Fatma DUMANDAĞ, Selmin KÖSE, Güzide DOĞAN

Özofagogastroduodenoskopi Uygulanan Adolesanlarda İşlem Öncesi Eğitim Uyum ve Kaygı Düzeylerini Nasıl Etkiler?

Amaç: Bu araştırma üst gastrointestinal sistem endoskopisi yapılacak ergenlere işlem öncesi verilen eğitimin, işleme uyumu ve anksiyete düzeyi üzerine etkisini belirlemek amacıyla yarı deneysel randomize kontrollü olarak gerçekleştirildi. Yöntem: Araştırma verileri, Eylül 2018-Şubat 2019 tarihleri arasında ilk kez gastroskopi işlemi yapılacak, 14-17 yaş aralığında 60 ergenle gerçekleştirildi. Ergenler, microsoft excel programı ile hazırlanan bir randomizasyon kontrol listesi kullanılarak 2 gruba ayrıldı. İşlem öncesi özofagogastroduodenoskopi konusunda eğitim alan grup hasta grubunu ve eğitim verilmeyen grup ise kontrol grubunu oluşturdu. İşlemden önce ‘Demografik veri formu’ ‘Durumluk Sürekli Kaygı Envanteri’ formları, işlemden sonra ‘Hasta Uygunluk Değerlendirme Formu’ dolduruldu. Bulgular: Araştırmaya katılanların yaş ortalamasının 15,40±1,14 yıl olduğu (min:14; maks:17), %66,7’sinin (n=40) kadın olduğu, %61,7’sinin (n=37) lise öğrencisi olduğu saptandı. Araştırmaya katılan ergenlerin %46,6’sı (n=28) endoskopi işlemi öncesi anksiyete yaşadıkları ve anksiyete sebebinin ise en çok bilgi eksikliği nedeniyle olduğu belirlendi. Kontrol grubunun durumluk kaygı düzeyleri, hasta grubundan istatistiksel olarak anlamlı düzeyde yüksek saptandı. Hasta grubundaki ergenlerin kontrol grubundaki ergenlere göre işleme daha iyi uyum sağladıkları ve işleme iyi uyum sağlayan ergenlerin durumluk kaygı puan ortalamalarının daha düşük olduğu belirlendi. Sürekli kaygı düzeyleri değerlendirildiğinde gruplar arasında istatistiksel olarak anlamlı bir farklılık saptanmadı. Sonuç: Hastalara işlem öncesi verilen eğitim, kaygı düzeyini azaltmada ve hastaların işleme uyumunu kolaylaştırmada etkili olmaktadır.

Anahtar Kelimeler:

eğitim, endoskopi, anksiyete, ergen, uyum

How Does Pre-Procedure Training Affect Adaptation and Anxiety Levels in Adolescents Undergoing Esophagogastroduodenoscopy?

Objective: This quasi-experimental randomised control study was conducted with the aim of determining the effect of pre-procedural training on adaptation and anxiety levels of adolescents undergoing esophagogastroduodenoscopy. Methods: The study was carried out with 60 adolescents aged 14-17 undergoing their first esophagogastroduodenoscopy between September 2018 and February 2019. The adolescents were divided into 2 groups by using a randomisation control list, which had been prepared with the microsoft excel program. Before the procedure, the group that was trained about esophagogastroduodenoscopy constituted the patient group and the untrained group was the control group. A demographic data form and the State-Trait Anxiety Inventory were completed before the procedure and a patient compliance assessment form was filled out after the procedure. Results: The mean age of the participants was 15,40±1,14 years (min: 14; max: 17), 66,7% (n=40) were female, and 61,7% (n=37) were high school students. It was determined that 46,6% (n=28) of the adolescents had anxiety before endoscopy and this was mostly due to lack of information. The state anxiety levels of the control group were significantly higher. It was determined that the adolescents in the patient group adapted to the procedure better than the adolescents in the control group, and the state anxiety point averages of adolescents who adapted well to the procedure were lower. There was no statistically significant difference between the groups when trait anxiety levels were evaluated. Conclusion: Training before esophagogastroduodenoscopy is effective in reducing anxiety and facilitating adolescents’ compliance with the procedure.

Keywords:

Education, endoscopy, anxiety, adolescent, compliance,

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