ORIGINAL RESEARCH
STAI Test for Evaluating the Effect of Showing Surgery Videos in the Preoperative Period on the Anxiety Levels of Parents of Children Undergoing Adenoidectomy or Adenotonsillectomy
Ameliyat Öncesi Dönemde Ameliyat Videolarının Gösterilmesinin Adenoidektomi veya Adenotonsillektomi Olan Çocukların Ebeveynlerinin Kaygı Düzeyleri Üzerindeki Etkisinin STAI Testi ile Değerlendirilmesi
Received Date : 20 Feb 2020
Accepted Date : 10 Apr 2020
Available Online : 21 Apr 2020
Murat KOÇYİĞİTa, Gülseren YILMAZb, Umut Mert AKSOYc
aKanuni Sultan Süleyman Training and Research Hospital, Clinic of Otolaryngology, İstanbul, TURKEY
bKanuni Sultan Süleyman Training and Research Hospital, Clinic of Anaesthesiology, İstanbul, TURKEY
cKanuni Sultan Süleyman Training and Research Hospital, Clinic of Psychiatry, İstanbul, TURKEY
Doi: 10.24179/kbbbbc.2020-74119 - Makale Dili: EN
KBB ve BBC Dergisi. 2020;28(2):131-40
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: This study aims to evaluate the effects of visual
education on the anxiety levels of parents of children who will undergo adenoidectomy
or adenotonsillectomy by showing the video of the same surgical
procedure performed by the same surgeon and subsequently we aimed to
determine the factors affecting the anxiety levels. Material and Methods:
Children (aged 2-12 years) who were planned to undergo adenoidectomy or
adenotonsillectomy procedure under general anesthesia in the otorhinolaryngology
operating room and their parents (aged 26-45 years) have been
included in our study. The questionnaire of Spielberger State Anxiety Scale
used for measuring the situational anxiety of subjects has been provided separately
to the mothers and fathers. Results: When anxiety levels between
Questionnaire 1 filled in the preoperative period following verbal and written
briefing, Questionnaire 2 filled after the surgery video had been shown
to the parents and Questionnaire 3 which was filled after surgery, were evaluated
a statistically significant decrease in the anxiety levels was noted
(p<0.001). When the scores of mothers and fathers for Questionnaire 1
(p<0.001) and Questionnaire 2 (p=0.032) were compared, the anxiety scores
of mothers were found to be statistically significantly higher than those of fathers
but when the scores of Questionnaire 3 were compared, mothers had a
higher score however the difference did not reach statistical significance
(p=0.118). Conclusion: In our study, we have demonstrated that showing
videos of the surgical process in the preoperative period may help to decrease
the level of anxiety of parents. Together with the technological advances in
the future, more impressive videos and presentations would come into use
which may provide newer data to be used in comparative studies.
Keywords: Anxiety; adenoidectomy; parents; education; surgery; tonsillectomy
ÖZET
Amaç: Bu çalışma, aynı cerrahın uyguladığı aynı cerrahi prosedürün
videosunu göstererek görsel eğitimin adenoidektomi veya adenotonsillektomi
geçirecek çocukların ebeveynlerinin kaygı düzeyleri
üzerindeki etkilerini değerlendirmeyi ve ayrıca kaygı düzeylerini etkileyen
faktörleri belirlemeyi amaçlar. Gereç ve Yöntemler: Ameliyathanenin
kulak burun boğaz masasında, genel anestezi altında adenoidektomi
veya adenotonsillektomi işlemi yapılması planlanan çocuklar (2-12 yaş
arası) ve ebeveynleri (26-45 yaş arası) çalışmaya dahil edildi. Deneklerin
durumsal kaygılarını ölçmek için kullanılan Spielberger Durumluk Kaygı
Ölçeği anketi, anne ve babalara ayrı ayrı verilmiştir. Bulgular: Preoperatif
dönemde sözel ve yazılı bilgilendirme sonrası doldurulan Anket 1, ameliyat
videosu izletildikten sonra doldurulan Anket 2 ve ameliyat sonrası
doldurulan Anket 3 formundaki anksiyete düzeyleri karşılaştırıldığında
hem anne hem de babalarda istatistiksel olarak anlamlı düşme saptandı
(p<0.001). Anne ve babaların Anket 1 skorları karşılaştırıldığında
(p<0.001) ve Anket 2 skorları karşılaştırıldığında (p=0.032) annelerin
anksiyete skorları babalara göre istatistiksel olarak daha yüksek saptandı,
Anket 3 puanları karşılaştırıldığında, anneler daha yüksek puan almış
ancak aradaki fark istatistiksel anlamlılığa ulaşmamıştır (p=0.118).
Sonuç: Biz bu çalışmada ameliyat öncesi ebeveynlere ameliyat videosu
izletmenin onların anksiyete düzeylerini azaltmaya yardımcı olabileceğini
gösterdik. Bilimdeki ilerlemeyle daha güçlü olabilecek video veya
sunumların gelecekte daha fazla kullanılması ile yapılacak karşılaştırmalı
çalışmalar yeni veriler sunacaktır.
Anahtar Kelimeler: Anksiyete; adenoidektomi; ebeveynler; eğitim; cerrahi; tonsillektomi
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