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ORIGINAL RESEARCH

Effect of Video-Based Information on Postoperative Nasal Packing Removal Anxiety
Video ile Bilgilendirme Yapılmasının Postoperatif Tampon Çıkarılma Anksiyetesine Etkisi
Received Date : 22 Mar 2021
Accepted Date : 24 May 2021
Available Online : 04 Jun 2021
Doi: 10.24179/kbbbbc.2021-83235 - Makale Dili: EN
KBB ve BBC Dergisi. 2021;29(3):197-202
Copyright © 2020 by Turkey Association of Society of Ear Nose Throat and Head Neck Surgery. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
ABSTRACT
Objective: Anxiety is a feeling when a person experiences uneasiness towards an uncertain menace. The effect of visual and auditory information on instant anxiety level of patient during postoperative nasal packing removal was evaluated. Material and Methods: 56 patients who underwent septoplasty or septorhinoplasty were recruited between May and June 2019. A video of nasal packing removal performed by the surgeon previously was watched by the patient (n=28) and Spielberg state-trait anxiety inventory (STAI) was filled out before nasal packing removal. The control group (n=28) filled out STAI without watching the video before nasal packing removal. Results: Mean total STAI score was 69.8 in the video received group and 69.7 in the control group. The mean total STAI score of two groups were at the serious anxiety level, but there was no statistically significant difference between the groups (p=0.977). Mean STAI-S score was 31.5 in the video received group and 32.1 in the control group. The mean STAI-S score of two groups were at the serious anxiety level, but there was no statistically significant difference (p=0.794). The mean STAI-T score of two groups were at the serious anxiety level, but there was no statistically significant difference (p=0.750). Conclusion: Nasal packing removal after septo/septorhinoplasty increases anxiety to serious levels and video information is not significantly reducing anxiety before removal of the packing.
ÖZET
Amaç: Anksiyete diğer adı ile kaygı, belirsiz bir tehdit karşısında kişinin hissettiği duygu olarak tanımlanır. Hastaların septoplasti sonrası video-eğitim ile bu işlem hakkında bilgilendirilmesinin anksiyeteyi üzerine etkisini değerlendirmeyi amaçladık. Gereç ve Yöntemler: Bu çalışma, Mayıs 2019 ve Haziran 2019 tarihleri arasında septoplasti veya septorinoplasti operasyonu geçiren 56 hasta üzerinde yapıldı. Çalışma grubundaki (n=28) hastalara, işlem öncesinde tampon çıkarma videosu izletildikten sonra Spielberg Durumluk-Sürekli Kaygı Envanteri [Spielberg State-Trait Anxiety Inventory (STAI)] uygulandı. Kontrol grubundaki hastalara (n=28) video izletilmeden STAI formu doldurtuldu. Bulgular: Video-eğitim verilen gruptaki ortalama total STAI skoru 69,8 idi. Kontrol grubunun ortalama total STAI skoru 69,7 idi. Her 2 grubun skoru ciddi kaygı seviyesiyle uyumluydu ve aralarında anlamlı fark yoktu (p=0,977). Video-eğitim verilen gruptaki ortalama total STAI-S skoru 31,5 idi. Kontrol grubunun ortalama total STAI-S skoru 32,1 idi. Her 2 grubun skoru ciddi kaygı seviyesiyle uyumluydu ve aralarında anlamlı fark yoktu (p=0,794). Her 2 grubun skoru ciddi kaygı seviyesiyle uyumluydu ve aralarında anlamlı fark yoktu (p=0,750). Sonuç: Burun ameliyatı sonrasında tamponun çıkarılması, hastaların kaygı seviyesini ciddi derecede yükseltmektedir. Video-eğitim yapılmasının bu kaygı seviyesini azaltıcı yönde anlamlı bir etkisi bulunamamıştır.
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