Investigation of the anxiety level of parents of pediatric patients planned to undergo an elective operation

Abstract

Objective: Many surgical procedures are performed on children and variable reports have been made about the level of anxiety in parents whose children are hospitalized. Parents' knowledge of the disease and surgery, economic problems, care of other family members and problems related to their work life are situations that affect the anxiety of the parent. The aim of this study is to evaluate the prevalence of preoperative parental anxiety and related factors. Additionally, the aim is to examine the correlation of The State-Trait Anxiety Inventory (STAI) and Amsterdam Preoperative Anxiety, Information Scale, and State Anxiety Scale (APAIS) tests. Methods: The parents of the children whose operation was planned under general anesthesia were included in the study. A questionnaire was applied to 300 volunteers aged between 18-65. Four forms were directed to the volunteers: parent information form, child information form, STAI (STAI-I and II) anxiety forms and APAIS anxiety form. Results: The groups formed according to the APAIS scale included n=187 in Group P and n=113 in Group N. When the anxiety scores of the groups were compared, there was a significant difference in STAI-I, APAIS-B and APAIS-T. There was no difference between the groups in the evaluation of the groups based on sex, income level, income pattern, family structure, child age, child sex, surgical grade and the number of children in the family. In the correlation evaluation with anxiety, positive correlation was determined in all STAI and APAIS tests, while negative correlation was found with parental age. Conclusion: In this cross-sectional study on parents of children who had anesthesia and surgery, we revealed the level of clinical anxiety and the relationship of some factors with anxiety. Pre-operative parental anxiety continues to exist as an important and under-researched problem of parents. This study shows that the STAI and APAIS tests yield similar results. Low parent and child age are also independent risk factors for anxiety.

Keywords

• parental anxiety
• preoperative anxiety
• the state-trait anxiety inventory (STAI)
• amsterdam preoperative anxiety (APAIS)

Elektif Cerrahi Planlanan Pediatrik Hastaların Ebeveynlerinin Kaygı Düzeylerinin İncelenmesi

Öz

Amaç: Çocuklara birçok cerrahi işlem uygulanmaktadır ve çocukları hastanede yatan ebeveynlerde anksiyete düzeyine ilişkin değişken raporlamalar yapılmıştır. Ebeveynlerin hastalık ve ameliyatla ilgili bilgileri, ekonomik sorunlar, diğer aile bireylerinin bakımı ve iş yaşamlarıyla ilgili sorunlar ebeveynin kaygısını etkileyen durumlardır. Bu çalışmanın amacı, preoperatif ebeveyn anksiyetesi düzeyini ve ilişkili faktörleri değerlendirmektir. Ek olarak, amaç, Durum-Sürekli Kaygı Envanteri (STAI) ile Amsterdam Preoperatif Anksiyete, Bilgi Ölçeği ve Durumluk Anksiyete Ölçeği (APAIS) testlerinin korelasyonunu incelemektir. Materyal ve metod: Genel anestezi altında ameliyatı planlanan çocukların ebeveynleri çalışmaya dahil edildi. Yaşları 18-65 arasında değişen 300 gönüllüye anket uygulandı. Gönüllülere dört form yönlendirildi: ebeveyn bilgi formu, çocuk bilgi formu, STAI (STAI-I ve II) anksiyete formları ve APAIS anksiyete formu. Bulgular: APAIS ölçeğine göre oluşturulan gruplar Grup P'de n = 187, Grup N'de n = 113'ü içeriyordu. Grupların anksiyete puanları karşılaştırıldığında STAI-I, APAIS-B ve APAIS'de anlamlı farklılık vardı -T. Grupların cinsiyet, gelir düzeyi, gelir düzeni, aile yapısı, çocuk yaşı, çocuk cinsiyeti, cerrahi sınıf ve ailedeki çocuk sayısına göre değerlendirilmesinde gruplar arasında fark yoktu. Anksiyete ile korelasyon değerlendirmesinde tüm STAI ve APAIS testlerinde pozitif, ebeveyn yaşı ile negatif korelasyon tespit edildi. Sonuç: Anestezi ve cerrahi operasyona maruz kalan çocukların ebeveynlerini konu alan bu kesitsel çalışmada, klinik anksiyete düzeyini ve bazı faktörlerin anksiyete ile ilişkisi gösterildi. Ameliyat öncesi ebeveyn kaygısı, ebeveynlerin önemli ve yeterince araştırılmamış bir sorunu olarak var olmaya devam etmektedir. Düşük ebeveyn ve çocuk yaşı ebeveyen anksiyete yüksekliği için bağımsız risk faktörleridir. Çalışmada ayrıca STAI ve APAIS testlerinin benzer sonuçlar ortaya verdiği gösterilmiştir.

Anahtar Kelimeler

• ebeveyn anksiyetesi
• preoperatif anksiyete
• the state-trait anxiety inventory (STAI)
• amsterdam preoperative anxiety (APAIS)

Kaynakça

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