Sezaryen hastalarının cerrahi korku düzeyini etkileyen faktörler
Abstract
Sezaryen Hastalarının Cerrahi Korku Düzeyini Etkileyen Faktörler Araştırmada, sezaryen olacak gebelerin cerrahi korku düzeyini ve etkileyen faktörleri belirlemek amaçlanmıştır. Tanımlayıcı tipteki araştırma, Şubat-Haziran 2022 tarihleri arasında Sağlık Bakanlığı Pendik Eğitim Araştırma Hastanesinde sezaryen planlanan 164 gebe ile gerçekleştirilmiştir. Araştırmanın örneklemi Raosoft örneklem hesaplama programına göre belirlenmiştir. Araştırmaya 18-49 yaş aralığında Türkçe konuşan ve çalışmaya katılmaya istekli gebeler dahil edilmiştir. Araştırma verileri, 'Veri Toplama Formu', 'Cerrahi Korku Ölçeği' ile elde edilmiş olup veri analizi SPSS (Statistical Package for Social Sciences) for Windows 22.0 programı kullanılarak elde edilmiştir. Gebelerin Cerrahi Korku Ölçeği toplam puan ortalaması 51,14±8,88 olarak; kısa vadeli cerrahi korku düzeyi 26,14±4,45 ve uzun vadeli cerrahi korku düzeyi 25,00±5,04 olarak bulunmuştur. Gebelerin sırasıyla en çok ameliyattan, anesteziden ve ameliyat sonrasındaki ağrılardan korktuklarını belirlenmiştir. Gebelerden yaşı 30-39 arası olanların kısa vadeli korku düzeylerinin 18-29 arası olanlardan yüksek olduğu saptanmıştır (p<0.05). Geliri giderine denk olanların, daha önce ameliyat olmamış olanların, ilk gebeliği ve doğumu olanların, ikiz gebeliği olanların, gebeliğinde 9 kez ve üzeri kontrole gidenlerin ve tedavi sonucu gebe kalanların kısa vadeli cerrahi korku düzeyi, uzun vadeli cerrahi korku düzeyi ve Cerrahi korku Ölçeği toplam puanlarının daha yüksek olduğu belirlenmiştir. Daha önce sezaryen olmamış gebelerin hem kısa ve uzun vadeli hem de cerrahi korku düzeyleri daha önce sezaryen olmamış bireylerden çok daha yüksek çıkmıştır. Bununla birlikte sezaryen olma nedeni olarak kendisi ile ilgili bir sorunun olmasını gösteren gebelerin hem kısa ve uzun vadeli hem de genel cerrahi korku düzeyleri diğerlerinden yüksektir. Daha önce sezaryen olmuş kişilerden sezaryen ile ilgili olumsuz/ kötü anlatımlar duyan gebelerin ölçek alt boyut ve toplam puanları yüksek iken; genel anestezi uygulanacak olanların uzun vadeli cerrahi korku düzeyi bölgesel anestezi uygulanacaklardan yüksek olarak bulunmuştur. Sezaryen öncesi gebelerde korkuya neden durumların belirlenerek, korku düzeylerini azaltmaya yönelik girişimlerin hemşirelik süreçlerine dahil edilmesi önerilmektedir. Anahtar Kelimeler: Cerrahi, Korku, Sezaryen,
Cesarean Patients of Surgıcal Fear of Affectıng The Level Factors In this study, it was aimed to determine the level of fear of surgery and the affecting factors of pregnant women who will have cesarean section. The descriptive study was conducted with 164 pregnant women who were scheduled for cesarean section at the Ministry of Health Pendik Training and Research Hospital between februart and june 2022. The sample of the study was determined according to the Raosoft sample calculation program. Pregnant women between the ages of 18-49 who spoke Turkish and were willing to participate in the study were included in the study. Research data were obtained with 'Data collection Form' , 'Surgical Fear Scale' and data analysis was obtained using SPSS (Statistical Package for Social Sciences) for Windows 22.0 program. The mean score of the Pregnant Women's Surgical Fear Scale was 51,14±8,88; short-term surgical fear level was 26,14±4,45 and long-term surgical fear level was 25,00±5,04. It was determined that pregnant women were most afraid of surgery, anesthesia and post-operative pain, respectively. It was determined that the short-term fear levels of the pregnant women between the ages of 30-39 were higher than those between the ages of 18-29 (p<0.05). The short-term surgical fear level, long-term surgical fear level and the total scores of the Surgical Fear Scale of those whose income is equivalent to their expenses, those who have not had surgery before, those who have had their first pregnancy and delivery, those who have twin pregnancies, those who have undergone 9 or more controls during their pregnancy, and those who have become pregnant as a result of treatment was found to be higher. Both short and long-term and surgical fear levels of pregnant women who have not had a previous cesarean section were much higher than those who did not have a previous cesarean section. On the other hand, both short-term and long-term and general surgery fear levels of pregnant women who Show that they have a problem with themselves as the reason for cesarean section are higher than the others. While the sub-dimension and total scores of the pregnant women who heard negative/bad statements about cesarean section from people who had a previous cesarean section were high; the long-term surgical fear level of those who will undergo general anesthesia was found to be higher than those who will undergo regional anesthesia. It is recommended to identify situations that cause fear in pregnant women before cesarean section, and to include attempts to reduce fear levels in nursing processes. Keywords: Surgery, Fear, Cesarean,
Cesarean Patients of Surgıcal Fear of Affectıng The Level Factors In this study, it was aimed to determine the level of fear of surgery and the affecting factors of pregnant women who will have cesarean section. The descriptive study was conducted with 164 pregnant women who were scheduled for cesarean section at the Ministry of Health Pendik Training and Research Hospital between februart and june 2022. The sample of the study was determined according to the Raosoft sample calculation program. Pregnant women between the ages of 18-49 who spoke Turkish and were willing to participate in the study were included in the study. Research data were obtained with 'Data collection Form' , 'Surgical Fear Scale' and data analysis was obtained using SPSS (Statistical Package for Social Sciences) for Windows 22.0 program. The mean score of the Pregnant Women's Surgical Fear Scale was 51,14±8,88; short-term surgical fear level was 26,14±4,45 and long-term surgical fear level was 25,00±5,04. It was determined that pregnant women were most afraid of surgery, anesthesia and post-operative pain, respectively. It was determined that the short-term fear levels of the pregnant women between the ages of 30-39 were higher than those between the ages of 18-29 (p<0.05). The short-term surgical fear level, long-term surgical fear level and the total scores of the Surgical Fear Scale of those whose income is equivalent to their expenses, those who have not had surgery before, those who have had their first pregnancy and delivery, those who have twin pregnancies, those who have undergone 9 or more controls during their pregnancy, and those who have become pregnant as a result of treatment was found to be higher. Both short and long-term and surgical fear levels of pregnant women who have not had a previous cesarean section were much higher than those who did not have a previous cesarean section. On the other hand, both short-term and long-term and general surgery fear levels of pregnant women who Show that they have a problem with themselves as the reason for cesarean section are higher than the others. While the sub-dimension and total scores of the pregnant women who heard negative/bad statements about cesarean section from people who had a previous cesarean section were high; the long-term surgical fear level of those who will undergo general anesthesia was found to be higher than those who will undergo regional anesthesia. It is recommended to identify situations that cause fear in pregnant women before cesarean section, and to include attempts to reduce fear levels in nursing processes. Keywords: Surgery, Fear, Cesarean,
Description
Keywords
Hemşirelik, Nursing