Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Determination of Surgical Fear Levels and Affecting Factors in Patients Planned for Day Surgery: A Descriptive and Cross-Sectional Study
Günübirlik Cerrahi Planlanan Hastaların Cerrahi Korku Düzeyleri ve Etkileyen Faktörlerin Belirlenmesi: Tanımlayıcı ve Kesitsel Bir Çalışma
Sevgi DENİZ DOĞANa , Şeyma YURTSEVENb
aDepartment of Health Services, Isparta University of Applied Sciences Uluborlu Selahattin Karasoy Vocational School, Isparta, Türkiye
bDepartment of Urology, Çukurova University Faculty of Medicine, Balcalı Health Application and Research Center, Adana, Türkiye
Turkiye Klinikleri J Nurs Sci. 2024;16(1):10-6
doi: 10.5336/nurses.2023-99302
Article Language: EN
Full Text
ABSTRACT
 Objective: This study was conducted to determine the preoperative fear levels of surgery and the factors affecting patients hospitalized in the day surgery clinic. Material and Methods: This research, which is descriptive and cross-sectional, included patients admitted to the day surgery clinic of a university hospital in the Mediterranean Region between December 2022 and May 2023 as the population. The sample of the study consisted of 111 patients who met the inclusion criteria and agreed to participate in the research. The data of the study will be collected using a personal information form and Surgical Fear Scale prepared by the literature. In addition to descriptive statistics, independent samples t-test, Kruskal-Wallis, and Mann-Whitney U tests were used for data analysis. Results: The mean total score of the Surgical Fear Scale for the patients was found to be 31.83±13.83. Furthermore, it has been observed that the surgical fear experienced by the patients is influenced by gender, marital status, type of anesthesia, American Society of Anesthesiologists score, and preoperative pain experience (p<0.05). Conclusion: It can be said that patients undergoing day surgery experience a moderate level of fear. Additionally, it is observed that the level of surgical fear in patients is influenced by certain variables. In this context, nurses working in day surgery clinics should routinely assess the fear that may affect postoperative recovery during the preoperative period and plan personalized care accordingly.

Keywords: Day surgery; surgical nursing; fear
ÖZET
 Amaç: Bu araştırma, günübirlik cerrahi kliniğinde yatan hastaların, ameliyat öncesi yaşadığı cerrahi korku düzeylerini ve etkileyen faktörleri belirlemek amacıyla yapılmıştır. Gereç ve Yöntemler: Tanımlayıcı ve kesitsel tipte olan bu araştırmanın evrenini, Aralık 2022- Mayıs 2023 tarihleri arasında Akdeniz Bölgesi'nde bir üniversite hastanesinin günübirlik cerrahi kliniğinde yatan hastalar oluşturmuştur. Araştırmanın örneklemini ise araştırmaya alınma kriterlerine uyan ve araştırmaya katılmayı kabul eden 111 hasta oluşturmuştur. Araştırmanın verileri literatür doğrultusunda hazırlanan kişisel bilgi formu ve Cerrahi Korku Ölçeği kullanılarak toplanmıştır. Verilerin analizinde tanımlayıcı istatistiklerin yanı sıra bağımsız gruplarda t-testi, KruskalWallis ve Mann-Whitney U testi kullanılmıştır. Bulgular: Hastaların Cerrahi Korku Ölçeği toplam puan ortalaması 31,83±13,83 olarak belirlenmiştir. Ayrıca hastaların yaşadıkları cerrahi korkunun cinsiyet, medeni durum, anestezi türü, Amerikan Anestezistler Derneği skoru ve ameliyat öncesi ağrı yaşama durumundan etkilendiği saptanmıştır (p<0,05). Sonuç: Günübirlik cerrahi planlanan hastaların orta düzeye yakın korku yaşadıkları söylenebilir. Ayrıca hastaların cerrahi korku düzeylerinin bazı değişkenlerden etkilendiği görülmektedir. Bu kapsamda, günübirlik cerrahi kliniklerinde çalışan hemşireler ameliyat öncesi dönemde ameliyat sonrası iyileşmeyi etkileyebilecek olan korkuyu rutin olarak değerlendirmeli ve kişiye özgü bakım planlanmalıdır.

Anahtar Kelimeler: Günlük cerrahi; cerrahi hemşireliği; korku
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