Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Determination of Surgical Fear Levels of Patients Undergoing Day Surgery: Cross Sectional and Descriptive Study
Günübirlik Cerrahi Geçirecek Hastaların Cerrahi Korku Düzeylerinin Belirlenmesi: Kesitsel ve Tanımlayıcı Çalışma
Sevgi ÇOLAKa , Fatma VURALb
aDepartment of Nursing, Dokuz Eylül University Institute of Health Sciences, İzmir, Türkiye
bDepartment of Surgical Nursing, Dokuz Eylül University Faculty of Nursing, İzmir, Türkiye
Turkiye Klinikleri J Nurs Sci. 2023;15(3):599-606
doi: 10.5336/nurses.2023-96372
Article Language: EN
Full Text
ABSTRACT
 Objective: The aim of the study is to determine the level of fear of surgery in day surgery patients. Material and Methods: The research is cross-sectional descriptive. In the day surgery unit; a total of 162 patients who underwent surgery in the interventional branches of general surgery, orthopedics, plastic surgery, urology and mammography were included. In data collection; ''patient identification characteristics form'' and ''Surgical Fear Scale'' prepared by the researchers were used. The data were analyzed in SPSS 24.0 program using number, percentage, mean, standard deviation, median, t-test, Mann-Whitney U, one way analysis of variance and Kruskal-Wallis (KW) statistics. Results: The level of fear of surgery in patients who will undergo day surgery (25.26±18.16) was found to be low. Women versus men (t=3.79, p<0.001); It was determined that the patients who will undergo mammographic interventional procedures, those who have plastic surgery and urology surgery (KW=6.86, p<0.001) and those who have general anesthesia have a statistically higher mean score for fear of surgery than those who have local anesthesia (KW=5.47, p<0.05). Conclusion: Surgical fear levels were low in day surgery patients. Gender, anesthesia type and type of surgery affected surgical fear level.

Keywords: Day surgery; fear; nursing care
ÖZET
 Amaç: Bu çalışmanın amacı, günübirlik cerrahi hastalarında ameliyat korku düzeylerini belirlemektir. Gereç ve Yöntemler: Araştırma kesitsel tanımlayıcı tiptedir. Günübirlik cerrahi ünitesinde; genel cerrahi, ortopedi, plastik cerrahi, üroloji ve mamografik girişimsel alanında ameliyat olan toplam 162 hasta araştırmaya dâhil edildi. Veri toplamada; araştırmacılar tarafından literatür gözden geçirilerek hazırlanan ''hasta tanıtıcı özellikler formu'' ve ''Cerrahi Korku Ölçeği'' kullanıldı. Veriler SPSS 24.0 programında sayı, yüzde, ortalama, standart sapma, medyan, t-testi, Mann-Whitney U, tek yönlü varyans analizi ve KruskalWallis (KW) istatistikleri kullanılarak analiz edildi. Bulgular: Günübirlik cerrahi geçirecek hastaların, cerrahi korku düzeylerinin (25,26±18,16) düşük olduğu belirlendi. Kadın hastaların erkek hastalara göre (t=3,79, p<0,001); mamografik girişimsel işlem yapılacak olan hastaların, plastik cerrahi ve üroloji ameliyatı yapılan hastalara göre (KW=6,86, p<0,001) ve genel anestezi uygulanan hastaların lokal anestezi uygulanan hastalara göre (KW=5,47, p<0,05) puan ortalamasının istatistiksel olarak cerrahi korku düzeyi puan ortalamasının daha yüksek olduğu belirlendi. Sonuç: Günübirlik cerrahi geçirecek hastaların, cerrahi korku düzeylerinin düşük olduğu belirlenmiştir. Cinsiyet, anestezi tipi ve ameliyat türü hastaların cerrahi korku düzeyini etkilemektedir.

Anahtar Kelimeler: Günübirlik cerrahi; korku; hemşirelik bakımı
REFERENCES:
  1. Royal College of Anaesthetists [Internet]. [Cited: February 27, 2023]. Guidelines for the provision of anaesthesia services for day surgery. Available from: [Link] 
  2. Bailey CR, Ahuja M, Bartholomew K, Bew S, Forbes L, Lipp A, et al. Guidelines for day-case surgery 2019: Guidelines from the Association of Anaesthetists and the British Association of Day Surgery. Anaesthesia. 2019;74(6):778-92. [Crossref]  [PubMed] 
  3. Nunes JS, Gomes R, Povo A, Alves EC. Quality indicators in ambulatory surgery: a literature review comparing portuguese and international systems. Acta Med Port. 2018;31(7-8):425-30. [Crossref]  [PubMed] 
  4. Epstein N. Perspective on morbidity and mortality of cervical surgery performed in outpatient/same day/ambulatory surgicenters versus inpatient facilities. Surg Neurol Int. 2021;12:349. [Crossref]  [PubMed]  [PMC] 
  5. Rajan N, Rosero EB, Joshi GP. Patient selection for adult ambulatory surgery: a narrative review. Anesth Analg. 2021;133(6):1415-30. [Crossref]  [PubMed] 
  6. Karadağ Arlı Ş. Cerrahi kliniklerde yatan hastaların ameliyat öncesi bilgi düzeylerinin ve neler hissettiklerinin değerlendirilmesi [Evaluation of the pre-operative knowledge levels and feelings patients' in surgical clinics]. Samsun Sağlık Bilimleri Dergisi. 2017;2(1):14-22. [Link] 
  7. Mitchell M. Day surgery nurses' selection of patient preoperative information. J Clin Nurs. 2017;26(1-2):225-37. [Crossref]  [PubMed] 
  8. Vandepitte C, Van Pachtenbeke L, Van Herreweghe I, Gupta RK, Elkassabany NM. Same day joint replacement surgery: patient selection and perioperative management. Anesthesiol Clin. 2022;40(3):537-45. [Crossref]  [PubMed] 
  9. Jaensson M, Dahlberg K, Nilsson U. Factors influencing day surgery patients' quality of postoperative recovery and satisfaction with recovery: a narrative review. Perioper Med (Lond). 2019;8:3. [Crossref]  [PubMed]  [PMC] 
  10. Theunissen M, Peters ML, Schouten EG, Fiddelers AA, Willemsen MG, Pinto PR, et al. Validation of the surgical fear questionnaire in adult patients waiting for elective surgery. PLoS One. 2014;9(6):e100225. Erratum in: PLoS One. 2016;11(9):e0162737. [Crossref]  [PubMed]  [PMC] 
  11. Bağdigen M, Karaman Özlü Z. Validation of the Turkish version of the surgical fear questionnaire. J Perianesth Nurs. 2018;33(5):708-14. [Crossref]  [PubMed] 
  12. Özşaker E, Durak H, Canbazogulları Ü. Günübirlik cerrahide hastaların ameliyat sonrasına ilişkin endişelerinin incelenmesi [Investigation of postoperative concerns of patients in day surgery]. Çağdaş Tıp Dergisi. 2019;9(1):100-5. [Crossref] 
  13. Bereket D. Günübirlik cerrahi hastalarının cerrahi yöntem hakkındaki bilgi düzeyleri, ameliyat sonrasına ilişkin endişeleri ve hemşirelik bakımından memnuniyetlerinin değerlendirilmesi [Yüksek lisans tezi]. Malatya: İnönü Üniversitesi; 2014. [Erişim tarihi: 27 Şubat 2023]. Erişim linki: [Link] 
  14. Çelebi C, Kanan N. Günübirlik cerrahi hastalarının taburculuk aşamasındaki bilgi gereksinimlerinin belirlenmesi [Determination of the information requirements in the discharge stage of day surgery patients]. BSJ Health Sci. 2023;6(2):233-9. [Crossref] 
  15. Almarzook MK, Alshammari SL, Alhaqbani FN. The factors influencing the success of day surgery at prince sultan military medical city (PSMMC). Biomed J Sci & Tech Res. 2020;31(5). [Crossref] 
  16. Türk Anesteziyoloji ve Reanimasyon Derneği [İnternet]. TARD ©2001-2023 [Erişim tarihi: 27 Şubat 2023]. Günübirlik anestezi rehberi. Erişim linki: [Link] 
  17. Şahin Altun Ö, Özlü Z, Olçun Z, Kaya M. Does the fear of surgery prevent patients from sleeping? Journal of Anatolian Nursing and Health Science. 2017;20(4):260-6. [Crossref] 
  18. Abebe MM, Arefayne NR, Temesgen MM, Admass BA. Evidence-based perioperative pain management protocol for day case surgery in a resource limited setting: Systematic review. Ann Med Surg (Lond). 2022;80:104322. [Crossref]  [PubMed]  [PMC] 

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