Anafilaksili Erişkin Hastaların ve Ergen Hastaların Ebeveynlerinin Kaygı Düzeylerinin Değerlendirilmesi

Amaç: Anafilaksi, ciddi sistemik semptomlarla seyredebilen ve yaşamı tehdit eden solunum yetmezliği ve kardiyovasküler şokun eşlik edebileceği ani başlangıçlı bir durumdur. Travmatik bir olaya maruz kalma, hastaların ve ebeveynlerin aynı olayı tekrar yaşamaktan korkmasına neden olabilir, bu nedenle risk faktörlerinden kaçınmaya çalışırlar. Erişkin hastalarda ve anafilaksi tanısı konan genç erişkin (ergen) hastaların ebeveynlerinde anksiyete ve stres düzeylerinin belirlenmesi ve sağlıklı kontrollerle karşılaştırılması amaçlandı. Materyal ve metod: Anket tipi bir çalışma yapılmıştır. Kontrol grubu (grup 1), anafilaksi tanısı almış erişkin hastalar (grup 2) ve anafilaksi tanısı almış ergenlerin (grup 3) ebeveynleri (anne veya baba) çalışmaya dahil edildi. Katılımcıların kaygı düzeyleri Durumluk-Sürekli Kaygı Envanteri (STAI) ile değerlendirildi. Bulgular: Çalışmaya toplam 163 katılımcı dahil edildi. Yetmiş bir katılımcı kontrol grubunda, kırk dördü grup 2'de, otuz sekizi grup 3'te idi. Grup 2 ve grup 3 STAI-T ve STAI-S puanları kontrollerden anlamlı olarak yüksekti. STAI-T skorları (p=0.8) ve STAI-S skorları (p=0.74) açısından 2. ve 3. gruplar arasında fark bulunmadı. Gruplar arasındaki STAI-S ve STAI-T puanlarındaki fark, bağımsız faktörlerden etkilenmedi. Sonuç: Anafilaksi teşhisi konan yetişkin hastalar ve genç erişkinlerin ebeveynleri normal sağlıklı popülasyondan daha endişelidir. Anksiyete ve anafilaktik durumlar sıklıkla eşlik etmektedir. Anafilaksili erişkin hastalarda ve ebeveynlerinde psikososyal değerlendirme ilk adım olmalıdır. Hekimler anksiyetenin yol açabileceği zararları önlemelidir. Bu amaçla eğitim programları, tarama programları, hasta katılımlı destek eğitimleri düzenlenmelidir.

Anahtar Kelimeler:

Anafilaksi, kaygı, yetişkinler, ebeveynler., Anaphylaxis, anxiety, adults, parents

Evaluation Anxiety Levels of Adult Patients and Parents of Adolescent Patients With Anaphylaxis

Background: Anaphylaxis is a sudden onset condition that may progress with severe systemic symptoms and may be accompanied by life-threatening respiratory failure and cardiovascular shock. Exposure to a traumatic event may cause patients and their parents to fear reliving the same event, so they try to avoid risk factors. It was aimed to determine the anxiety and stress levels in adult patients and in parents of adolescent patients diagnosed with anaphylaxis and to compare them with healthy controls. Materials and Methods: A questionnaire-type study was conducted. Control group (group 1), adult pa-tients diagnosed with anaphylaxis (group 2), and parents (a mother or father) of adolescent diagnosed with anaphylaxis (group 3) were included in the study. The anxiety levels of participants were evaluated by State-Trait Anxiety Inventory (STAI).Results: A total of 163 participants were included in the study. Seventy-one participants were in the con-trol group, forty-four were in group 2, thirty-eight were in group 3. STAI-T and STAI-S scores of groups 2 and 3 were significantly higher than controls. No difference was found between groups 2 and 3 for STAI-T scores (p=0.8) and STAI-S scores (p=0.74). Conclusions: Adult patients diagnosed with anaphylaxis and parents of adolescents are more anxious than the normal healthy population. Anxiety and anaphylactic conditions are often comorbid. Psychosocial assessment should be the first step in adult patients with anaphylaxis and their parents. Physicians should prevent the harm that anxiety may cause. For this purpose, education programs, screening programs, support trainings with patient participation should be organized.

Keywords:

Anaphylaxis, anxiety, adults, parents,

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