cerrahi Servislerinde Yatan Hastaların Ameliyat sonrası Anksiyetesi ve Depresyon Düzeylerinin belirlenmesi

Yıl 2022, Cilt: 9 Sayı: 2, - , 01.06.2022

Naile Akıncı

Öz

Aim: This study was carried out to determine the anxiety and depression levels of patients hospitalized in surgical clinics.
Materials and Methods:This demographic study was carried out at Surgical Clinics of, a private university hospital between January-March 2020. The data were collected from volunteer, communicative and at theage of 18.In collecting data were used questionnaire and hospital anxiety and depression (HAD) scale.
Results: When the patients were evaluated in general, scale scores ranged between 0-21, and the mean HAD-A subscale score was 12.9 ± 3.95, and the mean HAD-D score was 12.2 ± 3.30. In terms of anxiety, 5.6% of the patients were found to be normal, 30.6% borderline and 63.9% abnormal anxiety symptoms and findings in the study. In terms of depression, 8.3% were found to be normal, 25% borderline in terms of depression and 66.7% abnormally depressive symptoms and findings.
Conclusion and Recommendations: Based on the findings, it was determined that the postoperative anxiety and depression levels were high in patients hospitalized in surgical clinics. In line with this result, it can be recommended to prepare and implement training programs for coping with anxiety and depression for patients hospitalized in surgical clinics.

Anahtar Kelimeler

anksiyete, depresyon, hemşirelik, cerrahi

Kaynakça

• 1.Caumo, W., Schmidth, A.P., Schneider, C.N., Bergmann, J., Iwamoto, C.W. ( 2001). Risk factors for postoperative anxiety in adults. Anaesthesia, 56(8), 720-728.doi:https://doi.org/10.1046/j.1365-2044.2001.01842.
• 2.Ghoneim, M.M., O’Hara, M.W. (2016). Postoperative complications: an overview. BMC Surgery,16(5). https://doi:10.1186/s12893-016-0120-y.
• 3.Samina, P., Kang, C.H., Hwang, Y., Seong, Y.W., Lee,H.J., Park, I.K. Tae , Y. (2016). Risk factors for postoperative anxiety and depression after surgical treatment for lung cancer. European Journal of Cardio-Thoracic Surgery, 49 (1),16-21. https://doi.org/10.1093/ejcts/ezv336
• 4.Okanlı, A. ve ark. (2006). Cerrahi Kliniklerinde Yatan Hastaların Anksiyete Ve Depresyon Düzeylerinin Belirlenmesi. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi, 9(4), 38-43.
• 5.Seabrook, E.M., Kern, M.L., Rickard, N.S. (2016). Social Networking Sites, Depression, and Anxiety: A Systematic Review. JMIR Mental Health, 23(4), 50.
• 6.Latif, A., Mozammil, R., Khan, S.M., Nawaz, K. (2017). Depression and anxiety in patients undergoing elective and emergency surgery: Cross-sectional study from Allama Iqbal Med Assoc, 67(6),884-888.
• 7.Surman, O.S. (1987). The surgical patient .In: TP Hackett, NH Cassem (Eds). Massachusetts General Hospital Handbook of General Hospital Psychiatry. PSG Publishing, 69-83.
• 8.Matthias, A.T., Samaresekera, D.N. (2012). Preoperative anxiety in surgical patients - experience of a single unit. Axa Anaestiologica Taiwanica, 50(1),3-6.
• 9.Bahar, A., Taşdemir, H.S. (2008). Dahili Ve Cerrahi Kliniklerde Yatan Hastalarda Anksiyete ve Depresyon. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi, 11(4), 274-282.
• 10.Selimen, A., Andsoy, II.(2011). The Importance of a Holistic Approach During the Perioperative Period. AORN Journal,93(4),482-490. doi: https://doi.org/10.1016/j.aorn.2010.09.029.
• 11.Burton D, King A, Bartley J, Broanbent PE. (2019). The surgical anxiety questionnaire (SAQ): development and validation. Psychology & Health,43(2),129-146.
• 12.Katon, W., Gonzales, J. (1994). A rewiev of randomized trials of psychiatric consultationliaison studies in primary care. Psychosomatics, 35, 268-278.
• 13.Du, J., Plas, M., Absolom, A.R., Leuween, B.L., Bock, G.H. (2020). The association of preoperative anxiety and depression with neurocognitive disorder following oncological surgery. Surgical Oncology, 121, 676–68.
• 14.Walker, J.A. (2002). Emotional and psychological preoperative preparation in adults. British Journal of Nursing, 11(8), 567-75. https://doi.org/10.12968/bjon.2002.11.8.10166.
• 15.Yazıcı, K., ve ark. (2003). Hastanede yatan tıbbî hastalarda anksiyete ve depresyon düzeyleri ile sosyodemografik faktörlerin ilişkisi. Yeni Symposium, 41(3),120-124.
• 16.VonAmmon, R., Cavanaugh, S., Wettstein, R.M. (1989). Emotional and cognitive dysfunction associated with medical disorders. Journal of Psychosomatic Research, 33, 505-514. 17. Özkan, S. (2001). Genel tıpta depresyon. Hipokrat Dergisi, 10, 79-83.
• 18.Bandari, R., Heravi-Karimooi, M., Rejeh, N., Mirmohammadkhani, M., Vaismoradi, M., Snelgrove, S. (2015). Information and support needs of adult family members of patients in intensive care units: an Iranian perspective. Journal of Research in Nursing,20:401-22.
• 19.Boeke, S., Jelicic, M., Bonke, B. (1992). Pre-operativeanxietyvariables as possiblepredictors of post-operativestay in hospital. British Journal of Clinical Psychology, 31, 366-368. doi: https://10.1111/j.2044-8260.1992.tb01008.x.
• 20.Karayağız, F., Altuntaş, M., Güçlü, Y.A., Yılmazer, T.T, Öngel, K. (2011). Cerrahi servisinde yatan hastalarda görülen anksiyete dağılımı. Smyrna Tıp Dergisi.22-26.
• 21.Ölçüm, H.İ., Özşen, K., Diken, A.İ.,Yazla,E., Karadere, M.E. (2018). Kardiyovasküler Cerrahi Yoğun Bakım Birimlerinde Hasta Yakınının Gereksinimleri:Anksiyete ve Depresyon İle İlişkisi. Yoğun Bakım Dergisi, 9 (3), 63-7.doi: https://10.5152/dcbybd.2018.1906.
• 22.Yılmaz, E., Aydın, E. (2013). Cerrahi girişim yapılan hastalarda ameliyat öncesi-sonrası anksiyetenin derlenme kalitesine etkisi. Fırat Sağlık Hizmetleri Dergisi, 8 (23),79-95.