Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Laparoskopik Kolesistektomi Ameliyatı Öncesi Hastaların Anksiyete Düzeylerinin Ameliyat Sonrası Ağrı ve Uyku Üzerine Etkisi: Tanımlayıcı Araştırma
The Effect of Anxiety Levels of Patients Before Laparoscopic Cholecystectomy Surgery on Postoperative Pain and Sleep: Descriptive Research
Banu YURDDAŞa, Ezgi SEYHAN AKb
aÇerkezköy İlçe Devlet Hastanesi, Tekirdağ, Türkiye
bİstanbul Üniversitesi-Cerrahpaşa Florence Nightingale Hemşirelik Fakültesi, Cerrahi Hastalıkları Hemşireliği ABD, İstanbul, Türkiye
Turkiye Klinikleri J Nurs Sci. 2022;14(4):1000-8
doi: 10.5336/nurses.2022-91112
Article Language: TR
Full Text
ÖZET
 Amaç: Araştırma, laparoskopik kolesistektomi ameliyatı öncesi yaşanan anksiyetenin, ameliyat sonrası dönemde ağrı ve uyku üzerine etkisini incelemek amacıyla yapıldı. Gereç ve Yöntemler: Araştırma, tanımlayıcıkesitsel olarak gerçekleştirildi. Araştırmanın örneklemini, bir devlet hastanesinin genel cerrahi servisinde Mayıs 2021-Ocak 2022 tarihleri arasında laparoskopik kolesistektomi ameliyatı olan 120 hasta oluşturdu. Veriler 'Tanıtıcı Özellikler Formu', 'Ameliyata Özgü Kaygı Ölçeği', 'RichardsCampbell Uyku Anketi', 'Sayısal Ağrı Skalası' kullanılarak yüz yüze görüşme yöntemiyle toplandı. Araştırma öncesinde etik kurul ve kurum izinleri, hastalardan da sözlü ve yazılı olarak izinler alındı. Verilerin değerlendirilmesinde tanımlayıcı istatistiksel yöntemler, bağımsız örneklem t testi, ANOVA analizi ve Tukey testi kullanıldı. Bulgular: Çalışmaya dâhil edilen hastaların yaş ortalamasının 43,68±13,68 yıl ve yaşlarının 18-76 aralığında olduğu, %79,2'sinin kadın, %88,3'ünün evli olduğu, %58'inin üniversite mezunu olduğu, %36,7'sinin aktif olarak bir işte çalıştığı saptandı. Hastaların Ameliyata Özgü Kaygı Ölçeği'nden aldığı ortalama puanın 28,29±5,73, Richards-Campbell Uyku Kalitesi Ölçeği'nden alınan ortalama puanın ise 53,52±19,79 olduğu belirlendi. Hastaların ameliyat sonrası 3. saat ağrı düzeylerinin 10 puan üzerinden ortalama 7,10±1,50 puan, 2. doz analjezik öncesi 8,06±1,68 puan, gece 5,22±1,56 puan ve ameliyat sonrası 1. gün 4,01±1,75 puan olduğu bulundu. Sonuç: Araştırma sonucunda, ameliyat öncesi yaşanan anksiyetenin ameliyat sonrası uyku kalitesi üzerinde olumsuz etkiye sahip olduğu ve ameliyat sonrası ağrı düzeyini artırdığı belirlendi.

Anahtar Kelimeler: Laparoskopik kolesistektomi; anksiyete; ağrı; uyku
ABSTRACT
 Objective: The study was conducted to examine the effect of anxiety experienced before laparoscopic cholecystectomy on pain and sleep in the postoperative period. Material and Methods: The research was carried out as descriptive-cross-sectional. The sample of the study consisted of 120 patients who underwent laparoscopic cholecystectomy between May 2021 and January 2022 in the general surgery service of a state hospital. Data were collected by face-to-face interview method using the 'Descriptive Characteristics Form', 'Surgery-Specific Anxiety Scale', 'Richards-Campbell Sleep Questionnaire', 'Numerical Pain Scale.'Ethics committee and institutional permissions were obtained before the study, and verbal and written consents were obtained from the patients. Descriptive statistical methods, Independent sample t-test, ANOVA and Tukey's test were used to evaluate the data. Results: The mean age of the patients included in the study was 43.68±13.68 years and the ages were between 18-76 years, 79.2% were female, 88.3% were married, 58% were university graduates, 36.7% of them were actively working in a job. The mean score of the patients on the Surgery-Specific Anxiety Scale was 28.29±5.73, and the mean score from the Richards-Campbell Sleep Questionnaire was 53.52±19.79. The mean postoperative pain levels of the patients were 7.10±1.50 points out of 10 points, 8.06±1.68 points before the second dose of analgesic, 5.22±1.56 points at night and 1st day after surgery. It was found to be 4.01±1.75 points. Conclusion: As a result of the research, it was determined that anxiety experienced before surgery had a negative effect on postoperative sleep quality and increased the level of postoperative pain.

Keywords: Laparoscopic cholecystectomy; anxiety; pain; sleep
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www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com