Ameliyat Öncesi Algılanan Hemşirelik Bakımı ve Cerrahi Anksiyetenin Ameliyat Sonrası İyileşmeye Etkisi
Yıl 2024,
Cilt: 13 Sayı: 3, 572 - 579, 25.12.2024
Nurşen Kulakaç
,
Aylin Aydın Sayılan
Öz
Amaç: Bu çalışma ameliyat öncesi algılanan hemşirelik bakımı ve cerrahi anksiyetenin ameliyat sonrası iyileşmeye etkisini belirlemek amacıyla kesitsel ve ilişki arayıcı olarak yapılmıştır. Gereç ve Yöntem: Araştırmanın evrenini Ocak-Aralık 2023 tarihleri arasında Türkiye’de bulunan iki hastanenin genel cerrahi ve üroloji kliniklerinde tedavi gören 405 hasta oluşturmuştur. Verilerin toplanmasında kişisel bilgi formu, Bakım Davranışları Ölçeği-24 (BDÖ), Cerrahi Anksiyete Ölçeği (CAÖ) ve Ameliyat Sonrası İyileşme İndeksi (ASİİ) kullanılmıştır. Bulgular: Araştırma kapsamına alınan hastaların ASİİ toplam puan ortalaması 3.19±1.07, BDÖ toplam puan ortalaması 3.29±2.02 ve CAÖ toplam puanı 46.56±7.90 olarak bulundu. Çoklu lineer regresyon analizi sonuçlarına göre cerrahi girişim geçiren hastaların ameliyat sonrası iyileşme durumlarını; bakım davranışları, gelir durumu ve cerrahi anksiyete düzeyleri etkilemektedir. Sonuç: Bu araştırma kapsamına alınan hastaların iyileşmede çok güçlük yaşadığı, bakım algılarının yeterli olmasına rağmen anksiyete deneyimledikleri belirlendi. Hastaların bakım algıları arttıkça iyileşme güçlüğünün azaldığı, anksiyeteleri arttıkça iyileşme güçlüğünün arttığı sonucuna varıldı.
Kaynakça
- Akışık, Z., & Atay, S. (2022). Nursing care perceptions of patients hospitalized in internal and surgical clinics. Journal of Samsun Health Sciences, 7(3),743-756. https://doi.org/10.47115/jshs.1124478
- Arslan Ö. İ., Okumuş, H., Buldukoğlu, K. (2014). A randomized controlled trial of the effects of nursing care based on Watson's Theory of Human Caring on distress, self-efficacy, and adjustment in infertile women. J Adv Nurs, 70(8), 1801–1812.
- Aydın, M., & Kaşıkçı, M. (2019). Patients’ perceptions of nursing care. Journal of Research and Development in Nursing, 21(3), 14-24.
- Buldan, Ö., & Kurban, N. K. (2018). Relationship between nursing care perceptions, with anxiety-depression levels of chronic disease cases and affecting factors. E-Journal of Dokuz Eylul University Nursing Faculty, 11(4), 274-282.
- Burgoon, M. L., Miller, P. A., Hoover-Hankerson, B., Strand, N., Ross, H. (2021). Challenges to Understanding and Compliance Among Surgical Patients in Low-Income Urban Teaching Hospitals. The American SurgeonTM. 87(5), 818-824.
https://doi.org/10.1177/0003134820960078
- Cengiz, H., & Aygin, D. (2019) Validity and reliability study of the Turkish version of the Postoperative Recovery Index of patients undergoing surgical intervention. Turkish Journal of Medical Sciences, 49(2), 18. https://doi.org/10.3906/sag-1806-33
- Chen, S. Y., Chang, H. C., Pai, H. C. (2018). Caring behaviours directly and indirectly affect nursing students' critical thinking. Scandinavian Journal of Caring Sciences, 32(1), 197-203. https://doi.org/10.1111/scs.12447
- Çakır, F., Karacabay, K., Karaveli Çakır, S. (2024). Investigation of the Effects of Self-Efficacy Levels on Recovery Status of Patients Who Undergoing Coronary Artery Bypass Graft Surgery. Turkish Journal of Cardiovascular Nursing, 15(36). https://doi.org/10.5543/khd.2024.46338
- Çevik, B. (2018). The evaluation of anxiety levels and determinant factors in preoperative patients. Int J Med Res Health Sci, 7(1), 135-43. ISSN No: 2319-5886
- Dayılar, H., Oyur, G., Kamer, E., Sarıçiçek, A., Cengiz, F., Hacıyanlı, M. (2017). Evaluation of Anxiety Levels of Patients Before Colon Surgery. Turkish Journal of Colorectal Disease, 27(1), 6-10.
- Demirdağ, H., Öner Cengiz, H., Erdoğan, B., Soytürk, E. S., Kurt, B., Uygun, A. N. (2024). Determination of the Relationship Between Preoperative Fasting Time and Postoperative Recovery Quality in Patients Undergoing Urological Surgery: A Descriptive Study. Turkiye Klinikleri Journal of Nursing Sciences, 16(1),17-25. https://doi.org/10.5336/hemşireler.2023-100158
- Dığın, F., & Kızılcık Özkan, Z. (2021). Determination of Postoperative Recovery Status of Elderly Patients. Online Turkish Journal of Health Sciences, 6(3), 413-418. https://doi.org/10.26453/otjhs.907564
Bölükbaş, N., & Göl, G. (2021). Surgical anxiety questionnaire: Turkish validity and reliability. Psychology, Health & Medicine, 29(9), 1652–1663. https://doi.org/10.1080/13548506.2021.1994619
- Gustafsson, S., Strömqvist, M., Ekelund, J., Engström, Å. (2020). Factors influencing early postoperative recovery after laparoscopic cholecystectomy. J PeriAnesth Nurs., 35,80-84.
- Gül, Ş., Arslan, S. (2021). Determining the perceptions of nursing care behaviors of students studying in nursing department. Acıbadem University Health Sciences Journal, 12(2), 432-438. https://doi.org/10.31067/acusaglik.852191.
- Kapıkıran, G., & Bulbuloglu, S. (2024). The effect of perceived social support on psychological resilience and surgical fear in surgical oncology patients. Psychol Health Med., 29(3), 473-483. https://doi.org/10.1080/13548506.2022.2159458.
- Karabulut, N., Gürçayır, D., Abi, Ö., Kızıloğlu Ağgül, B., Söylemez, N. (2023). Does surgery cause anxiety, stress and fear in geriatric patients? Psychogeriatrics, 23(5), 808-814. doi: 10.1111/psyg.13000.
- Kersu, Ö., Mert Boğa, S., Kosgeroglu, N., Aydın Sayilan, A., İlter, G., & Baydemir, C. (2020). Determination of the relationship between perception of nursing quality and satisfaction status of patiens hospitalized in surgical services. J Educ Res Nurs, 17(1), 32-39.
https://doi.org/10.5222/HEAD.2020.032
- Kok, X. L. F., Newton, J. T., Jones, E. M., Cunningham, S. J. (2023). Social support and pre-operative anxiety in patients undergoing elective surgical procedures: A systematic review and meta-analysis. J Health Psychol, 28(4), 309-327. https://doi.org/10.1177/13591053221116969
- Kurşun, Ş., & Kanan, N. (2012). Validity and Reliability Study of the Turkish Version of Caring Behaviors Inventory-24. Journal of Anatolia Nursing and Health Sciences, 15(4), 229-235
- Liu, S., Zhang, L., Guan, X. E., Zhang, L., Wang, R. (2022). Target nursing care on anxiety and depression in patients with gallbladder cancer during perioperative period. Medicine (Baltimore),101(31), e29883. https://doi.org/10.1097/MD.0000000000029883.
- Mulugeta, H., Ayana, M., Sintayehu, M., Dessie, G., Zewdu, T. (2018). Preoperative anxiety and associated factors among adult surgical patients in Debre Markos and Felege Hiwot referral hospitals, Northwest Ethiopia. BMC Anesthesiol, 18(1), 155. https://doi.org/10.1186/s12871-018-0619-0.
- Özsoy, H., Çankaya, A., Van Giersbergen, M.Y., Oruç, G. (2023). Surgical patients' perception of care and their experiences on privacy. YOBU Faculty of Health Sciences Journal, 4(1), 22-31.
- Stergiannis, P., Seferi, P., Intas, G., & Platis, C. (2021). Evaluation of Anxiety and Depression in Women Undergoing Mastectomy in Greece. In GeNeDis 2020: Geriatrics, 211-216. https://doi.org/10.1007/978-3-030-78771-4_24.
- Uğurlu, A. K., Kula Şahin, S., Seçginli, S., Eti Aslan, F. (2017). The Effect of Standing up Early in the First 24 Hours After Surgery on Rapid Improvement: Systematic Review. Turkiye Klinikleri Journal of Nursing Sciences, 9(4), 280-288. https://doi.org/10.5336/nurses.2016-53678
- Wang, S., Cardieri, B., Mo Lin, H., Liu, X., Sano, M., Deiner, S.G. (2021). Depression and anxiety symptoms are related to pain and frailty but not cognition or delirium in older surgical patients. Brain Behav., 11(6), e02164. https://doi.org/10.1002/brb3.2164.
Yolcu, S., Akın, S. (2015). Ortopedi, kalp ve genel cerrahi ameliyatları sonrası dönemde hastaların iyileşme durumları ve bakım gereksinimlerinin değerlendirilmesi, Sağlık ve Toplum, 25(3), 33-45
- Yüksel, A., Bahadir-Yilmaz, E. (2020). The effect of sociodemographic factors on anxiety, depression, and perceived social support in patients with internal medicine and surgical problems. Perspect Psychiatr Care, 56(4), 837-843. https://doi.org/10.1111/ppc.12499.
- Zemła, A. J., Nowicka-Sauer, K., Jarmoszewicz, K., Wera, K., Batkiewicz, S., Pietrzykowska, M. (2019). Measures of preoperative anxiety. Anaesthesiol Intensive Ther., 51(1), 64-69. https://doi.org/10.5603/AIT.2019.0013.
- Zhang, L., Chen, S., Wang, K., Wu, H. (2022). Microsurgical treatment of lumbar paravertebral tumors via lateral retroperitoneal approach: operative technique and a series of 6 patients. BMC Surgery, 22(1), 324. https://doi.org/10.1186/s12893-022-01774-x.
The Effect of Perceived Preoperative Nursing Care and Surgical Anxiety on Postoperative Recovery
Yıl 2024,
Cilt: 13 Sayı: 3, 572 - 579, 25.12.2024
Nurşen Kulakaç
,
Aylin Aydın Sayılan
Öz
Objective: This study was conducted as a cross-sectional and correlational study to determine the effects of preoperative perceived nursing care and surgical anxiety on postoperative recovery. Materials and Methods: The population of the study consisted of 405 patients who were treated in the general surgery and urology clinics of two hospitals in Turkey between January and December 2023. Personal information form, Care Behavior Scale-24 (CBS-24), Surgical Anxiety Questionnaire (SAQ), and Postoperative Recovery Index (PoRI) were used to collect data. Results: The total mean score of the participants included in the study was 3.19±1.07 in the PoRI, 3.29±2.02 in the CBS-24, and 46.56±7.90 in the SAQ. According to the results of multiple linear regression analysis, the postoperative recovery status of patients undergoing surgical intervention is affected by care behaviors, income status and surgical anxiety levels. Conclusion: It was determined that the patients included in this study had great difficulty in recovery and experienced anxiety despite their perception of care being adequate. It was concluded that as the patients' perception of care increased, the difficulty in recovery decreased, and as their anxiety increased, the difficulty in recovery increased.
Etik Beyan
The study, permission was obtained from Gümüşhane University Health Sciences Institute Ethics Committee (Number: E-95674917-108.99-149334, Date: 27/12/2022).
Kaynakça
- Akışık, Z., & Atay, S. (2022). Nursing care perceptions of patients hospitalized in internal and surgical clinics. Journal of Samsun Health Sciences, 7(3),743-756. https://doi.org/10.47115/jshs.1124478
- Arslan Ö. İ., Okumuş, H., Buldukoğlu, K. (2014). A randomized controlled trial of the effects of nursing care based on Watson's Theory of Human Caring on distress, self-efficacy, and adjustment in infertile women. J Adv Nurs, 70(8), 1801–1812.
- Aydın, M., & Kaşıkçı, M. (2019). Patients’ perceptions of nursing care. Journal of Research and Development in Nursing, 21(3), 14-24.
- Buldan, Ö., & Kurban, N. K. (2018). Relationship between nursing care perceptions, with anxiety-depression levels of chronic disease cases and affecting factors. E-Journal of Dokuz Eylul University Nursing Faculty, 11(4), 274-282.
- Burgoon, M. L., Miller, P. A., Hoover-Hankerson, B., Strand, N., Ross, H. (2021). Challenges to Understanding and Compliance Among Surgical Patients in Low-Income Urban Teaching Hospitals. The American SurgeonTM. 87(5), 818-824.
https://doi.org/10.1177/0003134820960078
- Cengiz, H., & Aygin, D. (2019) Validity and reliability study of the Turkish version of the Postoperative Recovery Index of patients undergoing surgical intervention. Turkish Journal of Medical Sciences, 49(2), 18. https://doi.org/10.3906/sag-1806-33
- Chen, S. Y., Chang, H. C., Pai, H. C. (2018). Caring behaviours directly and indirectly affect nursing students' critical thinking. Scandinavian Journal of Caring Sciences, 32(1), 197-203. https://doi.org/10.1111/scs.12447
- Çakır, F., Karacabay, K., Karaveli Çakır, S. (2024). Investigation of the Effects of Self-Efficacy Levels on Recovery Status of Patients Who Undergoing Coronary Artery Bypass Graft Surgery. Turkish Journal of Cardiovascular Nursing, 15(36). https://doi.org/10.5543/khd.2024.46338
- Çevik, B. (2018). The evaluation of anxiety levels and determinant factors in preoperative patients. Int J Med Res Health Sci, 7(1), 135-43. ISSN No: 2319-5886
- Dayılar, H., Oyur, G., Kamer, E., Sarıçiçek, A., Cengiz, F., Hacıyanlı, M. (2017). Evaluation of Anxiety Levels of Patients Before Colon Surgery. Turkish Journal of Colorectal Disease, 27(1), 6-10.
- Demirdağ, H., Öner Cengiz, H., Erdoğan, B., Soytürk, E. S., Kurt, B., Uygun, A. N. (2024). Determination of the Relationship Between Preoperative Fasting Time and Postoperative Recovery Quality in Patients Undergoing Urological Surgery: A Descriptive Study. Turkiye Klinikleri Journal of Nursing Sciences, 16(1),17-25. https://doi.org/10.5336/hemşireler.2023-100158
- Dığın, F., & Kızılcık Özkan, Z. (2021). Determination of Postoperative Recovery Status of Elderly Patients. Online Turkish Journal of Health Sciences, 6(3), 413-418. https://doi.org/10.26453/otjhs.907564
Bölükbaş, N., & Göl, G. (2021). Surgical anxiety questionnaire: Turkish validity and reliability. Psychology, Health & Medicine, 29(9), 1652–1663. https://doi.org/10.1080/13548506.2021.1994619
- Gustafsson, S., Strömqvist, M., Ekelund, J., Engström, Å. (2020). Factors influencing early postoperative recovery after laparoscopic cholecystectomy. J PeriAnesth Nurs., 35,80-84.
- Gül, Ş., Arslan, S. (2021). Determining the perceptions of nursing care behaviors of students studying in nursing department. Acıbadem University Health Sciences Journal, 12(2), 432-438. https://doi.org/10.31067/acusaglik.852191.
- Kapıkıran, G., & Bulbuloglu, S. (2024). The effect of perceived social support on psychological resilience and surgical fear in surgical oncology patients. Psychol Health Med., 29(3), 473-483. https://doi.org/10.1080/13548506.2022.2159458.
- Karabulut, N., Gürçayır, D., Abi, Ö., Kızıloğlu Ağgül, B., Söylemez, N. (2023). Does surgery cause anxiety, stress and fear in geriatric patients? Psychogeriatrics, 23(5), 808-814. doi: 10.1111/psyg.13000.
- Kersu, Ö., Mert Boğa, S., Kosgeroglu, N., Aydın Sayilan, A., İlter, G., & Baydemir, C. (2020). Determination of the relationship between perception of nursing quality and satisfaction status of patiens hospitalized in surgical services. J Educ Res Nurs, 17(1), 32-39.
https://doi.org/10.5222/HEAD.2020.032
- Kok, X. L. F., Newton, J. T., Jones, E. M., Cunningham, S. J. (2023). Social support and pre-operative anxiety in patients undergoing elective surgical procedures: A systematic review and meta-analysis. J Health Psychol, 28(4), 309-327. https://doi.org/10.1177/13591053221116969
- Kurşun, Ş., & Kanan, N. (2012). Validity and Reliability Study of the Turkish Version of Caring Behaviors Inventory-24. Journal of Anatolia Nursing and Health Sciences, 15(4), 229-235
- Liu, S., Zhang, L., Guan, X. E., Zhang, L., Wang, R. (2022). Target nursing care on anxiety and depression in patients with gallbladder cancer during perioperative period. Medicine (Baltimore),101(31), e29883. https://doi.org/10.1097/MD.0000000000029883.
- Mulugeta, H., Ayana, M., Sintayehu, M., Dessie, G., Zewdu, T. (2018). Preoperative anxiety and associated factors among adult surgical patients in Debre Markos and Felege Hiwot referral hospitals, Northwest Ethiopia. BMC Anesthesiol, 18(1), 155. https://doi.org/10.1186/s12871-018-0619-0.
- Özsoy, H., Çankaya, A., Van Giersbergen, M.Y., Oruç, G. (2023). Surgical patients' perception of care and their experiences on privacy. YOBU Faculty of Health Sciences Journal, 4(1), 22-31.
- Stergiannis, P., Seferi, P., Intas, G., & Platis, C. (2021). Evaluation of Anxiety and Depression in Women Undergoing Mastectomy in Greece. In GeNeDis 2020: Geriatrics, 211-216. https://doi.org/10.1007/978-3-030-78771-4_24.
- Uğurlu, A. K., Kula Şahin, S., Seçginli, S., Eti Aslan, F. (2017). The Effect of Standing up Early in the First 24 Hours After Surgery on Rapid Improvement: Systematic Review. Turkiye Klinikleri Journal of Nursing Sciences, 9(4), 280-288. https://doi.org/10.5336/nurses.2016-53678
- Wang, S., Cardieri, B., Mo Lin, H., Liu, X., Sano, M., Deiner, S.G. (2021). Depression and anxiety symptoms are related to pain and frailty but not cognition or delirium in older surgical patients. Brain Behav., 11(6), e02164. https://doi.org/10.1002/brb3.2164.
Yolcu, S., Akın, S. (2015). Ortopedi, kalp ve genel cerrahi ameliyatları sonrası dönemde hastaların iyileşme durumları ve bakım gereksinimlerinin değerlendirilmesi, Sağlık ve Toplum, 25(3), 33-45
- Yüksel, A., Bahadir-Yilmaz, E. (2020). The effect of sociodemographic factors on anxiety, depression, and perceived social support in patients with internal medicine and surgical problems. Perspect Psychiatr Care, 56(4), 837-843. https://doi.org/10.1111/ppc.12499.
- Zemła, A. J., Nowicka-Sauer, K., Jarmoszewicz, K., Wera, K., Batkiewicz, S., Pietrzykowska, M. (2019). Measures of preoperative anxiety. Anaesthesiol Intensive Ther., 51(1), 64-69. https://doi.org/10.5603/AIT.2019.0013.
- Zhang, L., Chen, S., Wang, K., Wu, H. (2022). Microsurgical treatment of lumbar paravertebral tumors via lateral retroperitoneal approach: operative technique and a series of 6 patients. BMC Surgery, 22(1), 324. https://doi.org/10.1186/s12893-022-01774-x.