Sezaryenlerde Anksiyete Düzeyleri ve Postoperatif Qor-15 Değerlendirilmesi

Yıl 2025, Cilt: 11 Sayı: 1, 1 - 6, 24.01.2025

Müjge Yücekaya , Özge Köner , Mert Yeşiladalı , Belfin Nur Arici Halici

https://doi.org/10.53394/akd.1350903

Öz

ÖZ
Amaç: Sezaryen ile doğum yapan kadınların ameliyat öncesi ve sonrası kaygı düzeylerini, bu kaygının nedenlerini araştırmak ve bu hastaların postoperatif yaşam kalitelerini etkileyen faktörlerin belirlenmesidir.
Gereç ve Yöntemler: Bu çalışmaya Ekim 2017-Mart 2018 tarihleri arasında hastanemize başvuran ve sezaryen uygulanan 18-45 yaş arası 120 hasta dahil edildi. Hastalarımızın iyileşme kalitesini değerlendirmek için “Quality of Recovery Score-15” (QoR-15) ölçeği, hastaların ameliyat öncesi ve sonrası kaygı düzeylerini değerlendirmek için “Durumluk-Sürekli-Kaygı Envanteri” (STAI) ölçeği kullanıldı.
Bulgular: Yaş gruplarına göre ameliyat öncesi dönem STAI düzeyleri arasında istatistiksel olarak anlamlı fark bulunmadı (p>0,05), ancak 31-35 yaş grubunun ameliyat sonrası STAI düzeyleri ortalaması 35 yaş üstü gruba göre anlamlı olarak yüksek bulundu (p=0,037; p<0,05). Otuz bir – Otuz beş yaş grubunun ortalama Quality of Recovery Score-15 puanları 30 yaş ve altı gruba göre anlamlı olarak yüksek bulundu (p:0,001, p<0,01). Genel Anestezi grubunun ağrı skorları, Kombine Spinal Epidural Anestezi grubuna göre anlamlı olarak yüksekti (p<0,01).
Sonuç: Elektif sezaryen uygulanan gebelerde preoperatif ve postoperatif anksiyetenin postoperatif derlenme skoruna etkisi yoktu. Otuz bir – Otuz beş yaş grubunda ameliyat sonrası kaygı düzeylerinin yüksek olması, yüksek ikinci doğum oranlarına ve dolayısıyla ailelerine karşı sorumlulukların artmasına bağlanmıştır. Ancak bu kaygının postoperatif yaşam kalitesini etkilemediği, muhtemelen daha önce yenidoğan bakım deneyimine sahip olunduğu sonucuna varıldı.

Anahtar Kelimeler

Sezaryen, Anksiyete testleri, İyileşme kalitesi

Anxiety Levels and Quality of Recovery Score-15 Assesment of Women Undergoing Cesarean Section

Öz

ABSTRACT
Objective: The aim of this study to investigate the preoperative and postoperative anxiety levels in women undergoing ceserean section and the factors affecting their postoperative quality of life.

Material and Methods: One hundred twenty patients aged between 18-45, who applied to our hospital between October 2017 and March 2018 and who had undergone cesarean section were included in this study. "Quality of Recovery Score-15” (QoR-15) scale was used to evaluate the healing quality of our patients, and “ The State-Trait-Anxiety Inventory” (STAI) scale was used to evaluate the preoperative and postoperative anxiety levels of the patients.
Results: There was no statistically significant difference between the STAI levels of the preoperative period by age groups (p>0,05), but the average of postoperative STAI levels of the 31-35 age group was found to be significantly higher than the group aged over 35 years old (p=0,037; p <0,05). The average Quality of Recovery Score-15 scores of 31-35 age group was found to be significantly higher than the group aged 30 or below (p:0,001, p<0,01). The pain scores of the General Anesthesia group were significantly higher than the Combined Spinal Epidural Anesthesia group (p<0,01).
Conclusions: Preoperative and postoperative anxiety had no effect on postoperative recovery score in pregnant women who had undergone elective cesarean section. In the 31-35 age group, the high levels of postoperative anxiety were attributed to high second birth rates, hence increased responsibilities to their families. However, it was concluded that this anxiety did not affect the postoperative quality of life, probably because of previously obtained neonatal care experience.

Anahtar Kelimeler

Cesarean Section, Anxiety Tests, Quality of Recovery

Kaynakça

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