Research Article
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Hastaların e-sağlık okuryazarlıklarının preoperatif kaygı düzeyleri ve anesteziye ilişkin korkularına etkisi

Year 2023, Volume: 20 Issue: 55, 704 - 712, 29.09.2023
https://doi.org/10.26466/opusjsr.1343782

Abstract

Bireylerin tedavi sürecinde ameliyat kararının alınması çoğu hasta için gerek ameliyatın nasıl geçeceği gerekse ameliyat sürecindeki anestezi uygulamalarıyla ilgili olarak kaygı yaratan bir durumdur. Bu çalışmanın amacı cerrahi operasyon geçirecek bireylerin e-sağlık okuryazarlıklarının preoperatif kaygı düzeylerine ve anesteziye ilişkin korkularına etkisinin incelenmesidir. Araştırma ameliyat öncesi bekleme ünitesinde bekleyen 219 hasta ile gerçekleştirilmiştir. Hastaların preoperatif anestezi kaygılarının değerlendirilmesinde Amsterdam Preoperatif Kaygı Ölçeği (APAIS), e-sağlık okuryazarlıklarının belirlenmesinde E-Sağlık Okuryazarlığı Ölçeği, anesteziye ilişkin korkularının belirlenmesinde ise literatürde daha önce anestezi korkusu ile ilgili çalışmalarda yer alan korku maddelerinden faydalanılarak oluşturulan anket formu kullanılmıştır. Ayrıca demografik verilerin belirlenmesinde kişisel bilgi formu kullanılmıştır. Araştırma sonuçlarına göre hastaların anestezi ile ilgili en çok korktukları üç madde; “ameliyat sırasında ağrıyı hissetmek”, “ameliyat sonrası anestezinin etkisi geçince ağrı hissetmek” ve “ameliyatın ortasında uyanmak” şeklinde belirlenmiştir. Ayrıca e-sağlık okuryazarlığı düşük hastaların preoperatif kaygılarının e-sağlık okuryazarlığı yüksek olan hastalardan anlamlı düzeyde yüksek olduğunu göstermiştir.

Project Number

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References

  • Abate, S. M., Chekol, Y. A., & Basu, B. (2020). Global prevalence and determinants of preoperative anxiety among surgical patients: a systematic review and meta-analysis. International Journal of Surgery Open, 25, 6-16. https://doi.org/10.1016/j.ijso.2020.05.010
  • Aykent, R., Kocamanoğlu, İ. S., Üstün, E., Tür, A., & Şahinoğlu, H. (2007). The reasons and evaluation of preoperative anxiety: a comparison of APAIS and STAI scores. Turkiye Klinikleri J Anest Reanim, 5(1), 7-13.
  • Chan, C. S., & Molassiotis, A. (2002). The effects of an educational programme on the anxiety and satisfaction level of parents having parent present induction and visitation in a postanaesthesia care unit. Pediatric Anesthesia, 12(2), 131-139. https://doi.org/10.1046/j.1460-9592.2002.00790.x
  • Chang, M. E., Baker, S. J., Dos Santos Marques, I. C., Liwo, A. N., Chung, S. K., Richman, J. S., ... & Chu, D. I. (2020). Health literacy in surgery. HLRP: Health Literacy Research and Practice, 4(1), e46-e65. https://doi.org/10.3928/24748307-20191121-01
  • Cho, R. N., Plunkett, B. A., Wolf, M. S., Simon, C. E., & Grobman, W. A. (2007). Health literacy and patient understanding of screening tests for aneuploidy and neural tube defects. Prenatal Diagnosis: Published in Affiliation with the International Society for Prenatal Diagnosis, 27(5), 463-467. https://doi.org/10.1002/pd.1712
  • Celik, F., & Edipoglu, I. S. (2018). Evaluation of preoperative anxiety and fear of anesthesia using APAIS score. European Journal of Medical Research, 23(1), 1-10. https://doi.org/10.1186/s40001-018-0339-4
  • Çevik Acar, E., & Yıldız Fındık. Ü. (2015). Thoughts about the quality of nursing care of patients in the operating room and the assessment of anxiety levels. Journal of Anatolia Nursing and Health Sciences, 18(4), 268-273.
  • Demir, A., Turan, S., Balaban, F., Karadeniz, Ü., & Erdemli, Ö. (2009). A questionnaire study related to anesthetic procedures conducted in patients during preanesthetic evaluation. J Turk Anaesth Int Care, 37(4), 225-233.
  • de Oliveira Cumino, D., Cagno, G., Gonçalves, V. F. Z., Wajman, D. S., & Mathias, L. A. D. S. T. (2013). Impact of preanesthetic information on anxiety of parents and children. Brazilian Journal of Anesthesiology (English Edition), 63(6), 473-482. https://doi.org/10.1016/j.bjane.2013.04.003
  • Egbert, L. D., Battit, G. E., Turndorf, H., & Beecher, H. K. (1963). The value of the preoperative visit by an anesthetist: A study of doctor-patient rapport. JAMA, 185(7), 553-555. https://doi.org/10.1001/jama.1963.03060070021016
  • Friedrich, S., Reis, S., Meybohm, P., & Kranke, P. (2022). Preoperative anxiety. Current Opinion in Anaesthesiology, 35(6), 674-678. https://doi.org/10.1097/ACO.0000000000001186
  • Gencer, Z. T. (2017). Analysis of validity and reliability of Norman and Skinner's e-Health scale literacy for cultural adaptation. Istanbul University Faculty of Communication Journal, 52, 131-145. https://doi.org/10.17064/iuifd.333165
  • Gillespie, B. M., Harbeck, E., Rattray, M., Liang, R., Walker, R., Latimer, S., ... & Chaboyer, W. (2021). Worldwide incidence of surgical site infections in general surgical patients: A systematic review and meta-analysis of 488,594 patients. International Journal of Surgery, 95, 106136. https://doi.org/10.1016/j.ijsu.2021.106136
  • Jlala, H. A., French, J. L., Foxall, G. L., Hardman, J. G., & Bedforth, N. M. (2010). Effect of preoperative multimedia information on perioperative anxiety in patients undergoing procedures under regional anaesthesia. British Journal of Anaesthesia, 104(3), 369-374. https://doi.org/10.1093/bja/aeq002
  • Julian, L. J. (2011). Measures of anxiety. Arthritis Care & Research, 63(11), 467-74. https://doi.org/10.1002/acr.20561
  • Khalili, N., Karvandian, K., Ardebili, H. E., Eftekhar, N., & Nabavian, O. (2020). Predictors of preoperative Anxiety Among Surgical Patients in Iran: An Observational Study. Archives Of Anesthesia and Critical Care. 6(1), 16-22. https://doi.org/10.18502/aacc.v6i1.2044
  • Kumar, A., Dubey, P. K., & Ranjan, A. (2019). Assessment of anxiety in surgical patients: an observational study. Anesthesia, Essays & Researches, 13(3), 503. https://doi.org/10.4103/aer.AER_59_19
  • Lozada, M. J., Nguyen, J. T., Abouleish, A., Prough, D., & Przkora, R. (2016). Patient preference for the pre-anesthesia evaluation: telephone versus in-office assessment. Journal of Clinical Anesthesia, 31, 145-148. https://doi.org/10.1016/j.jclinane.2015.12.040
  • Maiye, S. E., & Dal Yılmaz, Ü. (2022). Assessment of preoperative anxiety among surgical patients. Midwifery, 2(2), 53-61. https://doi.org/10.5152/MNM.2022.225072
  • Matthias, A. T., & Samarasekera, D. N. (2012). Preoperative anxiety in surgical patients-experience of a single unit. Acta Anaesthesiologica Taiwanica, 50(1), 3-6. https://doi.org/10.1016/j.aat.2012.02.004
  • Mavridou, P., Dimitriou, V., Manataki, A., Arnaoutoglou, E., & Papadopoulos, G. (2013). Patient’s anxiety and fear of anesthesia: Effect of gender, age, education, and previous experience of anesthesia. A survey of 400 patients. Journal of Anesthesia, 27(1), 104-108. https://doi.org/10.1007/s00540-012-1460-0
  • Moores, A., & Pace, N. A. (2003). The information requested by patients prior to giving consent to anaesthesia. Anaesthesia, 58(7), 703-707. https://doi.org/10.1046/j.1365-2044.2003.03189_5.x
  • Nutbeam, D., & Kickbusch, I. (1998). Health promotion glossary. Health Promotion International, 13(4), 349-364. https://www.jstor.org/stable/45152457
  • Rosenbaum A. J., Pauze D., Pauze D., Robak N., Zade R., Mulligan M., Uhl R. L. (2015). Health literacy in patients seeking orthopaedic care: Results of the Literacy in Musculoskeletal Problems (LIMP) Project. The Iowa Orthopaedic Journal, 35, 187-192. PMID: 26361464
  • McMullan, R. D., Berle, D., Arnáez, S., & Starcevic, V. (2019). The relationships between health anxiety, online health information seeking, and cyberchondria: Systematic review and meta-analysis. Journal of Affective Disorders, 245, 270-278. https://doi.org/10.1016/j.jad.2018.11.037
  • Scarpato K. R., Kappa S. F., Goggins K. M., Chang S. S., Smith J. A., Clark P. E., Moses K. A. (2016). The impact of health literacy on surgical outcomes following radical cystectomy. Journal of Health Communication, 21(Suppl. 2), 99-104. https://doi.org/10.1080/10810730.2016.1193916
  • Tanik Turkan, R. (2021). Ameliyat olacak hastaların anestezi bilgi düzeyi ve anksiyete durumunun değerlendirilmesi. Tıpta uzmanlık tezi. Dicle Üniversitesi Anestezi ve Reanimasyon Anabilim Dalı.
  • Tulgar, S., Boga, I., Piroglu, M. D., Ates, N. G., Bombaci, E., Can, T., ... & Kose, H. C. (2017). Preoperative anxiety before spinal anesthesia: Does internet-based visual information/multimedia research decrease anxiety and information desire? A prospective multicentered study. Anesthesia, Essays and Researches, 11(2), 390-396. https://doi.org/10.4103/0259-1162.206278
  • Türkyılmaz, H. E. U., Eryılmaz, N. C., Güzey, N. A., & Gedikli, A. (2018). Hastaların anestezi hakkında bilgi düzeylerinin saptanması ve anestezi öncesi korkularının belirlenmesi. Çağdaş Tıp Dergisi, 8(4), 350-355. https://doi.org/10.16899/gopctd.435950
  • Zvara D.A., Manning M., Stewart T., McKinley A.C. & Cran W. (1997). Pre-operative anesthetic concerns: perceptions versus reality in men and women. Anesthesiology, 9(1), 88-89. https://doi.org/10.1016/S0952-8180(96)00202-4 Yücel, Z., & Koç, M. (2011). İlköğretim öğrencilerinin matematik dersine karşı tutumlarının başarı düzeylerini yordama gücü ile cinsiyet arasındaki ilişki. İlköğretim Online, 10(1), 133-143.

The effect of patients' e-health literacy on their preoperative anxiety levels and fears about anesthesia

Year 2023, Volume: 20 Issue: 55, 704 - 712, 29.09.2023
https://doi.org/10.26466/opusjsr.1343782

Abstract

The aim of this study is to examine the effect of e-health literacy on preoperative anxiety levels and fears about anesthesia of individuals who will undergo surgery. The research was carried out with 219 patients waiting in the preoperative waiting unit. The Amsterdam Preoperative Anxiety Scale (APAIS) was used to evaluate the preoperative anesthesia anxiety, the E-Health Literacy Scale was used to determine the e-health literacy, and the questionnaire form was used to determine the fear of anesthesia, which was created by using the items in the literature in previous studies on anesthesia fear. According to the results of the research, the three items that patients fear the most about anesthesia are; “feeling pain during surgery”, “feeling pain after the effect of post-operative anesthesia” and “waking up in the middle of surgery”. There is no significant difference in anesthesia-related fears of patients with low, medium and high e-health literacy, only a significant difference in preoperative anxiety scores between patients with low and high e-health literacy. Study results were interpreted as the ability of individuals with high e-health literacy to evaluate the data obtained through digital channels in terms of reliability prevents them from experiencing unnecessary anxiety based on erroneous information.

Supporting Institution

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Project Number

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Thanks

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References

  • Abate, S. M., Chekol, Y. A., & Basu, B. (2020). Global prevalence and determinants of preoperative anxiety among surgical patients: a systematic review and meta-analysis. International Journal of Surgery Open, 25, 6-16. https://doi.org/10.1016/j.ijso.2020.05.010
  • Aykent, R., Kocamanoğlu, İ. S., Üstün, E., Tür, A., & Şahinoğlu, H. (2007). The reasons and evaluation of preoperative anxiety: a comparison of APAIS and STAI scores. Turkiye Klinikleri J Anest Reanim, 5(1), 7-13.
  • Chan, C. S., & Molassiotis, A. (2002). The effects of an educational programme on the anxiety and satisfaction level of parents having parent present induction and visitation in a postanaesthesia care unit. Pediatric Anesthesia, 12(2), 131-139. https://doi.org/10.1046/j.1460-9592.2002.00790.x
  • Chang, M. E., Baker, S. J., Dos Santos Marques, I. C., Liwo, A. N., Chung, S. K., Richman, J. S., ... & Chu, D. I. (2020). Health literacy in surgery. HLRP: Health Literacy Research and Practice, 4(1), e46-e65. https://doi.org/10.3928/24748307-20191121-01
  • Cho, R. N., Plunkett, B. A., Wolf, M. S., Simon, C. E., & Grobman, W. A. (2007). Health literacy and patient understanding of screening tests for aneuploidy and neural tube defects. Prenatal Diagnosis: Published in Affiliation with the International Society for Prenatal Diagnosis, 27(5), 463-467. https://doi.org/10.1002/pd.1712
  • Celik, F., & Edipoglu, I. S. (2018). Evaluation of preoperative anxiety and fear of anesthesia using APAIS score. European Journal of Medical Research, 23(1), 1-10. https://doi.org/10.1186/s40001-018-0339-4
  • Çevik Acar, E., & Yıldız Fındık. Ü. (2015). Thoughts about the quality of nursing care of patients in the operating room and the assessment of anxiety levels. Journal of Anatolia Nursing and Health Sciences, 18(4), 268-273.
  • Demir, A., Turan, S., Balaban, F., Karadeniz, Ü., & Erdemli, Ö. (2009). A questionnaire study related to anesthetic procedures conducted in patients during preanesthetic evaluation. J Turk Anaesth Int Care, 37(4), 225-233.
  • de Oliveira Cumino, D., Cagno, G., Gonçalves, V. F. Z., Wajman, D. S., & Mathias, L. A. D. S. T. (2013). Impact of preanesthetic information on anxiety of parents and children. Brazilian Journal of Anesthesiology (English Edition), 63(6), 473-482. https://doi.org/10.1016/j.bjane.2013.04.003
  • Egbert, L. D., Battit, G. E., Turndorf, H., & Beecher, H. K. (1963). The value of the preoperative visit by an anesthetist: A study of doctor-patient rapport. JAMA, 185(7), 553-555. https://doi.org/10.1001/jama.1963.03060070021016
  • Friedrich, S., Reis, S., Meybohm, P., & Kranke, P. (2022). Preoperative anxiety. Current Opinion in Anaesthesiology, 35(6), 674-678. https://doi.org/10.1097/ACO.0000000000001186
  • Gencer, Z. T. (2017). Analysis of validity and reliability of Norman and Skinner's e-Health scale literacy for cultural adaptation. Istanbul University Faculty of Communication Journal, 52, 131-145. https://doi.org/10.17064/iuifd.333165
  • Gillespie, B. M., Harbeck, E., Rattray, M., Liang, R., Walker, R., Latimer, S., ... & Chaboyer, W. (2021). Worldwide incidence of surgical site infections in general surgical patients: A systematic review and meta-analysis of 488,594 patients. International Journal of Surgery, 95, 106136. https://doi.org/10.1016/j.ijsu.2021.106136
  • Jlala, H. A., French, J. L., Foxall, G. L., Hardman, J. G., & Bedforth, N. M. (2010). Effect of preoperative multimedia information on perioperative anxiety in patients undergoing procedures under regional anaesthesia. British Journal of Anaesthesia, 104(3), 369-374. https://doi.org/10.1093/bja/aeq002
  • Julian, L. J. (2011). Measures of anxiety. Arthritis Care & Research, 63(11), 467-74. https://doi.org/10.1002/acr.20561
  • Khalili, N., Karvandian, K., Ardebili, H. E., Eftekhar, N., & Nabavian, O. (2020). Predictors of preoperative Anxiety Among Surgical Patients in Iran: An Observational Study. Archives Of Anesthesia and Critical Care. 6(1), 16-22. https://doi.org/10.18502/aacc.v6i1.2044
  • Kumar, A., Dubey, P. K., & Ranjan, A. (2019). Assessment of anxiety in surgical patients: an observational study. Anesthesia, Essays & Researches, 13(3), 503. https://doi.org/10.4103/aer.AER_59_19
  • Lozada, M. J., Nguyen, J. T., Abouleish, A., Prough, D., & Przkora, R. (2016). Patient preference for the pre-anesthesia evaluation: telephone versus in-office assessment. Journal of Clinical Anesthesia, 31, 145-148. https://doi.org/10.1016/j.jclinane.2015.12.040
  • Maiye, S. E., & Dal Yılmaz, Ü. (2022). Assessment of preoperative anxiety among surgical patients. Midwifery, 2(2), 53-61. https://doi.org/10.5152/MNM.2022.225072
  • Matthias, A. T., & Samarasekera, D. N. (2012). Preoperative anxiety in surgical patients-experience of a single unit. Acta Anaesthesiologica Taiwanica, 50(1), 3-6. https://doi.org/10.1016/j.aat.2012.02.004
  • Mavridou, P., Dimitriou, V., Manataki, A., Arnaoutoglou, E., & Papadopoulos, G. (2013). Patient’s anxiety and fear of anesthesia: Effect of gender, age, education, and previous experience of anesthesia. A survey of 400 patients. Journal of Anesthesia, 27(1), 104-108. https://doi.org/10.1007/s00540-012-1460-0
  • Moores, A., & Pace, N. A. (2003). The information requested by patients prior to giving consent to anaesthesia. Anaesthesia, 58(7), 703-707. https://doi.org/10.1046/j.1365-2044.2003.03189_5.x
  • Nutbeam, D., & Kickbusch, I. (1998). Health promotion glossary. Health Promotion International, 13(4), 349-364. https://www.jstor.org/stable/45152457
  • Rosenbaum A. J., Pauze D., Pauze D., Robak N., Zade R., Mulligan M., Uhl R. L. (2015). Health literacy in patients seeking orthopaedic care: Results of the Literacy in Musculoskeletal Problems (LIMP) Project. The Iowa Orthopaedic Journal, 35, 187-192. PMID: 26361464
  • McMullan, R. D., Berle, D., Arnáez, S., & Starcevic, V. (2019). The relationships between health anxiety, online health information seeking, and cyberchondria: Systematic review and meta-analysis. Journal of Affective Disorders, 245, 270-278. https://doi.org/10.1016/j.jad.2018.11.037
  • Scarpato K. R., Kappa S. F., Goggins K. M., Chang S. S., Smith J. A., Clark P. E., Moses K. A. (2016). The impact of health literacy on surgical outcomes following radical cystectomy. Journal of Health Communication, 21(Suppl. 2), 99-104. https://doi.org/10.1080/10810730.2016.1193916
  • Tanik Turkan, R. (2021). Ameliyat olacak hastaların anestezi bilgi düzeyi ve anksiyete durumunun değerlendirilmesi. Tıpta uzmanlık tezi. Dicle Üniversitesi Anestezi ve Reanimasyon Anabilim Dalı.
  • Tulgar, S., Boga, I., Piroglu, M. D., Ates, N. G., Bombaci, E., Can, T., ... & Kose, H. C. (2017). Preoperative anxiety before spinal anesthesia: Does internet-based visual information/multimedia research decrease anxiety and information desire? A prospective multicentered study. Anesthesia, Essays and Researches, 11(2), 390-396. https://doi.org/10.4103/0259-1162.206278
  • Türkyılmaz, H. E. U., Eryılmaz, N. C., Güzey, N. A., & Gedikli, A. (2018). Hastaların anestezi hakkında bilgi düzeylerinin saptanması ve anestezi öncesi korkularının belirlenmesi. Çağdaş Tıp Dergisi, 8(4), 350-355. https://doi.org/10.16899/gopctd.435950
  • Zvara D.A., Manning M., Stewart T., McKinley A.C. & Cran W. (1997). Pre-operative anesthetic concerns: perceptions versus reality in men and women. Anesthesiology, 9(1), 88-89. https://doi.org/10.1016/S0952-8180(96)00202-4 Yücel, Z., & Koç, M. (2011). İlköğretim öğrencilerinin matematik dersine karşı tutumlarının başarı düzeylerini yordama gücü ile cinsiyet arasındaki ilişki. İlköğretim Online, 10(1), 133-143.
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Details

Primary Language English
Subjects Communication Technology and Digital Media Studies, Communication and Media Studies (Other)
Journal Section Research Articles
Authors

Ali Özgül Saltalı

Project Number -
Early Pub Date September 30, 2023
Publication Date September 29, 2023
Published in Issue Year 2023 Volume: 20 Issue: 55

Cite

APA Saltalı, A. Ö. (2023). The effect of patients’ e-health literacy on their preoperative anxiety levels and fears about anesthesia. OPUS Journal of Society Research, 20(55), 704-712. https://doi.org/10.26466/opusjsr.1343782