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Septorinoplasti yapılan hastalarda iyimserlik düzeyi ve hasta memnuniyeti arasındaki ilişkinin araştırılması

Yıl 2023, Cilt: 28 Sayı: 3, 329 - 336, 28.09.2023
https://doi.org/10.21673/anadoluklin.1256682

Öz

Amaç: Septorinoplasti (SRP)’de cerrahi başarıyı ve hasta memnuniyetini etkileyen faktörler hastaya ait faktörler ve cerraha ait faktörler olarak ikiye ayrılabilir. İyimserlik, pozitif psikolojinin temel kavramlarından birisidir ve durum ve olayların olumlu yönlerine odaklanma ve olumlu durumlar yaşanacağına inanma eğilimi olarak tanımlanmaktadır. Bu çalışmanın amacı hastaların iyimserlik düzeylerinin SRP sonrasındaki hasta memnuniyeti üzerine olan etkisinin ve hastaların iyimserlik düzeylerinin preoperatif değerlendirilmesinin hasta seçiminde faydalı bir araç olup olmayacağının araştırılmasıdır.

Yöntemler: Çalışma 18- 65 yaş aralığında açık teknik SRP yapılan 72 hasta ile gerçekleştirildi. Hastaların iyimserlik düzeyleri Yaşam Yönelim Testi (YYT) ve hastaların operasyonla ilgili memnuniyet düzeyleri Rinoplasti Sonuç Değerlendirme Anketi (RSDA) ile değerlendirildi.

Bulgular: Hastaların ameliyat öncesi uygulanan RSDA puan ortalaması 35,7 ± 3,6 ve ameliyat sonrası uygulanan RSDA puan ortalaması 81,4 ± 3,9 idi. Hastaların ameliyat öncesi ve sonrası puan ortalamaları arasında istatistiksel olarak anlamlı derecede fark var idi (p <0,001). Hastaların iyimserlik (YYT) puanı ile ameliyat sonrası RSDA puanı arasında pozitif yönlü istatistiksel olarak anlamlı korelasyon (ilişki) saptandı (r:0,646, p<0,001). İyimserlik düzeyi yüksek olan hastaların ameliyat sonrası ölçülen memnuniyet düzeyleri daha fazla idi.

Sonuç: Bu çalışmada SRP yapılan hastalarda iyimserlik düzeyi yükseldikçe operasyon sonrası hasta memnuniyetinin arttığı bulundu. SRP’de hasta seçimine yardımcı olabilmesi ve olası hasta bazlı problemlerin ve medikolegal sorunların önüne geçilebilmesi için, hastaların iyimserlik düzeylerinin değerlendirilmesi ve YYT’nin kullanılması fayda sağlayabilir.

Destekleyen Kurum

Herhangi bir krumdan destek alınmamıştır.

Kaynakça

  • Cingi C, Eskiizmir G. Deviated nose attenuates the degree of patient satisfaction and quality of life in rhinoplasty: a prospective controlled study. Clin Otolaryngol. 2013;38(2):136-41.
  • Tulacı KG, Arslan E. Septorinoplasti Yapılan Hastalarda Sosyal Görünüş Kaygısının Hasta Memnuniyetine Etkisinin Araştırılması. KBB-Forum. 2020;19(3):318–23.
  • Scheier MF, Carver CS. Effects of optimism on psychological and physical well-being: Theoretical overview and empirical update. Cognit Ther Res. 1992;16(2):201–28.
  • Harju BL, Bolen LM. The effects of optimisin on coping and perceived quality of life of college students. J Soc Behav Pers. 1998;13(2):185.
  • Rasmussen HN, Scheier MF, Greenhouse JB. Optimism and physical health: A meta-analytic review. Ann Behav Med. 2009;37(3):239–56.
  • Scheier MF, Carver CS, Bridges MW. Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): a reevaluation of the Life Orientation Test. J Pers Soc Psychol. 1994;67(6):1063.
  • Sandoval EL. (2008). Secure attachment, self-esteem, and optimism as predictors of positive body image in women (unpublised Phd thesis). Texas A&M University, Texas.
  • Cash TF, Jakatdar TA, Williams EF. The Body Image Quality of Life Inventory: Further validation with college men and women. Body Image. 2004;1(3):279–87.
  • Applebaum AJ, Stein EM, Lord‐Bessen J, Pessin H, Rosenfeld B, Breitbart W. Optimism, social support, and mental health outcomes in patients with advanced cancer. Psycho‐oncology. 2014;23(3):299–306.
  • Eryılmaz A, Atak H. Ergen Öznel İyi Oluşunun Öz Saygı Ve İyimserlik Eğilimi İle İlişkisinin İncelenmesi. Elektron Sos Bilim Derg. 2011;10(37):170–81.
  • Hessler JL, Moyer CA, Kim JC, Baker SR, Moyer JS. Predictors of satisfaction with facial plastic surgery: results of a prospective study. Arch Facial Plast Surg. 2010;12(3):192–6.
  • Picavet VA, Gabriëls L, Grietens J, Jorissen M, Prokopakis EP, Hellings PW. Preoperative symptoms of body dysmorphic disorder determine postoperative satisfaction and quality of life in aesthetic rhinoplasty. Plast Reconstr Surg. 2013;131(4):861–8.
  • Slator R, Harris DL. Are rhinoplasty patients potentially mad? Br J Plast Surg. 1992;45(4):307–10.
  • Baykal B, Erdim I, Kayhan FT, Oghan F. Comparative analysis of nasal deformities according to patient satisfaction. J Oral Maxillofac Surg. 2014;72(3): 603.e1-603.e7.
  • Scheier MF, Carver CS. Optimism, coping, and health: assessment and implications of generalized outcome expectancies. Health Psychol. 1985;4(3):219-47.
  • Aydin G, Tezer E. Iyimserlik, sağlik sorunlari ve akademik başari ilişkisi. Psikol Derg. 1991;7(26):2-9.
  • Çelik M, Altıntaş A. The turkish version of the rhinoplasty outcomes evaluation questionnaire: validation and clinical application. Balkan Med J. 2019;36(2):129.
  • Alsarraf R, Larrabee WF Jr, Anderson S, Murakami CS, Johnson CM Jr. Measuring cosmetic facial plastic surgery outcomes: a pilot study. Arch Facial Plast Surg. 2001;3(3):198-201.
  • Alsarraf R. Outcomes research in facial plastic surgery: a review and new directions. Aesthetic Plast Surg. 2000;24(3):192–7.
  • Başer E. (2011). Açık Teknik Septorinoplasti Yapılan Olgularda Hasta Memnuniyetinin Değerlendirilmesi (Tıpta Uzmanlık Tezi). T.C. Bezmialem Vakıf Üniversitesi, İstanbul.
  • Andretto Amodeo C. The central role of the nose in the face and the psyche: review of the nose and the psyche. Aesthetic Plast Surg. 2007;31(4):406-10.
  • Herruer JM, Prins JB, van Heerbeek N, Verhage-Damen GWJA, Ingels KJAO. Negative predictors for satisfaction in patients seeking facial cosmetic surgery: a systematic review. Plast Reconstr Surg. 2015;135(6):1596-605.
  • Gökçe Kütük S, Arıkan OK. Evaluation of the effects of open and closed rhinoplasty on the psychosocial stress level and quality of life of rhinoplasty patients. J Plast Reconstr Aesthet Surg. 2019;72(8):1347-1354.
  • Kucur C, Kuduban O, Ozturk A, et al. Psychological Evaluation of Patients Seeking Rhinoplasty. Eurasian J Med. 2016;48(2):102-106.
  • Yığman F, İnan S. Relationship between the beliefs on social appearance, anxiety, and intolerance of uncertainty in rhinoplasty patients. Ann Clin Anal Med. 2022;13(03):340–4.
  • Seligman MEP. (2006), Learned optimism: How to change your mind and life. Wintage books. New York
  • Hessler JL, Moyer CA, Kim JC, Baker SR, Moyer JS. Predictors of satisfaction with facial plastic surgery: results of a prospective study. Arch Facial Plast Surg. 2010;12(3):192-6.
  • McIntosh BJ, Stern M, Ferguson KS. Optimism, coping, and psychological distress: Maternal reactions to NICU hospitalization. Child Heal Care. 2004;33(1):59–76.
  • Huffman JC, Boehm JK, Beach SR, Beale EE, DuBois CM, Healy BC. Relationship of optimism and suicidal ideation in three groups of patients at varying levels of suicide risk. J Psychiatr Res. 2016;77:76-84.
  • Gençoğlu C. (2006). Üniversite öğrencilerinin iyimserlik düzeyleri ile kişilik özellikleri arasındaki ilişkinin incelenmesi (Yüksek Lisans Tezi). TC. Ondokuz Mayıs üniversitesi Sosyal Bilimler Enstitüsü, Samsun.

Investigation of the relationship between optimism level and patient satisfaction in patients undergoing septorhinoplasty

Yıl 2023, Cilt: 28 Sayı: 3, 329 - 336, 28.09.2023
https://doi.org/10.21673/anadoluklin.1256682

Öz

Aim: The factors affecting surgical success and patient satisfaction in septorhinoplasty (SRP) can be divided into two parts as patient factors and surgeon factors. Optimism is one of the basic concepts of positive psychology. Optimism is defined as the tendency to focus on the positive aspects of situations and events and to believe that positive situations will occur. The aim of this study was to investigate the effect of patients’ optimism levels on patient satisfaction after SRP and whether preoperative evaluation of patients’ optimism levels would be a useful tool for patient selection in SRP.

Methods: The study was conducted with 72 patients who underwent SRP. The optimism levels of the patients were evaluated with the Life Orientation Test (LOT) and the satisfaction levels of the patients about the operation were evaluated with the Rhinoplasty Outcome Evaluation Questionnaire (ROE).

Results: The mean score of preoperative ROE was 35.7 ± 3.6 and the mean score of postoperative ROE was 81.4 ± 3.9. There was a statistically significant difference between the preoperative and postoperative scores (p <0.001). There was statistically significant positive correlation between the patients’ optimism (LOT) and postoperative ROE scores (r: 0.646, p<0.001). Patients with high levels of optimism had higher satisfaction levels after surgery.

Conclusion: In this study, it was found that as the level of optimism increased, post-operative patient satisfaction also increased. It may be beneficial to evaluate the optimism levels of the patients and to use LOT in order to help patient selection in SRP and to prevent possible patient-based and medicolegal problems.

Kaynakça

  • Cingi C, Eskiizmir G. Deviated nose attenuates the degree of patient satisfaction and quality of life in rhinoplasty: a prospective controlled study. Clin Otolaryngol. 2013;38(2):136-41.
  • Tulacı KG, Arslan E. Septorinoplasti Yapılan Hastalarda Sosyal Görünüş Kaygısının Hasta Memnuniyetine Etkisinin Araştırılması. KBB-Forum. 2020;19(3):318–23.
  • Scheier MF, Carver CS. Effects of optimism on psychological and physical well-being: Theoretical overview and empirical update. Cognit Ther Res. 1992;16(2):201–28.
  • Harju BL, Bolen LM. The effects of optimisin on coping and perceived quality of life of college students. J Soc Behav Pers. 1998;13(2):185.
  • Rasmussen HN, Scheier MF, Greenhouse JB. Optimism and physical health: A meta-analytic review. Ann Behav Med. 2009;37(3):239–56.
  • Scheier MF, Carver CS, Bridges MW. Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): a reevaluation of the Life Orientation Test. J Pers Soc Psychol. 1994;67(6):1063.
  • Sandoval EL. (2008). Secure attachment, self-esteem, and optimism as predictors of positive body image in women (unpublised Phd thesis). Texas A&M University, Texas.
  • Cash TF, Jakatdar TA, Williams EF. The Body Image Quality of Life Inventory: Further validation with college men and women. Body Image. 2004;1(3):279–87.
  • Applebaum AJ, Stein EM, Lord‐Bessen J, Pessin H, Rosenfeld B, Breitbart W. Optimism, social support, and mental health outcomes in patients with advanced cancer. Psycho‐oncology. 2014;23(3):299–306.
  • Eryılmaz A, Atak H. Ergen Öznel İyi Oluşunun Öz Saygı Ve İyimserlik Eğilimi İle İlişkisinin İncelenmesi. Elektron Sos Bilim Derg. 2011;10(37):170–81.
  • Hessler JL, Moyer CA, Kim JC, Baker SR, Moyer JS. Predictors of satisfaction with facial plastic surgery: results of a prospective study. Arch Facial Plast Surg. 2010;12(3):192–6.
  • Picavet VA, Gabriëls L, Grietens J, Jorissen M, Prokopakis EP, Hellings PW. Preoperative symptoms of body dysmorphic disorder determine postoperative satisfaction and quality of life in aesthetic rhinoplasty. Plast Reconstr Surg. 2013;131(4):861–8.
  • Slator R, Harris DL. Are rhinoplasty patients potentially mad? Br J Plast Surg. 1992;45(4):307–10.
  • Baykal B, Erdim I, Kayhan FT, Oghan F. Comparative analysis of nasal deformities according to patient satisfaction. J Oral Maxillofac Surg. 2014;72(3): 603.e1-603.e7.
  • Scheier MF, Carver CS. Optimism, coping, and health: assessment and implications of generalized outcome expectancies. Health Psychol. 1985;4(3):219-47.
  • Aydin G, Tezer E. Iyimserlik, sağlik sorunlari ve akademik başari ilişkisi. Psikol Derg. 1991;7(26):2-9.
  • Çelik M, Altıntaş A. The turkish version of the rhinoplasty outcomes evaluation questionnaire: validation and clinical application. Balkan Med J. 2019;36(2):129.
  • Alsarraf R, Larrabee WF Jr, Anderson S, Murakami CS, Johnson CM Jr. Measuring cosmetic facial plastic surgery outcomes: a pilot study. Arch Facial Plast Surg. 2001;3(3):198-201.
  • Alsarraf R. Outcomes research in facial plastic surgery: a review and new directions. Aesthetic Plast Surg. 2000;24(3):192–7.
  • Başer E. (2011). Açık Teknik Septorinoplasti Yapılan Olgularda Hasta Memnuniyetinin Değerlendirilmesi (Tıpta Uzmanlık Tezi). T.C. Bezmialem Vakıf Üniversitesi, İstanbul.
  • Andretto Amodeo C. The central role of the nose in the face and the psyche: review of the nose and the psyche. Aesthetic Plast Surg. 2007;31(4):406-10.
  • Herruer JM, Prins JB, van Heerbeek N, Verhage-Damen GWJA, Ingels KJAO. Negative predictors for satisfaction in patients seeking facial cosmetic surgery: a systematic review. Plast Reconstr Surg. 2015;135(6):1596-605.
  • Gökçe Kütük S, Arıkan OK. Evaluation of the effects of open and closed rhinoplasty on the psychosocial stress level and quality of life of rhinoplasty patients. J Plast Reconstr Aesthet Surg. 2019;72(8):1347-1354.
  • Kucur C, Kuduban O, Ozturk A, et al. Psychological Evaluation of Patients Seeking Rhinoplasty. Eurasian J Med. 2016;48(2):102-106.
  • Yığman F, İnan S. Relationship between the beliefs on social appearance, anxiety, and intolerance of uncertainty in rhinoplasty patients. Ann Clin Anal Med. 2022;13(03):340–4.
  • Seligman MEP. (2006), Learned optimism: How to change your mind and life. Wintage books. New York
  • Hessler JL, Moyer CA, Kim JC, Baker SR, Moyer JS. Predictors of satisfaction with facial plastic surgery: results of a prospective study. Arch Facial Plast Surg. 2010;12(3):192-6.
  • McIntosh BJ, Stern M, Ferguson KS. Optimism, coping, and psychological distress: Maternal reactions to NICU hospitalization. Child Heal Care. 2004;33(1):59–76.
  • Huffman JC, Boehm JK, Beach SR, Beale EE, DuBois CM, Healy BC. Relationship of optimism and suicidal ideation in three groups of patients at varying levels of suicide risk. J Psychiatr Res. 2016;77:76-84.
  • Gençoğlu C. (2006). Üniversite öğrencilerinin iyimserlik düzeyleri ile kişilik özellikleri arasındaki ilişkinin incelenmesi (Yüksek Lisans Tezi). TC. Ondokuz Mayıs üniversitesi Sosyal Bilimler Enstitüsü, Samsun.
Toplam 30 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Klinik Tıp Bilimleri (Diğer)
Bölüm ORJİNAL MAKALE
Yazarlar

Rıza Gökçer Tulacı 0000-0003-2113-5855

Hasan Çanakcı 0000-0001-7047-0081

Yayımlanma Tarihi 28 Eylül 2023
Kabul Tarihi 23 Temmuz 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 28 Sayı: 3

Kaynak Göster

Vancouver Tulacı RG, Çanakcı H. Septorinoplasti yapılan hastalarda iyimserlik düzeyi ve hasta memnuniyeti arasındaki ilişkinin araştırılması. Anadolu Klin. 2023;28(3):329-36.

13151 This Journal licensed under a CC BY-NC (Creative Commons Attribution-NonCommercial 4.0) International License.