.: ORİJİNAL ARAŞTIRMA
Septorinoplasti Öncesi Cerrahi Korku ile Ameliyat Sonrası Ağrı Şiddeti Arasındaki İlişki: Prospektif Tanımlayıcı Bir Çalışma
The Relationship Between Surgical Fear and Postoperative Pain Severity Before Septorhinoplasty: A Prospective Descriptive Study
Turkiye Klinikleri J Nurs Sci. 2022;14(2):311-20
doi: 10.5336/nurses.2021-85111
Makale Dili: TR
Tam Metin
ÖZET
Amaç: Bu çalışma, septorinoplasti öncesi cerrahi korku ile ameliyat sonrası ağrı şiddeti arasındaki ilişkinin belirlenmesi amacıyla yürütüldü. Gereç ve Yöntemler: Prospektif, tanımlayıcı türde yapılan bu çalışma, bir üniversite hastanesinin kulak burun boğaz kliniğinde 14 Mart-14 Eylül 2020 tarihleri arasında yürütüldü. Araştırmanın verileri, anket formu, Cerrahi Korku Ölçeği, vizüel analog skala kullanılarak toplandı. Araştırmada veriler tanımlayıcı istatistikler, t-test, ANOVA ve Pearson korelasyon kullanılarak analiz edildi. Bulgular: Çalışmaya 200 hasta katıldı. Hastaların yaş ortalaması 26,12±7,81 idi. Hastaların çoğunluğu kadın ve eğitim düzeyi yüksekti. Hastaların toplam korku puan ortalaması 46,8±23,4, kısa dönem korkular alt boyut puan ortalaması 22,8±12,09, uzun dönem korkular alt boyut puan ortalaması 24,0±12,22 olduğu belirlendi. Hastaların ameliyat sonrası ağrı şiddeti toplam puan ortalaması 7,21±1,28 olarak bulundu. Ağrı şiddeti skoru ameliyat sonrası dönemde analjezik ilaç uygulanmadan hemen önce 7,92±1,36 idi ve 4. saatte 6,34±1,37 olarak belirlendi. Hastaların ortalama ağrı şiddeti puanı ile toplam korku ve alt boyut puan ortalamaları arasında pozitif yönde anlamlı bir ilişki bulundu (r=0,507 p<0,001). Sonuç: Ameliyat öncesi dönemde korku düzeyi yüksek olan hastaların, ameliyat sonrası dönemde daha fazla ağrı yaşadıkları belirlendi. Hemşireler, cerrahi korkunun azaltılmasında hasta bakımında önemli bir yere sahiptir. Bu nedenle cerrahi girişim planlanan hastaların, cerrahi korku düzeylerinin ve nedenlerinin hemşireler tarafından belirlenmesi önerilmektedir.
Anahtar Kelimeler: Ameliyat sonrası ağrı; cerrahi korku; septorinoplasti
Amaç: Bu çalışma, septorinoplasti öncesi cerrahi korku ile ameliyat sonrası ağrı şiddeti arasındaki ilişkinin belirlenmesi amacıyla yürütüldü. Gereç ve Yöntemler: Prospektif, tanımlayıcı türde yapılan bu çalışma, bir üniversite hastanesinin kulak burun boğaz kliniğinde 14 Mart-14 Eylül 2020 tarihleri arasında yürütüldü. Araştırmanın verileri, anket formu, Cerrahi Korku Ölçeği, vizüel analog skala kullanılarak toplandı. Araştırmada veriler tanımlayıcı istatistikler, t-test, ANOVA ve Pearson korelasyon kullanılarak analiz edildi. Bulgular: Çalışmaya 200 hasta katıldı. Hastaların yaş ortalaması 26,12±7,81 idi. Hastaların çoğunluğu kadın ve eğitim düzeyi yüksekti. Hastaların toplam korku puan ortalaması 46,8±23,4, kısa dönem korkular alt boyut puan ortalaması 22,8±12,09, uzun dönem korkular alt boyut puan ortalaması 24,0±12,22 olduğu belirlendi. Hastaların ameliyat sonrası ağrı şiddeti toplam puan ortalaması 7,21±1,28 olarak bulundu. Ağrı şiddeti skoru ameliyat sonrası dönemde analjezik ilaç uygulanmadan hemen önce 7,92±1,36 idi ve 4. saatte 6,34±1,37 olarak belirlendi. Hastaların ortalama ağrı şiddeti puanı ile toplam korku ve alt boyut puan ortalamaları arasında pozitif yönde anlamlı bir ilişki bulundu (r=0,507 p<0,001). Sonuç: Ameliyat öncesi dönemde korku düzeyi yüksek olan hastaların, ameliyat sonrası dönemde daha fazla ağrı yaşadıkları belirlendi. Hemşireler, cerrahi korkunun azaltılmasında hasta bakımında önemli bir yere sahiptir. Bu nedenle cerrahi girişim planlanan hastaların, cerrahi korku düzeylerinin ve nedenlerinin hemşireler tarafından belirlenmesi önerilmektedir.
Anahtar Kelimeler: Ameliyat sonrası ağrı; cerrahi korku; septorinoplasti
ABSTRACT
Objective: This study was conducted to determine the relationship between surgery fear and postoperative pain severity before septorhinoplasty. Material and Methods: This prospective descriptive study was conducted from March 14, to September 14 2020 in patients hospitalized in the otolaryngology of a university hospital. The data of the study were collected with 'Patient Identification Information Form', 'Surgical Fear Questionnaire (SFQ), and Visual Analogue Scale'. Data in the study were analyzed using descriptive statistics, t-test, ANOVA and Pearson correlation. Results: The study included 200 patients. The mean age of the patients was 26,12±7,81 years. The majority of the patients were women and had a high level of education. In the study the mean total SFQ score of patients was 46,8±23,4, the short-term fears subdimension mean was 22,8±12,09, and the long-term fears sub-dimension mean score was 24,0±12,22. The mean total score of postoperative pain severity of the patients was 7.21±1.28. The pain severity was 7.92±1.36 just before the administration of the analgesic drug in the postoperative period, and 6.34±1.37 at the 4th hour. A significant positive correlation was found between the mean pain score and the mean total SFQ and subdimension mean score of the patients (r=0.507 p<0.001). Conclusion: It was determined that septorhinoplasty patients with high levels of fear in the preoperative period experienced more pain in the postoperative period. Therefore nurses have an important place in patient care in reducing surgical fear. It is recommended to determine the surgical fear levels and causes of patients planned to undergo surgical interventions by nurses.
Keywords: Postoperative pain; surgery fear; septorhinoplasty
Objective: This study was conducted to determine the relationship between surgery fear and postoperative pain severity before septorhinoplasty. Material and Methods: This prospective descriptive study was conducted from March 14, to September 14 2020 in patients hospitalized in the otolaryngology of a university hospital. The data of the study were collected with 'Patient Identification Information Form', 'Surgical Fear Questionnaire (SFQ), and Visual Analogue Scale'. Data in the study were analyzed using descriptive statistics, t-test, ANOVA and Pearson correlation. Results: The study included 200 patients. The mean age of the patients was 26,12±7,81 years. The majority of the patients were women and had a high level of education. In the study the mean total SFQ score of patients was 46,8±23,4, the short-term fears subdimension mean was 22,8±12,09, and the long-term fears sub-dimension mean score was 24,0±12,22. The mean total score of postoperative pain severity of the patients was 7.21±1.28. The pain severity was 7.92±1.36 just before the administration of the analgesic drug in the postoperative period, and 6.34±1.37 at the 4th hour. A significant positive correlation was found between the mean pain score and the mean total SFQ and subdimension mean score of the patients (r=0.507 p<0.001). Conclusion: It was determined that septorhinoplasty patients with high levels of fear in the preoperative period experienced more pain in the postoperative period. Therefore nurses have an important place in patient care in reducing surgical fear. It is recommended to determine the surgical fear levels and causes of patients planned to undergo surgical interventions by nurses.
Keywords: Postoperative pain; surgery fear; septorhinoplasty
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