Göğüs Cerrahisi Geçiren Akciğer Kanserli Hastaların Ameliyat Öncesi Deneyimleri ve Gereksinimleri: Niteliksel Bir Çalışma

Yıl 2025, Cilt: 4 Sayı: 3, 1 - 9, 31.12.2025

Sema Nur Yaman Çelik , Aylin Durmaz Edeer

Öz

Giriş: Kanser hastalarının ameliyat öncesi ihtiyaçlarının belirlenmesi ve bu doğrultuda bilgilendirilmesi önemlidir.
Amaçlar: Bu fenomenolojik nitel çalışma, akciğer kanseri nedeniyle torasik cerrahi geçiren hastaların ameliyat öncesi deneyimlerini ve ihtiyaçlarını tanımlamak amacıyla yürütülmüştür.
Yöntemler: Araştırma nitel tasarımda yürütülmüştür. Türkiye, İzmir'deki bir üniversite hastanesinde akciğer kanseri nedeniyle ameliyat olan hastalarla görüşme yapılmıştır. 12 hastayla görüşülmüştür. Hastalarla yapılan görüşme ortalama 20 dakika sürmüştür. Çalışmamızda ölçüt örnekleme deseni kullanılmıştır. Hastaların sosyodemografik özelliklerini belirlemek için hasta tanıtım formu, ameliyat öncesi deneyimlerini ve ihtiyaçlarını belirlemek için ise üç sorudan oluşan yarı yapılandırılmış görüşme formu kullanılmıştır.
Bulgular: Hastaların tamamı ameliyat öncesi dönemde ameliyat hakkında bilgiye ihtiyaç duyduklarını belirtmişlerdir. Hastalarla yapılan görüşmeler sonucunda iki ana temaya ulaşılmıştır. Temalar, hastaların ameliyat kararı alırken yaşadıkları duygular ve ameliyat öncesi ihtiyaçlardır. Sadece ameliyat öncesi ihtiyaçlar teması altında iki kategori oluşturulmuştur. Alt kategoriler ameliyat öncesi bilgi gereksinimleri ve ameliyat öncesi psikolojik destek gereksinimleriydi.

Anahtar Kelimeler

Akciğer kanseri , Hasta eğitimi , Ameliyat öncesi bakım , Kanser hastalarının ihtiyaçları , Torasik cerrahi , Fenomonolojik çalışma

Preoperative Experiences and Needs of Patients with Lung Cancer Undergoing Thoracic Surgery: A Qualitative Study

Öz

Background: It is important to determine the preoperative needs of cancer patients and inform them accordingly.
Objectives: This phenomenological qualitative study was conducted to describe the preoperative experiences and needs of patients underwent thoracic surgery for lung cancer.
Methods: The research was conducted in qualitative design. Patients who underwent surgery for a lung cancer in a university hospital in Izmir, Turkey were interviewed. We interviewed with12 patients.The interview with the patients lasted an average of 20 minutes. Criterion sampling design was used in our study. A patient identifying information form was used to determine the sociodemographic characteristics of the patients, and a semi-structured interview form consisting of three questions was used to determine the preoperative experiences and needs of the patients.
Findings: All of the patients stated that they needed information about the surgery in the preoperative period. As a result of the interviews with the patients, two main themes were reached. The themes were the emotions experienced by the patients when the decision for surgery and preoperative needs. Two categories were formed only under the theme of preoperative needs. The subcategories were preoperative information needs and preoperative psychological support needs.

Anahtar Kelimeler

Lung cancer , Patient education , Preoperative care , Needs of cancer patients , Thoracic surgery , Phenomonological design

Kaynakça

• Doğu, Ö. (2013). Meeting the needs of education and training in patients with planned surgery preparation psychological effects of ındividual patient-sakarya sample. Journal of Düzce University Health Sciences Institute, 3(3): 10-13.
• Fernández, MTM. (2018). Influence of the presurgical nursing visit on the patients´ anxiety. Nuberos Científica, 1, 34–38.
• Mulugeta, H., Ayana, M., Sintayehu, M., Desie, G., Zewdu, T. (2018). Preoperative anxiety and associated factors among adult surgical patients in Debre Markos and Felege Hiwot referral hospitals, Northwest Ethiopia. BMC Anesthesiology, 18(1): 155. https://doi.org/10.1186/s12871-018-0619-0
• Alanazi, AA. (2014). Reducing anxiety in preoperative patients: a systematic review. Br J Nurs, 23(7):387-393. doi: 10.12968/bjon.2014.23.7.387
• Silva, DGF., Souza, ALLP., Martins, DCF., Pedrosa TM., Muzi, CD., Guimaeres RM. (2017). Quality of information given to surgical patients with abdominal cancer. Invest. educ. Enferm, 35(2):221-231. doi: 10.17533/udea.iee.v35n2a11
• Refai, M., Andolfi M., Gentili, P., Pelusi, G., Manzotti, F., Sabbatini A. (2018). Enhanced recovery after thoracic surgery: patient information and care-plans. J Thorac Dis,10(4): 512–S516. doi: 10.21037/jtd.2017.12.87
• Arraras, JI., Greimel, E., Sezer, O. et al. (2010). An international validation study of the EORTC QLQ-INFO25 questionnaire: an instrument to assess the information given to cancer patients. Eur. J. Cancer, 46(15):2726-38. doi: 10.1016/j.ejca.2010.06.118
• Çullu, M., Ülker, S. (2020). Patients’thoughts and demands that they did not express before surgery. Journal of Intensive Care Nursing, 24(1), 1-10.
• World Health Organization (WHO). The WHO global strategy on people- centred integrated health services interim report. Service Delivery and Safety. Accessed 2015. https://www.afro.who.int/sites/default/files/2017-07/who-global-strategy-on-pcihs-main-document_final.pdf/;2015.
• Renna, MS., Metcalfe, A., Ellard, D., Davies, D. (2020). A patient satisfaction survey investigating pre- and post-operative information provision in lower limb surgery. BMC Musculoskeletal Disorders, 21(754):2-9. https://doi.org/10.1186/s12891-020-03761-w
• Tekindağ, M., Arsu Şu. (2020). A revıew on the scope and process of phenomenologıcal approach as a qualıtatıve research method. Beyond the Horizon of Scientific Journal, 20 (1):153- 182.
• Palinkas, LA., Horwitz, SM., Green, CA., Wisdom JP., Duan, N., Hoagwood K. (2015). Purposeful sampling for qualitative data collection and analysis in mixed method implementation research. Administration and Policy in Mental Health and Mental Health Services Research, 42(5):533-44. https://doi.org/10.1007%2Fs10488-013-0528-y
• Braun, V., Clarke, V. (2021). To saturate or not to saturate? Questioning data saturation as a useful concept for thematic analysis and sample-size rationales. Qualitative research in sport, exercise and health, 13(2), 201-216.
• Saunders, B., Sim, J., Kingstone, T., Baker, S., Waterfield, J., Bartlam, B., ... & Jinks, C. (2018). Saturation in qualitative research: exploring its conceptualization and operationalization. Quality & quantity, 52(4), 1893-1907.
• Akbaba, A., Mert, H. (2021). Last chance between life and death: experiences of patients with transcatheter aortic valve ımplantation. Turk J Cardiovasc Nurs, 12(29):163-172. DOI: 10.5543/khd.2021.21-15-23
• Karakartal, D. (2018). Examination of psycho-social problems experienced by cancer patients. International Journal of Humanities and Education, 4(9):48-62.
• Yıldırım, A., Şimşek, H. (2021). Sosyal Bilimlerde Nitel Araştırma Yöntemleri, 12. baskı. Ankara, Seçkin Yayıncılık.
• Polit, DF., Beck, CT. (2008). Nursing research: generating and assessing evidence for nursing practice. 8th ed. Lippincott Williams & Wilkins.
• King, J,, Chamberland, P., Rawji, A. et al. (2014). Patient educational needs of patients undergoing surgery for lung cancer. J Cancer Educ. 29(4): 802–807. doi: 10.1007/s13187-014-0658-2
• Dalby, M., Hill, A., Nabhani-Gebara, S. (2022). Analysis of local qualitative cancer patient experience alongside the 2019 results of the UK National Cancer Patient Experience Survey. International Journal of Pharmacy Practice, 30(2):169-174. https://doi.org/10.1093/ijpp/riab081
• Mazzocco, K., Masiero, M., Carriero, MC., Pravettoni, G. (2019). The role of emotions in cancer patients’ decision-making. Ecancermedicalscience, 13: 914. doi: 10.3332/ecancer.2019.914
• Choi, S., Ryu, E. (2018). Effects of symptom clusters and depression on the quality of life in patients with advanced lung cancer. Eur J Cancer Care (Engl), 27(1). doi: 10.1111/ecc.12508
• Sun, V., Kim, JY., Raz, DJ. et al. (2018). Preparing cancer patients and family caregivers for lung surgery: development of a multimedia self-management ıntervention. J Cancer Educ, 33(3):557-563. doi: 10.1007/s13187-016-1103-5.
• Morrison, EJ., Novotny, PJ., Sloan, JA., et al. (2017). Emotional problems, quality of life, and symptom burden in patients with lung cancer. Clin Lung Cancer, 18(5):497-503. doi: 10.1016/j.cllc.2017.02.008.
• Khullar, OV., Rajaei, MH., Force, SD. et al. (2017). Pilot study to integrate patient reported outcomes after lung cancer operations into the society of thoracic surgeons database. Ann Thorac Surg, 104: 245-253. doi: 10.1016/j.athoracsur.2017.01.110.
• Grimmett, C., Heneka, N., Chambers, S. (2022). Psychological ınterventions prior to cancer surgery: a review of reviews. Curr Anesthesiol Rep, 12(1): 78–87. doi: 10.1007/s40140-021-00505-x
• Tsimopoulou, I., Pasquali, S., Howard, R., et al. (2015). Psychological prehabilitation before cancer surgery: a systematic review. Ann Surg Oncol, 22(13):4117–4123. doi: 10.1245/s10434-015-4550-z
• Chen, Y., Ahmad, M. (2018). Effectiveness of adjunct psychotherapy for cancer treatment: a review. Future Oncol, 14(15):1487–1496. doi: 10.2217/fon-2017-0671