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DİSTRES TERMOMETRESİ CERRAHİYE BAĞLI STRESİ ÖLÇMEK İÇİN KULLANILABİLİR Mİ?

Yıl 2021, Cilt: 24 Sayı: 3, 318 - 325, 25.09.2021
https://doi.org/10.17049/ataunihem.929152

Öz

Amaç: Çalışmanın amacı Distres Termometresinin (DT) hastaların ameliyat olacakları için yaşadıkları stresi ölçmek için kullanılabilecek geçerli ve güvenilir bir ölçüm aracı olma durumunu değerlendirmektir.
Yöntem: Bu metadolojik çalışma 200 cerrahi hastası ile yürütülmüştür. Veri toplama formu olarak bilgi formu, Hastane Anksiyete ve Depresyon Ölçeği (HADÖ), Distres Termometresi ve cerrahi ilişkili Stres Nedenleri Listesi kullanılmıştır. Distres Termometresinin validasyonu Hastane Anksiyete ve Depresyon Ölçeği ile yapıldı.
Bulgular: Çalışma sonuçlarında, hastaların distres puanı ortalamasının 4.4 (SD 2.4) ve hastaların %47.5’inin distres düzeyinin bu ortalamanın üstünde olduğu belirlendi. Kesme noktası beş ve üzeri olarak saptanan HADÖ ye ait duyarlılık %72.5, özgüllük %59.3 olarak saptandı. Ameliyattan sonra enfeksiyon gelişme korkusu en sık ifade edilen stres nedeni olarak ifade edildi. Termometre puanı ile toplam stres nedenleri listesi puanı, HADS-A ve HADS toplam puanı arasında orta derecede bir ilişki bulundu.
Sonuç: Distres Termometresi ameliyatla ilgili stresi belirlemede geçerli bir araç olarak kullanılabilir. Ayrıca, strese yol açan faktörlerini belirlemek için stres nedenleri listesi kullanılabilir. Bu çalışmada, DT için HADS bir ölçüt olarak kullanıldı ve bu ölçüte göre termometrenin duyarlılığı yüksek ve özgüllüğü orta düzeydedir. Termometre farklı ölçekler kullanılarak yeniden test edilebilir.

Kaynakça

  • 1. Klopfenstein CE, Forster E, Van Gessel E. Anesthetic assessment in an outpatient consultation clinic reduces preoperative anxiety. Canadian Journal of Anesthesia. 2000;47(6):511-5.
  • 2. VanHoose L, Black LL, Doty K, Sabata D, Twumasi-Ankrah P, Taylor S, et al. An analysis of the distress thermometer sorun list and distress in patients with cancer. Sport Care Cancer. 2015;23:1225-32.
  • 3. Espineira CH, Aguila MMR, Castillo MR, Valdivia AF, Sanchez IR. Relationship between anxiety level of patients and their satisfaction with differernt aspect of healthcare. Health Policy. 2009;89(1):37-45.
  • 4. Yilmaz M, Sezer H, Gürler H, Bekar M. Predictors of preoperative anxiety in surgical inpatients. Journal of Clinical Nursing. 2012; 21(7‐8): 956-64.
  • 5. Akinsulore ADESANMI, Owojuyigbe AM, Faponle AF, Fatoye FO. Assessment of preoperative and postoperative anxiety among elective major surgery patients in a tertiary hospital in Nigeria. Middle East Journal Anaesthesiol. 2015;23(2):235-40.
  • 6. Vaughn F, Wichowski H, Bosworth G. Does preoperative anxiety level predict postoperative pain? AORN Journal. 2007;85(3):589-604.
  • 7. Dolgun E, Dönmez CY. Determination of patient’s knowledge requirements belonging to preoperative period. Journal of Nursing and Art of Maltepe University. 2010;3(3):10-6.
  • 8. Dönmez C, Ozbayır T. Examination of the validity and reliability of the “Good Perioperative Nursing Care Scale” for the Turkish nurses and patients. Journal of Clinical Nursing. 2011;20(1&2):166-74.
  • 9. Turhan Y, Avcı R, Ozcengiz D. The relationship between preoperative and postoperative anxiety, and patient satisfaction in preparation for elective surgery. Journal of Anesthesia. 2012;20(1):27-33.
  • 10. Oflaz F, Varol H. Evaluation of inpatients depression and anxiety symptoms and related. Journal of Suleyman Demirel University Medical Faculty. 2010;17(1):1-7.
  • 11. Eskin M, Harlak H, Demirkıran F, Dereboy Ç. The adaptation of the perceived stress scale into Turkish: a reliability and validity analysis. In New Symposium Journal. 2013;51(3):132-40.
  • 12. Asberg KK, Bowers C, Renk K, McKinney C. A structural equation modeling approach to the study of stress and psychological adjustment in emerging adults. Child Psychiatry and Human Devevlopment. 2008;39(4):481-501.
  • 13. Zigmond AS, Snaith RP. The hospital anxietyand depression scale. Acta Psychiatria Scandinavica. 1983;6(6):361–70.
  • 14. Aydemir O, Güvenir T, Kuey L, Kültür S. Validity and reliability of Turkish version of Hospital Anxiety and Depression Scale. Türk Psikiyatri Dergisi. 1997;8(4):280-7.
  • 15. Nigussie S, Belachew T, Wolancho W. Predictors of preoperative anxiety among surgical patients in Jimma University Specialized Teaching Hospital SouthWestern Ethiopia. BMC Surgery. 2014;14(1): 67-71.
  • 16. Kılınç S, Torun F. Depression rating scales used in clinical practice in Turkey. Journal of Dirim Medical. 2011;86(1):39-47.
  • 17. Robleda G, Sillero-Sillero A, Puig T, Gich I, Baños, JE. Influence of preoperative emotional state on postoperative pain following orthopedic and trauma surgery. Revista Latino-Americana de Enfermagem. 2014;22(5):785-91.
  • 18. Roth AJ, Kornblinth AB, Batel-Copel L, Peabody E, Scher, HI, Holland JC. Rapid screening for psychologic distress in men with prostate carcinoma: a pilot study. Cancer. 1998;82(10):1904-8.
  • 19. NCCN. Practice Guidelines for the Management of Psychosocial Distress. National Comprehensive Cancer Network. Oncology (Williston Park). 1999;13:113-47.
  • 20. Zwahlen D, Hagenbuch N, Carley IM, Recklitis JC, Buchi S. Screening cancer patients’families with the distress thermometer (DT): a validation study. Psycho-Oncology. 2008;17(10):959-66.
  • 21. Baken DM, Woolley C. Validation of the Distress Thermometer, Impact Thermometer and combinations of these in screening for distress. Psycho&Oncology. 2011;20(6):609-14.
  • 22. Bui QUT, Ostir GV, Kuo YF, Freeman J, Goodwin JS. Relationship of depression to patient satisfaction: findings from the barriers to breast cancer study. Breast Cancer Research and Treatment. 2005;89(1):23-8.
  • 23. Ozalp E, Cankurtaran ES, Soygür H, Ozdemir GP, Jacobsen PB. Screening for psychological distress in turkish cancer patients. Psycho-Oncology. 2007;16(4):304-11.
  • 24. Jlala HA, French JL, Foxall GL, Hardman JG, Bedforth NM. Effect of preoperative multimedia information on perioperative anxiety in patients undergoing procedures under regional anaesthesia. British Journal of Anaesthesia. 2010;104(3):369-74.
  • 25. Taşdemir A, Erakgün A, Deniz MN, Çertuğ A. Comparison of preoperative and postoperative anxiety levels with state-trait anxiety inventory test in preoperatively informed patients. Turk Journal Anaesthesiology Reanimation. 2013;41(2):44-9.
  • 26. Ozbayır T, Demir F, Candan Y, Coşkun I, Dramalı A. The investigation of the impressions the patients related to perioperative period. Journal of Anatolia Nursing and Health Sciences. 2003;6(1):14-23.
  • 27. Gürsoy A, Candaş B, Güner Ş, Yılmaz S. Preoperative stress: an operating room nurse ıntervention assessment. Journal of Perianesthesia Nursing. 2016;31(6):495-503.
  • 28. Ryan DA, Gallagher P, Wright S, Cassidy EM. Sensitivity and specificity of the Distress Thermometer and a two‐item depression screen (Patient Health Questionnaire‐2) with a ‘help’question for psychological distress and psychiatric morbidity in patients with advanced cancer. Psycho‐Oncology. 2012;21(12):1275-84.
  • 29. Hoffman BM, Zevon MA, D’Arrigo MC, Cecchini TB. Screening for distress in cancer patients: the NCCN rapid-screening measure. Psycho-Oncology. 2004;13(11):792-9.
  • 30. Jacobsen PB, Donovan KA, Trask PC, Fleishman SB, Zabora J, Baker F, et al. Screening for psychologic distress in ambulatory cancer patients. Cancer. 2005;103(7):1494-502.
  • 31. Akizuki N, Akechi T, Nakanishi T, Yoshikawa E, Okamura M, Nakano T, et al. Development of a brief screening interview for adjustment disorders and major depression in patients with cancer. Cancer. 2013;97(10):2605-13.
  • 32. Shim EJ, Shin YW, Jeon HJ, Hahm BJ. Distress and its correlates in Korean cancer patients: pilot use of the distress thermometer and the problem list. Psycho‐Oncolog. 2008;17(6):548-55.
  • 33. Ransom S, Jacobsen PB, Booth‐Jones M. Validation of the Distress Thermometer with bone marrow transplant patients. Psycho‐Oncology. 2006;15(7):604-12.
  • 34. Tuinman MA, Gazendam‐Donofrio SM, Hoekstra‐Weebers JE. Screening and referral for psychosocial distress in oncologic practice. Cancer. 2008;113(4):870-8.
  • 35. Skarstein J, Aass N, Fossa SD, Skovlund E, Dahl AA. Anxiety and depression in cancer patients: relation between the hospital anxiety and depression scale and the european organization for research and treatment of cancer core quality of life questionnaire. Journal of Psychosomatic Research. 2000;49(1):27-34.

CAN DISTRESS THERMOMETER BE USED TO MEASURE ANXIETY INDUCED SURGERY?

Yıl 2021, Cilt: 24 Sayı: 3, 318 - 325, 25.09.2021
https://doi.org/10.17049/ataunihem.929152

Öz

Aim: The aim of the study is to evaluate the Distress Thermometer (DT) as a valid and reliable measurement tool that can be used to measure the patients' stress because of surgery.
Method: This was a methodological study conducted with 200 patients. Data were collected using the Hospital Anxiety and Depression Scale (HADS), the Distress Thermometer (DT) and surgery-related distress causes list (DCL) for preoperative patients. The validation of the Distress Thermometer was performed in conjunction with the Hospital Anxiety and Depression Scale (HADS).
Results: Study results determined that the distress score average of the patients was 4.4 (SD 2.4), and the distress level of 47.5% of the patients was above this average. The sensitivity of HADS, which had a cut-off point of five or more, was 72.5% and specificity was 59.3%. The most expressed causes of distress were the development of infection after surgery. There was a moderate relation between the thermometer score and the total DCL score and the HADS total score.
Conclusion: The distress thermometer can be used as a valid tool in determining surgery-related anxiety. And also distress causes list can be used to determine distress factors. In this study, the HADS was used as a criterion for DT-DCL, and according to this scale, the sensitivity of the thermometer was high, and the specificity was moderate. The tool can be retested by using different distress scales.

Kaynakça

  • 1. Klopfenstein CE, Forster E, Van Gessel E. Anesthetic assessment in an outpatient consultation clinic reduces preoperative anxiety. Canadian Journal of Anesthesia. 2000;47(6):511-5.
  • 2. VanHoose L, Black LL, Doty K, Sabata D, Twumasi-Ankrah P, Taylor S, et al. An analysis of the distress thermometer sorun list and distress in patients with cancer. Sport Care Cancer. 2015;23:1225-32.
  • 3. Espineira CH, Aguila MMR, Castillo MR, Valdivia AF, Sanchez IR. Relationship between anxiety level of patients and their satisfaction with differernt aspect of healthcare. Health Policy. 2009;89(1):37-45.
  • 4. Yilmaz M, Sezer H, Gürler H, Bekar M. Predictors of preoperative anxiety in surgical inpatients. Journal of Clinical Nursing. 2012; 21(7‐8): 956-64.
  • 5. Akinsulore ADESANMI, Owojuyigbe AM, Faponle AF, Fatoye FO. Assessment of preoperative and postoperative anxiety among elective major surgery patients in a tertiary hospital in Nigeria. Middle East Journal Anaesthesiol. 2015;23(2):235-40.
  • 6. Vaughn F, Wichowski H, Bosworth G. Does preoperative anxiety level predict postoperative pain? AORN Journal. 2007;85(3):589-604.
  • 7. Dolgun E, Dönmez CY. Determination of patient’s knowledge requirements belonging to preoperative period. Journal of Nursing and Art of Maltepe University. 2010;3(3):10-6.
  • 8. Dönmez C, Ozbayır T. Examination of the validity and reliability of the “Good Perioperative Nursing Care Scale” for the Turkish nurses and patients. Journal of Clinical Nursing. 2011;20(1&2):166-74.
  • 9. Turhan Y, Avcı R, Ozcengiz D. The relationship between preoperative and postoperative anxiety, and patient satisfaction in preparation for elective surgery. Journal of Anesthesia. 2012;20(1):27-33.
  • 10. Oflaz F, Varol H. Evaluation of inpatients depression and anxiety symptoms and related. Journal of Suleyman Demirel University Medical Faculty. 2010;17(1):1-7.
  • 11. Eskin M, Harlak H, Demirkıran F, Dereboy Ç. The adaptation of the perceived stress scale into Turkish: a reliability and validity analysis. In New Symposium Journal. 2013;51(3):132-40.
  • 12. Asberg KK, Bowers C, Renk K, McKinney C. A structural equation modeling approach to the study of stress and psychological adjustment in emerging adults. Child Psychiatry and Human Devevlopment. 2008;39(4):481-501.
  • 13. Zigmond AS, Snaith RP. The hospital anxietyand depression scale. Acta Psychiatria Scandinavica. 1983;6(6):361–70.
  • 14. Aydemir O, Güvenir T, Kuey L, Kültür S. Validity and reliability of Turkish version of Hospital Anxiety and Depression Scale. Türk Psikiyatri Dergisi. 1997;8(4):280-7.
  • 15. Nigussie S, Belachew T, Wolancho W. Predictors of preoperative anxiety among surgical patients in Jimma University Specialized Teaching Hospital SouthWestern Ethiopia. BMC Surgery. 2014;14(1): 67-71.
  • 16. Kılınç S, Torun F. Depression rating scales used in clinical practice in Turkey. Journal of Dirim Medical. 2011;86(1):39-47.
  • 17. Robleda G, Sillero-Sillero A, Puig T, Gich I, Baños, JE. Influence of preoperative emotional state on postoperative pain following orthopedic and trauma surgery. Revista Latino-Americana de Enfermagem. 2014;22(5):785-91.
  • 18. Roth AJ, Kornblinth AB, Batel-Copel L, Peabody E, Scher, HI, Holland JC. Rapid screening for psychologic distress in men with prostate carcinoma: a pilot study. Cancer. 1998;82(10):1904-8.
  • 19. NCCN. Practice Guidelines for the Management of Psychosocial Distress. National Comprehensive Cancer Network. Oncology (Williston Park). 1999;13:113-47.
  • 20. Zwahlen D, Hagenbuch N, Carley IM, Recklitis JC, Buchi S. Screening cancer patients’families with the distress thermometer (DT): a validation study. Psycho-Oncology. 2008;17(10):959-66.
  • 21. Baken DM, Woolley C. Validation of the Distress Thermometer, Impact Thermometer and combinations of these in screening for distress. Psycho&Oncology. 2011;20(6):609-14.
  • 22. Bui QUT, Ostir GV, Kuo YF, Freeman J, Goodwin JS. Relationship of depression to patient satisfaction: findings from the barriers to breast cancer study. Breast Cancer Research and Treatment. 2005;89(1):23-8.
  • 23. Ozalp E, Cankurtaran ES, Soygür H, Ozdemir GP, Jacobsen PB. Screening for psychological distress in turkish cancer patients. Psycho-Oncology. 2007;16(4):304-11.
  • 24. Jlala HA, French JL, Foxall GL, Hardman JG, Bedforth NM. Effect of preoperative multimedia information on perioperative anxiety in patients undergoing procedures under regional anaesthesia. British Journal of Anaesthesia. 2010;104(3):369-74.
  • 25. Taşdemir A, Erakgün A, Deniz MN, Çertuğ A. Comparison of preoperative and postoperative anxiety levels with state-trait anxiety inventory test in preoperatively informed patients. Turk Journal Anaesthesiology Reanimation. 2013;41(2):44-9.
  • 26. Ozbayır T, Demir F, Candan Y, Coşkun I, Dramalı A. The investigation of the impressions the patients related to perioperative period. Journal of Anatolia Nursing and Health Sciences. 2003;6(1):14-23.
  • 27. Gürsoy A, Candaş B, Güner Ş, Yılmaz S. Preoperative stress: an operating room nurse ıntervention assessment. Journal of Perianesthesia Nursing. 2016;31(6):495-503.
  • 28. Ryan DA, Gallagher P, Wright S, Cassidy EM. Sensitivity and specificity of the Distress Thermometer and a two‐item depression screen (Patient Health Questionnaire‐2) with a ‘help’question for psychological distress and psychiatric morbidity in patients with advanced cancer. Psycho‐Oncology. 2012;21(12):1275-84.
  • 29. Hoffman BM, Zevon MA, D’Arrigo MC, Cecchini TB. Screening for distress in cancer patients: the NCCN rapid-screening measure. Psycho-Oncology. 2004;13(11):792-9.
  • 30. Jacobsen PB, Donovan KA, Trask PC, Fleishman SB, Zabora J, Baker F, et al. Screening for psychologic distress in ambulatory cancer patients. Cancer. 2005;103(7):1494-502.
  • 31. Akizuki N, Akechi T, Nakanishi T, Yoshikawa E, Okamura M, Nakano T, et al. Development of a brief screening interview for adjustment disorders and major depression in patients with cancer. Cancer. 2013;97(10):2605-13.
  • 32. Shim EJ, Shin YW, Jeon HJ, Hahm BJ. Distress and its correlates in Korean cancer patients: pilot use of the distress thermometer and the problem list. Psycho‐Oncolog. 2008;17(6):548-55.
  • 33. Ransom S, Jacobsen PB, Booth‐Jones M. Validation of the Distress Thermometer with bone marrow transplant patients. Psycho‐Oncology. 2006;15(7):604-12.
  • 34. Tuinman MA, Gazendam‐Donofrio SM, Hoekstra‐Weebers JE. Screening and referral for psychosocial distress in oncologic practice. Cancer. 2008;113(4):870-8.
  • 35. Skarstein J, Aass N, Fossa SD, Skovlund E, Dahl AA. Anxiety and depression in cancer patients: relation between the hospital anxiety and depression scale and the european organization for research and treatment of cancer core quality of life questionnaire. Journal of Psychosomatic Research. 2000;49(1):27-34.
Toplam 35 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Gül Çakır Özmen 0000-0003-3805-2271

Ayla Gürsoy 0000-0003-3585-4500

Yayımlanma Tarihi 25 Eylül 2021
Gönderilme Tarihi 28 Nisan 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 24 Sayı: 3

Kaynak Göster

Vancouver Çakır Özmen G, Gürsoy A. CAN DISTRESS THERMOMETER BE USED TO MEASURE ANXIETY INDUCED SURGERY?. Journal of Anatolia Nursing and Health Sciences. 2021;24(3):318-25.

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