Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Ebeveyn Öz Yeterliğinin Çocukların Ameliyat Öncesi Korku ve Anksiyete Düzeyi ile İlişkisi: Tanımlayıcı ve İlişki Arayıcı Bir Araştırma
Relationship Between Parental Self-Efficacy and Preoperative Fear and Anxiety of Children: A Descriptive and Relational Research
Tuba ARPACIa , Mehtap ÇİLb
aKaramanoğlu Mehmetbey Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Çocuk Sağlığı ve Hastalıkları Hemşireliği AD, Karaman, Türkiye
bKaraman Eğitim ve Araştırma Hastanesi, Ameliyathane Servisi, Karaman, Türkiye
Turkiye Klinikleri J Nurs Sci. 2025;17(1):27-35
doi: 10.5336/nurses.2023-99892
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmada ebeveyn öz yeterliğinin çocukların ameliyat öncesi korku ve anksiyete düzeyi ile ilişkisinin belirlenmesi amaçlanmıştır. Gereç ve Yöntemler: Tanımlayıcı ve ilişki arayıcı türdeki araştırma minör cerrahi planlanan 4-6 yaş grubu çocuklar ve ebeveynleri ile yürütülmüştür (n=121). Veriler ''Minör Cerrahiye Yönelik Çocuk Otonomisi için Ebeveyn Öz Yeterl ik Ölçeği (MCÇOEÖÖ)'', Çocuk Anksiyete Skalası-Durumluluk ve Çocuk Korku Ölçeği ile toplanmıştır. Verilerin değerlendirilmesinde tanımlayıcı istatistikler ve Spearman korelasyon testi kullanılmıştır. Bulgular: Araştırmaya katılan ebeveynlerin yaş ortalaması 34,93±5,95, çocukların yaş ortalaması ise 5,25±0,82'dir. Çocuğun yaşı hariç diğer demografik değişkenler açısından ebeveyn öz yeterliğinin farklılaşmadığı (p>0,05) ve ebeveyn öz yeterliği ile çocuğun yaşı arasında pozitif yönde düşük düzeyde anlamlı ilişki olduğu saptanmıştır (p<0,05). Çocuğun yaşı ebeveyn yeterliğini pozitif yönde anlamlı düzeyde etkilemektedir (R2=0,049, F=6,075, p=0,015). Ebeveynlerin MCÇOEÖÖ toplam puanları, bilgilendirme, kontrol etme ve duygusal rahatlatma alt boyut puanları ile çocukların ameliyat öncesi anksiyete ve korku puanları arasında anlamlı doğrusal ilişki bulunmamıştır (p>0,05). Ebeveynlerin MCÇOEÖÖ destekleme alt boyut puanları ile çocukların ameliyat öncesi korku puanları arasında negatif yönde düşük düzeyde anlamlı ilişki saptanmıştır (r=-0,188, p=0,039). Sonuç: Ebeveyn öz yeterliği demografik değişkenler açısından farklılaşmamaktadır ancak çocuğun yaşı ebeveyn yeterliğini pozitif yönde anlamlı düzeyde etkilemektedir. Ebeveynlerin öz yeterliği ile çocukların ameliyat öncesi anksiyete ve korku puanları arasında ilişki bulunmamıştır. Ebeveynlerin öz yeterlik destekleme alt boyutunda yeterlikleri arttıkça çocukların ameliyat öncesi korku düzeyleri azalmaktadır. Ebeveynlerin çocuğun otonomisini destekleme konusunda öz yeterliğini güçlendirici girişimler planlanması yararlı olacaktır.

Anahtar Kelimeler: Çocuk; ebeveyn; minör cerrahi; öz yeterlik; otonomi
ABSTRACT
 Objective: This study aimed to determine the relationship between parental self-efficacy and preoperative fear and anxiety of children. Material and Methods: This descriptive and relational research was conducted with children aged 4-6 years and their parents (n=121). Data were collected using the ''Parental Self-Efficacy Scale for Child Autonomy for Minor Surgery (PSESCAM)'', Child Anxiety Scale-State and Child Fear Scale. Descriptive analyzes and Spearman correlation test were used to evaluate the data. Results: The average age of the parents in the study was 34.93±5.95, and the average age of the children was 5.25±0.82. It was found that parental self-efficacy did not differ in terms of demographic variables except the child's age (p>0.05) and there was a positive lowlevel significant relationship between parental self-efficacy and the child's age (p<0.05). The age of the child positively and significantly affects parental efficacy (R2=0.049, F=6.075, p=0.015). There was no significant relationship between the parents' PSESCAM total scores and the information, control and emotional relief subscales, and anxiety and fear scores of children (p>0.05). A negative, low-level significant relationship was found between the PSESCAM supporting subscale mean scores and the children's preoperative fear scores (r=-0.188; p=0.039). Conclusion: Parental self-efficacy does not differ in terms of demographic variables, but the child's age affects parental efficacy positively and significantly. There was no relationship between parents' self-efficacy and children's preoperative anxiety and fear. As parents' competence in the supporting subscale increases, children's pre-operative fear levels decrease. It would be useful to plan initiatives that will strengthen parents' self-efficacy in supporting their child's autonomy.

Keywords: Child; parent; minor surgery; self-efficacy; autonomy
REFERENCES:
  1. El-Moazen AAEM, Mohamed SAR, Kerem MA. Effect of selected play activities on preoperative anxiety level and fear among children undergoing abdominal surgeries. Egyptian Nursing Journal. 2018;15(3):205. [Crossref] 
  2. Getahun AB, Endalew NS, Mersha AT, Admass BA. Magnitude and factors associated with preoperative anxiety among pediatric patients: cross-sectional study. Pediatric Health Med Ther. 2020;11:485-94. [Crossref]  [PubMed]  [PMC] 
  3. Aytekin A, Doru Ö, Kucukoglu S. The effects of distraction on preoperative anxiety level in children. J Perianesth Nurs. 2016;31(1):56-62. [Crossref]  [PubMed] 
  4. Akgün Kostak M, Kutman G, Semerci R. The effectiveness of finger puppet play in reducing fear of surgery in children undergoing elective surgery: A randomised controlled trial. Collegian, 2021;28(4):415-21. [Crossref] 
  5. Gabriel MG, Wakefield CE, Vetsch J, Karpelowsky JS, Darlington AE, Grant DM, et al. The Psychosocial Experiences and Needs of Children Undergoing Surgery and Their Parents: A Systematic Review. J Pediatr Health Care. 2018;32(2):133-49. [Crossref]  [PubMed] 
  6. Iversen AS, Graue M, Clare J. Parents' perspectives of surgery for a child who has cerebral palsy. J Pediatr Health Care. 2009;23(3):165-72. [Crossref]  [PubMed] 
  7. Bülbül F, Arıkan B. Çocuklarda ameliyat öncesi psikolojik hazırlık: Güncel yaklaşımlar [Evaluation of nurses' professionalism levels: sample of Balıkesir]. Balıkesir Sağlık Bilimleri Dergisi. 2018;7(3):101-7. [Link] 
  8. Panella JJ. Preoperative care of children: strategies from a child life perspective. AORN J. 2016;104(1):11-22. [Crossref]  [PubMed] 
  9. Alıcı U, İlhan H, Bal C, Tokar B. Çocuk cerrahisi ameliyatlarında ameliyat sürelerinin belirlenmesi [Determination of the operation durations in pediatric surgery cases]. Kocatepe Tıp Dergisi. 2014;15(3):288-96. [Link] 
  10. Karaman Turan N, Acaroğlu R. Cerrahi Girişim Uygulanan Adolesanlar ile Anne/Babalarının Anksiyete Düzeyleri Arasındaki İlişki ve Anksiyete Nedenlerinin İncelenmesi [The relationship between anxiety levels of adolescents who undergo surgical interventions and their parents and analysis of anxiety causes]. Turkiye Turkiye Klinikleri J Med Sci. 2012;32(2):308-15. [Crossref] 
  11. Törüner E, Büyükgönenç L. Çocuk Sağlığı Temel Hemşirelik Yaklaşımları. 3. Baskı. Ankara: Ankara Nobel Tıp Kitapevleri; 2023.
  12. Fronk E, Billick SB. Pre-operative Anxiety in Pediatric Surgery Patients: Multiple Case Study Analysis with Literature Review. Psychiatr Q. 2020;91(4):1439-51. [Crossref]  [PubMed] 
  13. Romino SL, Keatley VM, Secrest J, Good K. Parental presence during anesthesia induction in children. AORN J. 2005;81(4):780-3, 785-9, 792; quiz 793-6. [Crossref] 
  14. Carlsson RNE, Henningsson RN. Visiting the Operating Theatre Before Surgery Did Not Reduce the Anxiety in Children and Their Attendant Parent. J Pediatr Nurs. 2018;38:e24-e29. [Crossref]  [PubMed] 
  15. He HG, Zhu L, Chan SW, Klainin-Yobas P, Wang W. The effectiveness of therapeutic play intervention in reducing perioperative anxiety, negative behaviors, and postoperative pain in children undergoing elective surgery: a systematic review. Pain Manag Nurs. 2015;16(3):425-39. [Crossref]  [PubMed] 
  16. Ono S, Manabe Y. Development of the Parental Self-Efficacy Scale for Child Autonomy toward Minor Surgery (PSESCAMS): based on results of questionnaire surveys of parents raising children between 3 and 6 years old. Jpn J Nurs Sci. 2014;11(3):151-9. [Crossref]  [PubMed] 
  17. Coleman PK. Maternal self-efficacy beliefs as predictors of parenting competence and toddlers' emotional, social and cognitive development [Doctoral dissertation]. The Morgantown: West Virginia University; 1998. [Crossref] 
  18. Hassall R, Rose J, McDonald J. Parenting stress in mothers of children with an intellectual disability: the effects of parental cognitions in relation to child characteristics and family support. J Intellect Disabil Res. 2005;49(Pt 6):405-18. [Crossref]  [PubMed] 
  19. Rost M, De Clercq E, Elger B. Arno Gruen's understanding of autonomy in children: Experiencing and integrating one's own feelings and needs. Swiss Medical Weekly. 2018;26:1-3.
  20. Ayenew NT, Endalew NS, Agegnehu AF, Bizuneh YB. Prevalence and factors associated with preoperative parental anxiety among parents of children undergoing anesthesia and surgery: A cross-sectional study. Int J Surg Open. 2020;24:18-26. [Crossref] 
  21. Semerci R, Ünver S, Yildizeli Topçu S, Turan FN, Akgün Kostak M, Yildiz Findik Ü. Adaptation of parental self-efficacy scale for child autonomy toward minor surgery to Turkish. J Perianesth Nurs. 2022;37(5):632-9. [Crossref]  [PubMed] 
  22. Ersig AL, Kleiber C, McCarthy AM, Hanrahan K. Validation of a clinically useful measure of children's state anxiety before medical procedures. J Spec Pediatr Nurs. 2013;18(4):311-9. [Crossref]  [PubMed]  [PMC] 
  23. Özalp Gerçeker G, Dijle AYAR, Özdemir Z, Bektaş M. Çocuk anksiyete skalası-durumluluk ve çocuk korku ölçeğinin Türk diline kazandırılması [Gaining of children's state anxiety and children's fear scale to Turkish language]. DEUHFED 2018;11(1):9-13. [Link] 
  24. McMurtry CM, Noel M, Chambers CT, McGrath PJ. Children's fear during procedural pain: preliminary investigation of the children's fear scale. Health Psychol. 2011;30(6):780-8. [Crossref]  [PubMed] 
  25. Hayran M, Hayran M. Basic statistics for health research. Ankara: Ari Ofset Matbaacilik; 2011. p. 325-32.
  26. Liang Y, Huang W, Hu X, Jiang M, Liu T, Yue H, Li X. Preoperative anxiety in children aged 2-7 years old: a cross-sectional analysis of the associated risk factors. Transl Pediatr. 2021;10(8):2024-34. [Crossref]  [PubMed]  [PMC] 
  27. Moura LA, Dias IM, Pereira LV. Prevalence and factors associated with preoperative anxiety in children aged 5-12 years. Rev Lat Am Enfermagem. 2016;24:e2708. [Crossref]  [PubMed]  [PMC] 
  28. Niya MH, Hojjati H. The impact of general psychological training on the self-efficacy of mothers whose children are undergoing surgery in Taleghani Pediatrics Hospital in Gorgan, Iran. J Res Dev Nurs Midw. 2019;16(1):43-50. [Crossref] 
  29. Amiri A, Edraki M, Paran M, Sajjadi SF. The impact of educational program on the anxiety and self-efficacy in mothers of the children under glaucoma surgery: A randomized controlled trial. Pharmacophore. 2017;8(6S):e1173462. [Link] 
  30. Kurt H, Aslan D. Okul öncesi dönem çocuğu olan annelerin öz-yeterlik, psikolojik sağlamlık ve ebeveyn tutumlarının incelenmesi. KADEM Kadın Araştırmaları Dergisi, 2020;6(2):211-40. [Crossref] 
  31. Fang Y, Boelens M, Windhorst DA, Raat H, van Grieken A. Factors associated with parenting self-efficacy: A systematic review. J Adv Nurs. 2021;77(6):2641-61. [Crossref]  [PubMed]  [PMC] 
  32. Boland L, Graham ID, Légaré F, Lewis K, Jull J, Shephard A, et al. Barriers and facilitators of pediatric shared decision-making: a systematic review. Implement Sci. 2019;14(1):7. [Crossref]  [PubMed]  [PMC] 
  33. Kerimaa H, Hakala M, Haapea M, Serlo W, Pölkki T. The preparation of children for day surgery from the parent's viewpoint: A mixed methods study. Nurs Open. 2024;11(3):e2121. [Crossref]  [PubMed]  [PMC] 
  34. Chang CM, Li Y, Or LL, Pikkarainen M, Pölkki T, Wang W, et al. A Qualitative Study Exploring Singaporean Parents' Perceptions on PreParing their Child for Surgery. J Pediatr Nurs. 2020;54:e69-e77. [Crossref]  [PubMed] 
  35. Liu W, Xu R, Jia J, Shen Y, Li W, Bo L. Research progress on risk factors of preoperative anxiety in children: A scoping review. Int J Environ Res Public Health. 2022;19(16):9828. [Crossref]  [PubMed]  [PMC] 

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