Endometrial Biyopsi Uygulanacak Hastalara Ebe Tarafından Verilen Eğitimin Anksiyete Üzerine Etkisi

Yıl 2024, Cilt: 15 Sayı: 4, 670 - 678, 31.12.2024

Şerife Nur , Ayşe Çuvadar

https://doi.org/10.18663/tjcl.1507527

Öz

Amaç: Bu çalışmada, endometrial biyopsi uygulanacak olan hastalara ebe tarafından verilen eğitimin anksiyete üzerine etkisini belirlemek amaçlanmıştır.
Gereç ve Yöntemler: Ön-test son-test ölçümlü randomize kontrollü çalışmanın örneklemini Pursaklar Devlet Hastanesi Kadın Doğum Polikliniğine Haziran-Aralık 2023 tarihleri arasında başvuru yapan, anormal uterin kanama nedeniyle endometrial biyopsi uygulanması planlanan 64 kadın oluşturdu. Çalışmanın verileri ‘Kişisel Bilgi Formu” ve “Beck Anksiyete Ölçeği”kullanılarak toplandı. Her iki grupta yer alan kadınlara ön-test uygulandı. Eğitim, deney grubunda yer alan kadınlara ebe araştırmacı tarafından yüz yüze, interaktif, soru-cevap ve gösterim yöntemleri kullanılarak 30-40 dakika içerisinde, literatür taraması doğrultusunda hazırlanan, Biyopsi Eğitim Kitapçığı ile gerçekleştirildi. İşlem sonrası her iki gruba son- test Beck Anksiyete Ölçeği uygulandı. Çalışma verileri Statistical Packageforthe Social Sciences-SPSS 26 paket programı ile analiz edildi. İstatistiksel testlerin anlamlılık değeri p<0,05 olarak değerlendirildi.
Bulgular: Deney grubunda yer alan kadınların son-test “Beck Anksiyete Ölçeği” puan ortalamaları 23,51±4,14 (min=21,0, max=39,0), kontrol grubunda yer alan kadınların“Beck Anksiyete Ölçeği”puan ortalamaları 30,78±9,46 (min=21,0, max=60,0), olarak bulundu. Deney ve kontrol grubunda yer alan kadınların eğitim sonrası Beck Anksiyete Ölçeği (Z=-3,939, p=0,001) ve tüm alt boyut ölçeklerine yönelik son-test puan ortalamaları arasında istatistiksel olarak anlamlı bir fark olduğu görüldü. Sonuç: Endometrial biyopsi öncesinde verilen eğitimin, hastaların anksiyete düzeylerini azaltmada etkili olduğu sonucuna varılmıştır.

Anahtar Kelimeler

Anksiyete, Ebe, Eğitim, Endometrial Biyopsi, Hasta.

The effect of education provided by midwives to patients who will undergo endometrial biopsy on anxiety

Öz

Aim: This study aimed to determine the effect of education provided by a midwife to patients undergoing endometrial biopsy on anxiety levels.
Material and Methods: The sample of the pre-test post-test measurement randomized controlled study consisted of 64 women who applied to Pursaklar State Hospital Gynecology Outpatient Clinic between June and December 2023, with planned endometrial biopsy due to abnormal uterine bleeding. Data of the study were collected using "Personal Information Form" and "Beck Anxiety Scale". Pre-test was applied to women in both groups. Education was provided to women in the experimental group by a midwife researcher face-to-face, interactive, question-answer, and demonstration methods within 30-40 minutes, using the Biopsy Education Booklet prepared in accordance with literature review. After the procedure, post- test Beck Anxiety Scale was administered to both groups. Study data were analyzed using the Statistical Package for the Social Sciences-SPSS 26 software package. The significance value of statistical tests was evaluated as p<0.05.
Results: The mean post-test "Beck Anxiety Scale" scores of women in the experimental group were found to be 23.51±4.14 (min=21.0, max=39.0), and those of women in the control group were 30.78±9.46 (min=21.0, max=60.0). A statistically significant difference was observed between the post-test Beck Anxiety Scale (Z=-3.939, p=0.001) and all subscale scores of women in the experimental and control groups after education.
Conclusion: It was concluded that the education provided before the endometrial biopsy was effective in reducing patients' anxiety levels.

Anahtar Kelimeler

Anxiety, Midwife, Education, Endometrial Biopsy, Patient.

Kaynakça

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