Sezgin Okcelik, Halil Kizilöz, Niyazi Ozgur Kurul, Cumhur Yesildal, Muhammed Cihan Temel

Lokal anestezi altında ve genel anestezi altında sünnet yapılan çocukların ailelerinin anksiyete durumlarının karşılaştırılması

Amaç: Bu çalışmada genel anestezi ve lokal anestezi altında sünnet olan çocuklarının ailelerinde oluşan anksiyete açısından fark olup olmadığını araştırmayı amaçladık. Gereç ve Yöntemler: Kasım 2019 ile Mart 2020 tarihleri arasında sünnet olan çocukların aileleri sünnet öncesi değerlendirildi. Aileler gerekli bilgiler verildikten sonra özgür olarak anestezi şeklini seçtiler. Hastane anksiyete ve depresyon skalası çocukların anneleri tarafından sünnet sabahı dolduruldu. Hasta yaşı, anne yaşı, anne mesleği, anne eğitim durumu ve kaçıncı çocuklarının sünneti olduğu kaydedildi. Verilerin analizinde SPSS 17.0 kullanıldı. P değerinin anlamlılık sınırı <0.05 olarak kabul edildi. Bulgular: 108 hasta lokal anestezi ile, 69 hasta genel anestezi ile sünnet operasyonu geçirdi. Anestezi tipleri, çocuk yaşları, anne yaşları, anne eğitim düzeyi ve anne tecrübeleri arasında anksiyete açısından fark saptanmadı (p = 0.26; 0.227; 0.875; 0.592; 0.485; 0.508 sırasıyla). Lokal anestezi altında sünnet edilen çocukların annelerinin ortalama depresyon skorları 5.08+/-3.45 idi. Genel anestezi altında sünnet edilen çocukların annelerinin depresyon skorları 5.89+/-3.49 idi. Anestezi şekilleri, çocuk yaşları, anne yaşları, anne tecrübeleri arasında depresyon açısından fark yoktu (p = 0.130; 0.777; 0.696; 0.460). Depresyon skorları ev hanımlarında çalışan kadınlardan daha yüksekti (p <0.001).Ayrıca depresyon skorları düşük eğitimli annelerde yüksek eğitimli annelere göre daha yüksekti (p=0.002). Sonuç: Sünnet, ailelerde ciddi kaygıya neden olmayan ve lokal anestezi altında yapılabilen günlük ameliyatlardan biridir.

Anahtar Kelimeler:

Sünnet, Genel anestezi, Lokal anestezi, Aile anksiyetesi

Comparison of preoperative parental anxiety status in children who undergo circumcision with local and general anesthesia

Objective: We aimed to investigate whether there is a difference in anxiety between the families of children who have circumcised with local anesthesia or general anesthesia. Material and Methods: The families of uncircumcised male patients were evaluated just before the circumcision operation between November 2019 and March 2020. The patient's family chose a form of anesthesia freely. Hospital anxiety and depression scales were filled by the mothers of the patients on the morning of the operation. Child's age, maternal age, maternal profession, maternal educational status and how many children of the same family have circumcision were recorded. SPSS 17.0 was used to analyze the data. The significance limit of p value was accepted as <0.05 Result: 108 patients were operated under local anesthesia and 69 patients were operated under general anesthesia. There was no difference between anesthesia types, child ages, maternal ages, maternal professions, maternal education, maternal experience in terms of anxiety(p = 0.26;0.227;0.875;0.592;0.485;0.508 respectively). The mean depression scores of the mothers of circumcised children performed under local anesthesia were 5.08+/-3.45. The mean depression scores of the mothers of circumcised children with general anesthesia were 5.89+/-3.49. There was no significant difference between anesthesia types, child ages, maternal ages, maternal experience (p = 0.130;0.777;0.696;0.460). Depression scores were higher in housewives than working woman(p <0.001).Also, depression scores were higher in low educated mothers than high educated mothers (p=0.002) Conclusion: Circumcision is one of the daily surgeries that does not cause serious anxiety in families and can be performed under local anesthesia.

Keywords:

Circumcision, General anesthesia, Local anesthesia, Parental anxiety,

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