Güliz YAVAŞ, Saliha ABACIOGLU, Tuncay KUSBECİ

BİRİNCİ GÖZ VE İKİNCİ GÖZ KATARAKT CERRAHİSİ PLANLANAN HASTALARDA PREOPERATİF ANKSİYETE DÜZEYİNİN ARAŞTIRILMASI

Giriş: Fakoemülsifikasyon yöntemiyle katarakt cerrahisi uygulanacak hastaların preoperatif anksiyete düzeylerini araştırmak, birinci ve ikinci göz katarakt cerrahisi uygulanacak hastaların preoperatif anksiyete düzeylerini karşılaştırmak. Gereç ve Yöntem: Lokal anestezi ile fakoemülsifikasyon cerrahisi yapılması planlanan 100 katarakt hastası (birinci göz katarakt cerrahisi olacak 50 hasta, ikinci göz katarakt cerrahisi olacak 50 hasta) çalışmaya dahil edildi. Yaşça eşleştirilmiş sağlıklı 100 hasta kontrol grubu olarak alındı. Preoperatif anksiyete düzeyleri Spielberger Durumluk-Süreklilik Anksiyete Envanteri kullanılarak ölçüldü. Bulgular: Çalışma grubunda ortalama durumluk anksiyete skoru 45.56±5.6, kontrol grubunda 43.65±6.3 idi (p=0.02). Birinci göz katarakt cerrahisi grubunda ortalama durumluk anksiyete skoru 47.12±5.0 olup ikinci göz katarakt cerrahisi grubundan (44.00±5.7) yüksekti (p=0.08). Ortalama durumluk anksiyete skoru birinci göz katarakt cerrahisi grubundaki kadın hastalarda, sistemik hastalığı olanlarda ve yalnız yaşayan hastalarda ikinci göz katarakt cerrahisi grubundaki hastalara göre daha yüksekti (p=0.04, hepsi için). Sonuç: Katarakt hastalarında cerrahi öncesinde, yalnızca oftalmolojik muayene olan hastalara göre daha yüksek anksiyete gelişmektedir. Preoperatif anksiyete düzeyi özellikle birinci göz cerrahisi olan hastalarda başlıca cinsiyet, yalnız yaşama ve sistemik hastalık varlığ gibi demografik faktörlerle ilişkilidir.

EVALUATION OF PREOPERATIVE ANXIETY LEVEL IN PATIENTS WITH FIRST AND SECOND EYE CATARACT SURGERY

Introduction: To investigate the preoperative anxiety level of patients undergoing phacoemulsification cataractsurgery and to compare the preopeative anxiety level in patients with first and second eye cataract surgery.Material and Method: One hundred cataract patients undergoing phacoemulsification surgery (50 patients withfirst eye cataract surgery and 50 patients with second cataract surgery) under local anesthesia were included inthe study. Age-matched healthy 100 subjects were included as control group. Preoperative anxiety level wasmeasured by the Spielberger State-Trait Anxiety Inventory.Results: Mean state anxiety score was 45.56±5.6 in study group and 43.65±6.3 in control group (p=0.02). In firsteye cataract surgery group, mean state anxiety score was 47.12±5.0 and higher than in second eye cataractsurgery group (44.00±5.7), (p=0.08). The mean state anxiety scores were higher in female patients, in patientswith systemic diseases, and patients with living alone in first eye cataract surgery group compared to second eyecataract surgery group (p=0.04, for all).Conclusion: Patients with cataract express more anxiety before surgery compared to subjects undergoing onlyophthalmic examination. Preoperative anxiety level may be affected by several demographic features includingsex, living alone or presence of a systemic disease, specially in patients with first eye cataract surgery.

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