COVID-19 Pandemisinde Elektif Cerrahi Uygulanacak Hastaların Preoperatif Anksiyete Düzeylerinin Değerlendirilmesi

Abstract

COVID-19 önlemleri alınarak elektif cerrahilerin yeniden başlatıldığı pandemi sürecinde elektif cerrahi uygulanacak hastaların preoperatif anksiyete düzeylerinin ve anksiyete seviyelerini etkileyen faktörlerin değerlendirilmesi amaçlandı. 18-75 yaş grubu elektif cerrahi uygulanacak 450 hasta dahil edildi. Yazılı onamları alınan hastalar preoperatif dönemde değerlendirildi. Demografik verileri, eğitim durumu, medikal geçmişi, anestezi ve cerrahi deneyimleri sorgulandı. COVID-19 hakkında soruların olduğu anket formu ile yirmişer maddelik durumluk ve sürekli kaygı ölçeklerinden oluşan Spielberger Durumluk-Sürekli Anksiyete Ölçeği (STAI) hastalar tarafından dolduruldu. Durumluk (STAI-I) ve sürekli (STAI-II) kaygı ölçeklerinde büyük puan yüksek anksiyete seviyesini, küçük puan ise düşük anksiyete seviyesini belirtir. 49.26±15.51 yaş ortalaması olan hastaların ortalama anksiyete düzeyi STAI-I’de 41.46±8.43, STAI-II’de 37.79±9.73 olarak bulundu. Opere edilen kliniklere göre hastaların STAI-I puanları orta düzeyde anksiyete, STAI-II puanları ise hafif düzeyde anksiyete ile uyumluydu. Hastaların yaşı ile STAI-I arasında negatif yönde korelasyon görüldü (r=-0.52, p=0.136), STAI-II’de ise yaş ile pozitif korelasyon saptandı (r=0.22, p=0.321). Cinsiyet, eğitim durumu, geçirilmiş ameliyat öyküsü ve anestezi deneyimi açısından değerlendirildiğinde preoperatif STAI-I ve II puanlarında farklılık saptanmadı. COVID-19 pandemisi hakkında yeterli bilgi sahibi olmadığını düşünen hastaların (%17,6) STAI-I ve STAI-II puanları anlamlı yüksekti (p= 0.000, p= 0.001). Ailesinde geçirilmiş COVID-19 enfeksiyonu bulunan hastaların STAI-I ve II puanları ile diğer hastaların puanları benzerdi (p=0.76, p=0.91). Hastane yatışında COVID-19 ile enfekte olma tedirginliği bulunan hastaların (287 hasta, %63.8) STAI-I puanı hastanede COVID-19’a yakalanmaktan korkmayanlara (163 hasta, %36.2) göre yüksek bulundu (p=0.05). Postoperatif dönemde hastane yatışı sırasında COVID-19 ile enfekte olan hasta olmadı. Elektif cerrahi geçirecek hastalarda COVID-19 pandemisinde preoperatif anksiyete düzeyleri artmıştır. Preoperatif dönemde hastalara COVID-19 ile ilgili rutin bilgilendirme yapılmasının ve alınacak önlemlerden bahsedilmesinin anksiyete düzeyini azaltmada faydalı olacağı düşüncesindeyiz

Keywords

• COVID-19
• PANDEMİ
• PREOPERATİF ANKSİYETE
• STAI

Evaluation of Preoperative Anxiety Levels of Patients Undergoing Elective Surgery in COVID-19 Pandemic

Abstract

We aimed to evaluate the pre-operative anxiety levels of patients and the factors affecting their anxiety levels who will undergo elective surgery during the pandemic process in which elective surgeries are restarted by taking COVID-19 precautions. 450 patients between 18-75 years old, will undergo elective surgery were included in the study. Patients, whose written consents were obtained, were evaluated in the preoperative period. The demographic data, educational status, medical history, anesthesia and surgical experiences of the patients were questioned. A questionnaire containing questions about COVID-19 and the Spielberger State-Trait Anxiety Inventory (STAI) consisting of twenty-item state and trait anxiety scales were filled in by the patients. On the state (STAI-I) and trait (STAI-II) anxiety scales, a large score indicates a high level of anxiety, and a small score indicates a low level of anxiety. The average anxiety level of the patients with a mean age of 49.26 ± 15.51 years was found as 41.46 ± 8.43 in STAI-I and 37.79 ± 9.73 in STAI-II. According to the type of operation, STAI-I scores of the patients were compatible with moderate anxiety, and STAI-II scores were compatible with mild anxiety. There was a negative correlation between the age of patients and STAI-I scores (r=-0.52, p=0.136). and a positive correlation was found between STAI-II and the age of patients (r = 0.22, p = 0.321). No difference was found in preoperative STAI-I and II scores when evaluated in terms of gender, educational status, history of previous surgery and anesthesia experiences. STAI-I and STAI-II scores were significantly higher in the patients (17.6%) that thought they didn’t have enough information about the pandemic (p = 0.000, p = 0.001). The STAI-I and II scores of the patients with a family history of COVID-19 infection were similar with the other patients (p = 0.76, p = 0.91). The STAI-I scores of the patients (287 pati-ents, 63.8%) who were worried about being infected with COVID-19 during hospitalization were found to be higher than those who were not afraiding of infected with COVID-19 (163 patients, 36.2%) (p = 0.05). There was no patient infected with COVID-19 during hospitalization. Preoperative anxiety levels have increased in patients undergoing elective surgery in COVID-19 pandemic. We think that informing patients about COVID-19 routinely and talking about the precautions to be taken in the preoperative period will be beneficial in reducing their anxiety levels.

Keywords

• COVID-19
• PANDEMİC
• PREOPERATİVE ANXİETY
• STAI

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