Research Article
BibTex RIS Cite

Factors Affecting the Comfort and Anxiety Level of Patients Who Underwent Thoracic Surgery

Year 2018, Volume: 5 Issue: 3, 324 - 332, 14.10.2018
https://doi.org/10.17681/hsp.409359

Abstract

Introduction: Physical and psychosocial problems that may
arise during a post-op period in a patient that underwent surgical intervention
can negatively affect the comfort of the patient and, as a result, may delay
the healing process. The study was planned as descriptive with the aim of
determining the comfort levels of patients that had thoracic surgery, the
relationship between comfort and anxiety and the factors influencing them. Material-Method:
The study consisted of 112 patients who were able to communicate in
Turkish, who were at least primary school graduates, who were not
psychologically treated, who were willing to participate in the study and who
approved the study, among adult patients who were in the thoracic surgery
service between December 2012 and December 2013. Data were collected using the
face-to-face interview method through Individual Characteristics Form, the
Early Postoperative Comfort Scale, the General Comfort Scale, and the
Circumstanced-Continuous Anxiety Scale. Results: 47.3% of the patients
with an average age of 51.71 are primary school graduates. It was found that
59.8% of the patients were smokers, 48.2% were treated with lung cancer
diagnosis, 67% were in single room, 81.3% were satisfied with the room, 81.3%
had previous hospital experience, 69% 6 had been operated before, and 94.6%
were satisfied with the patient admission process. Early postoperative comfort
level was 4.96 ± 0.56 and general comfort level was 2.89 ± 0.32. Circumstanced
anxiety level was 49.05 ± 4.50, and continuous anxiety level was 46.37 ± 4.57. Conclusion:
Early postoperative comfort level and general comfort level of patients
were determined to be above the average. Circumstanced anxiety and continuous
anxiety levels were moderate. There was a negative correlation between comfort
and anxiety, and the factors affecting the anxiety were determined as having
hospital experience, duration of surgical intervention, the experience of a
previous operation, satisfaction with the room, and factors affecting comfort
and anxiety.

References

  • 1. Karanci AN, Dirik G. Predictors of pre- and postoperative anxiety in emergency surgery patients. J Psychosom Res. 2003; 55:363-369.
  • 2. Üstündağ H. Koroner arter bypass greft cerrahisi uygulanan hastaların konfor düzeyi. [The Comfort Level of Patients Who Underwent Coronary Artery Bypass Graft Surgery ]. Marmara Üniversitesi Sağlık Bilimleri Enstitüsü, Doktora Tezi, 2009.
  • 3. Büyükyılmaz FE, Şendir M, Acaroğlu R. Evaluation of night-time pain characteristics and quality of sleep in postoperative Turkish orthopedic patients. Clinical Nursing Research. 2011;20(3):326-42.
  • 4. Atar NY, Kirbiyik E, Kaya N, Kaya H, Turan N, Palloş A, et al. Bir üniversite hastanesinin cerrahi kliniğinde yatan hastaların uyku kalitesi ve uyku durumunu etkileyen faktörler [Patients' sleep quality and factors affecting sleep in surgery clinic of one university hospital]. Turkiye Klinikleri Journal of Nursing. [Turkiye Klinikleri Journal of Nursing]. 2012;4(2):74-84.
  • 5. Cappuccio FP, Cooper D, D'elia L, Strazzullo P, Miller MA. Sleep duration predicts cardiovascular outcomes: a systematic review and meta-analysis of prospective studies. European Heart Journal. 2011;32(12):1484-92.
  • 6. Okanlı A, Özer N, Çevik Akyıl R, Koçkar Ç. Cerrahi kliniklerinde yatan hastaların anksiyete ve depresyon düzeylerinin belirlenmesi [Determining the anxiety and depression levels of the patients hospitalized in surgical clinics]. AÜ Hemşirelik Yüksekokulu Dergisi, 2006;9(4):38-44.
  • 7. Yeğin A, Erdoğan A, Hadimioğlu N. Toraks cerrahisinde ameliyat sonrası analjezi. [Postoperative analgesia for thoracic surgery]. GKD Anest Yoğ Bak Dern Derg. [Turkish Thorac Cardiovasc Surg]. 2005;13(4):418-25.
  • 8. Naithani U, Bajaj P, Bhatnagar N, Prasad C. One year prospective analysis of morbidity and mortality associated with thoracic surgery. Anaesth Pain & Intensive Care. 2011;15(2):86-92.
  • 9. Iyer A, Yadav S. Postoperative care and complications after thoracic surgery. Principles and practice of cardiothoracic surgery: InTech; 2013. Erişim tarihi 10.03.2018 https://www.intechopen.com/books/citations/principles-and-practice-of-cardiothoracic-surgery/postoperative-care-and-complications-after-thoracic-surgery.
  • 10. Yazkan R. Göğüs Cerrahisinde Postoperatif Komplikasyonlar. Journal of Clinical and Analytical Medicine Kitap Serisi, Toraks Travmaları ve Tedavisi. 2010; 1:4;114-127.
  • 11. Kolcaba K. Comfort Theory and Practice A vision for holistik health care and research, Springer Publishing Company, New York, 2003.
  • 12. Pinto S, Caldeira S, Martins JC. Evolutionary analysis of the concept of comfort. Holist Nurs Pract 2017;31(4):243–252.
  • 13. Cohen M, Torres-Vigil I, Burbach BE, Rosa A, Bruera E. The meaning of parenteral hydration to family caregivers and pa-tients with advanced cancer receiving hospice care. J Pain Symptom Manage. 2012;43:855-865.
  • 14. Seyedfatemi N, Rafii F, Rezaei M, Kolkoba K. Comfort and hope in the preanesthesia stage in patients undergoing surgery. Journal of PeriAnesthesia Nursing, 2014; 29 (3): 213-220.
  • 15. Nuraini T, Gayatri D, Rachmawati İ. Comfort assessment of cancer patient in palliative care: A nursing perspective. International Journal of Caring Sciences. 2017;1(10):209-215.
  • 16. Breitbart, W. (2008). Thoughts on the goals of psychosocial palliative care, Palliative Supportive Care. 2008; 6(3), 211–212.
  • 17. Üstündağ H, Eti Aslan F. Perianestezi konfor ölçeğinin Türkçeye uyarlaması [The Turkish adaptation of perianesthesia confort questionnaire]. Turkiye Klinikleri J Nurs Sci. 2010;2(2):94-9.
  • 18. Kolcaba K. Holistik Comfort: Operationalizing the construct as a nurse sensitive outcome, Advances in Nursing Science. 1992;15(1):1-10.
  • 19. Kuğuoğlu S, Karabacak Ü. Genel konfor ölçeğinin Türkçeye uyarlanması [Turkish version of general confort questionaire]. İ.Ü. F. N. Hem. Derg. 2008;16:61, 16-23.
  • 20. Öner N, Le Compte A. Durumluk Sürekli Kaygı Envanteri El Kitabı 2. Baskı İstanbul, Boğaziçi Üniversitesi yayınları, no:333,1985.
  • 21. Gallo LC, Malek MJ, Gilbertson AD, Moore JL. J Behav Med. Perceived cognitive function and emotional distress following coronary artery bypass surgery. J Behav Med. 2005 Oct;28(5):433-42. Epub 2005 Sep 23.
  • 22. Halcomb E, Salamonson, Cook A. Satisfaction and comfort with nursing in Australian general practice. Collegian. 2015;22: 199—205.
  • 23. Apóstolo JLA and Kolcaba K. The effects of guided imagery on comfort, depression, anxiety, and stress of psychiatric inpatients with depressive disorders. Archives of Psychiatric Nursing.2009;23(6): 403–411.
  • 24. Hsiung WT, Chang YC, Yeh ML, Chang YH. Acupressure improves the ostoperative comfort of gastric cancer patients: a randomised controlled trial. Complement Ther Med. 2015;23(3):339-346.
  • 25. Kolcaba K, Fox C. The effects of guided imagery on comfort of women with early stage breast cancer undergoing radiation therapy. Oncol Nurs Forum. 1999;26(1):67-72.
  • 26. Kim K, Kwon S & Pcm B. C. Comfort and quality of life of cancer. Asian Nursing Research 2007; 1(2): 125–135.

Göğüs Cerrahisi Uygulanan Hastaların Konfor ve Anksiyete Düzeyini Etkileyen Faktörler

Year 2018, Volume: 5 Issue: 3, 324 - 332, 14.10.2018
https://doi.org/10.17681/hsp.409359

Abstract

Giriş: Ameliyat sonrası dönemde cerrahi hastasında ortaya
çıkabilen fiziksel ve psiko-sosyal sorunlar hastanın konforunu olumsuz
etkileyerek iyileşme sürecini geciktirebilir. Çalışma göğüs cerrahisi olan
hastaların konfor düzeyleri, konfor ile anksiyete ilişkisi ve etkili faktörleri
belirlemek amacı ile tanımlayıcı olarak planlandı. 
Gereç-Yöntem: Çalışmanın evrenini göğüs cerrahisi servisinde
Aralık 2012-Aralık 2013 tarihleri arasında operasyon sonrası serviste yatan
erişkin hastalardan; Türkçe iletişim kurulabilen, en az ilköğretim mezunu,
psikolojik tedavi görmeyen, çalışmaya katılmaya istekli olup, onay veren 112
hasta oluşturdu. Veriler Bireysel Özellikler Formu, Erken Postoperatif Konfor
Ölçeği, Genel Konfor Ölçeği, Durumluk-Sürekli Anksiyete Ölçeği kullanılarak yüz
yüze görüşme yöntemi ile toplandı.
Bulgular: Yaş ortalaması 51.71, olan
hastaların %47.3’ü ilköğretim mezunu, %59,8’i sigara kullanmakta ve %48.2’sine
akciğer kanseri nedeniyle ameliyat uygulanmıştır. Grubun, %67’sinin tek kişilik
odada kaldığı, %81.3’ünün kaldığı odadan memnun olduğu, %81.3’ünün daha önce
hastane deneyimi olduğu, %69,6’sının daha önce ameliyat olduğu, %94,6’sının
hasta kabul sürecinden memnun olduğu saptandı. Hastaların erken postoperatif
konfor düzeyi 4.96±0.56, genel konfor düzeyi 2.89±0.32 olarak belirlendi.
Durumluk anksiyete düzeyi 49.05±4.50, sürekli anksiyete düzeyi ise 46.37±4.57
bulundu.
Sonuç: Hastaların erken postoperatif
konfor düzeyi ve genel konfor düzeyi ortalamanın üstünde tespit edilirken,
durumluluk anksiyete düzeyi ve süreklilik anksiyete düzeyi orta düzeyde
bulundu.
Konfor ile anksiyete arasında negatif yönde bir ilişki olduğu, daha önce
hastane deneyimi olması, cerrahi girişim süresi, geçirilmiş operasyon
deneyiminin olması, kaldığı odadan memnun olup olmaması konfor ve anksiyeteyi
etkileyen faktörler olarak tespit edildi. 

References

  • 1. Karanci AN, Dirik G. Predictors of pre- and postoperative anxiety in emergency surgery patients. J Psychosom Res. 2003; 55:363-369.
  • 2. Üstündağ H. Koroner arter bypass greft cerrahisi uygulanan hastaların konfor düzeyi. [The Comfort Level of Patients Who Underwent Coronary Artery Bypass Graft Surgery ]. Marmara Üniversitesi Sağlık Bilimleri Enstitüsü, Doktora Tezi, 2009.
  • 3. Büyükyılmaz FE, Şendir M, Acaroğlu R. Evaluation of night-time pain characteristics and quality of sleep in postoperative Turkish orthopedic patients. Clinical Nursing Research. 2011;20(3):326-42.
  • 4. Atar NY, Kirbiyik E, Kaya N, Kaya H, Turan N, Palloş A, et al. Bir üniversite hastanesinin cerrahi kliniğinde yatan hastaların uyku kalitesi ve uyku durumunu etkileyen faktörler [Patients' sleep quality and factors affecting sleep in surgery clinic of one university hospital]. Turkiye Klinikleri Journal of Nursing. [Turkiye Klinikleri Journal of Nursing]. 2012;4(2):74-84.
  • 5. Cappuccio FP, Cooper D, D'elia L, Strazzullo P, Miller MA. Sleep duration predicts cardiovascular outcomes: a systematic review and meta-analysis of prospective studies. European Heart Journal. 2011;32(12):1484-92.
  • 6. Okanlı A, Özer N, Çevik Akyıl R, Koçkar Ç. Cerrahi kliniklerinde yatan hastaların anksiyete ve depresyon düzeylerinin belirlenmesi [Determining the anxiety and depression levels of the patients hospitalized in surgical clinics]. AÜ Hemşirelik Yüksekokulu Dergisi, 2006;9(4):38-44.
  • 7. Yeğin A, Erdoğan A, Hadimioğlu N. Toraks cerrahisinde ameliyat sonrası analjezi. [Postoperative analgesia for thoracic surgery]. GKD Anest Yoğ Bak Dern Derg. [Turkish Thorac Cardiovasc Surg]. 2005;13(4):418-25.
  • 8. Naithani U, Bajaj P, Bhatnagar N, Prasad C. One year prospective analysis of morbidity and mortality associated with thoracic surgery. Anaesth Pain & Intensive Care. 2011;15(2):86-92.
  • 9. Iyer A, Yadav S. Postoperative care and complications after thoracic surgery. Principles and practice of cardiothoracic surgery: InTech; 2013. Erişim tarihi 10.03.2018 https://www.intechopen.com/books/citations/principles-and-practice-of-cardiothoracic-surgery/postoperative-care-and-complications-after-thoracic-surgery.
  • 10. Yazkan R. Göğüs Cerrahisinde Postoperatif Komplikasyonlar. Journal of Clinical and Analytical Medicine Kitap Serisi, Toraks Travmaları ve Tedavisi. 2010; 1:4;114-127.
  • 11. Kolcaba K. Comfort Theory and Practice A vision for holistik health care and research, Springer Publishing Company, New York, 2003.
  • 12. Pinto S, Caldeira S, Martins JC. Evolutionary analysis of the concept of comfort. Holist Nurs Pract 2017;31(4):243–252.
  • 13. Cohen M, Torres-Vigil I, Burbach BE, Rosa A, Bruera E. The meaning of parenteral hydration to family caregivers and pa-tients with advanced cancer receiving hospice care. J Pain Symptom Manage. 2012;43:855-865.
  • 14. Seyedfatemi N, Rafii F, Rezaei M, Kolkoba K. Comfort and hope in the preanesthesia stage in patients undergoing surgery. Journal of PeriAnesthesia Nursing, 2014; 29 (3): 213-220.
  • 15. Nuraini T, Gayatri D, Rachmawati İ. Comfort assessment of cancer patient in palliative care: A nursing perspective. International Journal of Caring Sciences. 2017;1(10):209-215.
  • 16. Breitbart, W. (2008). Thoughts on the goals of psychosocial palliative care, Palliative Supportive Care. 2008; 6(3), 211–212.
  • 17. Üstündağ H, Eti Aslan F. Perianestezi konfor ölçeğinin Türkçeye uyarlaması [The Turkish adaptation of perianesthesia confort questionnaire]. Turkiye Klinikleri J Nurs Sci. 2010;2(2):94-9.
  • 18. Kolcaba K. Holistik Comfort: Operationalizing the construct as a nurse sensitive outcome, Advances in Nursing Science. 1992;15(1):1-10.
  • 19. Kuğuoğlu S, Karabacak Ü. Genel konfor ölçeğinin Türkçeye uyarlanması [Turkish version of general confort questionaire]. İ.Ü. F. N. Hem. Derg. 2008;16:61, 16-23.
  • 20. Öner N, Le Compte A. Durumluk Sürekli Kaygı Envanteri El Kitabı 2. Baskı İstanbul, Boğaziçi Üniversitesi yayınları, no:333,1985.
  • 21. Gallo LC, Malek MJ, Gilbertson AD, Moore JL. J Behav Med. Perceived cognitive function and emotional distress following coronary artery bypass surgery. J Behav Med. 2005 Oct;28(5):433-42. Epub 2005 Sep 23.
  • 22. Halcomb E, Salamonson, Cook A. Satisfaction and comfort with nursing in Australian general practice. Collegian. 2015;22: 199—205.
  • 23. Apóstolo JLA and Kolcaba K. The effects of guided imagery on comfort, depression, anxiety, and stress of psychiatric inpatients with depressive disorders. Archives of Psychiatric Nursing.2009;23(6): 403–411.
  • 24. Hsiung WT, Chang YC, Yeh ML, Chang YH. Acupressure improves the ostoperative comfort of gastric cancer patients: a randomised controlled trial. Complement Ther Med. 2015;23(3):339-346.
  • 25. Kolcaba K, Fox C. The effects of guided imagery on comfort of women with early stage breast cancer undergoing radiation therapy. Oncol Nurs Forum. 1999;26(1):67-72.
  • 26. Kim K, Kwon S & Pcm B. C. Comfort and quality of life of cancer. Asian Nursing Research 2007; 1(2): 125–135.
There are 26 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section RESEARCH ARTICLE
Authors

Besey Ören 0000-0003-4182-7226

Publication Date October 14, 2018
Published in Issue Year 2018 Volume: 5 Issue: 3

Cite

APA Ören, B. (2018). Göğüs Cerrahisi Uygulanan Hastaların Konfor ve Anksiyete Düzeyini Etkileyen Faktörler. Sağlık Bilimleri Ve Meslekleri Dergisi, 5(3), 324-332. https://doi.org/10.17681/hsp.409359
AMA Ören B. Göğüs Cerrahisi Uygulanan Hastaların Konfor ve Anksiyete Düzeyini Etkileyen Faktörler. HSP. October 2018;5(3):324-332. doi:10.17681/hsp.409359
Chicago Ören, Besey. “Göğüs Cerrahisi Uygulanan Hastaların Konfor Ve Anksiyete Düzeyini Etkileyen Faktörler”. Sağlık Bilimleri Ve Meslekleri Dergisi 5, no. 3 (October 2018): 324-32. https://doi.org/10.17681/hsp.409359.
EndNote Ören B (October 1, 2018) Göğüs Cerrahisi Uygulanan Hastaların Konfor ve Anksiyete Düzeyini Etkileyen Faktörler. Sağlık Bilimleri ve Meslekleri Dergisi 5 3 324–332.
IEEE B. Ören, “Göğüs Cerrahisi Uygulanan Hastaların Konfor ve Anksiyete Düzeyini Etkileyen Faktörler”, HSP, vol. 5, no. 3, pp. 324–332, 2018, doi: 10.17681/hsp.409359.
ISNAD Ören, Besey. “Göğüs Cerrahisi Uygulanan Hastaların Konfor Ve Anksiyete Düzeyini Etkileyen Faktörler”. Sağlık Bilimleri ve Meslekleri Dergisi 5/3 (October 2018), 324-332. https://doi.org/10.17681/hsp.409359.
JAMA Ören B. Göğüs Cerrahisi Uygulanan Hastaların Konfor ve Anksiyete Düzeyini Etkileyen Faktörler. HSP. 2018;5:324–332.
MLA Ören, Besey. “Göğüs Cerrahisi Uygulanan Hastaların Konfor Ve Anksiyete Düzeyini Etkileyen Faktörler”. Sağlık Bilimleri Ve Meslekleri Dergisi, vol. 5, no. 3, 2018, pp. 324-32, doi:10.17681/hsp.409359.
Vancouver Ören B. Göğüs Cerrahisi Uygulanan Hastaların Konfor ve Anksiyete Düzeyini Etkileyen Faktörler. HSP. 2018;5(3):324-32.