Evaluation of Anxiety Levels of Patients Before Colon Surgery
Journal Title: Türk Kolon ve Rektum Hastalıkları Dergisi - Year 2017, Vol 27, Issue 1
Abstract
Aim: Preoperative anxiety is a phenomenon which gradually intensifies starting from the date of operational planning and which lasts until the operation. This study is intended to assess our patients’ anxiety levels before colon surgery. Method: The prospective study included 36 patients who were operated for colon cancer in our clinic between November 2014 and January 2015 study group (SG). All patients were assessed using the Spielberger’s State-Trait Anxiety Inventory (STAI) and asked about the reasons they were concerned about surgery. The control group (CG) consisted of 30 medical staff at the hospital who volunteered to take part in the research, were mentally and physically healthy, and did not smoke or use drugs, alcohol or psychoactive substances. Method: The prospective study included 36 patients who were operated for colon cancer in our clinic between November 2014 and January 2015 study group (SG). All patients were assessed using the Spielberger’s State-Trait Anxiety Inventory (STAI) and asked about the reasons they were concerned about surgery. The control group (CG) consisted of 30 medical staff at the hospital who volunteered to take part in the research, were mentally and physically healthy, and did not smoke or use drugs, alcohol or psychoactive substances. Results: Twelve of the 36 patients who took part in the study were female, the remaining 24 patients were male, and the average age was 57.4±0.3 years. Mean STAI TX-1 score was 53.30±18.60 for the SG and 32.76±5.18 for the CG, and there was a statistical difference between the two groups (p<0.05). Mean STAI TX-2 score was 50.24±7.83 for the SG and 39.28±2.43 for the CG (p<0.05). Higher levels of anxiety were observed particularly in patients of advanced age who had comorbid diseases and high income and education level. The most common causes of anxiety were fear of requiring stoma surgery, possibility of postoperative chemotherapy, and not being able to wake up after the operation. Conclusion: It is important to know patients’ anxiety levels before any surgery so that they can be informed about these issues. In routine practice, patients with preoperative anxiety in clinics can be provided with the necessary support. In addition to this study, we are also conducting ongoing research on the effects of severity of anxiety on the postoperative period.
Authors and Affiliations
Hatice Dayılar, Gülay Oyur, Erdinç Kamer, Aybala Sarıçiçek, Fevzi Cengiz, Mehmet Hacıyanlı
Determination of Cancer Risk Perceptions and Health Beliefs of First-Degree Relatives of Patients Who Were Operated with Colorectal Cancer Diagnosis
Aim: The purpose of this study was to determine the risk perceptions and health beliefs of first-degree relatives of individuals who underwent surgery for a diagnosis of colorectal cancer. Method: This was a descriptive,...
Should Web-Based Education Be Implemented for Colorectal Cancer Patients?
Improved access to health-related information through increased access to the internet can be viewed as an important opportunity for both healthcare professionals and patients. The internet has fundamentally changed the...
The Effects of Glutamine and N-Acetylcysteine on Experimental Colitis Induced by 2,4,6-Trinitrobenzene Sulphonic Acid in Rats
Aim: Various factors including free oxygen radicals were have been described in the pathogenesis of inflammatory bowel disease. The aim of this study was to investigate the effects of antioxidant N-acetylcysteine (NAC) a...
Prolapsed Ano-Rectal Neoplastic Polyps in Elderly Patients: Our Experience
Colorectal adenomas are polyps which originate from the mucosa and exhibit histopathologic neoplastic features. Although they are usually located in the rectosigmoid segment, they also occur commonly throughout the colon...
Laparoscopic or Robotic Rectal Cancer Surgery: Where are We Right Now?
Paradigms in rectal cancer surgery have shifted toward minimally invasive techniques in conjunction with the use of chemoradiation. Although laparoscopy is widely used for rectal tumors, debate continues as to whether it...