Turkiye Klinikleri Cardiovascular Sciences

.: ORIGINAL RESEARCH
Koroner Arter Baypas Cerrahisi Uygulanacak Hastalarda Ameliyat Öncesi Anksiyete Prevalansı ve Yorgunluk Düzeyi: Tanımlayıcı Kesitsel Bir Araştırma
Prevalence of Preoperative Anxiety and Level of Fatigue Among Patients Undergoing Coronary Artery Bypass Surgery: A Descriptive Cross-Sectional Study
Hesna GÜRLERa , Pervin DEMİRb
aSivas Cumhuriyet Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu, Ameliyathane Hizmetleri Programı, Sivas, Türkiye
bSivas Cumhuriyet Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Sivas, Türkiye
Turkiye Klinikleri J Cardiovasc Sci. 2023;35(1):1-7
doi: 10.5336/cardiosci.2023-96428
Article Language: TR
Full Text
ÖZET
 Amaç: Araştırma, koroner arter baypas greft (KABG) uygulanacak hastalarda ameliyat öncesi anksiyete görülme prevalansının ve yorgunluk düzeyinin belirlenmesi amacıyla tanımlayıcı kesitsel olarak yapıldı. Gereç ve Yöntemler: Araştırmaya 1 Nisan 2019-1 Nisan 2020 tarihleri arasında KABG uygulanacak 116 hasta alındı. Veriler kişisel bilgi formu, Durumluk-Sürekli Kaygı Envanteri ve Çok Boyutlu Yorgunluk [Multidimensional Assessment of Fatigue (MAF)] Ölçeği ile toplandı. Verilerin analizinde Mann-Whitney U, Kruskal-Wallis ve Spearman korelasyon testleri kullanıldı. Bulgular: Çalışmada bireylerin ameliyat öncesi anksiyete düzeyinin 44,94±1,36 olduğu, %64,7'sinin orta-yüksek düzeyde anksiyete yaşadığı ve MAF Ölçeği total skorunun 35,12±6,99 olduğu belirlendi. Bekâr, çalışmayan ve uyku kalitesini kötü olarak değerlendiren bireylerin ameliyat öncesi anksiyete düzeyinin, kadın, bekâr, sigara-alkol kullanan, çalışan ve uyku kalitesini kötü olarak değerlendiren bireylerde ise yorgunluk düzeyinin istatistiksel olarak anlamlı düzeyde daha yüksek olduğu bulundu. Çalışmada ayrıca ameliyat öncesi anksiyete ile yorgunluk alt boyutları ve total yorgunluk düzeyi arasında pozitif yönlü orta düzeyde anlamlı ilişki olduğu belirlendi (p<0,05). Sonuç: KABG geçiren hastaların çoğunluğunun ameliyat öncesi anksiyete yaşadığı, ameliyat öncesi anksiyete düzeyi arttıkça yorgunluk düzeyinin de arttığı belirlendi. Bu nedenle kardiyak cerrahi hastaları ameliyat öncesi dönemde holistik açıdan değerlendirilmeli ve ameliyat öncesi anksiyete ve yorgunluk düzeylerinin azaltılmasına yönelik kanıta dayalı hemşirelik girişimleri uygulanmalıdır.

Anahtar Kelimeler: Ameliyat öncesi anksiyete; yorgunluk; kalp cerrahisi
ABSTRACT
 Objective: The study was conducted as descriptive cross-sectional to determine the prevalence of preoperative anxiety and fatigue level among patients undergoing coronary artery bypass greft surgery. Material and Methods: The study was conducted with 116 patients who will be undergone coronary artery bypass graft between April 1 2019-April 1 2020. Data were collected with personal information form, State-Trait Anxiety Inventory and Multidimensional Assessment of Fatigue (MAF) Scale. Mann-Whitney U, Kruskal-Wallis and Spearman correlation tests were used in the analysis of the data. Results: In the study, it was determined that the preoperative anxiety level of the individuals was 44.94±1.36, 64.7% had moderate-to-high level of anxiety, and the MAF Scale total score was 35.12±6.99. It was found that the preoperative anxiety level was statistically significantly higher in individuals who were single, unemployed and who evaluated their sleep quality as poor, and the fatigue level was statistically significantly higher in individuals who were female, single, smoking-alcohol users, worker and who evaluated their sleep quality as poor. In the study, it was also determined that there was a positive and moderately significant relationship between preoperative anxiety, fatigue sub-dimensions and total fatigue level (p<0.05). Conclusion: It was determined that the majority of patients who will be undergone coronary artery bypass grafting experienced preoperative anxiety, and the level of fatigue increased as the level of preoperative anxiety increased. Therefore, cardiac surgery patients should be evaluated holistically in the preoperative period and evidence-based nursing interventions should be applied to reduce preoperative anxiety and fatigue levels.

Keywords: Preoperative anxiety; fatigue; heart surgery
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