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Returning to Normal After Earthquake: Anxiety Levels of Surgical Patients

Year 2023, Volume: 6 Issue: 2, 12 - 21, 30.12.2023

Şeyma Yurtseven Hamide Şişman Dudu Alptekin Sevban Arslan

Abstract

Purpose: The aim of this study is to determine the views on the anxiety of patients who continue their lives under psychological pressure due to the effects of heavy stressing large earthquakes and recurrent aftershocks and the examination of the factors affecting it.
Material and Methods: The population of this descriptive and cross-sectional study consisted of patients admitted to the surgical clinics of a university hospital between April and June 2023. The sample of the study consisted of 120 patients who agreed to participate in the study. Research data were collected using the Personal Information Form and the Surgical Anxiety Scale for Adult Patients. In the analysis of the data, besides descriptive statistics, t test and Kruskal Wallis test were used for independent groups.
Results: The mean age of the patients participating in the study was 50.9±14.48 years, and 68.3% of them were male. The mean score of the patients on the Surgical Anxiety Scale was determined as 22.24±10.74. In addition, it was determined that the surgical anxiety experienced by the patients was related to marital status, having children, ASA score, education, delay in the planned surgery date due to the earthquake, and damage to the home/workplace in the earthquake.
Conclusion: It was determined that the patients who were planned for surgery experienced a moderate level of anxiety. In addition, it is seen that the surgical anxiety levels of the patients are affected by the post-earthquake variables.

Keywords

Earthquake surgical patient anxiety nursing

References

  • [1] TRT. The loss of life in the earthquake was 50 thousand 96. Access address: https://www.trthaber.com/haber/gundem/depremde-can-kaybi-50-bin-96-oldu-754477.html. Access date:27.03.2022.
  • [2] Lancet, T. (2023). Responding to the Türkiye–Syria earthquake: What will it take? Lancet (London, England), 401(10376), 525. 10.1016/S0140-6736(23)00319-7.
  • [3] Hussaini, S. J., Ali, S. H., Rahmat, Z. S., Islam, Z., & Tharwani, Z. H. (2022). Mental health impacts of earthquake on Afghans amidst humanitarian crisis. Annals of Medicine and Surgery, 81: 104521. https://doi.org/10.1016/j.amsu.2022.104521.
  • [4] Damar, H. T., Bilik, Ö. (2014). Exploring the Invisible Side of the Iceberg: Compartment Syndrome in Orthopedic Patients and Nursing Approaches. Dokuz Eylul University Faculty of Nursing Electronic Journal, 7(3): 223-229.
  • [5] Kesgin, M. T. (2019). State anxiety levels of patients who will undergo surgical intervention and Affecting Factors. Doctoral Thesis. Marmara University, Istanbul.
  • [6] Engin, E. (2021). Anxiety Disorders and Disorders Associated with Obsessive Compulsive Disorder Trauma and Stressor-Related Disorders. In: Cam O, Engin E (editors). The Art of Psychiatric Nursing Care for Mental Health and Disease, 3rd Edition. Istanbul, Istanbul Medical Bookstores, 242-6.
  • [7] Karaaslan, S. (2021). Anxiety Disorders and Nursing Approach. In: Batmaz M, Gezgin HY (editors). Mental Health and Disease Nursing, 1st Edition. Istanbul, Nobel Medicine Bookstores, 157-64.
  • [8] Şahin, M. (2019). Fear, anxiety, and anxiety disorders. Eurasian Journal of Social and Economic Studies, 6(10): 117-135.
  • [9] Genc, H., Saritas, S. (2020). The effects of lavender oil on the anxiety and vital signs of benign prostatic hyperplasia patients in preoperative period. Explore, 16(2): 116-122. https://doi.org/10.1016/j.explore.2019.07.008.
  • [10] Öztürk, E. (2022)Surgical anxiety of patients who will undergo cardiac surgery in the Covid-19 pandemic and affecting factors. T.R. Master's thesis. Bursa Uludag University Institute of Health Sciences. Bursa.
  • [11] Balkaya, A. N., Karaca, Ü., Yılmaz, C., & Ata, F. (2021). Evaluation of Preoperative Anxiety Levels of Patients to be Performed Elective Surgery in the COVID-19 Pandemic. Journal of Uludag University Faculty of Medicine, 47(2): 233-239. https://doi.org/10.32708/uutfd.913827.
  • [12] Gök, F., & Kabu Hergül, F. (2020). Determination of anxiety and depression levels of patients hospitalized in surgery clinics. Journal of Advanced Studies in Health Sciences, 3(3): 195-206.
  • [13] Mızrak, S., Özdemir, A., & Aslan, R. (2021). Adaptation of hurricane risk perception scale to earthquake risk perception and determining the factors affecting women's earthquake risk perception. Natural Hazards. 109(3):2241-59. https://doi.org/10.1007/s11069-021-04918-z.
  • [14] Kumar, A., Dubey, P. K., & Ranjan ,A. (2019). Assessment of anxiety in surgical patients: an observational study. Anesthesia, Eessays and Researches. 13(3): 503. 10.4103/aer.AER_59_19.
  • [15] Fong, K. N., Law, Y. M., Luo, L., Zhao, Z. E., Chen, H., Ganesan, B., ... & Shum, D. H. (2022). Post-traumatic stress disorder (PTSD) after an earthquake experience: A cross-sectional survey of Wenchuan earthquake victims with physical disabilities 10 years later. International Journal of Disaster Risk Reduction. 80:103225. https://doi.org/10.1016/j.ijdrr.2022.103225.
  • [16] Burton, D., King, A., Bartley, J., Petrie, K. J., & Broadbent, E. (2019). The Surgical Anxiety Questionnaire (SAQ) development and validation. Psychological Health. 34: 129–146. https://doi.org/10.1080/08870446.2018.1502770.
  • [17] Topçu, S. Y., Soydaş, D., Özkan, Z. K., Ünver, S., Orğan, E. M., & Fındık, Ü. Y. (2023). Turkish Validity and Reliability Study of the Surgical Anxiety Questionnaire for Adult Patients. Journal of PeriAnesthesia Nursing. 38(1):127-133. https://doi.org/10.1016/j.jopan.2022.06.014.
  • [18] Şavk, A., Kebapçı, E., & Özcan, S. (2022). Determination of Illness Perception and Anxiety Level in Preoperative Surgery Patients. J Tepecik Educ Res Hosp. 32(1): 85-92. 10.4274/terh.galenos.2021.3410.
  • [19] Kuzminskaitė, V., Kaklauskaitė, J., Petkevičiūtė, J. (2019). Incidence and features of preoperative anxiety in patients undergoing elective non-cardiac surgery. Acta Medica Lituanica. 26(1):93. 10.6001/actamedica.v26i1.3961.
  • [20] Villa, G., Lanini, I., Amass, T., Bocciero, V., Scirè Calabrisotto, C., Chelazzi, C., ... & Lauro Grotto, R. (2020). Effects of psychological interventions on anxiety and pain in patients undergoing major elective abdominal surgery: a systematic review. Perioperative medicine. 9(1): 1-8. https://doi.org/10.1186/s13741-020-00169x.
  • [21] Fındık, Ü. Y., & Yıldızeli Topçu, S. (2012). The Effect of Surgical Intervention on Preoperative Anxiety Level. Hacettepe University Faculty of Health Sciences Nursing Journal. 19(2):22-33.
  • [22] King, A., Bartley, J., Johanson, D. L., & Broadbent, E. (2017). Components of preoperative anxiety: A qualitative study. Journal of Health Psychology. 22:1–12. https://doi.org/10.1177/1359105317709512.
  • [23] Elmastaş, D., & Kuyumcu, M. (2022). Comparison of preoperative anxiety between cesarean section and other elective surgeries in female patients scheduled for elective surgery. Aydin Health Journal. 8(2): 135-152. 10.17932/IAU.ASD.2015.007/asd_v08i2005.
  • [24] Yilmaz, M., Sezer, H., Gürler, H., (2012). Bekar, M. Predictors of preoperative anxiety in surgical inpatients. Journal of Clinical Nursing. 21(7-8): 956-964. https://doi.org/10.1111/j.1365-2702.2011.03799.x.
  • [25] Matthias, A. T., & Samarasekera, D. N. (2012). Preoperative anxiety in surgical patients-experience of a single unit. Acta Anaesthesiol Taiwanica. 50(1): 3–6. https://doi.org/10.1016/j.aat.2012.02.004.
  • [26] Karahan, E., Çelik, S., & Zaman, F. (2020). Causes of Postponed Surgical Interventions and Its Effect on Patient Anxiety Level. Journal of Celal Bayar University Health Sciences Institute. 7(2): 123-129. 0.34087/cbusbed.600917.
  • [27] Şeker, B. D., & Akman, E. (2014). Emotional, cognitive and behavioral responses after the Van earthquake: A police sample analysis. Social Sciences Review of the Faculty of Sciences & Letters University of Uludag/ Journal of Science and Letters Social Sciences. 16(2):215-231. https://doi.org/10.21550/sosbilder.269510.
  • [28] Celik, F., & Edipoglu, I. S. (2018). Evaluation of preoperative anxiety and fear of anesthesia using APAIS score. European Journal of Medical Research. 23(1): 1-10. https://doi.org/10.1186/s40001-018-0339-4.
  • [29] Alattas, S. A., Smith, T., Bhatti, M., Wilson-Nunn, D., & Donell, S. (2017). Greater pre-operative anxiety, pain and poorer function predict a worse outcome of a total knee arthroplasty. Knee Surgery, Sports Traumatology, Arthroscopy. 25: 3403-3410. https://doi.org/10.1007/s00167-016-4314-8.

DEPREM SONRASI NORMALE DÖNÜŞ: CERRAHİ HASTALARININ KAYGI DÜZEYLERİ

Year 2023, Volume: 6 Issue: 2, 12 - 21, 30.12.2023

Şeyma Yurtseven Hamide Şişman Dudu Alptekin Sevban Arslan

Abstract

Amaç: Bu çalışmanın amacı ağır stres verici büyük depremlerin ve tekrarlayan artçı şokların etkisi ile psikolojik baskı altında yaşamına devam eden ve cerrahi geçirecek hastaların kaygısını ve bunu etkileyen faktörlerin incelenmesi ile ilişkin görüşleri belirlemektir.
Gereç ve Yöntemler: Tanımlayıcı ve kesitsel türde olan bu araştırmanın evrenini, Nisan-Haziran 2023 tarihleri arasında bir üniversite hastanesinin cerrahi kliniklerine yatışı yapılan hastalar oluşturmuştur. Araştırmanın örneklemini ise araştırmaya katılmayı kabul eden 120 hasta oluşturmuştur. Araştırma verileri Kişisel Bilgi Formu ve Yetişkin Hastalar için Cerrahi Kaygı Ölçeği kullanılarak toplanmıştır. Verilerin analizinde tanımlayıcı istatistiklerin yanı sıra, bağımsız gruplarda t testi, Kruskal Wallis testi kullanılmıştır.
Bulgular: Çalışmaya katılan hastaların yaş ortalamasının 50,9±14,48, %68,3’unun erkek olduğu saptanmıştır. Hastaların Cerrahi Kaygı Ölçeği toplam puan ortalaması 22,24±10,74 olarak belirlenmiştir. Ayrıca hastaların yaşadıkları cerrahi kaygının medeni durum, çocuk sahibi olma, ASA skoru, eğitim, depremden dolayı planlanan ameliyat tarihinde gecikme ve depremde ev/işyerinin hasar alması ile ilişkili olduğu saptanmıştır (p<0,05).
Sonuç: Cerrahi planlanan hastaların orta düzeye yakın kaygı yaşadıkları belirlenmiştir. Ayrıca hastaların cerrahi kaygı düzeylerinin deprem sonrası değişkenlerden etkilendiği görülmektedir. Bu kapsamda cerrahi kliniklerde çalışan hemşirelerin ameliyat öncesi dönemde ameliyat sonrası iyileşmeyi etkileyebilecek olan kaygıyı rutin olarak değerlendirmesi ve kişiye özgü bakımı planlaması önerilmektedir.

Keywords

Deprem cerrahi hastası kaygı hemşirelik

References

  • [1] TRT. The loss of life in the earthquake was 50 thousand 96. Access address: https://www.trthaber.com/haber/gundem/depremde-can-kaybi-50-bin-96-oldu-754477.html. Access date:27.03.2022.
  • [2] Lancet, T. (2023). Responding to the Türkiye–Syria earthquake: What will it take? Lancet (London, England), 401(10376), 525. 10.1016/S0140-6736(23)00319-7.
  • [3] Hussaini, S. J., Ali, S. H., Rahmat, Z. S., Islam, Z., & Tharwani, Z. H. (2022). Mental health impacts of earthquake on Afghans amidst humanitarian crisis. Annals of Medicine and Surgery, 81: 104521. https://doi.org/10.1016/j.amsu.2022.104521.
  • [4] Damar, H. T., Bilik, Ö. (2014). Exploring the Invisible Side of the Iceberg: Compartment Syndrome in Orthopedic Patients and Nursing Approaches. Dokuz Eylul University Faculty of Nursing Electronic Journal, 7(3): 223-229.
  • [5] Kesgin, M. T. (2019). State anxiety levels of patients who will undergo surgical intervention and Affecting Factors. Doctoral Thesis. Marmara University, Istanbul.
  • [6] Engin, E. (2021). Anxiety Disorders and Disorders Associated with Obsessive Compulsive Disorder Trauma and Stressor-Related Disorders. In: Cam O, Engin E (editors). The Art of Psychiatric Nursing Care for Mental Health and Disease, 3rd Edition. Istanbul, Istanbul Medical Bookstores, 242-6.
  • [7] Karaaslan, S. (2021). Anxiety Disorders and Nursing Approach. In: Batmaz M, Gezgin HY (editors). Mental Health and Disease Nursing, 1st Edition. Istanbul, Nobel Medicine Bookstores, 157-64.
  • [8] Şahin, M. (2019). Fear, anxiety, and anxiety disorders. Eurasian Journal of Social and Economic Studies, 6(10): 117-135.
  • [9] Genc, H., Saritas, S. (2020). The effects of lavender oil on the anxiety and vital signs of benign prostatic hyperplasia patients in preoperative period. Explore, 16(2): 116-122. https://doi.org/10.1016/j.explore.2019.07.008.
  • [10] Öztürk, E. (2022)Surgical anxiety of patients who will undergo cardiac surgery in the Covid-19 pandemic and affecting factors. T.R. Master's thesis. Bursa Uludag University Institute of Health Sciences. Bursa.
  • [11] Balkaya, A. N., Karaca, Ü., Yılmaz, C., & Ata, F. (2021). Evaluation of Preoperative Anxiety Levels of Patients to be Performed Elective Surgery in the COVID-19 Pandemic. Journal of Uludag University Faculty of Medicine, 47(2): 233-239. https://doi.org/10.32708/uutfd.913827.
  • [12] Gök, F., & Kabu Hergül, F. (2020). Determination of anxiety and depression levels of patients hospitalized in surgery clinics. Journal of Advanced Studies in Health Sciences, 3(3): 195-206.
  • [13] Mızrak, S., Özdemir, A., & Aslan, R. (2021). Adaptation of hurricane risk perception scale to earthquake risk perception and determining the factors affecting women's earthquake risk perception. Natural Hazards. 109(3):2241-59. https://doi.org/10.1007/s11069-021-04918-z.
  • [14] Kumar, A., Dubey, P. K., & Ranjan ,A. (2019). Assessment of anxiety in surgical patients: an observational study. Anesthesia, Eessays and Researches. 13(3): 503. 10.4103/aer.AER_59_19.
  • [15] Fong, K. N., Law, Y. M., Luo, L., Zhao, Z. E., Chen, H., Ganesan, B., ... & Shum, D. H. (2022). Post-traumatic stress disorder (PTSD) after an earthquake experience: A cross-sectional survey of Wenchuan earthquake victims with physical disabilities 10 years later. International Journal of Disaster Risk Reduction. 80:103225. https://doi.org/10.1016/j.ijdrr.2022.103225.
  • [16] Burton, D., King, A., Bartley, J., Petrie, K. J., & Broadbent, E. (2019). The Surgical Anxiety Questionnaire (SAQ) development and validation. Psychological Health. 34: 129–146. https://doi.org/10.1080/08870446.2018.1502770.
  • [17] Topçu, S. Y., Soydaş, D., Özkan, Z. K., Ünver, S., Orğan, E. M., & Fındık, Ü. Y. (2023). Turkish Validity and Reliability Study of the Surgical Anxiety Questionnaire for Adult Patients. Journal of PeriAnesthesia Nursing. 38(1):127-133. https://doi.org/10.1016/j.jopan.2022.06.014.
  • [18] Şavk, A., Kebapçı, E., & Özcan, S. (2022). Determination of Illness Perception and Anxiety Level in Preoperative Surgery Patients. J Tepecik Educ Res Hosp. 32(1): 85-92. 10.4274/terh.galenos.2021.3410.
  • [19] Kuzminskaitė, V., Kaklauskaitė, J., Petkevičiūtė, J. (2019). Incidence and features of preoperative anxiety in patients undergoing elective non-cardiac surgery. Acta Medica Lituanica. 26(1):93. 10.6001/actamedica.v26i1.3961.
  • [20] Villa, G., Lanini, I., Amass, T., Bocciero, V., Scirè Calabrisotto, C., Chelazzi, C., ... & Lauro Grotto, R. (2020). Effects of psychological interventions on anxiety and pain in patients undergoing major elective abdominal surgery: a systematic review. Perioperative medicine. 9(1): 1-8. https://doi.org/10.1186/s13741-020-00169x.
  • [21] Fındık, Ü. Y., & Yıldızeli Topçu, S. (2012). The Effect of Surgical Intervention on Preoperative Anxiety Level. Hacettepe University Faculty of Health Sciences Nursing Journal. 19(2):22-33.
  • [22] King, A., Bartley, J., Johanson, D. L., & Broadbent, E. (2017). Components of preoperative anxiety: A qualitative study. Journal of Health Psychology. 22:1–12. https://doi.org/10.1177/1359105317709512.
  • [23] Elmastaş, D., & Kuyumcu, M. (2022). Comparison of preoperative anxiety between cesarean section and other elective surgeries in female patients scheduled for elective surgery. Aydin Health Journal. 8(2): 135-152. 10.17932/IAU.ASD.2015.007/asd_v08i2005.
  • [24] Yilmaz, M., Sezer, H., Gürler, H., (2012). Bekar, M. Predictors of preoperative anxiety in surgical inpatients. Journal of Clinical Nursing. 21(7-8): 956-964. https://doi.org/10.1111/j.1365-2702.2011.03799.x.
  • [25] Matthias, A. T., & Samarasekera, D. N. (2012). Preoperative anxiety in surgical patients-experience of a single unit. Acta Anaesthesiol Taiwanica. 50(1): 3–6. https://doi.org/10.1016/j.aat.2012.02.004.
  • [26] Karahan, E., Çelik, S., & Zaman, F. (2020). Causes of Postponed Surgical Interventions and Its Effect on Patient Anxiety Level. Journal of Celal Bayar University Health Sciences Institute. 7(2): 123-129. 0.34087/cbusbed.600917.
  • [27] Şeker, B. D., & Akman, E. (2014). Emotional, cognitive and behavioral responses after the Van earthquake: A police sample analysis. Social Sciences Review of the Faculty of Sciences & Letters University of Uludag/ Journal of Science and Letters Social Sciences. 16(2):215-231. https://doi.org/10.21550/sosbilder.269510.
  • [28] Celik, F., & Edipoglu, I. S. (2018). Evaluation of preoperative anxiety and fear of anesthesia using APAIS score. European Journal of Medical Research. 23(1): 1-10. https://doi.org/10.1186/s40001-018-0339-4.
  • [29] Alattas, S. A., Smith, T., Bhatti, M., Wilson-Nunn, D., & Donell, S. (2017). Greater pre-operative anxiety, pain and poorer function predict a worse outcome of a total knee arthroplasty. Knee Surgery, Sports Traumatology, Arthroscopy. 25: 3403-3410. https://doi.org/10.1007/s00167-016-4314-8.
There are 29 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Şeyma Yurtseven 0000-0003-2378-682X

Hamide Şişman 0000-0001-6867-9054

Dudu Alptekin 0000-0003-2612-7379

Sevban Arslan 0000-0002-8893-9391

Early Pub Date December 29, 2023
Publication Date December 30, 2023
Submission Date October 11, 2023
Acceptance Date November 25, 2023
Published in Issue Year 2023 Volume: 6 Issue: 2

Cite

APA Yurtseven, Ş., Şişman, H., Alptekin, D., Arslan, S. (2023). Returning to Normal After Earthquake: Anxiety Levels of Surgical Patients. Uluborlu Mesleki Bilimler Dergisi, 6(2), 12-21.
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Uluborlu Journal of Vocational Sciences