Evaluation of the Relationship between Knowledge Level and Anxiety Level of Cancer Patients with Port Catheter

Year 2023, Volume: 5 Issue: 3, 227 - 236, 13.12.2023

Buse Sekmen Anita Karaca

https://doi.org/10.48071/sbuhemsirelik.1346171

Abstract

Introduction: Complications related to port catheterization can be prevented or reduced in patients who are informed about port catheterization, and they can also experience less anxiety and fear.
Aim: This study was conducted to evaluate the relationship between the level of knowledge about port catheterization and the level of anxiety in cancer patients with port catheters, and to determine the factors affecting it.
Method: The sample of this descriptive and correlation study consisted of 136 patients receiving chemotherapy. The data was collected by the Patient Information Survey, Port Catheterization Patient Information Survey, and the Beck Anxiety Inventory.
Results: Of the patients, 15.4% received training before port catheterization and the physician gave 9.6% of the training. The total mean scores of both scales were determined 20.12 ± 2.44 for the Port Catheterization Patient Information Survey and 8.17 ± 4.85 for the Beck Anxiety Inventory. In the study, the married patients’ port catheterization knowledge mean score was found to be statistically higher than that of the single patients, and the difference was significant (p < 0.05). In addition, this study found no significant relationship between port catheterization knowledge and anxiety scores (r = 0.13; p > 0.05).
Conclusion: The patients' knowledge level about port catheterization was above average and their anxiety level was mild. The level of knowledge of the patients about port catheterization did not affect their anxiety levels. Nurses need to consider individual characteristics and disease-related variables in the education of patients with port catheters

Keywords

Anxiety, cancer, implantable catheters, nursing

Port Kateter Uygulanan Kanserli Hastaların Bilgi Düzeyi ile Anksiyete Düzeyi Arasındaki İlişkinin Değerlendirilmesi

Abstract

Giriş: Port kateterizasyonu konusunda bilgilendirilen hastalarda port kateterizasyonuna bağlı gelişebilecek komplikasyonlar önlenebilir veya azaltılabilir, ayrıca hastaların daha az anksiyete ve korku yaşamaları sağlanabilir.
Amaç: Bu araştırma port kateteri olan kanser hastalarının port kateterizasyonuna ilişkin bilgi düzeyi ile anksiyete düzeyi arasındaki ilişkiyi değerlendirmek ve etkileyen faktörleri belirlemek amacıyla gerçekleştirildi.
Yöntem: Tanımlayıcı ve ilişki arayıcı tasarımdaki bu çalışmanın örneklemini kemoterapi tedavisi gören 136 hasta oluşturdu. Araştırma verileri Hasta Bilgi Formu, Beck Anksiyete Ölçeği ve Port Kateterizasyonu Hasta Bilgi Formu ile toplandı.
Bulgular: Hastaların %15,4'ü port kateterizasyon öncesi eğitim aldığını ve eğitimlerin %9,6'sının hekim tarafından verildiğini ifade etti. Her iki ölçek toplam puan ortalamaları; Port Kateterizasyonu Hasta Bilgi Formu için 20,12 ± 2,44, Beck Anksiyete Ölçeği için 8,17 ± 4,85 olarak belirlendi. Çalışmada, evli hastaların port kateterizasyonu bilgi puan ortalaması bekar hastalara göre istatistiksel olarak daha yüksek bulundu ve aradaki fark anlamlıydı (p < 0,05). Ayrıca, port kateterizasyonu bilgi puanı ile anksiyete puanı arasında anlamlı bir ilişki belirlenmedi (r = 0,13; p > 0,05).
Sonuç: Hastaların port kateterizasyonuna ilişkin bilgi düzeyleri ortalamanın üzerinde ve anksiyete seviyeleri hafif düzeydedir. Hastaların port kateterizasyonuna ilişkin bilgi düzeylerinin anksiyete durumlarını etkilemediği belirlendi. Hemşirelerin port kateteri olan hastaların eğitiminde bireysel özellikleri ve hastalık ile ilgili değişkenleri göz önünde bulundurmaları önemlidir.

Keywords

Anksiyete, hemşirelik, implantabl kateterler, kanser

References

• Akyüz, İ. (2012). Determination of the relationship between education and anxiety in disease in laparoscopic cholecystectomy (Unpublished master’s thesis). Afyon Kocatepe University, Afyonkarahisar.
• Arch, P. (2007). Port navigation: Let the journey begin. Clinical Journal of Oncology Nursing, 11(4), 485-488. doi: 10.1188/07. CJON.485-488
• Avcı, M.Z., Sahin, S., Kılıç, B., & Çiçek, H.S. (2022). Problems and 849 educational needs related to port catheters in cancer patients. Journal of Inonu University Health Services Vocational School, 10(3), 849-859. doi: 10.33715/inonusaglik.833491
• Aydoğan, Ü., Doğaner, Y.Ç., Borazan, E., Kömürcü, Ş., Koçak, N., Öztürk, B., ... Sağlam, K. (2012). Relationship between depression and anxiety levels and attitudes of coping with disease in cancer patients. Turkish Journal of Family Practice, 16(2), 55-60. doi:10.2399/tahd.12.055
• Beck, A.T., Epstein, N., Brown, G., & Steer, R.A. (1988). An inventory for measuring clinical anxiety: psychometric properties. Journal of Consulting and Clinical Psychology, 56(6), 893-897. doi: 10.1037//0022-006x.56.6.893
• Çetinkaya, F., & Karabulut, N. (2010). The impact on the level of anxiety and pain of the training before operation given to adult patients who will have an abdominal operation. Journal of Anatolia Nursing and Health Sciences, 13(2), 20–26.
• Demirkıran, G., & Uzun, Ö. (2012). Post-discharge learning needs of patients who had undergone coronary artery bypass grafting surgery. Journal of Ege University Nursing Faculty, 28(1), 1-12.
• Devrez, N. (2011). Determination of knowledge levels of nurses about port catheter care (Unpublished master’s thesis). Gazi University, Ankara.
• Göl, N.D., & Aşılar, R.H. (2017). Assessment of depression and quality of life in cancer patients receiving chemotherapy. Gümüşhane University Journal Of Health Sciences, 6(1), 29-39.
• Güleç, G., & Büyükkınacı, A. (2011). Cancer and psychiatric disorders. Current Approaches in Psychiatry, 3(2), 343-67.
• Güleser, G.N., & Taşçı, S. (2009). Central venous catheters which are frequently used in oncology and care. Fırat University Medical Journal of Health Sciences, 23(1), 47-51.
• Güven, C. (2020). The evaluation of subcutaneous venous port catheter applications: 6 years of our clinical experience. Journal of Health Sciences of Adıyaman University, 6(1), 29-40. doi:10.30569.adiyamansaglik.624148
• Işıklı, A., Soydaş, D., Önüt, F., & Şen, H. (2023). The effect of video information before insertion of an implantable port catheter on cancer patients’ fear of pain and pain levels. Cancer Nursing, 10.1097/NCC.0000000000001267. doi: 10.1097/NCC.0000000000001267
• Kabalak, A.A., Öztürk, H., Erdem, T., & Akın, S. (2012). A comprehensive palliative care center implementation in S.B. Ulus State Hospital. Journal of Contemporary Medicine, 2(2), 122-126.
• Kara, H., & Arıkan, F. (2021). Life after hematopoietic stem cell transplantation: care role of nurses. Journal of Uludağ University Medical Faculty, 47(1), 133-140. doi: 10.32708/uutfd.840073
• Karadeniz, G., Tarhan, S., Yanıkkerem, E., Dedeli, Ö., & Kahraman, E. (2008). Anxiety and depression in patients before magnetic resonance and computer tomography. Journal of Clinical Psychiatry, 11(2), 77–83.
• Karaokur, G. (2019). The effect of preoperative training on preoperative and postoperative anxiety, postoperative pain and satisfaction in patients with lumbar disc herniation (Unpublished master’s thesis). Istanbul Medipol University, Istanbul.
• Karaveli, S., Köşgeroğlu, S., & İlhan, S.E. (2012). Evaluating the effect of pre-informing patients on anxiety levels before the implanted port placement. Journal of Ege University Nursing Faculty, 28(3), 51-64.
• Kıral, N., Saraç, G., Yüksel, T., Salepçi, B., & Çağlayan, B. (2010). A rare complication of port catheter. Tuberculosis and Thorax, 58(2), 177-180.
• Kutlu, R. (2015). Temporary / permanent venous catheters and port placement. Trd Sem, 3, 298-315. doi:10.5152/trs.2015.224
• Li, Y., Guo, J., Zhang, Y., & Kong, J. (2021). Complications from port-a-cath system implantation in adults with malignant tumors: A 10-year single-center retrospective study. Journal of Interventional Medicine, 5(1), 15–22. doi: 10.1016/j.jimed.2021.12.002
• Matthias, A.T., & Samarasekera, D.N. (2012). Preoperative anxiety in surgical patients - experience of a single unit. Acta Anaesthesiologica Taiwanica, 50(1), 3–6. doi: 10.1016/j.aat.2012.02.004
• Madabhavi, I., Patel, A., Sarkar, M., Anand, A., Panchal, H., & Parikh,S. (2017). A study of use of “PORT” catheter in patients with cancer: A single-center experience. Clinical Medicine Insights. Oncology, 11, 1179554917691031. doi: 10.1177/1179554917691031
• Mercan, E.B. (2017). Evaluation of nursing students’ knowledge on port catheter implementation (Unpublished master’s thesis). Istanbul Bilim University, Istanbul.
• Nordin, K., Berglund, G., Glimelius, B., & Sjödén, P. O. (2001). Predicting anxiety and depression among cancer patients: a clinical model. European Journal of Cancer, 37(3), 376–384. doi: 10.1016/s0959-8049(00)00398-1
• Oran, N.T. (2009). Port catheter: How can we maintain venous access? Maltepe University Journal of Nursing Science and Art, 2(3), 136-142.
• Özşaker, E., Akan, S., Dolgun, E., & Dönmez, Y.C. (2022). Investigation of the relationship between learning needs and anxiety of surgical patients: cross-sectional study. Turkiye Klinikleri Journal of Nursing Sciences, 14(1), 26-34. doi: 10.5336/nurses.2021-83062
• Özyurt, S. (2011). Complicatıons due to port catheters on chemotherapy patients; a retrospectıve study (Unpublished master’s thesis). Haliç University, Istanbul.
• Sidar, A., Dedeli, Ö., & İşkesen, A. (2013). The relationship between anxiety, pain distress and pain severity before and after open heart surgery in patients. Turkish Journal of Intensive Care, 4, 1–8. doi:10.5152/dcbybd.2013.02
• Soyer, Ö., Dönmez, Y.C., & van Giersbergen, M.Y. (2018). Determination of patient learning needs of surgical patients. E-Journal of Dokuz Eylul University Nursing Faculty, 11(3), 200-208.
• Süslü, H., Arslan, G., & Turan, K. (2012). Venous port implantation in adult patients: retrospective evaluation. Pain, 24(1), 32-36. doi: 10.5505/agri.2012.17362
• Tamer, Z. (2019). The impact of pre-operative education on anxiety and physıological parameters (Unpublished master’s thesis).Sivas Cumhuriyet University, Sivas.
• Tan, M., Özdelikara, A., & Polat, H. (2013). Determination of patient learning needs. Florence Nightingale Journal of Nursing, 21(1), 1-8.
• Tokgöz, G., Yaluğ, İ., Özdemir, S., Yazıcı, A., Uygun, K., & Aker, T. (2008). Prevalence of major depression in patients with cancer and related factors. Anatolian Journal of Psychiatry, 9(2), 59-66.
• Traeger, L., Greer, J.A., Fernandez-Robles, C., Temel, J.S., & Pirl, W.F. (2012). Evidence-based treatment of anxiety in patients with cancer. Journal of Clinical Oncology, 30(11), 1197-1205. doi: 10.1200/JCO.2011.39.5632
• Ulusoy, M., Şahin, N., & Erkman, H. (1998). Turkish version of The Beck Anxiety Inventory: Psychometric properties. Journal of Cognitive Psychotherapy, 12(2), 163-172.
• Uslu, Y., Olgun, N., Karanlık, H., & User, İ. (2019). Port catheter applicatıons: a qualitative study on experiences of patients wıth cancer. Acıbadem University Health Sciences Journal, 10(3), 464-72. doi: 10.31067/0.2019.180
• Üstüner, M. A., Zengel, B., Telciler, K. E., Ertürk, Ö., Tanrıverdi, H. O. & İlhan, E. (2013). Using of venous port catheter in patients with cancer: A 5-year clinical experience. Medical Journal of Izmir Hospital, 17(4), 198-205.
• Wondie, Y., Mehnert, A., & Hinz, A. (2020). The Hospital Anxiety and Depression Scale (HADS) was applied to Ethiopian cancer patients. PloS One, 15(12), e0243357. doi: 10.1371/journal. pone.0243357
• Yanık, F., Karamustafaoğlu Y.A., Karataş A., & Yörük Y. (2018). Experience in an implantable venous port catheter: analysis of 3000 patients in 12 years. Turkish Journal of Thoracic and Cardiovascular Surgery, 26(3), 422-428. doi: 10.5606/tgkdc.dergisi.2018.15299
• Yazgı, Z.G., & Yılmaz, M. (2020). Nursing role in coping with psychosocial problems experienced by cancer patients. Journal of Adnan Menderes University Health Sciences Faculty, 4(1), 60-70.
• Yeşil, S., Tanyıldız, H.G., Ardıçlı, B., Tekgündüz, S.A., Çandır, M.O., Toprak, Ş., … Şahin, G. (2014). Central venous catheter-related complications. Gazi Medical Journal, 25(4), 135-137. doi: 10.12996/gmj.2014.42
• Yeşilbalkan, Ö.U. (2005). A Technologıc device which are used frequently in oncology patients: implanted port catheter. Journal of Cumhuriyet University School of Nursing, 9(2), 49-54.
• Yeşilbalkan, Ö.U., Kır, S., Karadakovan, A., & Uslu, R. (2009). Knowledge and attitudes of Turkish cancer patients regarding the implantable port catheter. Turkish Journal of Oncology, 24(3), 108-114.
• Zengin, S., Kabul, S., Al, B., Sarcan, E., Doğan, M., & Yildirim, C. (2013). Effects of music therapy on pain and anxiety in patients undergoing port catheter placement procedure. Complementary Therapies in Medicine, 21(6), 689–696. doi: 10.1016/j.ctim.2013.08.017