Is it important to give patients verbal-visual information about the operation to improve their psychological functions in coronary artery bypass graft surgery?

Yıl 2022, Cilt: 15 Sayı: 3, 555 - 562, 01.07.2022

Osman Zülkif Topak , Ahmet Baltalarlı , Gökhan Önem , Osman Özdel

https://doi.org/10.31362/patd.1103198

Öz

Purpose: Being well informed can help with developing strategies to cope, can contribute to the psychological well-being of patients and improve their quality of life. It is aimed to investigate the effect of verbal-visual information compared to only written information before the procedure on coping methods, quality of life and disability in patients who will undergo coronary artery bypass surgery.
Materials and methods: Forty-eight patients were divided into two equal groups. While the first group was informed about the risks of the operation process and postoperative care verbally and visually, the other group was given only written information. All patients underwent standardized psychiatric interviews according to DSM V, before and after surgery The Brief Disability Questionnaire (BDQ), Coping Scale (COPE), Hospital Anxiety and Depression Scale (HADS), Health Related Quality of life Short-Form 36 (HRQOL-BRIEF SF-36) was applied.
Results: Although psychiatric disorders are more common in women than men, no statistical difference was found. It was observed that the most common diagnosis was adjustment disorder. Although there was no significant difference between the groups in terms of anxiety and depressive symptoms and quality of life, it was observed that the use of religious coping decreased and disability increased after surgery only in the written-informed group. Further, disability scores were positively correlated with the endpoint depression and anxiety scores in the group given only written information.
Conclusion: Being well-informed verbally and visually about the surgery process positively affects patients’ coping strategies and adjustment while decreasing psychiatric comorbidity and disability rates. Further longitudinal research is recommended in various cultures to identify patients’ modifiable risk factors in terms of psychological outcomes. 

Anahtar Kelimeler

coronary artery bypass grafting surgery, disability, coping skills, quality of life.

Koroner arter bypass greft cerrahisinde hastalara işlem hakkında sözel-görsel bilgilendirme yapmak psikolojik fonksiyonlar açısından önemli midir?

Öz

Amaç: İyi bilgilendirilmiş olmak, başa çıkma stratejileri geliştirmeye yardımcı olabilir, hastaların psikolojik iyilik hallerine katkıda bulunabilir ve yaşam kalitelerini iyileştirebilir. Bu çalışmada koroner arter by-pass cerrahisi yapılacak hastalarda işlem öncesi sözel-görsel bilgilendirme yapılmasının sadece yazılı bilgilendirme yapılmasına kıyasla hayat kalitesi, yeti yitimi ve başetme yöntemleri üzerine nasıl bir etkisinin olacağının araştırılması amaçlanmıştır.
Gereç ve yöntem: Çalışmamıza 48 hasta alınmış ve hastalar iki eşit gruba bölünmüştür. Birinci gruba, ameliyat süreci ve olası riskler ayrıntılı bir şekilde sözel-görsel olarak anlatılmış, ikinci grup ise yalnızca yazılı olarak bilgilendirilmiştir. Tüm hastalara DSM V’e göre standardize psikiyatrik görüşme yapılmış, ameliyat öncesinde ve sonrasında Kısa Yeti Yitimi Anketi (KYA), Başa Çıkma Tutumlarını Değerlendirme Ölçeği (COPE), Hastane Anksiyete ve Depresyon Ölçeği (HAD), Kısa form 36 Yaşam Kalitesi Ölçeği (SF-36) uygulanmıştır.
Bulgular: Psikiyatrik bozukluklar genel olarak kadınlarda erkeklere göre daha fazla olmakla birlikte istatiksel fark saptanmamıştır. En sık konulan tanının, uyum bozukluğu olduğu gözlenmiştir. Gruplar arasında anksiyete ve depresif semptomlar ile yaşam kalitesi açısından anlamlı fark saptanmamasına ragmen, yalnızca yazılı olarak bilgilendirilmiş grupta ameliyat sonrası dini olarak başa çıkma kullanımının azaldığı ve yeti yitiminin arttığı gözlenmiştir. Ayrıca, yazılı bilgilendirilmiş grupta depresyon ve anksiyete puanları ile yeti yitimi arasında pozitif yönde korelasyon olduğu saptandı.
Sonuç: Ameliyat hakkında ayrıntılı sözel-görsel bilgilendirme yapılması hastaların ameliyat sonrası süreçte başetme stratejilerini etkilemekte ve daha sağlıklı bir şekilde uyum sağlamalarına yardımcı olarak yeti yitimini azaltmaktadır. Ameliyat sonrası dönemde hastaların psikolojik fonksiyonlarını etkileyebilecek modifiye edilebilir risk faktörlerinin de belirlenmesi açısından farklı kültürlerde uzun dönem çalışmalara ihtiyaç duyulmaktadır. 

Anahtar Kelimeler

Koroner arter bypass greft ameliyatı, yeti yitimi, başetme becerileri, yaşam kalitesi

Kaynakça

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