Turkiye Klinikleri Journal of Health Sciences

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Koroner Anjiyografi ve Elektif Perkütan Koroner Girişim Uygulanan Hastalarda Mahremiyetin Anksiyete Üzerine Etkisinin Belirlenmesi: Kesitsel Çalışma
Determination of the Effect of Privacy on Anxiety in Patients Undergoing Coronary Angiography and Elective Percutaneous Coronary Intervention: Cross-Sectional Research
Zeynep KARAMAN ÖZLÜa, İbrahim ÖZLÜb, Merve BAĞDİGENa, Hamit ÖNCERc
aAtatürk Üniversitesi Hemşirelik Fakültesi, Cerrahi Hastalıkları Hemşireliği ABD, Erzurum, Türkiye
bAtatürk Üniversitesi Tıp Fakültesi, Acil Tıp ABD, Erzurum, Türkiye
cAtatürk Üniversitesi Tıp Fakültesi, Kardiyoloji ABD, Erzurum, Türkiye
Turkiye Klinikleri J Health Sci. 2022;7(2):465-72
doi: 10.5336/healthsci.2021-85502
Article Language: TR
Full Text
ÖZET
Amaç: Bu araştırma, koroner anjiyografi ve elektif perkütan koroner girişim uygulanan hastalarda mahremiyetin anksiyete üzerine etkisinin belirlenmesi amacıyla yapıldı. Gereç ve Yöntemler: Tanımlayıcı tipteki araştırma, Şubat 2019-Ağustos 2019 tarihleri arasında Erzurum Atatürk Üniversitesi Araştırma Hastanesi Kardiyoloji Kliniğinde yürütüldü. Araştırmanın evrenini belirtilen hastanenin anjiyografi laboratuarlarında koroner anjiyografi ve elektif perkütan koroner girişim uygulanan hastalar, örneklemini belirtilen evrenden araştırmaya alınma kriterlerine uyan ve araştırmaya katılmayı kabul eden 159 hasta oluşturdu. Veriler, literatür doğrultusunda hazırlanan 'Tanıtıcı Bilgi Formu' ve 'Durumluluk-Süreklilik Anksiyete Ölçeği' ve 'Mahremiyet Anketi' ile toplandı. Verilerin değerlendirilmesinde sayı, yüzde, ortalama, Mann-Whitney U, Kruskal-Wallis testleri kullanıldı. Bulgular: Hastaların Durumluluk-Anksiyete puan ortalamasının 47,75±8,07, Süreklilik- Anksiyete puan ortalamasının 48,77±6,07 olduğu belirlendi. Araştırmada hastaların önemli bir bölümü mahremiyetin kendileri için önemli olduğunu ve girişim sırasında mahremiyetlerinin yüksek düzeyde korunduğunu belirtti. Mahremiyet anketi maddeleri Durumluluk- Anksiyete Ölçeği toplam puan ortalamaları ile karşılaştırıldığında 'Anjiyografi ünitesinde elbiselerimi ve özel eşyalarımı koyabileceğim kilitli bir dolabım vardı.' ve 'İşlem sırasında odada bulunan kişi ya da kişiler mahremiyete özen gösterdiler.' maddeleri arasında anlamlı bir ilişki olduğu saptandı (p<0,05). Sonuç: Bu çalışma sonuçları koroner anjiyografi ve elektif perkütan koroner girişim uygulanan hastalarda hasta mahremiyetine özen gösterildiği, hastaların orta düzeyde anksiyete yaşadığı, anksiyete düzeyi üzerinde mahremiyetin etkili olmadığı belirlendi.

Anahtar Kelimeler: Koroner anjiyografi; elektif perkütan koroner girişim; mahremiyet; anksiyete
ABSTRACT
Objective: This study was conducted to determine the effect of privacy on anxiety in patients who underwent coronary angiography and elective percutaneous coronary intervention. Material and Methods: This descriptive study was conducted in Erzurum Atatürk University Research Hospital Cardiology Clinic between February 2019 and August 2019. The population of the study consisted of patients who underwent coronary angiography and elective percutaneous coronary intervention in the angiography laboratories of the hospital, and the sample consisted of 159 patient from the specified population who met the inclusion criteria and accepted to participate in the study. The data were collected with the 'Descriptive Information Form' and 'Static-Trait Anxiety Scale' and 'Privacy Questionnaire' prepared in line with the literature. Number, percentage, mean, Mann-Whitney U, Kruskal-Wallis tests were used to evaluate the data. Results: It was determined that the total mean score State-Anxiety Scale of the patients was 47.75±8.07, and the total mean of the Continuity-Anxiety Scale score was 48.77±6.07. In the study, a significant portion of the patients stated that their privacy was protected at a high level during the intervention. When the privacy questionnaire items were compared with the State-Anxiety Scale total score averages, it was found that there was a significant relationship between the items 'I had a locker in the angiography unit where I could put my clothes and personal belongings' and 'The person or persons in the room during the procedure took care of privacy' (p<0.05). Conclusion: The results of this study showed that the privacy of the patients who underwent coronary angiography and elective percutaneous coronary intervention was taken care of, that the patients experienced moderate anxiety, and that privacy was not effective on the level of anxiety.

Keywords: Coronary angiography; elective percutaneous coronary intervention; privacy; anxiety
REFERENCES:
  1. World Health Organization. Deaths from coronary heart disease. 2009. Erişim tarihi: 17.01.2019. Erişim linki: [Link] 
  2. Augustin AC, de Quadros AS, Sarmento-Leite RE. Early sheath removal and ambulation in patients submitted to percutaneous coronary intervention: a randomised clinical trial. Int J Nurs Stud. 2010;47(8):939-45. [Crossref]  [PubMed] 
  3. Kalyoncuoğlu M, Öztürk S, Durmuş G, Keskin B, Can MM. Güncel tedavi kılavuzları ışığında kronik iskemik kalp hastalığı tedavisine yaklaşım [Current approach to the chronic ischemic heart disease in the light of the current diagnosis and assessment guidelines]. Medical Bulletin of Haseki. 2017;55(2):85-100. [Crossref] 
  4. Çelik Ş, Özen A. Koroner anjiyoplasti ve intra koroner stent uygulanan hastaların bakımı [Care of the patients who undergo the coronary angioplasty and intra coronary stenting]. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2010;13(1):2. [Link] 
  5. Bakan G. Perkütan koroner girişimlerde kanıta dayalı bakım uygulamaları [Evidence based care practices in percutaneous coronary interventions]. Kardiyovasküler Hemşirelik Dergisi. 2016;7:26-34. [Crossref] 
  6. Çürük GN, Göriş S, Bayındır SK, Doğan Z. Perkütan koroner girişim uygulanan hastalarda müzik terapinin anksiyete düzeyi ve yaşam bulgularına etkisi; randomize kontrollü çalışma [Effect of music therapy on patients' anxiety and hemodynamic parameters during percutaneous coronary intervention: a randomized controlled trial]. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi. 2018;3(2):130-6. Sağlık Bil Derg. 2018;9(2):130-6. [Link] 
  7. Giannini F, Candilio L, Mitomo S, Ruparelia N, Chieffo A, Baldetti L, et al. A Practical approach to the management of complications during percutaneous coronary intervention. JACC Cardiovasc Interv. 2018;11(18):1797-810. [Crossref]  [PubMed] 
  8. Pouyesh V, Amaniyan S, Haji Mohammad Hoseini M, Bashiri Y, Sieloff C, Griffiths P, et al. The effects of environmental factors in waiting rooms on anxiety among patients undergoing coronary angiography: A randomized controlled trial. Int J Nurs Pract. 2018;24(6): e12682. [Crossref]  [PubMed] 
  9. Nilsson U. Effectiveness of music interventions for women with high anxiety during coronary angiographic procedures: a randomized controlled. Eur J Cardiovasc Nurs. 2012;11(2): 150-3. [Crossref]  [PubMed] 
  10. Uzun S, Vural H, Uzun M, Yokusoglu M. State and trait anxiety levels before coronary angiography. J Clin Nurs. 2008;17(5):602-7. [Crossref]  [PubMed] 
  11. Ramezanibadr F, Amini K, Hossaingholipor K, Faghihzadeh S. The impacts of foot reflexology on anxiety among male candidates for coronary angiography: A three-group single-blind randomized clinical trial. Complement Ther Clin Pract. 2018;32:200-4. [Crossref]  [PubMed] 
  12. Nekouei ZK, Yousefy A, Manshaee G, Nikneshan S. Comparing anxiety in cardiac patients candidate for angiography with normal population. ARYA Atheroscler. 2011;7(3):93-6. [PubMed]  [PMC] 
  13. Özata M, Kubilay Ö. Sağlık çalışanlarının hasta mahremiyeti konusundaki tutumlarının incelenmesi [Investigation of the attitudes of health care staff about patient privacy]. Hacettepe Sağlık İdaresi Dergisi. 2017;20(1): 81-92. [Link] 
  14. Spielberger CD, Gorsuch RL, Lushene RE. STAI Manual for the State-Trait Anxiety Inventory (Self-Evaluation Questionnare). Palo Alto [Calif.]: Consulting Psychogyists Press; 1970.
  15. Öner N, LeCompte WA. Süreksiz Durumluk/Sürekli Kaygı Envanteri El Kitabı. 2. Basım. İstanbul: Boğaziçi Üniversitesi Yayınları; 1985.
  16. Akar Y, Özyurt E, Erduran S, Uğurlu D, Aydın İ. Hasta mahremiyetinin değerlendirilmesi [Evaluation of patient confidentiality]. Sağlık Akademisyenleri Dergisi. 2019;6(1):18-24. [Link] 
  17. Havva Ö, Nefise B, Kumral Semanur Ö. Hemşirelerin hasta mahremiyetine özen gösterme durumu [Taking pains over patientprivacyby nurses]. Ege Üniversitesi Hemşirelik Fakültesi Dergisi. 2014;30(3):19-31. [Link] 
  18. Aksoy Ş. Hasta haklarında mahremiyet ve özel hayatın gizliliği [Yüksek lisans tezi]. İstanbul: Beykent Üniversitesi; 2013. Erişim Tarihi: 17.01.2019 [Link] 
  19. Tabachnick BG, Fidell LS, Ullman JB. Using Multivariate Statistics. 5th ed. Boston, MA: Pearson; 2007. p.481-98. Erişim tarihi: 17.01.2019 [Link] 
  20. Aktan GG, Eşer İ, Kocaçal E. Hemşirelerin hasta mahremiyetini koruma ve sürdürme durumları ile etkileyen faktörler [The status of nurses' protecting and maintaining patient privacy and affecting factors]. Koç Üniversitesi Hemşirelikte Eğitim ve Araştırma Dergisi. 2019;16(4):301-5. [Link] 
  21. Yel P, Ünsar S. Koroner anjiyografi uygulanacak hastaların yaşam kalitesi ve kaygı düzeyleri [Quality of life and anxiety levels of patients with coronary angiography]. Turk J Cardiovasc Nurs. 2020;11(24):7-15. [Crossref] 
  22. Vlastra W, Delewi R, Rohling WJ, Wagenaar TC, Hirsch A, Meesterman MG, et al. Premedication to reduce anxiety in patients undergoing coronary angiography and percutaneous coronary intervention. Open Heart. 2018;5(2):e000833. [Crossref]  [PubMed]  [PMC] 
  23. Akkaya S, Polat C, Ede H, Öztürk Ö. Koroner anjiografi laboratuvarına sevki yapılan hastalarda; depresyon, anksiyete ve koroner arter hastalığı ciddiyeti ilişkisi [The relationship between anxiety, depression and severity of the coronary artery disease among the patients referred to coronary angiography laboratory]. Bozok Tıp Dergisi. 2018;8(3):40-5. [Crossref] 
  24. Zhang P. Study of anxiety/depression in patients with coronary heart disease after percutaneous coronary intervention. Cell Biochem Biophys. 2015;72(2):503-7. [Crossref]  [PubMed] 
  25. Delewi R, Vlastra W, Rohling WJ, Wagenaar TC, Zwemstra M, Meesterman MG, et al. Anxiety levels of patients undergoing coronary procedures in the catheterization laboratory. Int J Cardiol. 2017;228:926-30. [Crossref]  [PubMed] 
  26. Moser DK, Dracup K, Evangelista LS, Zambroski CH, Lennie TA, Chung ML, et al. Comparison of prevalence of symptoms of depression, anxiety, and hostility in elderly patients with heart failure, myocardial infarction, and a coronary artery bypass graft. Heart Lung. 2010;39(5):378-85. [Crossref]  [PubMed]  [PMC] 
  27. Thombs BD, Bass EB, Ford DE, Stewart KJ, Tsilidis KK, Patel U, et al. Prevalence of depression in survivors of acute myocardial infarction. J Gen Intern Med. 2006;21(1):30-8. [Crossref]  [PubMed]  [PMC] 
  28. Aydemir İ. Sağlık Bakanlığı'na bağlı hastanelerde hasta hakları uygulamalarının değerlendirilmesi [Doktora tezi]. Ankara: Hacettepe Üniversitesi; 2010. Erişim Tarihi: 17.01.2019 [Link] 
  29. Erbil N, Şenkul A, Sağlam Y, Ergül N. Jinekolojik muayene öncesinde Türk kadınların anksiyete seviyeleri ve muayeneye ilişkin tutumlarının belirlenmesi [Determination of attitudes with gynecologic examination and anxiety of Turkish women before gynecologic examination]. International Journal of Human Sciences. 2008;5(1):1-5. [Link] 
  30. Mobini Bidgoli M, Taghadosi M, Gilasi H, Farokhian A. The effect of sukha pranayama on anxiety in patients undergoing coronary angiography: a single -blind randomized controlled trial. J Cardiovasc Thorac Res. 2016;8(4):170-5. [PubMed]  [PMC] 
  31. Mei L, Miao X, Chen H, Huang X, Zheng G. Effectiveness of Chinese hand massage on anxiety among patients awaiting coronary angiography: a randomized controlled trial. J Cardiovasc Nurs. 2017;32(2):196-203. [Crossref]  [PubMed] 

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