Arzu MUZ, İsmail ERDEN AYDIN, Banu AYHAN, Şennur UZUN

GERİATRİK HASTALARIN ANESTEZİ İLE İLGİLİ BİLGİ DÜZEYİ, ANESTEZİ HAKKINDA BİLMEK İSTEDİKLERİ VE ANESTEZİYE BAĞLI KAYGILARI

Amaç: Bu çalışmanın amacı geriatrik hastaların anestezistlerin rolü ile ilgili farkındalıklarını, anestezi ile ilgili merak ve kaygılarını araştırmaktır. Yöntem: Etik kurul onayı alındıktan sonra ameliyat olacak 18-64 yaş arası (Grup I) 100 hasta ile 65 yaş ve üzeri (grup II) 100 hastaya anket uygulanmıştır. Geriatrik hastalar geriatrik olmayan erişkin hastalarla karşılaştırılmıştır. Bulgular: Çalışmaya göre; her iki hasta grubunda anestezistlerin rollerinin, anesteziyi anestezistin verdiğinin ve anestezistlerin hekim olduğu f arkındalığı yüksektir. Geriatrik hastaların içinde anestezisti ile preoperatif tanışanların ve anestezistlerin önerdiği f arklı bir anestezi yöntemini kabul edenlerin oranı daha yüksektir. Geriatrik hastalar en çok anestezinin ciddi ve hayatı tehdit eden yan etkilerini merak etmektedir. Geriatrik hastaların en çok endişe duydukları konu ise anestezi sonrası f elç olmaktır. Daha önce anestezi tecrübesi olan yaşlı hastalar ameliyat sonrası ağrı duymaktan korkmaktadır. Sonuç: Hastaları anestezi konusunda bilgilendirip , merak ve endişelerini gidermenin, anestezistlerin rolleri ile ilgili farkındalıklarını anlatmanın önemli yollarından biri preoperatif vizitlerdir. Preoperatif vizitlerde hastalara daha f azla zaman ayrılması ve onların beklentilerine önem verilmesi gerektiği sonucuna varıldı.

GERIATRIC PATIENTS KNOWLEDGE, DESIRE FOR INFORMATION AND CONCERNS REGARDING ANESTHESIA

Objective: The aim of this study is to search perception of geriatric population about the role of anesthesiologist, desire f or inf ormation and concerns of geriatric patients about anesthesia. Method: Af ter gaining ethics approval,100 patients between the ages of 18-64 (Group I), 100 patients 65 years old and ower (Group II) answered questionnarie f orms bef ore the operation. Geriatric patients were compared with non geriatric adult patients. Results: Both groups have a high level of inf ormation about the role of anesthesiologists, the f acts that anesthesia is given by anesthesiologist and anesthesiologists are physician. Geriatric patients meet their anesthesiologist bef ore the operation more than other group and also geriatric patients are more open to accept diff erent types of anesthesia suggested by their anesthesiologists. Geriatric patients mostly want to know about the serious and life threatining side eff ects of anesthesia. Geriatric patients mostly worry about the risk of permanent paralyses af ter anesthesia. Geriatric patients who have previous anesthesia experience are worried about pain af ter surgery. Conclusion: An important way of inf orming patients about anesthesia, reducing worries and anxiety of patients is preoperative visits. The result is that more time is needed to be allocated to the patients during preoperative visits and considering their expectations is very important.

___

1. Anderson EA. Preoperative preparation for cardiac surgery facilitates recovery, reduces psychological distress, and reduces the incidence of acute postoperative hypertension. Journal of consulting and clinical psychology 1987; 55: 513-520.
2. Calman LM, Mihalache A, Evron S, Ezri T. Current understanding of the patient's attitude toward the anesthetist's role and practice in Israel: effect of the patient's experience. Journal of clinical anesthesia 2003; 15: 451-454.
3. Eckersall S and Riley R. Patient's pre-operative knowledge and concerns about anaesthesia. Anaesthesia 1995; 50: 180-180.
4. Shevde K, Trivedi N, Gross M. Effects of clear liquids on gastric volume and pH in healthy volunteers. Anesthesia and analgesia 1991;72: 528-531.
5. Bugge K, Bertelsen F, Bendtsen A. Patients' desire for information about anaesthesia: Danish attitudes. Acta anaesthesiologica Scandinavica 1998;42: 91-96.
6. Sounders JE, Rooke GA. Preoperative Care for Geriatric Patients. Annals of Long-term Care. Clinical Care and Aging 2005; 13: 17-29.
7. Swinhoe CF, Groves ER. Patients' knowledge of anaesthetic practice and the role of anaesthetists. Anaesthesia 1994; 49: 165-166.
8. Shevde K, Panagopoulos G. A survey of 800 patients' knowledge, attitudes, and concerns regarding anesthesia. Anesthesia and analgesia 1991; 73: 190-198.
9. Hariharan S, Merritt-Charles L, Chen D. Patient perception of the role of anesthesiologists: a perspective from the Caribbean. Journal of clinical anesthesia 2006; 18: 504-509.
10. Keep PJ, Jenkins JR. As others see us. The patient's view of the anaesthetist. Anaesthesia 1978; 33: 43-45.
11. Jathar D, Shinde VS, Patel RD, Naik LD. A Study of Patients' Perception About Knowledge of Anesthesia and Anaesthesiologist. Indian Journal of Anesthesiology 2002; 46: 26-30.
12. Hume MA, Kennedy B, Asbury AJ. Patient knowledge of anaesthesia and peri-operative care. Anaesthesia 1994; 49: 715-718.
13. Lonsdale M, Hutchison GL.Patients' desire for information about anesthesia (Scottish and Canadian attitudes). Anaesthesia 1991; 46: 410-412.
14. Farnill D, Inglis S. Patients' desire for information about anaesthesia: Australian attitudes. Anaesthesia 1994; 49: 162-164.