Koroner Anjografi, Stent veya Balon Uygulanan Hastaların Yakınlarının Anksiyetesi

Öz

Amaç: Koroner anjiyografi, stent ve balon işlemi öncesinde ve sonrasında hasta yakınlarının anksiyete düzeylerini belirlemektir. Metod: Tanımlayıcı nitelikteki bu çalışmada 141 hasta yakını yer aldı. Veriler, Spielberger’in Durumluk-Sürekli Anksiyete Ölçeği ve anket formu ile toplandı. Bulgular: Katılımcıların durumluluk anksiyetesi üzerinde, evli olmaları, hasta ile akrabalık derecesi, hastanın hastaneye yatış şekli yatarak veya ayaktan , hastaya yapılan koroner girişim türü stent, balon, anjiografi , hastanın önceki kalp ameliyatı ve koroner anjiografi deneyimi etkiliydi. Kadın, kronik hastalığı olan, birden fazla angiografi deneyimi olan ve daha önce kalp ameliyatı olan hastaların yakınlarının sürekli anksiyete puanı daha yüksekti. Sonuç: Koroner anjiografi, stent, balon uygulamasının işlem öncesi dönemi hasta yakınlarının endişelerinin izlenmesi ve yardım edilmesi gereken zor bir dönemdir. Koroner tanı işlemleri esnasında hasta yakınlarının anksiyetesini artıran nedenleri bilmek bütüncül bakımın planlanması ve sürdürülmesinde önemlidir

Anahtar Kelimeler

• Koroner anjiyografi
• stent
• balon
• hasta yakını
• anksiyete

Anxiety of Relatives of Patients Undergoing Coronary Angiography, Stent, or Balloon Procedures

Öz

Objective: To examine anxiety of family members of patients before and after coronary angiography, stent, and balloon procedures. Method: One hundred forty-one family members of patients were enrolled in the descriptive study. Data were collected using the Spielberger’s State-Trait Anxiety Inventory and a questionnaire form. Results: Marital status, the degree of relationship to the patient, the type of hospitalization outpatient or inpatient of the patient, the type of the coronary intervention coronary stent, balloon, angiography , a previous history of cardiac operation and coronary angiography of the patient affected participants’ “state anxiety”. The “trait anxiety” scores were higher in the family members of female patients and the patients who had chronic disease, multiple previous coronary angiography procedures and previous heart operation. Conclusions: The period prior to coronary angiography, stent, and balloon procedures is a difficult time necessitating monitoring the anxiety of patient relatives and helping them. To know the factors increasing anxiety of patient relatives during coronary diagnostic procedures is important to plan and maintain holistic care

Anahtar Kelimeler

• Coronary angiography
• stent
• balloon
• patient relative
• anxiety

Kaynakça

1. 1. Chung ML, Moser DK, Lennie TA, Rayens MK. The effects of depressive symptoms and anxiety on quality of life in patients with heart failure and their spouses: testing dyadic dynamics using Actor-Partner Interdependence Model. Journal of Psychosom Res 2009; 67(1): 29-35.
2. 2. Stewart DA, Stein A, Forest GC, Clark DM. Psychosocial adjustment in siblings of children with cronic life-threatining illness: A research note. J Child Psychol Psychiatry 1992; 33(4): 779-84.
3. 3. Trecartin K, Carroll DL. Nursing interventions for family members waiting during cardiac procedures. Clin Nurs Res 2011; 20(3): 263-75.
4. 4. Eastwood JA, Doering LV, Dracup K, Evangelista LS, Hays RD. Health-related quality of life: The impact of diagnostic angiography. Heart Lung 2011; 40(2): 147-55.
5. 5. Ferre-Grau C, Casado MS, Cid-Buera D, LLeixa-Fortuno M, Monteso- Cutro P, Berenguer-Poblet M. Caring for family caregivers: An analysis of a family-centered intervention. Rev Esc Enferm USP 2014; 48: 87-94
6. 6. Eggenberger SK, Nelms TP. Being family: the family experience when an adult member is hospitalized with a critical illness. J Clin Nurs 2007; 16(9): 1618-28.
7. 7. Leff B, Burton L, Mader SL, Naughton B, Burl J, Koehn D, Greenough WB, Guido S, Steinwachs D, Burton JR. Comparison of stress experienced by family members of patients treated in hospital at home with that of those receiving traditional acute hospital care. J Am Geriatr Soc 2009; 56(1): 117-23.
8. 8. Gozum S, Kilic D. Health problems related to early discharge of Turkish Women. Midwifery 2005; 21(4): 371-8.

9. 9. Odacioglu Y, Sahin U, Unluoglu I. Hastane hizmetleri ile evde bakım hizmetlerinin organizasyon ve koordinasyonu nasıl olmalıdır? Evde Bakım Kurs Kitabı. İstanbul, Marmara University Technical Education Press, 2001; 7-11.
10. 10. Van Horn ER, Kautz D. Promotion of family integrity in the acute care setting. Dimens Crit Care Nurs 2007; 26(3): 101-7.
11. 11. Bakas T, Pressler SJ, Johnson EA, Nauser JA, Shaneyfelt T. Family caregiving in heart failure. Nursing Research 2006; 55(3): 180-8.
12. 12. Sorrell JM. Caring for the caregivers. J Psychosoc Nurs Ment Health Serv 2007; 45(11): 17-20.
13. 13. Osborne JW, Costello AB. Sample size and subject to item ratio in principle components analysis. Practic Assess Research and Evaluation 2004; 9: http://pareonline.net/getvn.asp?v=9&n=11. Accessed: April 15, 2012.
14. 14. Tavsancil E. Measurements of attitudes and data analysis with SPSS, 4th edn. Ankara, Nobel Publishing, 2010.
15. 15. Oner N, Le Comple A. State-trait anxiety inventory handbook. Istanbul, Bogazici University Publications, 1985; 208-17.
16. 16. Pressler SJ, Gradus-Pizlo I, Chubinski SD, Smith G, Wheeler S, Sloan R, Jung M. Family caregivers of patients with heart failure: a longitudinal study. J Cardiovasc Nurs 2013; 28(5):417-28.
17. 17. Chung ML, Lennie TA, Mudd-Martin G, Dunbar SB, Pressler SJ, Moser DK. Depressive symptoms in patients with heart failure negatively affect family caregiver outcomes and quality of life. Eur J Cardiovasc Nurs 2014; doi: 10.1177/1474515114535329.
18. 18. Bozkurt Zincir S, Sunbul M, Zincir S, Aydin Sunbul E, Oguz M, Feriha Cengiz F, Durmus E, Kivrak T, Sari I. Burden and depressive symptoms associated with adult-child caregiving for individuals with heart failure. ScientificWorld Journal 2014; doi: 10.1155/2014/641817.
19. 19. Luttik ML, Jaarsma T, Veeger NJ, Veldhuisen DJ. For better and for worse: Quality of life impaired in HF patients as well as in their partners. Eur J Cardiovasc Nurs. 2005; 4(1): 11-4.
20. 20. Agren S, Evangelista L, Strömberg A. Do partners of patients with chronic heart failure experience caregiver burden? Eur J Cardiovasc Nurs 2010; 9(4): 254-62.
21. 21. Chung ML, Pressler SJ, Dunbar SB, Lennie TA, Moser DK. Predictors of depressive symptoms in caregivers of patients with heart failure. J Cardiovasc Nurs 2010; 25(5): 411-9.
22. 22. Mehta A, Cohen SR, Chan LS. Palliative care: a need for a family systems approach. Palliat Support Care 2009; 7(2): 235-43
23. 23. Miracle VA. Are we doing enough to meet the needs of the families of our patients? Dimens Crit Care Nurs 2005; 24(2): 107- 10.
24. 24. Plaszewska-Zywko L, Gazda D. Emotional reactions and needs of family members of ICU patients. Anaesthesiol Intensive Ther 2012; 44(3): 145-9.
25. 25. Sucu G, Cebeci F, Karazeybek E. The needs of the critical patients’ relatives in the emergency department and how they are met. Ulus Travma Acil Cerrahi Derg 2009; 15(5): 473-81.
26. 26. Utne I, Miaskowski C, Paul SM, Rustøen T. Association between hope and burden reported by family caregivers of patients with advanced cancer. Support Care Cancer 2013; 21(9): 2527-35.
27. 27. Martensson J, Dracup K, Canary C, Fridlund B. Living with heart failure: depression and quality of life in patients and spouses. J Heart Lung Transplant 2003; 22(4): 460-7.
28. 28. Luttik ML, Lesman-Leegte I, Jaarsma T. Quality of life and depressive symptoms in heart failure patients and their partners: the impact of role and gender. J Card Fail 2009; 15(7): 580-5.
29. 29. Jaarsma T, Johansson P, Agren S, Strömberg A. Quality of life and symptoms of depression in advanced heart failure patients and their partners. Curr Opin Support Palliat Care 2010; 4(4): 233-7.
30. 30. Dracup K, Evangelista LS, Doering L, Tullman D, Moser DK, Hamilton M. Emotional well-being in spouses of patients with advanced heart failure. Heart Lung 2004; 33(6): 354-61.
31. 31. Evangelista LS, Dracup K, Doering L, Westlake C, Fonarow GC, Hamilton M. Emotional well-being of heart failure patients and their caregivers. J Card Fail 2002; 8(5): 300-5.
32. 32. Davidson JE, Jones C, Bienvenu OJ. Family response to critical illness: postintensive care syndrome-family. Crit Care Med 2012; 40(2): 618-24.