Ameliyat Korkusu Hastaları Uyutmuyor mu?

Yıl 2017, Cilt: 20 Sayı: 4, 260 - 266, 28.12.2017

Özlem Şahin Altun Zeynep Karaman Özlü , Merve Kaya , Zeynep Olçun

Öz

Amaç: Bu
araştırma elektif cerrahi hastalarının yaşadıkları cerrahi korku düzeyi ile
gece uyku durumları arasındaki ilişkiyi belirlemek amacıyla yürütüldü.

Yöntem: Araştırmanın
evrenini; Türkiye’de bulunan bir üniversite hastanesindeki cerrahi kliniklerde
Ekim 2016- Temmuz 2017 tarihleri arasında elektif cerrahi geçiren 146 hasta
oluşturdu. Verilerinin toplanmasında “Kişisel Bilgi Formu”, “Richard-Campbell
Uyku Ölçeği (RCUÖ)” ve “Cerrahi Korku Ölçeği (CKÖ)” kullanıldı.

Bulgular: Bu çalışmada hastaların Cerrahi Korku Ölçeği puan
ortalaması 42.57±25.40
olarak belirlendi. Richard-Campbell Uyku Ölçeği puan ortalaması ise 46.90±32.50 bulundu. CKÖ-K, CKÖ-U alt boyut puan ortalamaları ve
toplam puan ortalaması ile Richard-Campbell Uyku Ölçeği’nin toplam puan
ortalaması arasında negatif yönde anlamlı bir ilişki olduğu belirlendi.
(p<0.01).

Sonuçlar: Araştırma bulguları doğrultusunda elektif cerrahi bekleyen hastaların
cerrahi korku düzeyinin, gece uyku durumları üzerinde etkili olduğu görüldü. 

Anahtar Kelimeler

Elektif cerrahi, cerrahi korku, uyku

DOES THE FEAR OF SURGERY PREVENT PATIENTS FROM SLEEPING?

Öz

Aim:
This study intended to determine the correlation between elective surgery
patients’ degree of surgical fear
and their states of night sleep.

Method: The population of the study included 146 patients who
underwent elective surgeries in the surgery clinics of a university hospital in
Turkey between October 2016 and July 2017. The study data were collected using
a personal information form, the Richard-Campbell Sleep Questionnaire (RCSQ),
and the Surgical Fear Questionnaire (SFQ).

Result: The patients' mean score on the Surgical Fear
Questionnaire was 42.57±25.40, and
on the RCSQ was 46.90±32.50. There was a strong negative correlation between
the subdimension mean scores and the total mean score on the Surgical Fear
Questionnaire (Long Term and Short Term) and the total mean score on RCSQ
(p<0.01).

Conclusion: The researcher suggests that these results should be
used to determine an individual’s level of fear related to upcoming surgery;
effective methods for coping with fear should be included in pre-surgery
preparation and training programs. 

Anahtar Kelimeler

Elective surgery, fear of surgery, sleep

Kaynakça

• Bağdigen M, Karaman Özlü Z. The Turkish reliability and validity study of the surgical fear questionnaire, and determination of its relationship with the perception of social support. Atatürk Üniversitesi / Sağlık Bilimleri Enstitüsü / Cerrahi Hastalıkları Hemşireliği Anabilim Dalı, Yüksek Lisans Tezi, 2016.
• Cash E, Sephton SE, Chagpar AB, Spiegel D, Rebholz WN, Zimmaro LA, Dhabhar FS. Circadian Disruption and Biomarkers of Tumor Progression in Breast Cancer Patients Awaiting Surgery. Brain, Behavior, and İmmunity 2015;48:102-14.
• Caumo W, Schmidt A, Schneider C, Bergmann J, Iwamoto C, Bandeira D, Ferreira M. Risk Factors for Preoperative Anxiety in Adults. Acta Anaesthesiologica Scandinavica 2001;56(81):298-307.
• Christian L, Graham J, Padgett D, Glaser R, Kiecolt-Glaser J. Stress and Wound Healing. Neuroimmunomodulation 2006;13(1):337-46.
• Costa SVD, Ceolim MF. Factors that Affect İnpatients' Quality of Sleep. Revista da Escola de Enfermagem da USP 2013;47(1):46-52.
• Dedert E, Lush E, Chagpar A, Dhabhar FS, Segerstrom SC, Spiegel D Sephton SE. Stress, Coping, and Circadian Disruption among Women Awaiting Breast Cancer Surgery. Annals of Behavioral Medicine 2012;44(1):10-20.
• Diaz-Morales, Francisco J, Sánchez-Lopez MP. Morningness-eveningness and Anxiety among Adults: A matter of Sex/gender?. Personality and Individual Differences 2008;44(6):1391-1401.
• Gürsoy A, Candaş B, Güner Ş, Yılmaz S. Preoperative stress: An operating Room Nurse İntervention Assessment. Journal of Perianesthesia Nursing 2016;31(6):1-9.
• Gürsoy AA. To Determine the Anxiety Levels and The Factors Which may Cause Anxiety in Preoperative Surgical Patients. Journal of Nursing Research Development (HEMAR-G) 2001;1:23-9.
• Ito Y, Iida T, Yamamura Y, Teramura M, Nakagami Y, Kawai K, Teradaira R. Relationships between Salivary Melatonin Levels, Quality of Sleep, and Stress in Young Japanese Females. International Journal of Tryptophan Research 2013;6(1):75.
• Karaman Özlü Z, Özer N. Richard-Campbell Sleep Scale Validity and Reliability Study. Journal of Turkish Sleep Medicine 2015;2:29-32.
• Koivula M, Paunonen‐Ilmonen M, Tarkka MT, Tarkka M, Laippala P. Social Support and Its Relation to Fear and Anxiety in Patients Awaiting Coronary Artery Bypass Grafting. Journal of Clinical Nursing 2002;11(5):622-33.
• Maher MA, Maher EA, Mahmoud AAA. Preoperative Sleep Quality and Inhalation Anesthetic Requirements: A Sleep Electroencephalography Study. The Egyptian Journal of Neurology, Psychiatry and Neurosurgery 2015;52(4):254.
• Maranets I, Kain Z. Preoperative Anxiety and Intraoperative Anesthetic Requirements. Anesthesia Analgesia 1999;89(6):1346.
• Özkaya BÖ, Yüce Z, Gönenç M, Gül A. Factors Affecting the Sleep Patterns of the Patients in the Early Postoperative Period. Bakırkoy Medical Journal 2013;9(3):121-5. Pierantognetti P, Covelli G, Vario M. Anxiety, Stress and Preoperative Surgical Nursing. Professioni İnfermieristiche 2002;55(3):180-91.
• Poole L, Kidd T, Leigh E, Ronaldson A, Jahangiri M, Steptoe A. Preoperative Sleep Complaints are Associated with Poor Physical Recovery in the Months Following Cardiac Surgery. Annals of Behavioral Medicine 2014;47(3):347-57.
• Richards KC. Techniques for Measurement of Sleep in Critical Care. Focus on Crit Care 1987;14(4):34-40.
• Sandra S, Spiegel D. Circadian Disruption in Cancer: A Neuroendocrine-Immune Pathway from Stress to Disease?. "Brain, Behavior, and İmmunity 2003;17(5):321-8.
• Sheizaf B, Almog B, Salamah K, Shehata F, Takefman J, Tulandi T. A pragmatic Evaluation of Sleep Patterns before Gynecologic Surgery. Gynecological Surgery 2011;8(2):51-155.
• Stirling L, Raab G, Alder E, Robertson F. Randomized Trial of Essential Oils to Reduce Perioperative Patient Anxiety: Feasibility Study. Journal of Advanced Nursing 2007;60(5):494-501.
• Theunissen M, Peters M, Schouten E, Fiddelers A, Willemsen M, Pinto P, Gramke H, Marcus M. Validation of the Surgical Fear Questionnaire in Adult Patients Waiting for Elective Surgery. Plos One 2014;9(6):6-19.
• Weinhouse G, Schwab RJ. Sleep in the Critically İll Patient. Sleep 2006;29(5):707-16.
• Wright CE, Schnur JB, Montgomery GH, Bovbjerg DH. Psychological Factors Associated with Poor Sleep prior to Breast Surgery: An Exploratory Study. Behavioral Medicine 2010;36(3):85-91.
• Yılmaz E, Kutlu AK, Çeçen D. Factors Affecting the Sleep Status of Patients in Surgical Clinics. New Journal Medical 2008;25(3):149.