Çocuklar için geliştirilen eğitici hikaye kitabının ameliyat öncesi anksiyete ve korku düzeylerine etkisi
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Dosyalar
Tarih
2021
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Trakya Üniversitesi Sağlık Bilimleri Enstitüsü
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Araştırma; 4-7 yaş arası çocuklarda ameliyat süreci ve ameliyathane ortamının tanıtan eğitici hikaye kitabının ameliyat öncesi çocukların anksiyete ve korku düzeylerine etkisini belirlemek amacıyla randomize kontrollü olarak yürütüldü. Araştırma, bir üniversite hastanesinin çocuk cerrahisi ve kulak burun boğaz kliniklerinde yapıldı. Araştırmanın verileri, 15/01/2021-10/09/2021tarihlerinde bir üniversite hastanesinde ameliyat olması planlanan 66 çocuktan (deney=33; kontrol=33) elde edildi. Veriler, “Çocuk ve Aile Bilgi Formu”, “Yale Modifiye Preoperatif Anksiyete Ölçeği Çocuk Formu”, “Çocuk Korku Ölçeği” kullanılarak topladı. Verilerin analizi, tanımlayıcı analizler, bağımsız örneklem t testi, ki-kare testi ve pearson kolerasyon analizi kullanılarak yapıldı. İstatistiksel anlamlık sınır değeri p<0,05 olarak kabul edildi. Çocukların “Yale Modifiye Preoperatif Anksiyete Ölçeği Çocuk Formu” puan ortalamalarının; operasyon öncesi bekleme zamanında deney grubunda 41,22±6,06, kontrol grubunda 49,74±10,56, ventilasyon maskesi gösterildiğinde, deney grubunda 48,54±6,30, kontrol grubunda 61,04±11,47 olduğu; deney grubundaki çocukların daha az anksiyete yaşadıkları bulundu (p?0,001). Çocukların “Çocuk Korku Ölçeği” puan ortalamalarının, ameliyat öncesi bekleme zamanında; deney grubunda 1,66±0,47, kontrol grubunda 2,39±0,49, ventilasyon maskesi gösterildiğinde; deney grubunda 2,51±0,56, kontrol grubunda 3,57±0,50 olduğu; deney grubundaki çocukların daha az korku yaşadıkları belirlendi (p?0,001). Sonuç olarak, ameliyat öncesi “Ada Ameliyat Oluyor” adlı eğitici hikaye kitabının okunmasının çocukların ameliyat öncesi anksiyete ve korkularının azaltılmasında etkili bir yöntem olduğu bulundu. Ameliyat öncesi hazırlık programlarında çocukların anksiyete ve korkularının azaltılmasında kullanılması, bu konuda hemşirelerin bilgilendirilmesi önerilmektedir.
The study was carried out in a randomized controlled manner to determine the effect of the educational story book which introduces the operation process and the operating room environment, on the anxiety and fear levels of children aged 4-7 years. The research was conducted in the pediatric surgery and otolaryngology clinics of a university hospital. The data of the study were obtained from 66 children (experiment=33; control=33) who were planned to have surgery in a university hospital on 15/01/202110/09/2021. Data were collected using “Child and Family Information Form”, “Modified Yale Preoperative Anxiety Scale Short Form”, “Child Fear Scale”. Data analysis was performed using descriptive analyses, independent samples t-test, chi-square test, and Pearson correlation analysis. The cut-off value of statistical significance was accepted as (p<0.05). Children's “Yale Modified Preoperative Anxiety Scale Short Form” mean score; preoperative waiting time was 41,22±6,06 in the experimental group, 49,74±10,56 in the control group, when the ventilation mask was shown 48,54±6,30 in the experimental group and 61,04±11,47 in the control group; It was found that the children in the experimental group experienced less anxiety (p?0.001). The children's “Child Fear Scale” score averages were found in the preoperative waiting time; 1,66±0,47 in the experimental group, 2,39±0,49 in the control group, when the ventilation mask was shown; it was 2,51±0,56 in the experimental group and 3,57±0,50 in the control group; It was determined that the children in the control group experienced less fear (p?0.001). As a result, it was found that reading the educational story book “Ada Is Having Surgery” before the surgery is an effective method in reducing preoperative anxiety and fears of children. It is recommended to be used in pre-operative preparation programs to reduce children's anxiety and fears, and to inform nurses about this issue.
The study was carried out in a randomized controlled manner to determine the effect of the educational story book which introduces the operation process and the operating room environment, on the anxiety and fear levels of children aged 4-7 years. The research was conducted in the pediatric surgery and otolaryngology clinics of a university hospital. The data of the study were obtained from 66 children (experiment=33; control=33) who were planned to have surgery in a university hospital on 15/01/202110/09/2021. Data were collected using “Child and Family Information Form”, “Modified Yale Preoperative Anxiety Scale Short Form”, “Child Fear Scale”. Data analysis was performed using descriptive analyses, independent samples t-test, chi-square test, and Pearson correlation analysis. The cut-off value of statistical significance was accepted as (p<0.05). Children's “Yale Modified Preoperative Anxiety Scale Short Form” mean score; preoperative waiting time was 41,22±6,06 in the experimental group, 49,74±10,56 in the control group, when the ventilation mask was shown 48,54±6,30 in the experimental group and 61,04±11,47 in the control group; It was found that the children in the experimental group experienced less anxiety (p?0.001). The children's “Child Fear Scale” score averages were found in the preoperative waiting time; 1,66±0,47 in the experimental group, 2,39±0,49 in the control group, when the ventilation mask was shown; it was 2,51±0,56 in the experimental group and 3,57±0,50 in the control group; It was determined that the children in the control group experienced less fear (p?0.001). As a result, it was found that reading the educational story book “Ada Is Having Surgery” before the surgery is an effective method in reducing preoperative anxiety and fears of children. It is recommended to be used in pre-operative preparation programs to reduce children's anxiety and fears, and to inform nurses about this issue.
Açıklama
Anahtar Kelimeler
Çocuk, Anksiyete, Korku, Eğitici Hikaye Kitabı, Ameliyat Öncesi Hazırlık, Child, Anxiety, Fear, Educational Storybook, Preoperative Preparation
