID-19 korkusu ve anksiyete düzeyleri</article-title>
                                                                                                                                                                                                <trans-title-group xml:lang="en">
                                    <trans-title>COVID-19 fear and anxiety levels in patients undergoing thoracic surgery in the prolonged pandemic</trans-title>
                                </trans-title-group>
                                                                                                    </title-group>
            
                                                    <contrib-group content-type="authors">
                                                                        <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0002-5320-6921</contrib-id>
                                                                <name>
                                    <surname>Soydan</surname>
                                    <given-names>Dilara</given-names>
                                </name>
                                                                    <aff>MERSİN ÜNİVERSİTESİ</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0002-9053-9397</contrib-id>
                                                                <name>
                                    <surname>Çam Yanık</surname>
                                    <given-names>Tuğba</given-names>
                                </name>
                                                                    <aff>MERSİN ÜNİVERSİTESİ, HEMŞİRELİK FAKÜLTESİ, HEMŞİRELİK BÖLÜMÜ, CERRAHİ HASTALIKLAR HEMŞİRELİĞİ ANABİLİM DALI</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0001-6804-5035</contrib-id>
                                                                <name>
                                    <surname>Altun Uğraş</surname>
                                    <given-names>Gülay</given-names>
                                </name>
                                                                    <aff>MERSİN ÜNİVERSİTESİ, HEMŞİRELİK FAKÜLTESİ, HEMŞİRELİK BÖLÜMÜ, CERRAHİ HASTALIKLAR HEMŞİRELİĞİ ANABİLİM DALI</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0003-1889-4404</contrib-id>
                                                                <name>
                                    <surname>Ayan</surname>
                                    <given-names>Erhan</given-names>
                                </name>
                                                                    <aff>MERSİN ÜNİVERSİTESİ, TIP FAKÜLTESİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, GÖĞÜS CERRAHİSİ ANABİLİM DALI</aff>
                                                            </contrib>
                                                                                </contrib-group>
                        
                                        <pub-date pub-type="pub" iso-8601-date="20231218">
                    <day>12</day>
                    <month>18</month>
                    <year>2023</year>
                </pub-date>
                                        <volume>16</volume>
                                        <issue>3</issue>
                                        <fpage>363</fpage>
                                        <lpage>374</lpage>
                        
                        <history>
                                    <date date-type="received" iso-8601-date="20230214">
                        <day>02</day>
                        <month>14</month>
                        <year>2023</year>
                    </date>
                                                    <date date-type="accepted" iso-8601-date="20230802">
                        <day>08</day>
                        <month>02</month>
                        <year>2023</year>
                    </date>
                            </history>
                                        <permissions>
                    <copyright-statement>Copyright © 2008, Mersin Üniversitesi Sağlık Bilimleri Dergisi</copyright-statement>
                    <copyright-year>2008</copyright-year>
                    <copyright-holder>Mersin Üniversitesi Sağlık Bilimleri Dergisi</copyright-holder>
                </permissions>
            
                                                                                                <abstract><p>Amaç: Bu araştırmada uzayan pandemide, akciğerlerle doğrudan temas gerektiren ve solunum sisteminin direkt etkilendiği göğüs cerrahisi geçiren hastaların COVID-19’a bağlı korku ve anksiyete düzeyleri ile bunları etkileyen faktörlerin belirlenmesi amaçlandı. Yöntem: Bu kesitsel araştırmanın örneklemini bir üniversite hastanesinin göğüs cerrahi servisinde yatan ve elektif cerrahi uygulanan 86 hasta oluşturdu. Araştırmada veriler 30 Haziran-15 Ağustos 2021 tarihleri arasında “Tanıtıcı Özellikler Formu”, “Göğüs Cerrahisi Geçiren Hastaların COVID-19 Korkusunu ve Anksiyetesini Etkileyen Faktörler Formu”, “Koronavirüs Korkusu Ölçeği (KKÖ)” ve “Koronavirüs Anksiyete Ölçeği (KAÖ)” kullanılarak toplandı.  Bulgular: Araştırmada göğüs cerrahisi geçiren hastaların KKÖ puanı 21.65±6.58 ve KAÖ puanı 6.36±5.45 idi. Hastaların yaşı ve COVID-19 enfeksiyonu geçirme durumu KKÖ puanını etkiledi (p</p></abstract>
                                                                                                                                    <trans-abstract xml:lang="en">
                            <p>Aim: This study aimed to determine the fear and anxiety levels of patients related to COVID-19 who underwent thoracic surgery which requires direct contact with the lungs and directly affects the respiratory system, and the factors affecting them during the prolonged pandemic. Methods: The sample of this cross-sectional study consisted of 86 patients who were hospitalized in the thoracic surgery ward of a university hospital and underwent elective surgery. The data in the study were collected using “Descriptive Characteristics Form”, “Factors Affecting COVID-19 Fear and Anxiety of Patients Undergoing Thoracic Surgery”, “Coronavirus Fear Scale (CFS)” and “Coronavirus Anxiety Scale (CAS)” between 30 June and 15 August 2021. Results: In the study, patients who underwent thoracic surgery had a CFS score of 21.65±6.58 and a CAS score of 6.36±5.45. The age of the patients and the status of having COVID-19 infection affected the CFS score (p</p></trans-abstract>
                                                            
            
                                                            <kwd-group>
                                                    <kwd>COVID-19</kwd>
                                                    <kwd>  pandemi</kwd>
                                                    <kwd>  göğüs cerrahi</kwd>
                                                    <kwd>  anksiyete</kwd>
                                                    <kwd>  korku</kwd>
                                            </kwd-group>
                                                        
                                                                            <kwd-group xml:lang="en">
                                                    <kwd>COVID-19</kwd>
                                                    <kwd>  pandemic</kwd>
                                                    <kwd>  thoracic surgery</kwd>
                                                    <kwd>  anxiety</kwd>
                                                    <kwd>  fear</kwd>
                                            </kwd-group>
                                                                                                        <funding-group specific-use="FundRef">
                    <award-group>
                                                    <funding-source>
                                <named-content content-type="funder_name">YOK</named-content>
                            </funding-source>
                                                                            <award-id>YOK</award-id>
                                            </award-group>
                </funding-group>
                                </article-meta>
    </front>
    <back>
                            <ref-list>
                                    <ref id="ref1">
                        <label>1</label>
                        <mixed-citation publication-type="journal">Bulut Ş. Cerrahi operasyon geçirecek hastaların ameliyata özgü kaygılarının ve etkileyen faktörlerin incelenmesi [Yüksek Lisans Tezi]. İstanbul, Türkiye. Maltepe Üniversitesi, Sağlık Bilimleri Enstitüsü; 2017.</mixed-citation>
                    </ref>
                                    <ref id="ref2">
                        <label>2</label>
                        <mixed-citation publication-type="journal">Karacabay K, Savcı A,  Hergül FK. Investigating relationships between pain, comfort, anxiety and depression in surgical patients. Cyprus Journal of Medical Sciences. 2022; 7(1): 40-48. 10.4274/cjms.2020.1758</mixed-citation>
                    </ref>
                                    <ref id="ref3">
                        <label>3</label>
                        <mixed-citation publication-type="journal">Lai E, Grimes CL, Kasoff M, et al. Assessment of level of fear in adult patients undergoing elective urogynecologic and gynecologic procedures and surgeries during the COVID-19 pandemic using the validated surgical fear questionnaire. Female Pelvic Medicine &amp; Reconstructive Surgery. 2022; 28(3): e88. 10.1097/SPV.0000000000001162</mixed-citation>
                    </ref>
                                    <ref id="ref4">
                        <label>4</label>
                        <mixed-citation publication-type="journal">Spolverato G, Capelli G, Restivo A, et al. The management of surgical patients during the coronavirus disease 2019 (COVID-19) pandemic. Surgery. 2020; 168(1): 4-10. https://doi.org/10.1016/j.surg.2020.04.036</mixed-citation>
                    </ref>
                                    <ref id="ref5">
                        <label>5</label>
                        <mixed-citation publication-type="journal">Keskin E, Çelik S, Köstekli S. Covid-19 pandemisinde nöroşirurji hastalarının perspektifinden cerrahi süreç kaygısı. Kocaeli Tıp Dergisi. 2021; 10(1): 72-84. 10.5505/ktd.2021.36034</mixed-citation>
                    </ref>
                                    <ref id="ref6">
                        <label>6</label>
                        <mixed-citation publication-type="journal">Lei S, Jiang F, Su W, et al. Clinical characteristics and outcomes of patients undergoing surgeries during the incubation period of COVID-19 infection. EClinicalMedicine. 2020; 21: 100331. https://doi.org/10.1016/j.eclinm.2020.100331</mixed-citation>
                    </ref>
                                    <ref id="ref7">
                        <label>7</label>
                        <mixed-citation publication-type="journal">Li YK, Peng S, Li LQ, et al. Clinical and transmission characteristics of Covid-19—a retrospective study of 25 cases from a single thoracic surgery department. Current Medical Science. 2020; 40(2): 295-300. 10.1007/s11596-020-2176-2</mixed-citation>
                    </ref>
                                    <ref id="ref8">
                        <label>8</label>
                        <mixed-citation publication-type="journal">Ören B. Göğüs cerrahisi uygulanan hastaların konfor ve anksiyete düzeyini etkileyen faktörler. Sağlık Bilimleri ve Meslekleri Dergisi. 2019; 5(3): 324-332. https://doi.org/10.17681/hsp.409359</mixed-citation>
                    </ref>
                                    <ref id="ref9">
                        <label>9</label>
                        <mixed-citation publication-type="journal">Micoogullari U, Kisa E, Yucel C, et al. The effect of the first wave of COVID‐19 pandemic on urology practice and anxiety scores of patients awaiting surgery. International Journal of Clinical Practice. 2021; 75(8): e14201. https://doi.org/10.1111/ijcp.14201</mixed-citation>
                    </ref>
                                    <ref id="ref10">
                        <label>10</label>
                        <mixed-citation publication-type="journal">Mulita F, Vailas M, Tchabashvili L, et al. The impact of the COVID-19 outbreak on emergency surgery: a Greek emergency department experience. Gastroenterology Review/Przegląd Gastroenterologiczny. 2021; 16(1): 95-95. https://doi.org/10.5114/pg.2021.104739</mixed-citation>
                    </ref>
                                    <ref id="ref11">
                        <label>11</label>
                        <mixed-citation publication-type="journal">Bronheim RS, Kebaish KM, Jain A, Neuman BJ, Skolasky RL. Worsening pain and quality of life for spine surgery patients during the COVID-19 pandemic: Roles of psychological distress and patient activation. North American Spine Society Journal (NASSJ). 2022; 9: 100103. https://doi.org/10.1016/j.xnsj.2022.100103</mixed-citation>
                    </ref>
                                    <ref id="ref12">
                        <label>12</label>
                        <mixed-citation publication-type="journal">Balkaya AN, Karaca Ü, Yılmaz C,  Ata F. COVID-19 pandemisinde elektif cerrahi uygulanacak hastaların preoperatif anksiyete düzeylerinin değerlendirilmesi. Uludağ Üniversitesi Tıp Fakültesi Dergisi. 2021; 47(2): 233-239. https://doi.org/10.32708/uutfd.913827</mixed-citation>
                    </ref>
                                    <ref id="ref13">
                        <label>13</label>
                        <mixed-citation publication-type="journal">Durhan A, Şenlikci A, Bezirci R, ve ark. Covıd-19 pandemisinin acil genel cerrahi ve elektif onkolojik cerrahi ameliyatlarına etkisi: retrospektif kesitsel çalışma. İzmir Eğitim ve Araştırma Hastanesi Tıp Dergisi. 2021; 25(2): 87-92. https://bozyakaeah.saglik.gov.tr/Eklenti/221517/0/03-mak-87-pdf.pdf</mixed-citation>
                    </ref>
                                    <ref id="ref14">
                        <label>14</label>
                        <mixed-citation publication-type="journal">Sánchez-Vélez H, Moreta-Herrera R. Fear and anxiety of COVID-19, stress and health perception. A Predictive Model in Ecuadorian Hospital Patients. 2022; (38)3: 439-447. https://doi.org/10.6018/analesps.489761</mixed-citation>
                    </ref>
                                    <ref id="ref15">
                        <label>15</label>
                        <mixed-citation publication-type="journal">Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The strengthening there porting of observational studies in epidemiology (strobe) statement: Guidelines for reporting observational studies. International Journal of Surgery. 2014; 12: 1495-1499. https://doi.org/10.1016/j.ijsu.2014.07.013</mixed-citation>
                    </ref>
                                    <ref id="ref16">
                        <label>16</label>
                        <mixed-citation publication-type="journal">Doğan MM, Düzel B. Covid-19 özelinde korku-kaygı düzeyleri. Electronic Turkish Studies. 2020; 15(4): 739-752.</mixed-citation>
                    </ref>
                                    <ref id="ref17">
                        <label>17</label>
                        <mixed-citation publication-type="journal">Ahorsu DK, Lin CY, Imani V, Saffari M, Griffiths MD, Pakpour AH. The Fear of COVID- 19 Scale: Development and initial validation. International Journal of Mental Health and Addiction. 2022; 20: 1537–1545.https://doi.org/10.1007/s11469-020-00270-8</mixed-citation>
                    </ref>
                                    <ref id="ref18">
                        <label>18</label>
                        <mixed-citation publication-type="journal">Bakioğlu F, Korkmaz O, Ercan H. Fear of COVID-19 and positivity: mediating role of intolerance of uncertainty, depression, anxiety, and stress. International Journal of Mental Health and Addiction. 2020; 19: 2369-2382. https://doi.org/10.1007/s11469-020-00331-y</mixed-citation>
                    </ref>
                                    <ref id="ref19">
                        <label>19</label>
                        <mixed-citation publication-type="journal">Lee SA. Coronavirus anxiety scale: A brief mental health screener for COVID-19 related anxiety. Death Studies. 2020; 44(7): 393- 401. doi:10.1080/07481187.2020.1748481</mixed-citation>
                    </ref>
                                    <ref id="ref20">
                        <label>20</label>
                        <mixed-citation publication-type="journal">Biçer İ, Çakmak C, Demir H, Kurt, ME. Koronavirüs Anksiyete Ölçeği kısa formu: Türkçe geçerlik ve güvenirlik çalışması. Anadolu Klin. 2020; 25(1): 216-225. doi: 10.21673/anadoluklin.731092</mixed-citation>
                    </ref>
                                    <ref id="ref21">
                        <label>21</label>
                        <mixed-citation publication-type="journal">World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research ınvolving human subjects. JAMA. 2013; 310(20): 2191-2194. doi:10.1001/jama.2013.281053.</mixed-citation>
                    </ref>
                                    <ref id="ref22">
                        <label>22</label>
                        <mixed-citation publication-type="journal">Evans JD. Straight forward statistics for the behavioral sciences. Brooks/Cole Publishing, CA, Pacific Grove; (1996).</mixed-citation>
                    </ref>
                                    <ref id="ref23">
                        <label>23</label>
                        <mixed-citation publication-type="journal">Doglietto F, Vezzoli M, Biroli A, et al. Anxiety in neurosurgical patients undergoing nonurgent surgery during the COVID-19 pandemic. Neurosurgical Focus. 2020; 49(6): E19. https://doi.org/10.3171/2020.9.FOCUS20681</mixed-citation>
                    </ref>
                                    <ref id="ref24">
                        <label>24</label>
                        <mixed-citation publication-type="journal">Altun Uğraş G, Yıldırım G, Yüksel S, Öztürkçü Y, Kuzdere M, Öztekin SD. The Effect of different types of music on patients’ preoperative anxiety: A randomized controlled trial. Complementary Therapies in Clinical Practice. 2018; 31: 158-163. https://doi.org/10.1016/j.ctcp.2018.02.012</mixed-citation>
                    </ref>
                                    <ref id="ref25">
                        <label>25</label>
                        <mixed-citation publication-type="journal">Dawood K. Preoperative anxiety and fears among adult surgical patients in baghdad teaching hospital, Iraq. Medico Legal Update. 2020; 20(1): 858-863.</mixed-citation>
                    </ref>
                                    <ref id="ref26">
                        <label>26</label>
                        <mixed-citation publication-type="journal">Manav Aİ, Atik D, Coşkun E, Bozkurt A. Yaşlılarda Covıd-19 pandemi sürecinde bilinçli farkındalık, başa çıkma tutumları ve kişisel iyi oluş. Turkish Journal of Family Medicine and Primary Care, (2021); 15(1): 85-92. doi:doi.org/10.21763/tjfmpc.808383.</mixed-citation>
                    </ref>
                                    <ref id="ref27">
                        <label>27</label>
                        <mixed-citation publication-type="journal">Uslukaya A. Gebelerin COVID-19 pandemisi ile ilişkili korku ve anksiyete düzeylerinin belirlenmesi. [Tıpta Uzmanlık Tezi]. Sakarya, Türkiye. Sakarya Üniversitesi, Aile Hekimliği Anabilim Dalı, 2021.</mixed-citation>
                    </ref>
                                    <ref id="ref28">
                        <label>28</label>
                        <mixed-citation publication-type="journal">Karakuş K, Aksoy Y, Çakıcı HA. Sporcuların koronavirüs (Covıd-19) korkuları ile farkındalıkları arasındaki ilişki. Beden Eğitimi ve Spor Bilimleri Dergisi. 2022; 16(3): 258-268.</mixed-citation>
                    </ref>
                                    <ref id="ref29">
                        <label>29</label>
                        <mixed-citation publication-type="journal">Azoulay E, Kentish-Barnes N. A 5-point strategy for improved connection with relatives of critically ill patients with COVID-19. Resp Medic. 2020; 8(6): e52. 10.1016/S2213-2600(20)30223-X</mixed-citation>
                    </ref>
                                    <ref id="ref30">
                        <label>30</label>
                        <mixed-citation publication-type="journal">Köse O, Ünal O, Köse E, Koray Bostancı G, Özden S. Covid-19 pandemisi öncesi ve pandemi döneminde endometrium kanseri vakalarının karşılaştırılması bir eğitim araştırma hastanesi örneği. Sakarya Tıp Dergisi. 2022; 12(3): 438-443. https://doi.org/10.31832/smj.1088491</mixed-citation>
                    </ref>
                                    <ref id="ref31">
                        <label>31</label>
                        <mixed-citation publication-type="journal">Ceyhan N, Baktır S, Akbaba YA, Kaya BB. Hastanede tedavi edilen kronik inmeli hastaların aile yakınları veya bakıcı tarafından refakat edilmesinin, hasta tarafından algılanan sosyal destek düzeyi, fiziksel bağımsızlık, yaşam kalitesi ve depresyon üzerine etkisinin belirlenmesi. Tıp Fakültesi Klinikleri Dergisi. 2022; 5(1): 55-59.</mixed-citation>
                    </ref>
                                    <ref id="ref32">
                        <label>32</label>
                        <mixed-citation publication-type="journal">Ören E, Eren CS, Yeşildere FB, Erdoğan N. Informed consent of contrast media applications in radiology: assesment of comprehensibility and the anxiety of the patients. The Journal of Tepecik Education and Research Hospital. 2010; 20(3): 122-130. 10.5222/terh.2010.43760</mixed-citation>
                    </ref>
                                    <ref id="ref33">
                        <label>33</label>
                        <mixed-citation publication-type="journal">Kiriş S. Ayrıntılı aydınlatılmış onam formunun hasta anksiyetesi ve vital bulguları üzerine etkisi [Doktora Tezi]. Ankara, Türkiye. Hacettepe Üniversitesi, Sağlık Bilimleri Enstitüsü, 2012.</mixed-citation>
                    </ref>
                                    <ref id="ref34">
                        <label>34</label>
                        <mixed-citation publication-type="journal">Danielis M, Elisa Mattiussi E. The care of patients through the lens of the fundamentals into times of the COVID-19 outbreak. Intensive &amp; Critical Care Nursing. 2020; 102883. doi: 10.1016/j.iccn.2020.102883</mixed-citation>
                    </ref>
                            </ref-list>
                    </back>
    </article>
