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Hemşirelik Öğrencilerinin Kan ve Yaralanma Fobisinin Değerlendirilmesi

Yıl 2024, Cilt: 12 Sayı: 2, 478 - 491, 20.06.2024
https://doi.org/10.33715/inonusaglik.1390014

Öz

Bu çalışmada hemşirelik öğrencilerinin kan ve yaralanma fobisi ve etkileyen durumları değerlendirildi. Tanımlayıcı tipteki bu çalışma Eylül-Aralık 2020 tarihleri arasında 289 hemşirelik öğrencisi ile yürütüldü. Veriler hazırlanan anket formu ve Çok Boyutlu Kan/Yaralanma Fobisi Envanteri kullanılarak toplandı. Verilerin değerlendirilmesinde sayı, yüzde, ortalama, standart sapma, çeyreklikler, Mann-Whitney U ve Kruskal-Wallis testleri kullanıldı. Öğrencilerin Çok Boyutlu Kan/Yaralanma Fobisi Envanteri puan ortalaması 56 ± 19.03 olup düşük düzeyde kan yaralanması fobisine sahipti. Çok Boyutlu Kan/Yaralanma Fobisi Envanteri toplamında öğrencilerden “kan ve yaralanma fobisi yaşayan birine müdahalede bulunduğunu söyleyenlerle diğerleri” ve “kendisine ve başkalarına enjeksiyon uygulanırken korku hissettiğini söyleyenlerle diğerleri” arasında anlamlı fark bulunmadı (p<0.05), buna karşılık, diğer değişkenler ile ölçeğin toplam puanında anlamlı bir farklılık bulundu. Hemşireliği seçmeden önce adayların çeşitli testlerden geçmesi ve bu tür fobisi olanlara yol gösterilmesi gerekmektedir.

Kaynakça

  • Ak, S., Birgül Ak, H. & Cengiz, K. (2013). Çok boyutlu kan-yaralanma fobisi envanteri (ÇBKFE) geçerlik ve güvenilirlik çalışması. Türk Psikiyatri Dergisi, 24, 1–8. https://doi: doi: 10.5080/u7211.
  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5. American Psychiatric Association, Arlington. VA. p.140-150.
  • Arian, M. & Talepasand, S. (2019). Investigation of psychometric properties of blood/ınjection fear scale-persian version (BIFS-PV). Medical-Surgical Nursing Journal, 8(2), e90420. https://doi.org/10.5812/msnj.90420.
  • Ayala, E. S., Meuret A. E. & Ritz T. (2009). Treatments for blood-injection-injury phobia: A critical review of current evidence. Journal of Psychiatric Research, 43(15), 1235-1242. https://doi: 10.1016/j.jpsychires.2009.04.008.
  • Bienvenu, O. J. & Eaton, W. W. (1998). The epidemiology of blood-injection-injury phobia. Psychological Medicine, Sep;28(5), 1129-36. https://doi: 10.1017/s0033291798007144.
  • Carey, C. L. & Harris, L. M. (2005). Damardan kemoterapi gören kanser hastalarında kan enjeksiyonu korkusu / fobisinin kökenleri. Davranış Değişimi, 22(4), 212–219.
  • Çavuşoǧlu, M. & Dirik, G. (2011). Fear or disgust? The role of emotions in spider phobia and blood-injection-injury phobia. Türk Psikiyatri Dergisi, 22(2), 115–122.
  • Demirci, O. O., Sağaltıcı, E. & Yıldırım, A. (2015). Özgül fobinin göz hareketleri ile duyarsızlaştırma ve yeniden işleme yöntemi ile tedavisi: bir olgu sunumu, 124-129.
  • Ducasse, D., Capdevielle, D., Attal, J., Larue, A., Macgregor, A., Brittner, M. & Fond, G. (2012). Blood-injection-injury phobia: Physochophysiological and therapeutical specificities. L'encephale, 39(5), 326-331. https://doi: 10.1016/j.encep.2012.06.031.
  • Finitsis, D. J. (2016). Development of a brief motivational ınterview to promote help seeking among ındividuals with symptoms of blood. ınjection. Injury Phobia". Doctoral Dissertations, 1137.
  • Fredrikson, M., Annas, P., Fischer, H. & Wik, G. (1996). Gender and age differences in the prevalence of specific fears and phobias. Behaviour Research and Therapy, 34(1), 33-9.https://doi.org/10.1016/0005-7967(95)00048-3.
  • Hirai, M., Vernon, L. L. & Dolma, S. A. (2018). Gender invariant model of disgust propensity in blood-injection-injury phobia in Latina/o individuals. Psychology, Health&Medicine, 23(10), 1275–1281. https://doi.org/10.1080/13548506.2018.1487985.
  • Jessup, S. C., Tomarken, A., Viar-Paxton, M. A. & Olatunji, B. O. (2020). Effects of repeated exposure to fearful and disgusting stimuli on fear renewal in blood-injection-injury phobia. Journal of Anxiety Disorders, Aug;74, 102272. https://doi: 10.1016/j.janxdis.2020.102272.
  • Jiang, M. Y. W., Upton, E. & Newby, J. M. (2020). A randomised wait-list controlled pilot trial of one-session virtual reality exposure therapy for blood-injection-injury phobias. Journal of Affective Disorders, 276, 636-645. https://doi: 10.1016/j.jad.2020.07.076.
  • Kılıç, C., Ak, S. & Ak, H. B. (2014). Anxiety sensitivity: Another reason to separate dental fears from blood–injury fears?. Journal of Anxiety Disorders, 28(2), 280-282. https://doi: 10.1016/j.janxdis.2014.01.001.
  • Kose, S. & Mandıracıoğlu, A. (2007). Fear of blood/injection in healthy and unhealthy adults admitted to a teaching hospital. International Journal of Clinical Practice, 61(3), 453-457. https://doi: 10.1111/j.1742-1241.2006.01150.x.
  • Kuz, M., Çetin, F. H. ve Türkoğlu, S. (2020). Kan-iğne-yaralanma fobisi olan bir ergenin bilişsel davranışçı terapi sürecinde uygulamalı kas germe ve maruz bırakma: Bir olgu sunumu. Journal of Cognitive Behavioral Psychotherapies and Research, 10(1), 128-135.
  • Lasser, K., Boyd, J. W. Woolhandler, S., Himmelstein, D. U., McCormick, D. & Bor, D. H. (2000). Smoking and mental illness: A population-based prevalence study. Journal of the American Medical Association, 284, 2606–2610. https://doi: 10.1001/jama.284.20.2606.
  • Lawrence, D., Considine, J., Mitrou, F. & Zubrick, S. R. (2010). Anxiety disorders and cigarette smoking: results from the Australian Survey of Mental Health and Wellbeing. Australian & New Zealand Journal of Psychiatry, 44, 520–527. https://doi.org/10.3109/00048670903571580.
  • McLenon, J. & Rogers, M. A. (2019). The fear of needles: A systematic review and meta‐analysis. Journal of Advanced Nursing, 75(1), 30-42. https://doi.org/10.1111/jan.13818.
  • Mehrstedt, M., John, M. T., Tönnies, S. & Micheelis, W. (2007). Oral health-related quality of life in patients with dental anxiety. Community Dent Oral Epidemiol, 35(5), 357-363. https://doi:10.1111/j.1600-0528.2007.00376.x.
  • Mendonça, A. B., Pereira, E. R., Magnago, C., Silva, R. M. C. R. A. & Martins, A. D. O. (2020). Nursing process for a patient with needle phobia: a case study. Revista Brasileira de Enfermagem, 73(4). e20190095. https://doi:.org/10.1590/0034-7167-2019-0095.
  • Meuret, A. E., Simon, E., Bhaskara, L. & Ritz, T. (2017). Ultra‐brief behavioral skills trainings for blood injection injury phobia. Depression and Anxiety, 34(12), 1096-1105. https://doi: 10.1002/da.22616.
  • Miloyan, B., & Eaton, W. W. (2016). Blood-injection-injury phobia in older adults. International Psychogeriatrics, 28(6), 897. https://doi.org/10.1017/S1041610215002331.
  • Moylan, S., Jacka, F. N., Pasco, J. A. & Berk, M. (2013). How cigarette smoking may increase the risk of anxiety symptoms and anxiety disorders: a critical review of biological pathways. Brain and Behavior, May;3(3), 302-326. https://doi: 10.1002/brb3.137.
  • Oar, E. L., Farrell, L. J., Waters, A. M. & Ollendick, T. H. (2016). Blood-injection-injury phobia and dog phobia in youth: Psychological characteristics and associated features in a clinical sample. Behavior Therapy, 47(3), 312-324. https://doi: 10.1016/j.beth.2016.01.004.
  • Özer, Ö. & Şar, S. (2019). Pharmacophobia: Fear of the medication and other fears in healthcare. Ankara Üniversitesi Eczacılık Fakültesi Dergisi, 43(2), 209–219. https://doi.org/10.33483/jfpau.536304.
  • Öztekin, S., Aydın, O. & Aydemir, Ö. (2017). DSM-5 özgül fobi siddet ölçegi Türkçe formunun geçerliliği ve güvenilirliği. Anadolu Psikiyatri Dergisi, 18(2), 31-37. https://doi: 10.5455/apd.240709.
  • Patel, M. X., Baker, D. & Nosarti, C. (2005). Injection Phobia: A Systematic Review of Psychological Treatments. Behavioural and Cognitive Psychotherapy, 33(3), 343-9. https://doi.org/10.1017/S1352465805002134.
  • Swendsen, J., Conway, K. P., Degenhardt, L., Glantz, M., Jin, R. & Merikangas, K. R. (2010). Mental disorders as risk factors for substance use abuse and dependence: results from the 10-year follow-up of the National Comorbidity Survey. Addiction, 105, 1117–1128. https://doi: 10.1111/j.1360-0443.2010.02902.x.
  • Tan, M. P. & Parry, S. W. (2008). Vasovagal Syncope in the Older Patient. Journal of the American College of Cardiology, 51(6), 599–606. https://doi.org/10.1016/j.jacc.2007.11.025.
  • Taşkın Uyan T., Bahçeci, B. & Hocaoğlu, Ç. (2018). Gök Gürültüsü Korkusu ‘Brontophobia’: Bir Olgu Sunumu. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 8(3), 151–153. Tobias, M., Templeton, R. & Collings, S. (2008). How much do mental disorders contribute to New Zealand's tobacco epidemic? Tob Control, 17(5), 347–350. https://doi: 10.1136/tc.2008.026005.
  • Türk Psikiyatri Derneği. (2020). https://www.psikiyatri.org.tr/halka-yonelik/30/ozgul-fobiler [Accessed 4 January 2020].
  • Wani, A. L., Ara, A. & Bhat, S. A. (2014). Blood injury and injection phobia: the neglected one. Hindawi Publishing Corporation. Behavioural Neurology, Article ID 471340, 7 pages https://doi.org/10.1155/2014/471340.
  • Wani, A. L., Bhat, S. A. & Ara, A. (2016). Persistence and Inheritance of Blood Injury and Injection Phobia. Gulhane Medical Journal, 58, 67-73 https://doi:10.5455/gulhane.172838.
  • Wenzel, A. & Holt, C. S. (2003). Validation of the Multidimensional Blood/Injury Phobia Inventory: Evidence for a Unitary Construct. Journal of Psychopathology and Behavioral Assessment, 25, 203-211.

ASSESSING NURSING STUDENTS’ BLOOD AND INJURY PHOBIA

Yıl 2024, Cilt: 12 Sayı: 2, 478 - 491, 20.06.2024
https://doi.org/10.33715/inonusaglik.1390014

Öz

In this study, nursing students' blood and injury phobia and the conditions affecting it were evaluated. This descriptive study was conducted with 289 nursing students between September and December 2020. Data were collected using a prepared questionnaire and the Multidimensional Blood/Injury Phobia Inventory. Number, percentage, mean, standard deviation, quartiles, Mann–Whitney U and Kruskal–Wallis tests were used to evaluate the data. The mean score of students in the Multidimensional Blood/Injury Phobia Inventory was 56 ± 19.03, having a low level of blood injury phobia. In the total Multidimensional Blood/Injury Phobia Inventory, a significant difference (p<0.05) was found between "those who said that they had intervened in someone who had blood and injury phobia and others" and "those who said that they felt fear while injecting themselves and others", whereas no significant difference was found in the total score of the scale for the other variables. Before choosing nursing, candidates must pass various tests and those with this type of phobia must be guided.

Kaynakça

  • Ak, S., Birgül Ak, H. & Cengiz, K. (2013). Çok boyutlu kan-yaralanma fobisi envanteri (ÇBKFE) geçerlik ve güvenilirlik çalışması. Türk Psikiyatri Dergisi, 24, 1–8. https://doi: doi: 10.5080/u7211.
  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5. American Psychiatric Association, Arlington. VA. p.140-150.
  • Arian, M. & Talepasand, S. (2019). Investigation of psychometric properties of blood/ınjection fear scale-persian version (BIFS-PV). Medical-Surgical Nursing Journal, 8(2), e90420. https://doi.org/10.5812/msnj.90420.
  • Ayala, E. S., Meuret A. E. & Ritz T. (2009). Treatments for blood-injection-injury phobia: A critical review of current evidence. Journal of Psychiatric Research, 43(15), 1235-1242. https://doi: 10.1016/j.jpsychires.2009.04.008.
  • Bienvenu, O. J. & Eaton, W. W. (1998). The epidemiology of blood-injection-injury phobia. Psychological Medicine, Sep;28(5), 1129-36. https://doi: 10.1017/s0033291798007144.
  • Carey, C. L. & Harris, L. M. (2005). Damardan kemoterapi gören kanser hastalarında kan enjeksiyonu korkusu / fobisinin kökenleri. Davranış Değişimi, 22(4), 212–219.
  • Çavuşoǧlu, M. & Dirik, G. (2011). Fear or disgust? The role of emotions in spider phobia and blood-injection-injury phobia. Türk Psikiyatri Dergisi, 22(2), 115–122.
  • Demirci, O. O., Sağaltıcı, E. & Yıldırım, A. (2015). Özgül fobinin göz hareketleri ile duyarsızlaştırma ve yeniden işleme yöntemi ile tedavisi: bir olgu sunumu, 124-129.
  • Ducasse, D., Capdevielle, D., Attal, J., Larue, A., Macgregor, A., Brittner, M. & Fond, G. (2012). Blood-injection-injury phobia: Physochophysiological and therapeutical specificities. L'encephale, 39(5), 326-331. https://doi: 10.1016/j.encep.2012.06.031.
  • Finitsis, D. J. (2016). Development of a brief motivational ınterview to promote help seeking among ındividuals with symptoms of blood. ınjection. Injury Phobia". Doctoral Dissertations, 1137.
  • Fredrikson, M., Annas, P., Fischer, H. & Wik, G. (1996). Gender and age differences in the prevalence of specific fears and phobias. Behaviour Research and Therapy, 34(1), 33-9.https://doi.org/10.1016/0005-7967(95)00048-3.
  • Hirai, M., Vernon, L. L. & Dolma, S. A. (2018). Gender invariant model of disgust propensity in blood-injection-injury phobia in Latina/o individuals. Psychology, Health&Medicine, 23(10), 1275–1281. https://doi.org/10.1080/13548506.2018.1487985.
  • Jessup, S. C., Tomarken, A., Viar-Paxton, M. A. & Olatunji, B. O. (2020). Effects of repeated exposure to fearful and disgusting stimuli on fear renewal in blood-injection-injury phobia. Journal of Anxiety Disorders, Aug;74, 102272. https://doi: 10.1016/j.janxdis.2020.102272.
  • Jiang, M. Y. W., Upton, E. & Newby, J. M. (2020). A randomised wait-list controlled pilot trial of one-session virtual reality exposure therapy for blood-injection-injury phobias. Journal of Affective Disorders, 276, 636-645. https://doi: 10.1016/j.jad.2020.07.076.
  • Kılıç, C., Ak, S. & Ak, H. B. (2014). Anxiety sensitivity: Another reason to separate dental fears from blood–injury fears?. Journal of Anxiety Disorders, 28(2), 280-282. https://doi: 10.1016/j.janxdis.2014.01.001.
  • Kose, S. & Mandıracıoğlu, A. (2007). Fear of blood/injection in healthy and unhealthy adults admitted to a teaching hospital. International Journal of Clinical Practice, 61(3), 453-457. https://doi: 10.1111/j.1742-1241.2006.01150.x.
  • Kuz, M., Çetin, F. H. ve Türkoğlu, S. (2020). Kan-iğne-yaralanma fobisi olan bir ergenin bilişsel davranışçı terapi sürecinde uygulamalı kas germe ve maruz bırakma: Bir olgu sunumu. Journal of Cognitive Behavioral Psychotherapies and Research, 10(1), 128-135.
  • Lasser, K., Boyd, J. W. Woolhandler, S., Himmelstein, D. U., McCormick, D. & Bor, D. H. (2000). Smoking and mental illness: A population-based prevalence study. Journal of the American Medical Association, 284, 2606–2610. https://doi: 10.1001/jama.284.20.2606.
  • Lawrence, D., Considine, J., Mitrou, F. & Zubrick, S. R. (2010). Anxiety disorders and cigarette smoking: results from the Australian Survey of Mental Health and Wellbeing. Australian & New Zealand Journal of Psychiatry, 44, 520–527. https://doi.org/10.3109/00048670903571580.
  • McLenon, J. & Rogers, M. A. (2019). The fear of needles: A systematic review and meta‐analysis. Journal of Advanced Nursing, 75(1), 30-42. https://doi.org/10.1111/jan.13818.
  • Mehrstedt, M., John, M. T., Tönnies, S. & Micheelis, W. (2007). Oral health-related quality of life in patients with dental anxiety. Community Dent Oral Epidemiol, 35(5), 357-363. https://doi:10.1111/j.1600-0528.2007.00376.x.
  • Mendonça, A. B., Pereira, E. R., Magnago, C., Silva, R. M. C. R. A. & Martins, A. D. O. (2020). Nursing process for a patient with needle phobia: a case study. Revista Brasileira de Enfermagem, 73(4). e20190095. https://doi:.org/10.1590/0034-7167-2019-0095.
  • Meuret, A. E., Simon, E., Bhaskara, L. & Ritz, T. (2017). Ultra‐brief behavioral skills trainings for blood injection injury phobia. Depression and Anxiety, 34(12), 1096-1105. https://doi: 10.1002/da.22616.
  • Miloyan, B., & Eaton, W. W. (2016). Blood-injection-injury phobia in older adults. International Psychogeriatrics, 28(6), 897. https://doi.org/10.1017/S1041610215002331.
  • Moylan, S., Jacka, F. N., Pasco, J. A. & Berk, M. (2013). How cigarette smoking may increase the risk of anxiety symptoms and anxiety disorders: a critical review of biological pathways. Brain and Behavior, May;3(3), 302-326. https://doi: 10.1002/brb3.137.
  • Oar, E. L., Farrell, L. J., Waters, A. M. & Ollendick, T. H. (2016). Blood-injection-injury phobia and dog phobia in youth: Psychological characteristics and associated features in a clinical sample. Behavior Therapy, 47(3), 312-324. https://doi: 10.1016/j.beth.2016.01.004.
  • Özer, Ö. & Şar, S. (2019). Pharmacophobia: Fear of the medication and other fears in healthcare. Ankara Üniversitesi Eczacılık Fakültesi Dergisi, 43(2), 209–219. https://doi.org/10.33483/jfpau.536304.
  • Öztekin, S., Aydın, O. & Aydemir, Ö. (2017). DSM-5 özgül fobi siddet ölçegi Türkçe formunun geçerliliği ve güvenilirliği. Anadolu Psikiyatri Dergisi, 18(2), 31-37. https://doi: 10.5455/apd.240709.
  • Patel, M. X., Baker, D. & Nosarti, C. (2005). Injection Phobia: A Systematic Review of Psychological Treatments. Behavioural and Cognitive Psychotherapy, 33(3), 343-9. https://doi.org/10.1017/S1352465805002134.
  • Swendsen, J., Conway, K. P., Degenhardt, L., Glantz, M., Jin, R. & Merikangas, K. R. (2010). Mental disorders as risk factors for substance use abuse and dependence: results from the 10-year follow-up of the National Comorbidity Survey. Addiction, 105, 1117–1128. https://doi: 10.1111/j.1360-0443.2010.02902.x.
  • Tan, M. P. & Parry, S. W. (2008). Vasovagal Syncope in the Older Patient. Journal of the American College of Cardiology, 51(6), 599–606. https://doi.org/10.1016/j.jacc.2007.11.025.
  • Taşkın Uyan T., Bahçeci, B. & Hocaoğlu, Ç. (2018). Gök Gürültüsü Korkusu ‘Brontophobia’: Bir Olgu Sunumu. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 8(3), 151–153. Tobias, M., Templeton, R. & Collings, S. (2008). How much do mental disorders contribute to New Zealand's tobacco epidemic? Tob Control, 17(5), 347–350. https://doi: 10.1136/tc.2008.026005.
  • Türk Psikiyatri Derneği. (2020). https://www.psikiyatri.org.tr/halka-yonelik/30/ozgul-fobiler [Accessed 4 January 2020].
  • Wani, A. L., Ara, A. & Bhat, S. A. (2014). Blood injury and injection phobia: the neglected one. Hindawi Publishing Corporation. Behavioural Neurology, Article ID 471340, 7 pages https://doi.org/10.1155/2014/471340.
  • Wani, A. L., Bhat, S. A. & Ara, A. (2016). Persistence and Inheritance of Blood Injury and Injection Phobia. Gulhane Medical Journal, 58, 67-73 https://doi:10.5455/gulhane.172838.
  • Wenzel, A. & Holt, C. S. (2003). Validation of the Multidimensional Blood/Injury Phobia Inventory: Evidence for a Unitary Construct. Journal of Psychopathology and Behavioral Assessment, 25, 203-211.
Toplam 36 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Psikolojisi, Klinik ve Sağlık Psikolojisi (Diğer), Hemşirelik (Diğer)
Bölüm Araştırma Makalesi
Yazarlar

Hatice Balcı 0000-0002-3617-3670

Saide Faydalı 0000-0001-7923-689X

Erken Görünüm Tarihi 3 Haziran 2024
Yayımlanma Tarihi 20 Haziran 2024
Gönderilme Tarihi 13 Kasım 2023
Kabul Tarihi 29 Mart 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 12 Sayı: 2

Kaynak Göster

APA Balcı, H., & Faydalı, S. (2024). ASSESSING NURSING STUDENTS’ BLOOD AND INJURY PHOBIA. İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi, 12(2), 478-491. https://doi.org/10.33715/inonusaglik.1390014