Kocaeli Med J. 2021; 10(1): 72-84 | DOI: 10.5505/ktd.2021.36034

Surgical Process Anxýety From The Perspective Of Neurosurgery Patients In The Covid-19 Pandemic

Emrah Keskin¹, Sevim Çelik², Sibel Köstekli^3
1Zonguldak Bulent Ecevit University Medical Faculty, Zonguldak
²Bartýn University Faculty of Health Sciences, Bartýn
³Zonguldak Bulent Ecevit University Faculty of Health Sciences, Zonguldak

INTRODUCTION: This study was conducted to determine the effects of the fear created by the COVID-19 pandemic on the neurosurgery patients.
METHODS: In the descriptive-cross-sectional study, data were collected by phone call using a questionnaire and the COVID-19 Phobia Scale with 93 neurosurgery patients.
RESULTS: The patients experienced moderate levels of fear due to the pandemic, and due to this fear, 16.1% postponed their follow-up dates at least once. The COVID-19 fear levels were higher among those who had emergency surgery, those who could not get sufficient information on the surgery processes (p=0.01), those who were afraid that their treatment might not be completed (p=0.01) and those who went to the hospital for follow-up by bus (p=0.003). There were significant positive and strong relationships between the patients’ fear levels and their durations of hospitalization (p=0.001) and numbers of visits to the hospital for follow-up (p=0.01).
DISCUSSION AND CONCLUSION: The study showed that, although surgical treatment guidelines showed constant variation during the pandemic period, however high their anxieties may be, the patients did not want to delay their treatments. Acting carefully in eliminating the anxieties of patients and creating a standardized algorithm will be useful for patients to experience all stages of surgical treatment processes with comfort.

Keywords: Anxiety, COVID-19, fear, neurosurgery, pandemic, patient, surgical process

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Covid-19 Pandemisinde Nöroþirurji Hastalarýnýn Perspektifinden Cerrahi Süreç Kaygýsý

Emrah Keskin¹, Sevim Çelik², Sibel Köstekli^3
1Zonguldak Bülent Ecevit Üniversitesi Týp Fakültesi, Zonguldak
²Bartýn Üniversitesi Saðlýk Bilimleri Fakültesi, Bartýn
³Zonguldak Bülent Ecevit Üniversitesi Saðlýk Bilimleri Fakültesi, Zonguldak

GÝRÝÞ ve AMAÇ: Bu çalýþma, COVID-19 salgýnýnýn yarattýðý korkunun nöroþirürji hastalarý üzerindeki etkilerini belirlemek amacýyla yapýldý.

YÖNTEM ve GEREÇLER: Tanýmlayýcý-kesitsel tipte olan çalýþmada veriler, telefon görüþmesi yoluyla 93 nöroþirurji hastasý ile anket formu ve COVID-19 Fobi Ölçeði kullanýlarak toplandý.
BULGULAR: Hastalarýn pandemiye baðlý orta derecede korku yaþadýðý ve bu korku nedeniyle hastalarýn %16.1’nin kontrol takip tarihlerini en az bir kez ertelediði tespit edildi. Acil ameliyat geçirenler, ameliyat süreçleri hakkýnda yeterli bilgi alamadýðýný bildirenler (p=0.01), tedavisinin tamamlanamayacaðýndan korkanlar (p=0.01) ve takip için hastaneye otobüsle gidenlerin (p = 0.003) korku düzeyleri anlamlý olarak daha yüksekti. Hastalarýn korku düzeyleri ile hastanede kalýþ süreleri (p=0.001) ve takip için hastaneye baþvuru sayýlarý (p=0.01) arasýnda pozitif yönde güçlü bir iliþki olduðu bulundu.
TARTIÞMA ve SONUÇ: Çalýþma, pandemi döneminde cerrahi tedavi kýlavuzlarýnýn sürekli deðiþkenlik göstermesine raðmen, anksiyeteleri ne kadar yüksek olursa olsun, hastalarýn tedavilerini ertelemek istemediklerini göstermiþtir. Hastalarýn kaygýlarýnýn giderilmesinde dikkatli davranmak ve standartlaþtýrýlmýþ bir algoritma oluþturmak, hastalarýn cerrahi tedavi süreçlerinin tüm aþamalarýný rahatlýkla deneyimlemeleri için faydalý olacaktýr.

Anahtar Kelimeler: Anksiyete, cerrahi süreç, COVID-19, hasta, korku, nöroþirurji, pandemi

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