A multi-centric prospective study: Anxiety and associated factors among parents of children undergoing mild surgery in ENT

Amaç: Çalışmamızın amacı çok merkezli cerrahi ünitelerde opera olan çocukların ebeveynlerinin beklenti ve anksietelerini değerlendirmektir.Yöntemler: Etik kurul kararı alındıktan sonra çok merkezli cerrahi ünitelerde opera olan 123 çocuğun ebeveynlerine soru içeren anket formu verildi.Ebeveynlere verecekleri cevapların çocuğun bakımını etkilemeyeceği bildirildi. Anketler STAI-I VE STAI-II ölçekleri kullanılarak yapıldı.Bulgular: STAI sonuçları cerrahi geçiren ebeveynlerin anksiete altında olduklarını gösterdi. Ayrıca STAI -II skorları ile maddi zenginlik arasında negative ilişki bulundu(p= 0.004). Yine düzenli iş sahibi olma, eğitim düzeyinin yüksek olması anksiyeteyi düşüren önemli farklılıklar olup bu fark istatistiki olarak önemli idi(p=0.001). Ekonomi, eğitim düzeyi durum kaygı düzeylerini etkilemezken; sürekli kaygı düzeyi ekonomik durumun iyi olması, bilgilendirme ve eğitim ile azalır. Daha önceden çocukları cerrahi geçiren daha az anksiteli skorlarına sahip olmalarına rağmen bu sonuç istatistiki olarak önemli değildi(p>0.05). Ebeveynler sıklıkla cerrahi veya anestezi ile ilgili muhtemel komplikasyonlardan endişeli idiler.Sonuç: Bu çalışma bize çocuğu daha önce opere veya anestezi alanlar, bilgilendirmiş olma, iyi ekonomik düzey ve yüksek eğitim düzeyi diğer faktörlere göre anksiyeteyi azalttığını gösterdi.

Çok merkezli prospektif çalışma: KBB'de orta derecede cerrahi geçiren çocukların ebeveynlerinde kaygı ve ilişkili faktörler

Objective: The aim of this study to evaluate the anxiety and expectancy among parents of children undergoing surgery in the multi-centric surgery units.Methods: Following approval from the ethics committee, a questionnaire was given to the parents of 123 children who were undergoing surgery in the multi-centric surgery units. The parents were informed that their answers would not affect the care given to their children. The questionnaire was evaluated using the State-Trait Anxiety Inventory (STAI-I and STAI-II).Results: The STAI results indicated that the parents' anxiety level increased before their children underwent surgery. In addition, there was a negative correlation between STAI-II scores and high levels of wealth (p= 0.004). Also, those with steady employment and higher levels of education had lower anxiety levels and difference was significant (p=0.001). The state anxiety levels were unaffected by family income and education, but the trait anxiety levels decreased with increasing income and education. Mothers were less anxious if their child had undergone surgery in the past, while this result was not significant statistically (p>0.05). Parents were most commonly concerned with possible complications from the surgery and/or anesthesia.Conclusion: Results of our study indicate that parents of children undergoing surgery that have steady employment, to be informed, previously has been administered anesthesia or surgery, high level of wealth and education was observed less anxiety than others.

___

  • Markland D and Lew H. Anxiety relaxation and an- aesthesia for day- case surgery. Br J Clin Psychol 1993;32:493-504.
  • Yager J, Giltlin M. "Clinical manifestations of psychiatric disorders", Kaplan, HI& Sadock, BJ (Eds.), Compre- hensive textbook of psychiatry 1995;637-639.
  • Spielberger CD, Gorsuch RL, Lushene R, et al. Man- ual for the State-Trait Anxiety Inventory. Palo Alto, CA:Consulting psychologists Press, Inc. 1983.
  • Thompson, ML. Information-seeking coping and anxi- ety in school-age children anticipating surgery. Child Health Care 1994;23:87-97.
  • Wollin SR, Plummer JL, Owen H, et al. Anxiety in children having elective surgery. J Pediatr Nurs 2004;19:128-132.
  • Kain ZN, Caldwell AA, and Wang SM. Psychological preparation of the parent and pediatric surgical pa- tient. Anesthesiol Clin North Am 2002;20:29-44.
  • Spielberger, CD. Manual for the State-Trait Anxiety In- ventory for Children, Consulting Psychologists Press, Palo Alto, Calif, USA, 1973.
  • Haugen AS, Eide GE, Olsen MV, et al. Anxiety in the operating theatre: a study of frequency and environ- mental impact in patients having local, plexus or re- gional anaesthesia. J Clin Nurs 2009;18:2301-2310.
  • Domar AD, Everett LL, and Keller MG. Preopera- tive anxiety: Is it a predictable entity?. Anesth Analg 1989;69:763-767.
  • Moerman N, Van Dam FS, Muller MJ, and Oosting H. The Amsterdam preoperative anxiety and information scale (APAIS). Anesth Analg 1996;82:445-451.
  • Badner NH, Nielson WR, Munk S, et al. Preoperative anxiety: Detection and contributing factors. Can J An- aesth 1990;37:444-447.
  • Caumo W, Schmidt AP, Schneider CN, et al. Risk fac- tors for preoperative anxiety in adults. Acta Anaesthe- siol Scand 2001;45:298-307.
  • Shevde K, and Panagopoulos G. A survey of 800 pa- tients' knowledge, attitudes, and concerns regarding anesthesia. Anesth Analg 1991;73:190-198.
  • Franck LS, Spencer C. Informing parents about an- aesthesia for children's surgery: a critical literature re- view. Patient Educ Couns 2005;59:117-125.
  • Augsornwan D, Pattangtanang P, Pikhunthod K, Sur- akunprapha P. Nursing outcome in patients with cra- niofacial anomalies who underwent operation. J Med Assoc Thai 2012;95:11:62-66.
  • Martin SR, Chorney JM, Cohen LL, and Kain ZN. Se- quential Analysis of Mothers'and Fathers'Reassurance and Children's Postoperative Distress. Journal of Pe- diatric Psychology 2013;38:1121-1129
  • Bray L, Callery P and Kirk S. A qualitative study of the pre-operative preparation of children, young people and their parents' for planned continence surgery: ex- periences and expectations. Journal of Clinical Nurs- ing 2012;21:1964-1973.
  • Ramsay, MA. A survey of pre-operative fear. Anaes- thesia 1972;27:396-402.
  • Thompson N, Irwin MG, Gunawardene WM, and Chan L. Pre-operative parental anxiety. Anaesthesia 1996;51:1008-1012.
Journal of Clinical and Experimental Investigations-Cover
  • Yayın Aralığı: 5
  • Başlangıç: 2010
  • Yayıncı: Sağlık Araştırmaları Derneği
Sayıdaki Diğer Makaleler

Comparison of the hemodynamic effects of etomidate between hypertensive and normotensive patients

Ferda YILMAZ İNAL, Hayrettin DAŞKAYA, Yavuz GÜN, Taner ÇİFTÇİ, Sinan UZMAN, Mehmet TOPTAŞ, Mustafa DEMİR

Diyabetes mellitüs ve periferik organ tutulumu: Güncel tedavi seçenekleri

Cengiz IŞIK, Abdullah Alper ŞAHİN, Bünyamin KOÇ, Hakan SARMAN, Mansur Kürşad ERKURAN, Ertuğrul KARĞI, Züleyha SARMAN, İsmail BOYRAZ

An evaluation of radial and ulnar artery flow characteristics in diabetic patients with carpal tunnel syndrome and the diagnostic value of ultrasonography in these patients

İrfan KOCA, Mehmet Ali EREN, Ahmet TUTOĞLU, Özcan KOCATÜRK, Nurefşan BOYACI, Ahmet BOYACI, Dilek Şen DOKUMACI, Ali ŞAKALAR

İdrar kültürü testi gerekliliğini öngörmede tam otomatik idrar analizi sonuçlarının performansı

İbrahim KAPLAN, Gülten TOPRAK, Osman EVLİYAOĞLU, Hatice YÜKSEL, Seyit KUŞ, Tuba DAL

Evaluation of efficacy, safety and antioxidant effect of Nigella sativa in patients with psoriasis: A randomized clinical trial

H. Ahmed Jawad, Al-Hamdi Khalil I, Ibraheem Azhar Y

Awareness and perceptions of Turkish women towards delivery methods

Hediye DAĞDEVİREN, Sema SÜZEN ÇAYPINAR, Şükrü YILDIZ, Ammar KANAWATİ, Hüseyin CENGİZ

Santral seröz koryoretinopatili olguların spektral domain optik koherens tomografi bulguları

Tuba ÇINAR, Zeynep ÖZKURT, Muhammed ŞAHİN, Fatih Mehmet TÜRKCÜ, İhsan ÇAÇA, Abdullah Kürşat CİNGÜ, Harun YÜKSEL

Bir üçüncü basamak hastanede Toxoplasma gondii IgG avidite test istem ve sonuçlarının değerlendirilmesi

Ayşegül GÖKMEN AKSOY, Serdar GÜNGÖR, Bayram PEKTAŞ, Hüseyin Hakan ER, Berrin UZUN, Ali Ahmet KİLİMCİOĞLU

Osteogenic potency of human bone marrow mesenchymal stem cells from femoral atrophic non-union fracture site

Ismail Hadisoebroto DİLOGO, Phedy PHEDY, Yoshi Pratama DJAJA, Yuyus KUSNADİ, Lakshmi SANDHOW, Erica KHOLİNNE

Psikotik belirtilerin eşlik ettiği Huntington hastalığında olanzapin kullanımı

Taha Can TUMAN, Nefise KAYKA, Cafer ALHAN, Tarık EROĞLU, Osman YILDIRIM