Rana VAROL, Halil UÇ, Talat TAVLI, Veysel ŞAHİN, Mehmet Beşir AKPINAR, Ahmet Feyzi ABACILAR, İhsan Sami UYAR, Faik Fevzi OKUR, Mehmet ATEŞ, Emin Alp ALAYUNT

Ameliyat öncesi verilen eğitim kalp ameliyatı sonrasında hastaların öfke skorlarını azaltabilir

Amaç: Bu çalışmada açık kalp ameliyatı yapılan hastaların öfke durumu değerlendirildi ve psikolojik desteğin öfke kontrolü üzerindeki muhtemel etkileri araştırıldı.Çalışma planı: Eylül 2012 - Ocak 2013 tarihleri arasında koroner arter baypas greftleme (KABG) yapılan 68 hastada öfke durumu ve tip A kişilik değerlendirildi. Hastalar iki gruba ayrıldı: grup 1'e (18 erkek, 16 kadın; ort. yaş 55.0±8.7 yıl; dağılım 43-78 yıl) rutin ameliyat öncesi uygulamalar yapılırken, grup 2'ye (17 erkek, 17 kadın; ort. yaş 54.9±9.1 yıl; dağılım 41-81 yıl) ameliyat öncesi dönemde ameliyattan bir gün önce kalp ameliyatı sonrası öfke yönetimine ilişkin 30 dakikalık hasta eğitimi verildi. Ameliyattan önce ve dört gün sonra hasta gruplarının öfke skorlarını hesaplamada Sürekli Öfke ve Öfke İfade Tarzı Ölçeği-2 ve Tip A Davranış Ölçeği kullanıldı.Bul gu lar: Başlangıç ameliyat öncesi özellikler ve ameliyat sırası değişkenler gruplar arasında benzerdi. Ameliyat öncesi test sonuçlarına göre, total öfke skoru gruplar arasında benzer olmakla birlikte, ameliyat sonrası dönemde grup 2'de anlamlı düzeyde daha düşüktü (p

Preoperative education may attenuate anger scores of patients after cardiac surgery

Background: This study aims to evaluate the anger status of patients undergoing open heart surgery and to examine possible effects of psychological support on anger control. Methods: Anger status and type A personality were evaluated in 68 patients who underwent coronary artery bypass grafting (CABG) between September 2012 and January 2013. The patients were divided into two groups: group 1 (18 males and 16 females; mean age 55.0±8.7 year; range 43 to 78 years) received routine preoperative preparations, whereas group 2 (17 males and 17 females; mean age 54.9±9.1 years; range 41 to 81 years) received patient education for 30 minutes one day before surgery during preoperative period on anger management after heart surgery. To obtain anger scores of the patients, The State-Trait Anger Expression Inventory-2 and Scale of Type A Behavior were used to achieve anger scores of the patient groups before surgery and four days after surgery. Results: Baseline preoperative characteristics and operative variables were similar between the groups. Based on the preoperative test results, total anger scores were similar in both groups, however, it was significantly lower in group 2 in the postoperative period (p

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