Ali AHISKALIOLU, AHMET MURAT YAYIK, ÖZLEM DİLARA AYDIN, MİNE ÇELİK, İrfan HIDIROLU, Agah Abdullah KAHRAMANLAR, Hüsnü KÜRFİAD

GENEL ANESTEZİ UYGULANAN HASTALARDA PREOPERATİF VİDEO BİLGİLENDİRİLMESİNİN PERİOPERATİF ANKSİYETE ÜZERİNE ETKİLERİ

Amaç: Ameliyata girecek hastaların çoğunda önemli derecelerde anksiyete bulunmaktadır. Video aracılı hasta bilgilendirmesinin preoperatifanksiyete üzerine etkisi ile ilgili çalışmalar sınırlı düzeydedir. Bu çalışmanın amacı video aracılı preoperatif bilgilendirmenin perioperatifanksiyete üzerine etkisini State-Trait Anxiety Inventory (STAI) ve Visual Analog Skala (VAS) skorlarını kullanarak değerlendirmektir. Yöntem: Elektif cerrahi geçirecek olan, 18-70 yaş arası, ASA I-II genel anestezi uygulanacak 100 hasta randomize edilerek kontrolgrubu (n=50) ve video grubu (n=50) olarak iki gruba ayrıldı. STAI ve VAS değerlendirmesi her iki grup için preanestezik değerlendirmeöncesi yapılarak bazal değerler alındı. Video grubu filmi izledikten sonra kontrol grubu ise filmi izlemeden preanestezik değerlendirmeyapıldı. Hastalar operasyondan 1 saat önce tekrar STAI ve VAS skorlarıyla değerlendirildi. Video grubuna izletilen film, Atatürk Üniversitesiİletişim Fakültesi ve Tıp Fakültesi Anesteziyoloji ve Reanimasyon Anabilim dalı tarafından ortaklaşa hazırlandı. Bulgular: Gruplar arasında demografik veriler arasında fark yoktu. Kontrol grubu ile video grubu arasında bazal STAI ve VAS skorlarıbakımından istatistiksel olarak fark yoktu. Operasyon günü preoperatif bir saat önce yapılan STAI değerlendirmesinde kontrol grubu ilevideo grubu arasında istatiksel olarak anlamlı fark vardı (47.20 ± 9.06 vs 39.34 ± 9.72, p

THE EFFECT OF PREOPERATIVE VIDEO BRIEFING TO PERIOPERATIVE ANXIETY IN PATIENTS UNDER GENERAL ANESTHESIA

Objective: Most of the patients have serious anxiety before operation. There are limited studies which show the effect of preoperativevideo briefing for perioperative anxiety. The aim of this study is to show the effect of preoperative video briefing for perioperative anxietyby using State-Trait Anxiety Inventory (STAI) and Visual Analog Scale (VAS) scores. Method: 100 patients, between ages 18-70, ASA I-II who were going to go through elective operations under general anesthesia,were randomized and separated into two groups as control group (n=50) and video group (n=50). Before the pre-anesthetic evaluation, STAIand VAS evaluations were done for both groups and basal values were recorded. Video group watched the film but control group did notwatch the film. After that pre-anesthetic evaluation is done for both of the groups. One hour before the operations, STAI and VAS scores ofpatients were evaluated again. The film which was shown to video group was coproduced by Ataturk University Communication Facultyand Medicine Faculty Anesthesiology and Reanimation Department. Results: There was no difference between demographic values of the groups. There was no statistical difference on basal STAI andVAS scores of video and control groups (p>0.05). There was a statistically significant difference between the control group (47.20±9.06)and video group (39.34±9.72) in the STAI evaluations which is done one hour before the operations (p<0.001). There was a statisticallysignificant difference between the control group (4.60±2.96) and video group (3.20±2.14) in the VAS evaluations which is done one hourbefore the operations (p=0.01). Conclusion: Preoperative video briefing decreases the anxiety in the patients under general anesthesia and can be a routine inpreanesthetic evaluation.

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