Turkiye Klinikleri Cardiovascular Sciences

.: ORIGINAL RESEARCH
Determination of Anxiety Levels of Patients Before and After Coronary Artery By-Pass Graft Surgery: Descriptive Study
Koroner Arter Baypas Greft Cerrahisi Öncesi ve Sonrası Hastaların Kaygı Düzeylerinin Belirlenmesi: Tanımlayıcı Çalışma
Berna GERDANa, Ümran DAL YILMAZb
aDepartment of Nursing Sciences, Kyrenia University Dr. Suat Günsel Hospital, Kyrenia, Turkish Republic of Northern Cyprus
bDepartment of Surgical Diseases Nursing, Near East University Faculty of Nursing, Nicosia, Turkish Republic of Northern Cyprus
Turkiye Klinikleri J Cardiovasc Sci. 2022;34(1):7-16
doi: 10.5336/cardiosci.2021-86491
Article Language: EN
Full Text
ABSTRACT
 Objective: The study was conducted to determine the preoperative and postoperative anxiety levels, and their causes, in patientswho underwent coronary artery bypass graft (CABG) surgery. Material and Methods: A total of 111 patients who underwent CABGsurgery in the cardiovascular surgery department of a state hospital in the Turkish Republic of Northern Cyprus between August 1, 2019 and August 24, 2020 were included. The patient questionnaire prepared by the researcher and State-Trait Anxiety Inventory were used as data collection tools. Results: The mean preoperative state anxiety (pretest) score of the patients was 44.39±10.12, and the mean trait anxiety (pretest) score was 38.85±7.47. The mean state anxiety (posttest) score after surgery was 44.12±9.02, and the mean trait anxiety (posttest) score was 40.79±6.81. There were no statistically significant differences between the preoperative and postoperative state anxiety scale scores of the patients (p>0.05), and a significant difference was found between the trait anxiety scale scores (p<0.05), and the postoperative trait anxiety scores were found to be high. Conclusion: According to the research results, the patients' postoperative trait anxiety scale scores were found to be high. During the planning of nursing care process, it can be suggested to address the anxiety levels of the patients, and provide planned training to each patient, and make appropriate nursing interventions to reduce their stress.

Keywords: Coronary artery by-pass graft; anxiety; surgery; nursing
ÖZET
 Amaç: Bu çalışma, koroner arter baypas greft (KABG) ameliyatı uygulanan hastaların ameliyat öncesi ve sonrası kaygı düzeylerini ve nedenlerini belirlemek amacıyla yapıldı. Gereç ve Yöntemler: Araştırma kapsamına 1 Ağustos 2019-24 Ağustos 2020 tarihleri arasında Kuzey Kıbrıs Türk Cumhuriyeti'nde bulunan bir devlet hastanesinin kalp damar cerrahi servisinde KABG ameliyatı olan 111 hasta alınmıştır. Veri toplama aracı olarak araştırmacı tarafından hazırlanan hasta soru formu ve Durumluk-Sürekli Kaygı Envanteri kullanılmıştır. Bulgular: Hastaların ameliyat öncesi durumluk kaygı (ön-test) puan ortalaması 44,39±10,12 ve sürekli kaygı (ön-test) puan ortalaması 38,85±7,47'dir. Ameliyat sonrası durumluk kaygı (son-test) puan ortalaması 44,12±9,02, sürekli kaygı (son-test) puan ortalaması 40,79±6,81 idi. Hastaların ameliyat öncesi ve ameliyat sonrası durumluk kaygı ölçeği puanları arasında istatistiksel olarak anlamlı düzeyde bir fark bulunmadı (p>0,05), sürekli kaygı ölçeği puanları arasında ise anlamlı bir fark bulundu (p<0,05). Hastaların ameliyat sonrası sürekli kaygı puanları yüksek bulunmuştur. Sonuç: Araştırma sonuçlarına göre hastaların ameliyat sonrası sürekli kaygı ölçeği puanları yüksek bulundu. Hemşirelik bakım sürecinin planlanması sırasında hastaların kaygı düzeylerinin ele alınması, her hastaya planlı eğitim verilmesi ve kaygılarını azaltmak için uygun hemşirelik girişimleri önerilebilir.

Anahtar Kelimeler: Koroner arter baypas greft; kaygı; cerrahi; hemşirelik
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