Factors Affecting the Comfort and Anxiety Level of Patients Who Underwent Thoracic Surgery

Year 2018, Volume: 5 Issue: 3, 324 - 332, 14.10.2018

Besey Ören

https://doi.org/10.17681/hsp.409359

Abstract

Introduction: Physical and psychosocial problems that may
arise during a post-op period in a patient that underwent surgical intervention
can negatively affect the comfort of the patient and, as a result, may delay
the healing process. The study was planned as descriptive with the aim of
determining the comfort levels of patients that had thoracic surgery, the
relationship between comfort and anxiety and the factors influencing them. Material-Method:
The study consisted of 112 patients who were able to communicate in
Turkish, who were at least primary school graduates, who were not
psychologically treated, who were willing to participate in the study and who
approved the study, among adult patients who were in the thoracic surgery
service between December 2012 and December 2013. Data were collected using the
face-to-face interview method through Individual Characteristics Form, the
Early Postoperative Comfort Scale, the General Comfort Scale, and the
Circumstanced-Continuous Anxiety Scale. Results: 47.3% of the patients
with an average age of 51.71 are primary school graduates. It was found that
59.8% of the patients were smokers, 48.2% were treated with lung cancer
diagnosis, 67% were in single room, 81.3% were satisfied with the room, 81.3%
had previous hospital experience, 69% 6 had been operated before, and 94.6%
were satisfied with the patient admission process. Early postoperative comfort
level was 4.96 ± 0.56 and general comfort level was 2.89 ± 0.32. Circumstanced
anxiety level was 49.05 ± 4.50, and continuous anxiety level was 46.37 ± 4.57. Conclusion:
Early postoperative comfort level and general comfort level of patients
were determined to be above the average. Circumstanced anxiety and continuous
anxiety levels were moderate. There was a negative correlation between comfort
and anxiety, and the factors affecting the anxiety were determined as having
hospital experience, duration of surgical intervention, the experience of a
previous operation, satisfaction with the room, and factors affecting comfort
and anxiety.

Keywords

Postoperative care, thoracic surgery, nursing

Göğüs Cerrahisi Uygulanan Hastaların Konfor ve Anksiyete Düzeyini Etkileyen Faktörler

Abstract

Giriş: Ameliyat sonrası dönemde cerrahi hastasında ortaya
çıkabilen fiziksel ve psiko-sosyal sorunlar hastanın konforunu olumsuz
etkileyerek iyileşme sürecini geciktirebilir. Çalışma göğüs cerrahisi olan
hastaların konfor düzeyleri, konfor ile anksiyete ilişkisi ve etkili faktörleri
belirlemek amacı ile tanımlayıcı olarak planlandı. Gereç-Yöntem: Çalışmanın evrenini göğüs cerrahisi servisinde
Aralık 2012-Aralık 2013 tarihleri arasında operasyon sonrası serviste yatan
erişkin hastalardan; Türkçe iletişim kurulabilen, en az ilköğretim mezunu,
psikolojik tedavi görmeyen, çalışmaya katılmaya istekli olup, onay veren 112
hasta oluşturdu. Veriler Bireysel Özellikler Formu, Erken Postoperatif Konfor
Ölçeği, Genel Konfor Ölçeği, Durumluk-Sürekli Anksiyete Ölçeği kullanılarak yüz
yüze görüşme yöntemi ile toplandı. Bulgular: Yaş ortalaması 51.71, olan
hastaların %47.3’ü ilköğretim mezunu, %59,8’i sigara kullanmakta ve %48.2’sine
akciğer kanseri nedeniyle ameliyat uygulanmıştır. Grubun, %67’sinin tek kişilik
odada kaldığı, %81.3’ünün kaldığı odadan memnun olduğu, %81.3’ünün daha önce
hastane deneyimi olduğu, %69,6’sının daha önce ameliyat olduğu, %94,6’sının
hasta kabul sürecinden memnun olduğu saptandı. Hastaların erken postoperatif
konfor düzeyi 4.96±0.56, genel konfor düzeyi 2.89±0.32 olarak belirlendi.
Durumluk anksiyete düzeyi 49.05±4.50, sürekli anksiyete düzeyi ise 46.37±4.57
bulundu. Sonuç: Hastaların erken postoperatif
konfor düzeyi ve genel konfor düzeyi ortalamanın üstünde tespit edilirken,
durumluluk anksiyete düzeyi ve süreklilik anksiyete düzeyi orta düzeyde
bulundu. Konfor ile anksiyete arasında negatif yönde bir ilişki olduğu, daha önce
hastane deneyimi olması, cerrahi girişim süresi, geçirilmiş operasyon
deneyiminin olması, kaldığı odadan memnun olup olmaması konfor ve anksiyeteyi
etkileyen faktörler olarak tespit edildi. 

Keywords

Konfor, hemşirelik, göğüs cerrahisi

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