Öz
Amaç: Septorinoplasti ameliyatı kulak burun boğaz kliniklerinde sıklıkla yapılan bir ameliyattır. Anksiyete her ne kadar perioperatif dönemdeki cerrahi deneyimin normal bir parçası olarak kabul edilse de bazı negatif sonuçları bulunmaktadır. Bu çalışma ile septorinoplasti ameliyatı geçiren hastaların, perioperatif dönemdeki depresyon, anksiyete ve postoperatif ağrı skorlarının değerlendirilmesi amaçlandı.
Yöntemler: 2019-2021 yılları arasında septorinoplasti ameliyatı yapılan 46 hasta bu prospektif çalışmaya dahil edildi. Hastaların anksiyete ve depresyon skorlarını ölçmek için HADS (Hospital anxiety depression scale), postoperatif ağrı puanlarını (POP) ölçmek için ise vizüel analog skala (VAS) kullanıldı.
Bulgular: Preoperatif ile postoperatif 1.gün HADS-A skorları karşılaştırıldığında skorlar arasında anlamlı düzeyde bir azalma olduğu görüldü(p=.001). İnternal nazal splintler çıkarıldıktan sonra HADS-A ve HADS-D skorlarında anlamlı bir düşme görüldü(p<.05). Postoperatif HADS-A skorları ile POP değerleri arasında pozitif bir korelasyon bulundu (p<.001).
Sonuç: Septorinoplasti ameliyatlarını geçiren hastalarda perioperatif anksiyete dikkatle ele alınmalıdır. Hastaların anksiyetisini azaltmak için tamponların erken çıkarılması değerlendirilmelidir.
Anahtar Kelimeler
Kaynakça
- Tulloch I, Rubin JS. Assessment and Management of Preoperative Anxiety. J Voice. 2019;33(5):691-6.
- Fodale V, Tripodi VF, Penna O, et al. An update on anesthetics and impact on the brain. Expert Opin Drug Saf. 2017;16(9):997-1008.
- Stern AF. The hospital anxiety and depression scale. Occup Med (Lond). 2014;64(5):393-4.
- Paker N, Bugdayci D, Midik M, Celik B, Kesiktas N. Reliability of the Turkish version of the hospital anxiety and depression scale in the people with traumatic spinal cord injury. NeuroRehabilitation. 2013;33(2):337-41.
- Yang Y, Ding R, Hu D, Zhang F, Sheng L. Reliability and validity of a Chinese version of the HADS for screening depression and anxiety in psycho-cardiological outpatients. Compr Psychiatry. 2014;55(1):215-20.
- Cho CH, Song KS, Hwang I, Coats-Thomas MS, Warner JJP. Changes in Psychological Status and Health-Related Quality of Life Following Total Shoulder Arthroplasty. J Bone Joint Surg Am. 2017;99(12):1030-5.
- Caumo W, Schmidt AP, Schneider CN, et al. Risk factors for preoperative anxiety in adults. Acta Anaesthesiol Scand. 2001;45(3):298-307.
- Bailey L. Strategies for decreasing patient anxiety in the perioperative setting. AORN J. 2010;92(4):445-57;quiz 58-60.
- Székely A, Balog P, Benkö E, et al. Anxiety predicts mortality and morbidity after coronary artery and valve surgery--a 4-year follow-up study. Psychosom Med. 2007;69(7):625-31.
- Baytar C, Bollucuoglu K. Effect of virtual reality on preoperative anxiety in patients undergoing septorhinoplasty. Braz J Anesthesiol. 2021.
Öz
Aim: Septorhinoplasty is a frequently performed surgery in otolaryngology clinics that may induce perioperative anxiety in patients. Although such anxiety is considered a normal part of the surgical experience, it has negative consequences. This study aimed to evaluate the perioperative depression, anxiety, and postoperative pain scores of patients who underwent septorhinoplasty, as knowing this information has the potential to improve their recovery process.
Methods: A total of 46 patients who underwent septorhinoplasty in 2019–2021 were included in this prospective study. The Hospital Anxiety and Depression Scale (HADS) was used to measure anxiety and depression, and the Visual Analog Scale was used to measure patients’ postoperative pain (POP).
Results: A comparison of preoperative and first postoperative day HADS-A scores revealed a significant decrease in the scores (p=0.001). HADS-A and HADS-D scores decreased significantly after internal nasal splints were removed (p<0.05). A positive correlation was found between postoperative HADS-A scores and POP values (p<0.001).
Conclusion: Perioperative anxiety should be mindfully considered in patients undergoing septorhinoplasty. Early removal of the internal nasal splints may reduce patients’ anxiety.
Anahtar Kelimeler
Kaynakça
- Tulloch I, Rubin JS. Assessment and Management of Preoperative Anxiety. J Voice. 2019;33(5):691-6.
- Fodale V, Tripodi VF, Penna O, et al. An update on anesthetics and impact on the brain. Expert Opin Drug Saf. 2017;16(9):997-1008.
- Stern AF. The hospital anxiety and depression scale. Occup Med (Lond). 2014;64(5):393-4.
- Paker N, Bugdayci D, Midik M, Celik B, Kesiktas N. Reliability of the Turkish version of the hospital anxiety and depression scale in the people with traumatic spinal cord injury. NeuroRehabilitation. 2013;33(2):337-41.
- Yang Y, Ding R, Hu D, Zhang F, Sheng L. Reliability and validity of a Chinese version of the HADS for screening depression and anxiety in psycho-cardiological outpatients. Compr Psychiatry. 2014;55(1):215-20.
- Cho CH, Song KS, Hwang I, Coats-Thomas MS, Warner JJP. Changes in Psychological Status and Health-Related Quality of Life Following Total Shoulder Arthroplasty. J Bone Joint Surg Am. 2017;99(12):1030-5.
- Caumo W, Schmidt AP, Schneider CN, et al. Risk factors for preoperative anxiety in adults. Acta Anaesthesiol Scand. 2001;45(3):298-307.
- Bailey L. Strategies for decreasing patient anxiety in the perioperative setting. AORN J. 2010;92(4):445-57;quiz 58-60.
- Székely A, Balog P, Benkö E, et al. Anxiety predicts mortality and morbidity after coronary artery and valve surgery--a 4-year follow-up study. Psychosom Med. 2007;69(7):625-31.
- Baytar C, Bollucuoglu K. Effect of virtual reality on preoperative anxiety in patients undergoing septorhinoplasty. Braz J Anesthesiol. 2021.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | ORJİNAL MAKALE |
| Yazarlar | |
| Yayımlanma Tarihi | 27 Eylül 2022 |
| Kabul Tarihi | 2 Eylül 2022 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 27 Sayı: 3 |
This Journal licensed under a CC BY-NC (Creative Commons Attribution-NonCommercial 4.0) International License.