The effect of preoperative anxiety levels on postoperative recovery in patients undergoing elective cardiac surgery during Covid 19

Yıl 2024, Cilt: 11 Sayı: 4, 523 - 529, 31.12.2024

Gamze Ataman Yıldız , Tülin Yıldız , Ersin Kadirogulları , Fatma Eti Aslan

https://doi.org/10.52880/sagakaderg.1514037

Öz

Introduction and Aim: The aim of this study was to determine the effect of preoperative anxiety levels on postoperative recovery in patients undergoing cardiac surgery during Covid19.
Material and Methods: The population of the descriptive study consisted of patients in the adult cardiovascular surgery service of a training and research hospital. Data were collected from 235 patients who were planned to undergo cardiac surgery between April and August 2021, who met the inclusion criteria and agreed to participate in the study, using the Sociodemographic Characteristics Form, State-Trait Anxiety Scale and Postoperative Recovery Index, and the analysis of the data collected in the study was performed using SPSS 22.0 software.
Results and Conclusion: The mean age of the patients who participated in the study was 58.71±11.92 years, 71.1% were male, 83% were married, 64.3% were primary school graduates, 65.5% had other diseases, 61.3% had a family history of heart disease and 19.6% had Covid 19. It was found that the patients had moderate anxiety according to the mean state-trait anxiety score in the preoperative period, and they had a lot of difficulty in recovery according to the Postoperative Recovery Index. A significant positive correlation was found between the Trait Anxiety Scale and the Postoperative Recovery Index. It was found that patients who were anxious due to the Covid 19 process had higher preoperative state-trait anxiety.
It was determined that there was a positive and significant relationship between the preoperative trait anxiety levels of the patients and their postoperative recovery, and the Covid 19 process increased anxiety.

Anahtar Kelimeler

anxiety, cardiac surgery, postoperative recovery, surgical nursing

Covid 19 sürecinde elektif kardiyak cerrahi girişim geçiren hastalarda ameliyat öncesi kaygı düzeylerinin ameliyat sonrası iyileşme durumlarına etkisi

Öz

Giriş ve Amaç: Covid19 sürecinde kardiyak cerrahi girişim geçiren hastalarda ameliyat öncesi kaygı düzeylerinin ameliyat sonrası iyileşme durumlarına etkisinin belirlenmesi amacıyla planlandı ve yapıldı.
Gereç ve Yöntem: Tanımlayıcı nitelikte gerçekleştirilen araştırmanın evrenini, İstanbul Sağlık Bilimleri Üniversitesi Mehmet Akif Ersoy Göğüs Kalp Damar Cerrahisi Eğitim Araştırma Hastanesinin Yetişkin Kalp Damar Cerrahisi Servisindeki hastalar oluşturdu. Veriler, Nisan 2021- Ağustos 2021 tarihleri arasında, kardiyak cerrahi girişim planlanıp çalışmaya dahil edilme kriterlerini sağlayan ve araştırmaya katılmayı kabul eden 235 hasta ile, “Sosyodemografik Özellikler Formu”, “Durumluk-Sürekli Kaygı Ölçeği” ve “Ameliyat Sonrası İyileşme İndeksi” kullanılarak toplandı ve araştırmada toplanan verilerin analizi SPSS 22.0 paket programı kullanılarak gerçekleştirildi.
Bulgular ve Sonuç: Araştırmaya katılan hastaların yaş ortalaması 58,71±11,92, %71,1’i erkek %83’ünün evli, %64,3’ünün ilköğretim mezunu olduğu saptandı. Ayrıca %65,5’inin ek olarak başka hastalıklarının da olduğu, %61,3’ünün ailesinde kalp hastalığı olduğu ve %19,6’sının Covid-19 geçirdiği belirlendi. Çalışmaya dahil edilen hastaların ameliyat öncesi dönemdeki ‘durumluk kaygı’ puan ortalaması ve ‘sürekli kaygı’ puan ortalamasına göre orta düzeyde kaygı yaşadıkları saptandı. ‘Ameliyat Sonrası İyileşme İndeksi’ puan ortalamasına göre iyileşmede çok güçlük yaşadıkları bulundu. Ameliyat öncesi Durumluk Kaygı Ölçeği ile Ameliyat Sonrası İyileşme İndeksi toplam puanları ve alt boyutları arasında istatistiksel olarak anlamlı bir ilişki saptanmadı (p˃0,05). Sürekli Kaygı Ölçeği ile Ameliyat Sonrası İyileşme İndeksi toplam puanları ve alt boyutları arasında pozitif yönde istatistiksel olarak anlamlı ilişki olduğu bulundu.
Hastaların ameliyat öncesi durumluk kaygı düzeyleri ile ameliyat sonrası iyileşmeleri arasında anlamlı bir fark bulunmazken, ameliyat öncesi sürekli kaygı düzeyleri ile pozitif yönde ve anlamlı bir ilişki olduğu belirlendi.

Anahtar Kelimeler

anksiyete, kardiyak cerrahi, ameliyat sonrası iyileşme, cerrahi hemşireliği

Etik Beyan

İstanbul Sağlık Bilimleri Üniversitesi Mehmet Akif Ersoy Göğüs Kalp Damar Cerrahisi Eğitim Araştırma Hastanesi Etik kurulundan izin alınmıştır.

Destekleyen Kurum

Destekleyen kurum yoktur.

Teşekkür

Çalışmamda katkısı olan hocalarıma çok teşekkür ediyorum.

Kaynakça

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