Yıl: 2015 Cilt: 18 Sayı: 1 Sayfa Aralığı: 1 - 5 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Effect of Patient Education on Patient Anxiety Level Using "Scale of Patient Education Requirements" in Open Heart Surgery

Öz:
Giriş: Bu çalışmanın amacı kalp cerrahisi geçirecek hastalara ameliyat öncesi "Hasta Öğrenim Gereksinimleri Ölçeği" kullanılarak, bireylerin ihtiyaçlarına göre yapılan bilgilendirmenin ameliyat sonrası anksiyete üzerine herhangi bir etkisinin olup olmadığını araştırmaktır. Bulgular: Hastaların eğitim öncesi durumluluk kaygı (state anxiety) düzeyine göre eğitim sonrası durumluluk kaygı düzeyinde meydana gelen düşüş (t= 2.003; p= 0.050) ile, eğitim öncesi sürekli kaygı (trait anxiety) düzeyine göre eğitim sonrası sürekli kaygı düzeyinde meydana gelen düşüş istatistiksel olarak anlamlı bulundu (t= 2.984; p= 0.004). Sonuç: Bu çalışmada elde edilen bulgular, hastaların ameliyat öncesi Hasta Öğrenim Gereksinimleri Ölçeği kullanılarak bireylerin ihtiyaçlarına göre yapılan bilgilendirmenin bireylerin anksiyetesini azalttığını göstermiştir.
Anahtar Kelime:

Konular: Hemşirelik Psikoloji Cerrahi

Açık Kalp Cerrahisinde "Hasta Öğrenim Gereksinimleri Ölçeği" Kullanılarak Yapılan Hasta Eğitiminin Hasta Kaygı Düzeyi Üzerine Etkisi

Öz:
Introduction: The purpose of this study is to research whether education according to individuals' needs has an effect on the anxiety after surgery using a scale of patient education requirements on the patients who will undergo heart surgery. Patients and Methods: The research included voluntary patients who would have an open-heart surgery and are already hospitalized in a heart surgery clinic (n= 114). Data were collected using a demographical data form (state-trait anxiety inventory; STAI) and patient education requirements scale forms, which had been developed by the researchers before surgery and three days later than the surgery by individually meeting the patients. During the hospitalization before surgery, STAI was performed. Further, patient requirements scale was applied. According to patient requirements scale results, the patients were informed at the beginning of hospitalization. On the third day of the surgery, STAI was performed one more time. While evaluating the study data, in addition to descriptive statistical methods, such as frequency, percentage, average, standard deviation, the Kolmogorov-Smirnov distribution test was applied to review normal distribution. Furthermore, paired samples t test was used to compare if parameters had normal distribution for 2 groups, and Wilcoxon sign test was used to compare if parameters had abnormal distribution in the groups. Mann-Whitney U test was used for the comparison of parameters in groups. The results were evaluated at a confi dence level of 95%, a signifi cance level of p< 0.05, and an advanced signifi cance level of p< 0.01. Results: The decrease in the state anxiety level after education according to state anxiety level before education was signifi cant (t= 2.003; p= 0.050). Moreover, the decrease in the trait anxiety level after education was also found to be statistically signifi cant (t= 2.984; p= 0.004). Conclusion: According to the fi ndings obtained in this study, it was revealed that informing the patients using patient education requirements scale according to individuals' needs decreased individuals' anxiety levels.
Anahtar Kelime:

Konular: Hemşirelik Psikoloji Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Milano MR, Kornfi eld DS. Psychiatry and surgery. In: Grinspan L (ed). Review of psychiatry. 3. cilt, Washington DC: American Psychiatric Press Inc 1984:256-77.
  • Bekaroğlu M, Uluutku N, Alp K, Lüleci N. Ameliyat öncesi kaygı ve depr- esyon durumunun ameliyat komplikasyonlarına ve yatış süresine etkisi üz- erine bir çalışma. Türk Psikiyatri Dergisi 1991;2:285-8.
  • Deyirmenjian MN, Karam N, Salameh P. Preoperative patient education for open-heart patients: A source of anxiety? Patient Educ Couns 2006;62:111- 7.
  • Rothenhausler HB, Grieser B, Nollert G, Reichart B, Schelling G, Kapf- hammer HP. Psychiatric and psychosocial outcome of cardiac surgery with cardiopulmonary bypass: a prospective 12-month follow-up study. Gen Hosp Psychiatry 2005;27:18-28.
  • Pasnau RO, Fawzy FI, Skotzko CE. Surgery and surgical subspecialties. In: Rundell JR, Wise MG (eds). The American Psychiatric Press textbook of consultation-liaison psychiatry. Washington DC: American Psychiatric Press Inc, 1996:608-39.
  • Yavuz M. Ameliyat öncesi bakım. In: Karadakovan A, Eti AF (eds). Dahili ve cerrahi hastalıklarda bakım. 2. baskı. Adana: Nobel Kitapevi, 2010:293- 307.
  • Catal E. Hasta öğrenim gereksinimleri ölçeği'nin Türkiye'de geçerlilik ve güvenirlik çalışması. Dokuz Eylül Üniversitesi Sağlık Bilimleri Enstitüsü Cerrahi Hastalıkları Hemşireliği Anabilim Dalı, Yüksek Lisans Tezi, İzmir, 2007.
  • Walker JA. What is the effect of preoperative ınformation on patient satis- faction? Br J Nurs 2007;16:27-32.
  • Cimilli C. Cerrahide anksiyete. Klinik Psikiyatri 2001;4:182-6.
  • Gürlek O, Yavuz M. Cerrrahi kliniklerde çalışan hemşirelerin ameliyat öncesi hasta eğitimi uygulama durumları. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 2013;16:8-15.
  • Sidar A, Dedeli Ö, İşkesen Aİ. Açık kalp cerrahisi öncesi ve sonrası hastaların kaygı ve ağrı distresi: Ağrı düzeyi ile ilişkisinin incelenmesi. Yoğun Bakım Dergisi 2013;4:1-8.
  • Özer N, Köçkar Ç, Yurttaş A. Kalp damar cerrahisi kliniğinde yatan hastaların hemşirelik hizmetlerinden memnuniyeti. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi 2009;12:12-9.
  • Aydın ÇF. Koroner arter bypass greft ameliyatı geçiren hastaların tabur- culuk sonrası iki aylık dönemde yaşadıkları güçlükler (Tez). Ankara: Hac- ettepe Üniv Sağlık Bilimleri Enstitüsü; 2000.
  • Özcan H. Açık kalp ameliyatı sonrası hemşireler tarafından verilen tabur- culuk eğitiminin hastalar tarafından kullanılma oranları (Tez). Edirne: Trakya Üniversitesi Sağlık Bilimleri Enstitüsü; 2008.
  • Guo P, East L, Arthur A. The preoperative education intervention to reduce anxiety and improve recovery among Chinese cardiac patients: a rand- omized controlled trial. Int J Nurs Stud 2012;49:129-37.
  • Asilioglu K, Celik SS. The effect of preoperative education on anxiety of open cardiac surgery patients. Patient Educ Couns 2004;53:65-70.
  • Gallagher R, McKinley S. Stressors and anxiety in patients undergoingc- oronary artery bypass surgery. Am J Cri Care 2007;16:248-57.
APA YILDIZ T, MALAK A, GÖKTAŞ BALTACI S, ÖZEN Y (2015). Effect of Patient Education on Patient Anxiety Level Using "Scale of Patient Education Requirements" in Open Heart Surgery. , 1 - 5.
Chicago YILDIZ TÜLİN,MALAK ARZU,GÖKTAŞ BALTACI Sonay,ÖZEN Yücel Effect of Patient Education on Patient Anxiety Level Using "Scale of Patient Education Requirements" in Open Heart Surgery. (2015): 1 - 5.
MLA YILDIZ TÜLİN,MALAK ARZU,GÖKTAŞ BALTACI Sonay,ÖZEN Yücel Effect of Patient Education on Patient Anxiety Level Using "Scale of Patient Education Requirements" in Open Heart Surgery. , 2015, ss.1 - 5.
AMA YILDIZ T,MALAK A,GÖKTAŞ BALTACI S,ÖZEN Y Effect of Patient Education on Patient Anxiety Level Using "Scale of Patient Education Requirements" in Open Heart Surgery. . 2015; 1 - 5.
Vancouver YILDIZ T,MALAK A,GÖKTAŞ BALTACI S,ÖZEN Y Effect of Patient Education on Patient Anxiety Level Using "Scale of Patient Education Requirements" in Open Heart Surgery. . 2015; 1 - 5.
IEEE YILDIZ T,MALAK A,GÖKTAŞ BALTACI S,ÖZEN Y "Effect of Patient Education on Patient Anxiety Level Using "Scale of Patient Education Requirements" in Open Heart Surgery." , ss.1 - 5, 2015.
ISNAD YILDIZ, TÜLİN vd. "Effect of Patient Education on Patient Anxiety Level Using "Scale of Patient Education Requirements" in Open Heart Surgery". (2015), 1-5.
APA YILDIZ T, MALAK A, GÖKTAŞ BALTACI S, ÖZEN Y (2015). Effect of Patient Education on Patient Anxiety Level Using "Scale of Patient Education Requirements" in Open Heart Surgery. Koşuyolu Heart Journal, 18(1), 1 - 5.
Chicago YILDIZ TÜLİN,MALAK ARZU,GÖKTAŞ BALTACI Sonay,ÖZEN Yücel Effect of Patient Education on Patient Anxiety Level Using "Scale of Patient Education Requirements" in Open Heart Surgery. Koşuyolu Heart Journal 18, no.1 (2015): 1 - 5.
MLA YILDIZ TÜLİN,MALAK ARZU,GÖKTAŞ BALTACI Sonay,ÖZEN Yücel Effect of Patient Education on Patient Anxiety Level Using "Scale of Patient Education Requirements" in Open Heart Surgery. Koşuyolu Heart Journal, vol.18, no.1, 2015, ss.1 - 5.
AMA YILDIZ T,MALAK A,GÖKTAŞ BALTACI S,ÖZEN Y Effect of Patient Education on Patient Anxiety Level Using "Scale of Patient Education Requirements" in Open Heart Surgery. Koşuyolu Heart Journal. 2015; 18(1): 1 - 5.
Vancouver YILDIZ T,MALAK A,GÖKTAŞ BALTACI S,ÖZEN Y Effect of Patient Education on Patient Anxiety Level Using "Scale of Patient Education Requirements" in Open Heart Surgery. Koşuyolu Heart Journal. 2015; 18(1): 1 - 5.
IEEE YILDIZ T,MALAK A,GÖKTAŞ BALTACI S,ÖZEN Y "Effect of Patient Education on Patient Anxiety Level Using "Scale of Patient Education Requirements" in Open Heart Surgery." Koşuyolu Heart Journal, 18, ss.1 - 5, 2015.
ISNAD YILDIZ, TÜLİN vd. "Effect of Patient Education on Patient Anxiety Level Using "Scale of Patient Education Requirements" in Open Heart Surgery". Koşuyolu Heart Journal 18/1 (2015), 1-5.