Lomber Disk Herni Ameliyatı Olacak Hastalarda Kaygı, Algılanan Stres ve COVID-19 Korkusunun Ameliyat Sonrası Ağrı Düzeyine Etkisinin İncelenmesi

Yıl 2025, Cilt: 6 Sayı: 1, 10 - 25, 21.03.2025

Gülşen Ertan , Dilek Gürçayır

Öz

Amaç: Bu araştırma lomber disk herni ameliyatı olacak hastalarda kaygı, algılanan stres ve COVID-19 korkusunun ameliyat sonrası ağrı düzeyine etkisini belirlemek amacıyla yapıldı.
Gereç ve Yöntem: Tanımlayıcı ve kesitleyici tipteki bu çalışmanın verileri Şubat 2021-Aralık 2021 tarihleri arasında bir eğitim araştırma hastanesi ve bir üniversite hastanesinin beyin ve sinir hastalıkları kliniklerinde lomber disk hernisi ameliyatı olan hastalardan toplandı. Araştırma verilerinin toplanmasında Hasta Tanıtım Formu, Ameliyata Özgü Kaygı Ölçeği (AÖKÖ), Algılanan Stres Ölçeği (ASÖ), COVID-19 Korkusu Ölçeği ve Görsel Kıyaslama Ölçeği (Visual Analog Skala- VAS) kullanıldı.
Bulgular: Hastaların %45’inin 41-50 yaş aralığında ve %57’sinin erkek olduğu tespit edildi. Ameliyat öncesi hastaların kaygı ve/veya stres puan ortalamalarının cinsiyet, yaş, eğitim durumu, medeni durum, kronik hastalık varlığı, hastane ve ameliyat deneyimi, analjezik kullanma alışkanlığı ve ailesinde COVID-19 nedeniyle vefat eden birey bulunma faktörleri açısından farklılık gösterdiği saptandı (p<0.05). Ameliyat öncesi COVID-19 korkusu puan ortalamasının cinsiyet, kendisinin ya da aile üyelerinden birinin COVID-19 geçirme durumu ve ailesinde COVID-19 nedeniyle vefat eden birey bulunma faktörleri açısından farklılık gösterdiği bulundu (p<0.05). Ameliyat sonrası ağrı puan ortalamasının ise yaş, eğitim durumu, medeni durum, kronik hastalık varlığı, hastane ve ameliyat deneyimi, analjezik kullanma alışkanlığı ve COVID-19 geçirme durumu faktörleri açısından farklılık gösterdiği tespit edildi (p<0.05).
Sonuç: Bu çalışmada hastaların ameliyat öncesi kaygı ve stres düzeylerinin ameliyat sonrası ağrı düzeyini etkilediği, ancak ameliyat öncesi COVID-19 korkusunun ameliyat sonrası ağrı düzeyini etkilemediği belirlenmiştir.

Anahtar Kelimeler

Ağrı, COVID-19 korkusu, kaygı, lomber disk hernisi, stres

Investigation of the Effect of Anxiety, Perceived Stress and Fear of COVID-19 on Post-operative Pain Level in Patients Who Will Have Lumbar Disc Hernia Surgery

Öz

Abstract
Aim: This research was carried out to determine the effects of surgery-specific anxiety, perceived stress and fear of COVID-19 on the level of postoperative pain intensity in patients who will undergo lumbar disc herniation surgery.
Meterial: This descriptive study was conducted in the brain and neurology clinics of a training and research hospital and a university hospital between December 2020 and June 2022 with 100 patients aged 18-70 years. The data of the study were collected using the Patient Information Form, Anxiety Specific to Surgery Questionnaire (ASSQ), the Perceived Stress Scale (PSS), the COVID-19 Fear Scale (CFS) and the Visual Analog Scale (VAS).
Results: It was determined that 45% of the patients were between the ages of 41-50 and 57% were male. The mean score of CFS was 16.03±3.82 below the mean value, the mean score of ASSQ was 35.98±4.63 above the mean value, and the mean score of PSS was 25.80±5.90. It was determined that the mean VAS pain score on the postoperative period of the patients was 5.14±0.80.
Conclusion: While a positive relationship was found between the patients' preoperative anxiety and stress levels and the postoperative pain level, no statistically significant relationship was found between the preoperative COVID-19 fear level and the postoperative pain level.

Anahtar Kelimeler

Anxiety, COVID-19, lumbar disc herniation, pain, stress

Kaynakça

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