Batın Ameliyatı Öncesi Hastalara Verilen Eğitimin Anksiyete Üzerine Etkileri: Randomize Kontrollü Bir Çalışma

Year 2025, Volume: 8 Issue: 4, 335 - 344, 29.12.2025

Banu Gümüş , Hamdiye Banu Katran

https://doi.org/10.62425/esbder.1690889

Abstract

Amaç: Bu çalışma, İstanbul’da bir eğitim ve araştırma hastanesinde batın ameliyatı geçirecek hastalara yönelik preoperatif eğitimin, postoperatif anksiyete düzeylerine etkisini incelemek amacıyla gerçekleştirilmiştir.

Yöntem: Araştırma, 1 Ocak–30 Haziran 2024 tarihleri arasında genel cerrahi kliniğine yatırılan hastalarla yürütülmüştür. Güç analizi doğrultusunda hastalar randomize olarak kontrol (n=41) ve müdahale (n=40) gruplarına atanmıştır. Müdahale grubuna ameliyat öncesi eğitim verilmiş, kontrol grubuna ise rutin bakım uygulanmıştır. Anksiyete düzeyleri, Durumluk-Sürekli Anksiyete Envanteri (STAI) ile ölçülmüştür. Veriler SPSS 25.0 programında analiz edilmiştir. Normallik dağılımı Kolmogorov-Smirnov testiyle değerlendirilmiş; gruplar arası karşılaştırmalarda Mann-Whitney U, grup içi karşılaştırmalarda ise Wilcoxon testi kullanılmıştır (p<0,05). Araştırma protokolü ClinicalTrials.gov’da (NCT06629571) kayıt altına alınmıştır.

Bulgular: Müdahale grubundaki hastaların ön test ve son test anksiyete puanları, kontrol grubuna kıyasla anlamlı düzeyde daha düşüktür (p<0,05). Preoperatif dönemde verilen eğitimin, hastaların cerrahi sürece ilişkin bilgi eksikliklerini giderdiği ve bu sayede anksiyetelerini azalttığı belirlenmiştir.

Sonuç: Ameliyat öncesi verilen eğitimin, hastaların anksiyete düzeylerini azaltmada etkili bir yöntem olduğu sonucuna varılmıştır. Preoperatif bilgilendirme, iyileşme sürecini olumlu yönde etkileyebilir. Bu nedenle, hastaneye kabul sırasında rutin hemşirelik bakımına ek olarak cerrahi sürece ilişkin ayrıntılı bilgilendirme yapılması önerilmektedir.

Keywords

Anksiyete , Hasta , Eğitim , Cerrahi Hemşireliği , Cerrahi

Project Number

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Effects of Education Given to Patients Before Abdominal Surgery on Anxiety: A Randomized Controlled Study

Abstract

Objective: This study aimed to examine the effects of preoperative education on postoperative anxiety levels in patients undergoing abdominal surgery at a research and training hospital in İstanbul.
Methods: This study included patients admitted to a general surgery clinic between January 1 and June 30, 2024, randomized into control (n=41) and intervention (n=40) groups based on a power analysis. The intervention group received preoperative education, while the control group received standard care. Anxiety levels were assessed using the State-Trait Anxiety Inventory (STAI). Data were analyzed with SPSS 25.0. The Kolmogorov-Smirnov test assessed normality; the Mann-Whitney U and Wilcoxon tests were used for between- and within-group comparisons, respectively (p<.05). The study protocol was registered at ClinicalTrials.gov (NCT06629571).
Results: The mean pretest STAI-I score was 40.07±3.05 in the intervention group and 41.24±1.76 in the control group, while the mean pretest STAI-II score was 46.17±6.65 and 49.54±4.18, respectively. Posttest STAI-I scores decreased to 38.60±4.75 in the intervention group and 38.19±4.04 in the control group. Posttest STAI-II scores were 45.20±6.59 in the intervention group and 49.85±4.43 in the control group. Although there was no statistically significant difference between the groups in terms of overall STAI-I scores (p>.05), the median scores of the intervention group were lower than those of the control group (p<.05). In addition, a significant decrease was observed in the STAI-II scores of the intervention group compared to the control group (p<.05), indicating that preoperative education effectively reduced trait anxiety levels.
Conclusion: Education provided before abdominal surgery is an effective method in reducing the anxiety levels of patients. Providing patients with information in the preoperative period may affect their recovery processes positively by lowering their anxiety levels. It is recommended that patients be provided with information about the surgical process in detail in addition to routine nursing care given to them during their hospital admission.

Keywords

Anxiety , Surgery , Patient , Education , Surgical Nursing

Ethical Statement

Ethics committee approval was received for this study from the ethics committee of the Institute of Health Sciences at Marmara University with the decision dated 17.05.2023 and numbered 56.

Supporting Institution

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Project Number

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