Hamid Cİvan TİRYAKİ, Ruslan ADULLAYEV, Nevzat Mehmet MUTLU, Ömer Burak KÜÇÜKEBE, İhsan Tuncer OKAY, Bayazıt DİKMEN

CAN PREOPERATIVE MULTIMEDIA INFORMATION PROVISION DECREASE PERIOPERATIVE PATIENT ANXIETY DURING REGIONAL ANESTHESIA? A RONDOMIZED CONTROLLED TRIAL

Amaç: Preoperatif bilgilendirme sağlanması hastanın ameliyat sırasındaki anksiyetesini azaltmak için en uygun yöntemdir. Bu çalışmada, spinal anestezi altında opere edilecek olan hastalara, önceden kaydedilmiş spinal anestezi videosu izletmenin perioperatif anksiyete üzerine etkisi araştırıldı. Yöntem: Spinal anestezi altında inguinal herni operasyonu geçirecek olan 100 hasta çalışma (Grup I, n=50) ve kontrol (Grup II, n=50) gruplarına ayrıldı. Çalışma grubuna önceden kaydedilmiş spinal anestezi işlemini gösteren video izletildi. Hastaların anksiyete düzeyleri Vizüel Analog Skala (VAS), Hastane Anksiyete Depresyon Skalası (HAD) ve Durum Kaygı Anksiyete Envanteri (DKAE) ile incelendi. Bulgular: Ameliyat sabahı DKAE Anksiyete skoru Grup Ide daha düşüktü, (p =0.007). Eğitim seviyesi ile preoperatif HAD Anksiyete skorları arasında pozitif (r=0.256, p =0.010), yine eğitim seviyesi ile postoperatif DKAE Anksiyete skorları arasında ise negatif (r=0.256, p =0.008) korelasyon vardı. Preoperatif VAS skorları ile HAD Anksiyete (r=0.386, p =0.001) ve DKAE Anksiyete (r=0.300, p =0.002) skorları arasında anlamlı pozitif korelasyon saptandı. Sonuç: Spinal anestezi altında opere edilecek hastaların preoperatif multimedya bilgilendirmesinin perioperatif anksiyete seviyelerine olumlu etkileri mevcuttur

PREOPERATİF MULTİMEDYA BİLGİLENDİRMESİ REJYONEL ANESTEZİ SIRASINDA PERİOPERATİF HASTA ANKSİYETESİNİ AZALTIR MI? RANDOMİZE KONTROLLÜ ÇALIŞMA

Obj ective: Preoperative inf ormation provision is the most eff ective approach f or alleviating the patients anxiety during the operation. In this study, we aimed to investigate the eff ect of showing pre-recorded spinal anesthesia procedure video on perioperative anxiety of the patients undergoing surgery under spinal anesthesia. Method: A total of 100 patients undergoing inguinal hernia operation under spinal anesthesia were allocated into study (Group I, n=50) and control (Group II, n=50) groups. The study group watched an inf ormative pre-recorded short f ilm depicting the (HAD) anesthesia procedure. Patient anxiety levels were assessed via Visual Analogue Scale (VAS), Hospital Anxiety Depression Scale (HADS) and State Trait Anxiety Inventory (STAI). Results: In the morning of the operation STAI Anxiety score was lower in the Group I, (p =0.007). There was positive correlation between the education level and the preoperative HAD Anxiety scores of the patients (r=0.256, p =0.010), whereas the education levels and the postoperative STAI Anxiety scores were negatively correlated (r=0.256, p =0.008). Signif icantly positive correlation was determined between preoperative VAS scores and HAD Anxiety (r=0.386, p =0.001), as well as STAI Anxiety scores (r=0.300, p =0.002). Conclusion: Preoperative multimedia inf ormation of the patients scheduled f or the operation under spinal anesthesia had f avorable eff ects on perioperative anxiety levels.

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