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AĞIZ CERRAHİSİNDE ANKSİYETE KONTROLÜ: HASTALARIN BİLGİLENDİRİLMESİ

ANXIETY CONTROL IN ORAL SURGERY: PATIENT INFORMATION

Journal Name:

  • Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi

Publication Year:

  • 2005

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
The aim of this study was to determine the effect of delivering information to patients who were to undergo surgical intervention on the degree of anxiety. One hundred patients who received minor oral surgery were included in the study. Patients in the study group were explained why the procedure was necessary, how it was going to be performed, problems expected in the post-operative period and interventions to alleviate the problems. Standard explanation and suggestions were given to the patients in the control group. The anxiety levels of patients were measured using Spielberger's State and Trait Anxiety Inventory (STAI), Corah's Dental Anxiety Scale (DAS) and Visual Analogue Scale (VAS). In addition, VAS was used to record the pain levels of patients. Anxiety levels measured imme¬diately after the procedure and at one-week follow up were significantly lower than the pre-operative anxiety levels in both groups. However, there was no signifi¬cant difference between anxiety levels measured after the operation. With the use of DAS, 32% of the patients in the study group had severe or very severe anxiety before operative explanation which was fallen to 6% in the post-operative measurements. In the control group 24% of the patients had severe or very severe anxiety which was recorded as 12% post-operatively. Nevertheless, anxiety levels were not statistically dif¬ferent between groups. In conclusion, information regarding the surgical procedure and expected recovery on the post-operative period may be effective decreas¬ing patients' anxiety levels.
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Abstract (Original Language): 
Bu çalışma, cerrahi işlem yapılacak hastalara işlem hakkında bilgi verilmesinin anksiyete seviyeleri üzerine olan etkisinin belirlenmesi amacıyla yapılmıştır. Çalışmaya minör ağız cerrahisi girişimi yapılacak 100 hasta dahil edildi. Çalışma grubundaki hastalara (n=50) işlemin yapılma nedeni ve nasıl yapılacağı ve post-operatif dönemde beklenen sorunlar ve alınması gereken önlemler açıklandı. Kontrol grubundaki hastalara (n=50) ise; işlem hakkında bilgi verilmeden standart açıklama ve öneriler uygulandı. Hastaların anksiyete seviyeleri Spielberger Süreklilik ve Durumluluk Anksiyete Envanteri, Corah Dental Anksiyete Skalası (DAS) ve Görsel Analog Skalası (VAS) kullanılarak ölçüldü. Ayrıca, VAS ile hastaların ağrı seviyeleri kaydedildi. Her iki hasta grubunda işlemden hemen sonra ve bir hafta sonra ölçülen anksiyete seviyelerinin pre-operatif anksiyete seviyelerinden anlamlı derecede düşük olduğu gözlen¬di. Bununla birlikte, her iki grupta bulunan hastaların operasyondan sonraki anksiyete seviyeleri arasında anlamlı bir fark bulunmadı. Çalışma grubunda bil¬gilendirmeden önce hastaların %32'sinde şiddetli veya çok şiddetli anksiyete mevcutken, operasyondan sonra¬ki ölçümlerde bu oranın %6'ya düştüğü DAS'a göre yapılan ölçümde saptandı. Kontrol grubunda ise; şid¬detli/çok şiddetli anksiyeteye sahip hastaların oranı pre-operatif olarak %24 iken, operasyondan sonra bu oran %12 olarak saptandı. Bununla birlikte gruplar arasında anksiyete seviyelerinin anlamlı bir fark göstermediği tespit edildi. Sonuç olarak, hastaların cer¬rahi işlem hakkında ve post-operatif dönemde oluşa¬bilecek durumlar hakkında bilgilendirilmesi anksiyete seviyesinin azaltılmasında etkili olabilir.
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  • 3
25-33
  • Turkish

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