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Ergenlerde İnternet Bağımlılığının Preoperatif Anksiyete Üzerine Etkisi

Yıl 2025, Cilt: 47 Sayı: 1, 85 - 90, 17.01.2025
https://doi.org/10.20515/otd.1584127

Öz

Bu çalışma, cerrahi geçirecek ergenlerde internet bağımlılığının preoperatif anksiyete üzerindeki etkilerini araştırmayı amaçlamaktadır. İnternet bağımlılığı ergenlerde anksiyete, uyku bozuklukları ve depresyon gibi ruhsal sorunlarla ilişkilendirilmiştir. Ancak, preoperatif anksiyete üzerindeki etkileri henüz yeterince incelenmemiştir. Çalışma, Karatay Üniversitesi Etik Kurulu onayı ile Konya Şehir Hastanesi'nde, Ağustos-Aralık 2023 tarihleri arasında gerçekleştirildi. Çalışmaya, genel anestezi uygulanacak 12-18 yaş arası 150 hasta dahil edildi. Preoperatif anksiyete "Spielberger Durumluk Kaygı Ölçeği" (STAI-1) ile, internet bağımlılığı "Young İnternet Bağımlılığı Ölçeği" (İAS) ile ölçüldü. İstatistiksel analizler SPSS ile yapıldı ve Pearson korelasyon, ANOVA ve regresyon analizleri kullanıldı.
Hastaların %45.3’ü internet bağımlısıydı ve bu grupta preoperatif anksiyete düzeylerinin daha yüksek olduğu (r=0.728, p<0.01),ikili karşılaştırmalarda tüm gruplar arasında istaistiksel anlamlı fark olduğu tespit edildi. İnternet bağımlılığı ve preoperatif anksiyete arasında pozitif güçlü bir ilişki bulundu. Ayrıca, yaş ve internete erişim kolaylığının da anksiyete düzeyini artırdığı ve i nternete kolay erişimi olan bireylerde, sınırlı erişimi olanlara kıyasla daha yüksek anksiyete seviyeleri olduğu görülmüştür (β=0.189, p=0.018). İnternet bağımlılığı, cerrahi geçirecek ergenlerde preoperatif anksiyete düzeyini artıran önemli bir faktördür. Yaş ve internete erişim kolaylığı da anksiyete düzeyini etkileyen diğer değişkenlerdir. Bu bulgular, internet bağımlılığının preoperatif süreçlerde göz önünde bulundurulması gerektiğini göstermektedir.

Kaynakça

  • 1. Friedrich S, Reis S, Meybohm P, Kranke P. Preoperative anxiety. Curr Opin Anesthesiol. 2022;35(6):674-8.
  • 2. Zemła A, Nowicka-Sauer K, Jarmoszewicz K, Wera K, Batkiewicz S, Pietrzykowska M. Measures of preoperative anxiety. Anestezjol Intens Ter. 2019;51(1).
  • 3. Tulloch I, Rubin JS. Assessment and management of preoperative anxiety. J Voice. 2019;33(5):691-6.
  • 4. Stamenkovic DM, Rancic NK, Latas MB, Neskovic V, Rondovic GM, Wu JD, et al. Preoperative anxiety and implications on postoperative recovery: what can we do to change our history. Minerva Anestesiol. 2018;84(11):1307-17.
  • 5. Von Känel R, Rosselet K, Gessler K, Haeussler A, Aschmann J, Rodriguez H, et al. Preoperative depression and anxiety as predictors of postoperative C-reactive protein levels in patients undergoing cardiac surgery: a prospective observational study. Swiss Med Wkly. 2022;152:40018.
  • 6. Wu H, Huang Y, Tian X, Zhang Z, Zhang Y, Mao Y, et al. Preoperative anxiety-induced glucocorticoid signaling reduces GABAergic markers in spinal cord and promotes postoperative hyperalgesia by affecting neuronal PAS domain protein 4. Mol Pain. 2019;15:1744806919850383.
  • 7. Bayrak A, Sagiroglu G, Copuroglu E. Effects of preoperative anxiety on intraoperative hemodynamics and postoperative pain. J Coll Physicians Surg Pak. 2019;29(9):868-73.
  • 8. Gao Q, Mok HP, Zhang HY, Qiu HL, Liu J, Chen ZR, et al. Inflammatory indicator levels in patients undergoing aortic valve replacement via median sternotomy with preoperative anxiety and postoperative complications: a prospective cohort study. J Int Med Res. 2021;49(2):0300060520977417.
  • 9. Chen YYK, Soens MA, Kovacheva VP. Less stress, better success: a scoping review on the effects of anxiety on anesthetic and analgesic consumption. J Anesth. 2022;36(4):532-53.
  • 10. Baagil H, Baagil H, Gerbershagen MU. Preoperative Anxiety Impact on Anesthetic and Analgesic Use. Medicina. 2023;59(12):2069.
  • 11. Rodrigues HF, Furuya RK, Dantas RAS, Rodrigues AJ, Dessotte CAM. Association of preoperative anxiety and depression symptoms with postoperative complications of cardiac surgeries. Rev Lat Am Enfermagem. 2018;26:e3107.
  • 12. Lozano-Blasco R, Latorre-Martínez M, Cortés-Pascual A. Screen addicts: A meta-analysis of internet addiction in adolescence. Child Youth Serv Rev. 2022;135:106373.
  • 13. Singh R. Perils of screen addiction. AKGEC Int J Technol. 2022;13(1):40-4.
  • 14. Bülbül H, Tunç T. Phone and game addiction: scale analysis, the starting age and its relationship with academic success. Vizyoner Derg. 2018;9(21):1-13.
  • 15. Daysal B, Yılmazel G. Smartphone addiction and adolescence via public health view. Turk J Fam Med Prim Care. 2020;14(2):316-22.
  • 16. Bickham DS. Current research and viewpoints on internet addiction in adolescents. Curr Pediatr Rep. 2021;9:1-10.
  • 17. Dalbudak E, Evren C. The relationship of Internet addiction severity with Attention Deficit Hyperactivity Disorder symptoms in Turkish University students; impact of personality traits, depression and anxiety. Compr Psychiatry. 2014;55(3):497-503.
  • 18. Şimşek N, Akça NK, Şimşek M. Internet addiction and hopelessness in high school students.TAF Prev Med Bull. 2015;14(1):7-14.
  • 19. Koças F, Şaşmaz T. Internet addiction increases poor sleep quality among high school students. Turk J Public Health. 2018;16:167-77.
  • 20. Kahraman Ö, Demirci EÖ. Internet addiction and attention‐deficit–hyperactivity disorder: Effects of anxiety, depression and self‐esteem. Pediatr Int. 2018;60(6):529-34.
  • 21. Üstündağ A., The Relationship Between Adolescents’ Instagram Addiction Levels and Psychological Needs. Bağımlılık Derg. 2022;23(1):8-21.
  • 22. Tsitsika A, Critselis E, Louizou A. Determinants of Internet addiction among adolescents: a case-control study. Sci World J. 2011;11:866-74.
  • 23. Taşdemir A, Erakgün A, Deniz MN, Çertuğ A., Comparison of Preoperative and Postoperative Anxiety Levels with State-Trait Anxiety Inventory Test in Preoperatively Informed Patients. Turk J Anesth Reanim. 2013;41(2).
  • 24. Peker K. Comparison of Beck and State-Trait Anxiety Inventories in the Assessment of Preoperative Anxiety. J Anesth Resusc Sci. 2020;28(2).
  • 25. Younes F, Halawi G, Jabbour H, El Osta N, Karam L, Hajj A, et al. Internet addiction and relationships with insomnia, anxiety, depression, stress and self-esteem in university students: a cross-sectional designed study. PLoS One. 2016;11(9):e0161126.
  • 26. Yen JY, Ko CH, Yen CF, Wu HY, Yang MJ. The comorbid psychiatric symptoms of Internet addiction: attention deficit and hyperactivity disorder (ADHD), depression, social phobia, and hostility. J Adolesc Health. 2007;41:93-8.

The Effect of Internet Addiction on Preoperative Anxiety in Adolescents

Yıl 2025, Cilt: 47 Sayı: 1, 85 - 90, 17.01.2025
https://doi.org/10.20515/otd.1584127

Öz

Internet addiction has been associated with mental health issues such as anxiety, sleep disorders, and depression in adolescents. However, its effects on preoperative anxiety have not been adequately studied. Our goal is to investigate the consequences of internet addiction on preoperative anxiety in adolescents undergoing surgery. The study was carried out by the approval of the Karatay University Ethics Committee at Konya City Hospital between August and December 2023. A total of 150 patients aged 12–18 who would undergo general anesthesia were included. Preoperative anxiety was evaluated utilizing the "Spielberger State-Trait Anxiety Inventory" (STAI-1), and internet addiction was assessed using the "Young Internet Addiction Scale" (IAS). Statistical analyses were performed using SPSS, and Pearson correlation, ANOVA, and regression analyses were used. It was found that 45.3% of the patients were internet addicts, and this group experienced higher levels of preoperative anxiety (r = 0.728, p<0.01). Pairwise comparisons revealed statistically significant differences among all groups. We observed a strong positive connection between internet addiction and preoperative anxiety. Additionally, it was observed that age and easy access to the internet increased anxiety levels, with individuals having more accessible access to the internet experiencing higher anxiety levels compared to those with limited access (β = 0.189, p = 0.018). Internet addiction is an important factor that increases preoperative anxiety levels in adolescents undergoing surgery. Age and ease of internet access are other variables affecting anxiety levels. These findings suggest that internet addiction should be taken into account during preoperative processes.

Kaynakça

  • 1. Friedrich S, Reis S, Meybohm P, Kranke P. Preoperative anxiety. Curr Opin Anesthesiol. 2022;35(6):674-8.
  • 2. Zemła A, Nowicka-Sauer K, Jarmoszewicz K, Wera K, Batkiewicz S, Pietrzykowska M. Measures of preoperative anxiety. Anestezjol Intens Ter. 2019;51(1).
  • 3. Tulloch I, Rubin JS. Assessment and management of preoperative anxiety. J Voice. 2019;33(5):691-6.
  • 4. Stamenkovic DM, Rancic NK, Latas MB, Neskovic V, Rondovic GM, Wu JD, et al. Preoperative anxiety and implications on postoperative recovery: what can we do to change our history. Minerva Anestesiol. 2018;84(11):1307-17.
  • 5. Von Känel R, Rosselet K, Gessler K, Haeussler A, Aschmann J, Rodriguez H, et al. Preoperative depression and anxiety as predictors of postoperative C-reactive protein levels in patients undergoing cardiac surgery: a prospective observational study. Swiss Med Wkly. 2022;152:40018.
  • 6. Wu H, Huang Y, Tian X, Zhang Z, Zhang Y, Mao Y, et al. Preoperative anxiety-induced glucocorticoid signaling reduces GABAergic markers in spinal cord and promotes postoperative hyperalgesia by affecting neuronal PAS domain protein 4. Mol Pain. 2019;15:1744806919850383.
  • 7. Bayrak A, Sagiroglu G, Copuroglu E. Effects of preoperative anxiety on intraoperative hemodynamics and postoperative pain. J Coll Physicians Surg Pak. 2019;29(9):868-73.
  • 8. Gao Q, Mok HP, Zhang HY, Qiu HL, Liu J, Chen ZR, et al. Inflammatory indicator levels in patients undergoing aortic valve replacement via median sternotomy with preoperative anxiety and postoperative complications: a prospective cohort study. J Int Med Res. 2021;49(2):0300060520977417.
  • 9. Chen YYK, Soens MA, Kovacheva VP. Less stress, better success: a scoping review on the effects of anxiety on anesthetic and analgesic consumption. J Anesth. 2022;36(4):532-53.
  • 10. Baagil H, Baagil H, Gerbershagen MU. Preoperative Anxiety Impact on Anesthetic and Analgesic Use. Medicina. 2023;59(12):2069.
  • 11. Rodrigues HF, Furuya RK, Dantas RAS, Rodrigues AJ, Dessotte CAM. Association of preoperative anxiety and depression symptoms with postoperative complications of cardiac surgeries. Rev Lat Am Enfermagem. 2018;26:e3107.
  • 12. Lozano-Blasco R, Latorre-Martínez M, Cortés-Pascual A. Screen addicts: A meta-analysis of internet addiction in adolescence. Child Youth Serv Rev. 2022;135:106373.
  • 13. Singh R. Perils of screen addiction. AKGEC Int J Technol. 2022;13(1):40-4.
  • 14. Bülbül H, Tunç T. Phone and game addiction: scale analysis, the starting age and its relationship with academic success. Vizyoner Derg. 2018;9(21):1-13.
  • 15. Daysal B, Yılmazel G. Smartphone addiction and adolescence via public health view. Turk J Fam Med Prim Care. 2020;14(2):316-22.
  • 16. Bickham DS. Current research and viewpoints on internet addiction in adolescents. Curr Pediatr Rep. 2021;9:1-10.
  • 17. Dalbudak E, Evren C. The relationship of Internet addiction severity with Attention Deficit Hyperactivity Disorder symptoms in Turkish University students; impact of personality traits, depression and anxiety. Compr Psychiatry. 2014;55(3):497-503.
  • 18. Şimşek N, Akça NK, Şimşek M. Internet addiction and hopelessness in high school students.TAF Prev Med Bull. 2015;14(1):7-14.
  • 19. Koças F, Şaşmaz T. Internet addiction increases poor sleep quality among high school students. Turk J Public Health. 2018;16:167-77.
  • 20. Kahraman Ö, Demirci EÖ. Internet addiction and attention‐deficit–hyperactivity disorder: Effects of anxiety, depression and self‐esteem. Pediatr Int. 2018;60(6):529-34.
  • 21. Üstündağ A., The Relationship Between Adolescents’ Instagram Addiction Levels and Psychological Needs. Bağımlılık Derg. 2022;23(1):8-21.
  • 22. Tsitsika A, Critselis E, Louizou A. Determinants of Internet addiction among adolescents: a case-control study. Sci World J. 2011;11:866-74.
  • 23. Taşdemir A, Erakgün A, Deniz MN, Çertuğ A., Comparison of Preoperative and Postoperative Anxiety Levels with State-Trait Anxiety Inventory Test in Preoperatively Informed Patients. Turk J Anesth Reanim. 2013;41(2).
  • 24. Peker K. Comparison of Beck and State-Trait Anxiety Inventories in the Assessment of Preoperative Anxiety. J Anesth Resusc Sci. 2020;28(2).
  • 25. Younes F, Halawi G, Jabbour H, El Osta N, Karam L, Hajj A, et al. Internet addiction and relationships with insomnia, anxiety, depression, stress and self-esteem in university students: a cross-sectional designed study. PLoS One. 2016;11(9):e0161126.
  • 26. Yen JY, Ko CH, Yen CF, Wu HY, Yang MJ. The comorbid psychiatric symptoms of Internet addiction: attention deficit and hyperactivity disorder (ADHD), depression, social phobia, and hostility. J Adolesc Health. 2007;41:93-8.
Toplam 26 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Anesteziyoloji
Bölüm ORİJİNAL MAKALELER / ORIGINAL ARTICLES
Yazarlar

Nuran Akıncı Ekinci 0000-0003-3269-3481

Mehmet Akif Yazar 0000-0002-3415-1363

Aydın Mermer 0000-0002-9859-4737

Rabia Korkmaz 0009-0003-4283-7546

Yayımlanma Tarihi 17 Ocak 2025
Gönderilme Tarihi 13 Kasım 2024
Kabul Tarihi 9 Aralık 2024
Yayımlandığı Sayı Yıl 2025 Cilt: 47 Sayı: 1

Kaynak Göster

Vancouver Akıncı Ekinci N, Yazar MA, Mermer A, Korkmaz R. The Effect of Internet Addiction on Preoperative Anxiety in Adolescents. Osmangazi Tıp Dergisi. 2025;47(1):85-90.


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