Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Total Diz Artroplastisi Ameliyatı Yapılan Hastaların Cerrahi Korku Düzeyleri ile Ameliyat Sonrası Anksiyeteve Mobilizasyon Düzeyleri Arasındaki İlişkinin İncelenmesi: Tanımlayıcı ve İlişki Arayıcı Çalışma
Investigation of the Relationship Between Surgical Fear Levels with Postoperative Anxiety and Mobilization Levels in Patients Who Underwent Total Knee Arthroplasty: Descriptive and Relationship Seeking Study
Gülay DİNÇa , Durdane YILMAZ GÜVENb
aKarabük Üniversitesi Eğitim ve Araştırma Hastanesi, Hemşirelik Bilimleri ABD, Karabük, Türkiye
bKarabük Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Cerrahi Hastalıkları Hemşireliği ABD, Karabük, Türkiye
Turkiye Klinikleri J Nurs Sci. 2023;15(2):299-307
doi: 10.5336/nurses.2022-94552
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışma, total diz artroplastisi (TDA) ameliyatı yapılan hastaların cerrahi korku düzeyleri ile ameliyat sonrası anksiyete ve mobilizasyon düzeyleri arasındaki ilişkinin incelenmesi amacıyla yapıldı. Gereç ve Yöntemler: Çalışma tanımlayıcı ve ilişki arayıcı tiptedir. Bir eğitim ve araştırma hastanesinin ortopedi ve travmatoloji servisinde TDA ameliyatı olan 93 hasta ile yüz yüze görüşülerek veriler toplandı. Verilerin toplanmasında ''hasta tanıtım formu'', ''Cerrahi Korku Ölçeği (CKÖ)'', ''Hasta Mobilizasyon Soru Formu'' ve ''Durumluk-Sürekli Kaygı Ölçeği'' kullanıldı. Bulgular: Hastaların CKÖ puan ortalaması 21,2±23,3 olduğu; Durumluk Kaygı Ölçeği puan ortalaması 38,0±9; Sürekli Kaygı Ölçeği puan ortalamasının 44,2±4,3 idi. Hastaların ameliyattan sonra ayağa kalkma isteği 6,6±2,4 olarak belirlendi. Hastaların gün içerisindeki mobilizasyon sayısının 5,2±2,2 olduğu, gün içerisinde mobilizasyon sırasında ağrı düzeyinin 6,1±1,6 olduğu saptandı. Hastaların CKÖ ve alt boyut puanları ile Durumluk Kaygı Ölçeği puanları arasında istatistiksel olarak anlamlı bir ilişki olduğu saptandı (p<0,001). Hastaların Durumluk Kaygı Ölçeği puanı ile ameliyattan sonra ayağa kalkma isteği puanı arasında istatistiksel olarak anlamlı bir ilişki olduğu belirlendi (p=0,039). Sonuç: TDA ameliyatı olan hastaların hafif düzeyde korku yaşadıkları, orta düzeyde anksiyete yaşadıkları saptandı. Bu doğrultuda hastaların anksiyete düzeyini azaltmak ve mobilizasyon sayılarını artırmak için protokollerin geliştirilmesi, ortopedi ve travmatoloji servisinde çalışan hemşirelerin konu ile ilgili hastalara eğitim ve danışmanlık yapması önerilmektedir.

Anahtar Kelimeler: Anksiyete; cerrahi korku; hemşirelik bakımı; mobilizasyon; total diz artroplastisi
ABSTRACT
 Objective: This study was carried out to examine the relationship between surgical fear levels and postoperative anxiety and mobilization levels in patients who underwent total knee arthroplasty surgery. Material and Methods: The study is of descriptive and relation-seeking type. Data were collected by face-to-face interviews with 93 patients who had total knee arthroplasty surgery in the orthopedics and traumatology service of a training and research hospital. ''Patient information form'', ''Surgical Fear Scale'', ''Patient Mobilization Questionnaire'' and ''State-Trait Anxiety Scale'' were used to collect data. Results: The mean score of the patients on the Surgical Fear Scale was 21.2±23.3; State Anxiety Inventory mean score was 38.0±9; Trait Anxiety Scale mean score was 44.2±4.3. The patients'' willingness to stand up after the operation was determined as 6.6±2.4. It was determined that the number of mobilizations of the patients during the day was 5.2±2.2, and the level of pain during mobilization during the day was 6.1±1.6. A statistically significant correlation was found between the patients'' Surgical Fear Scale and sub-dimension scores and State Anxiety Scale scores (p<0.001). It was determined that there was a statistically significant relationship between the patients'' State Anxiety Scale score and their willingness to stand up after surgery (p=0.039). Conclusion: It was determined that patients who had total knee arthroplasty surgery experienced mild fear and moderate anxiety. It is recommended to develop protocols in order to reduce the anxiety level of patients and increase the number of mobilizations, and that nurses working in the orthopedics and traumatology service provide education and counseling to patients on the subject.

Keywords: Anxiety; surgical fear; nursing care; mobilization; total knee arthroplasty
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