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SÜNNET OPERASYONU YAPILAN ÇOCUKLARIN VE EBEVEYNLERİNİN KAYGI DÜZEYLERİNİ ETKİLEYEN FAKTÖRLER Skip to content Yıl 2024, Cilt: 25 Sayı: 2, 214 – 220, 29.04.2024
Hacer Gizem Gerçek , Veli Mert Yazar , Osman Gerçek , Recep Uzun , Ahmet Ali Tuncer
https://doi.org/10.18229/kocatepetip.1311109
Öz AMAÇ: Sünnet için uygulanan cerrahi prosedürler hızlı ve basit olmasına rağmen, araştırmalar sünnetin ebeveynlerde ve çocuklarda korku, kaygı ve rahatsızlığa neden olduğunu göstermektedir. Çalışmamız ile hastanemizde tıbbi olmayan nedenler ile sünnet operasyonu yapılan çocukların ve ebeveynlerinin operasyon öncesi dönemde kaygı seviyelerini ve yüksek kaygıya etki eden faktörleri belirlemeyi amaçladık. GEREÇ VE YÖNTEM: Çalışmamıza Afyonkarahisar Sağlık Bilimleri Üniversitesi Hastanesi Çocuk Cerrahi ve Üroloji Anabilim Dalı’na başvuran, 1 Nisan 2023 – 1 Mayıs 2023 tarihleri arasında elektif sünnet uygulanan 0-18 yaş arası 100 olgu ve ebeveyni alındı. Çalışmaya dahil edilen çocukların kaygı düzeyleri; çocukların ameliyat öncesi kaygılarını ölçmek amacıyla geliştirilmiş modifiye Yale Preoperatif Anksiyete Skalası (mYPAS) ile değerlendirildi. Ebeveynlerin kaygı düzeyini değerlendirmek için Durumluk-Süreklilik Kaygı Ölçeği (DSKÖ) kullanıldı. BULGULAR: Olguların yaş ortalaması 21,4 ± 22,8 aydı. Olguların %85’inin mYPAS skoru 30’dan daha yüksek iken %15’ininki düşük olarak bulundu. Çocuğun yaşı, hastaneye yatış ve geçirilmiş operasyon öyküsünün bulunup bulunmadığı, ebeveynlerin yaşı, eğitim düzeyi ve ekonomik durumu gibi özelliklerin çocuğun operasyon öncesi kaygı düzeyini değiştirmediği görüldü. Ebeveynlerin durumluk ve sürekli kaygı düzeyi ile çocuğun kaygı düzeyi arasında pozitif yönde anlamlı bir korelasyon saptandı (sırasıyla; r=0,331 p=0,001, r=0,266 p=0,008). SONUÇ: Çalışmamızda kaygı düzeyi yüksek ebeveynlerin çocuklarında, sünnet operasyonu öncesi kaygı düzeyinin daha yüksek olduğu saptandı. Ebeveynlerin ameliyat öncesi kaygı düzeylerini azaltacak müdahaleler ve psikolojik destek, çocuğun kaygısını da düşürerek operasyon sürecine uyumu artırabilir
Anahtar Kelimeler Sünnet, Erkek, Çocuk, Ebeveynler, Anksiyete
Kaynakça 1.Weiss H, Polonsky J, Bailey R, Hankins C, Halperin D, Schmid G. Male circumcision: global trends and determinants of prevalence, safety and acceptability. https://iris.who.int/bitstream/handle/10665/43749/97892?sequence=1. Erişim tarihi: 01.06.2023. 2. Karaman İM, Öztürk M, Koca O. Sünnet komplikasyonları. Androloji Bülteni. 2013;15(53):75–8. 3. Şahin F, Beyazova U, Aktürk A. Attitudes and practices regarding circumcision in Turkey. Child Care Heal Dev. 2003;29(4):275–80. 4. Kain ZN, Mayes LC, Caldwell-andrews AA, Karas DE, Mcclain BC, Kain ZN, et al. Preoperative Anxiety, Postoperative Pain, and Behavioral Recovery in Young Children Undergoing Surgery. Pediatrics. 2006;118(2):651–8. 5. Kain ZN, Caldwell-Andrews A, Wang S-M. Psychological preparation of the parent and pediatric surgical patient. Anesth Clin North Am. 2002;20(1):29–44. 6. Davidson AJ, Shrivastava PP, Jamsen K, Huang GH, Czarnecki C, Gibson MA, Stewart SA SR. Risk factors for anxiety at induction of anesthesia in children : a prospective cohort study. Paediatr Anaesth. 2006;16(9):919– 27. 7. Moura LA, Dias IM PL. Prevalence and factors associated with preoperative anxiety in children aged 5-12 years. Rev Lat Am Enferm. 2016;14(24):e2708. 8. Kain ZN, Mayes LC, Cicchetti DV, Bagnall AL, Finley JD, Hofstadter MB. The Yale Preoperative Anxiety Scale: How Does It Compare with a “Gold Standard”?. Anesth Analg. 1997;85:783–8. 9. Zeev N. Kain, Mayes LC, Cicchetti D V., Caramico LA, Spieker M, Nygren MM, et al. Measurement tool for preoperative anxiety in young children : The Yale preoperative anxiety scale. Child Neuropsychol. 1995;1(3):203–10. 10. Jenkins BN, Fortier M, Kaplan SH, Mayes LC, Kain ZN. Development of a Short Version of the Modified Yale Preoperative Anxiety Scale. Anesth Analg. 2014;119(3):643–50. 11. Hatipoğlu Z, Kırdök O, Özcengiz D. Validity and reliability of the Turkish version of the modified Yale Preoperative Anxiety Scale. Turk J Med Sci. 2019;49:730–7. 12. Spielberger CS, Gorsuch RL, Lushene RE (Edited by). Manual For The State Trait Anxiety Inventory. 1nd Edition, Palo Alto: Consulting Psychologists Press. 1970. 13. Öner N, Le Compte A (Editör). Süreksiz Durumluk/Sürekli Kaygı Envanteri El Kitabı. 1. Baskı, İstanbul: Boğaziçi Üniversitesi Yayınları.1983:1-26. 14. Kain ZN, Mayes LC, O'Connor TZ, Cicchetti DV. Preoperative anxiety in children. Predictors and outcomes. Arch Pediatr Adolesc Med. 1996;150(12):1238–45. 15. Wiswell TE, Roscelli JD. Corroborative evidence for the decreased incidence of urinary tract infections in circumcised male infants. Pediatrics. 1986;78:96–9. 16. Cason DL, Carter BS, Bhatia J. Can circumcision prevent recurrent urinary tract infections in hospitalized infants? , 39, 699– 703. Clin Pediatr (Phila). 2000;39:699–703. 17. Circumcision policy statement. American Academy of Pediatrics. Task Force on Circumcision. Pediatrics. 1999;103(3):686-93. 18. Bevan JC, Johnston C TG. Preoperative parental anxiety predicts behavioural and emotional responses to induction of anaesthesia in children. Can J Anaesth. 1990;37:177–82. 19. Vetter TR. The epidemiology and selective identification of children at risk for preoperative anxiety reactions. Anesth Analg. 1993;77:96–9. 20. Kotiniemi LH, Ryhänen PT, Moilanen IK. Behavioural changes in children following day-case surgery : a 4- week follow-up of 551 children. Anaesthesia. 1997;52:970–6. 21. Holm-Knudsen RJ, Carlin JB MI. Distress at induction of anaesthesia in children. A survey of incidence, associated factors and recovery characteristics. Paed Anaesth. 1998;8:383–92. 22. Visintainer MA, Wolfer JA. Psychological preparation for surgery pediatric patients: the effects on children’s and parents’ stress responses and adjustment. Pediatrics. 1975;56(2):187–202. 23. Yavuz M, Akdeniz B. The Effect of Circumcision on the Mental Circumcision and Mental Health. Aydın Toplum ve İnsan Derg. 2018;4(2):1–16. 24. Şahin KE, Önemli CS. Çocukların kaygı düzeyleri ve ameliyat öncesi dönemde kaygılarını etkileyen faktörler. Med J İzmir Hosp. 2023;27(1):35–41. 25. Cheung HO, Li W, Yan HO, Lam A. Paediatric day surgery : impact on Hong Kong Chinese children and their parents. J Clin Nurs. 2003;12:882–7. 26. Lui JC, Wu KK. Parental anxiety associated with participation in anaesthetic induction in children : questionnaire survey. Hong Kong Med J. 1999;5(1):21–6. 27. Dumont Y, Quirion R. Neuropeptide Y pathways in anxiety-related disorders. Biol Psychiatry. 2014;76(11):834- 835.
FACTORS AFFECTING THE ANXIETY LEVELS OF CHILDREN AND PARENTS UNDERGOING CIRCUMCISION SURGERY Yıl 2024, Cilt: 25 Sayı: 2, 214 – 220, 29.04.2024
Hacer Gizem Gerçek , Veli Mert Yazar , Osman Gerçek , Recep Uzun , Ahmet Ali Tuncer
https://doi.org/10.18229/kocatepetip.1311109
Öz OBJECTIVE: Although surgical procedures for circumcision are quick and simple, research shows that circumcision causes fear, anxiety, and discomfort in parents and children. In our study, we aimed to determine the anxiety levels of children and their parents who underwent circumcision surgery for non-medical reasons in our hospital and the factors affecting high anxiety in the preoperative period. MATERIAL AND METHODS: Our study included 100 cases aged 0-18 years, who applied to Afyonkarahisar Health Sciences University Hospital, Department of Pediatric Surgery and Urology and underwent elective circumcision between April 1-May 1 2023. Anxiety levels of the children included in the study; were evaluated with the modified Yale Preoperative Anxiety Scale (mYPAS), which was developed to measure preoperative anxiety of children. The State-Trait Anxiety Inventory (STAI) was used to assess the anxiety level of the parents. RESULTS: The mean age of the cases was 21.4 ± 22.8 months. While the mYPAS score of 85% of the cases was higher than 30, it was found to be low in 15%. It was observed that the characteristics such as the age of the child, hospitalization and previous operation history, the age of the parents, education level and economic status did not change the preoperative anxiety level of the child. A positive and significant correlation was found between the state and trait anxiety levels of the parents and the anxiety level of the child (r=0.331 p=0.001, r=0.266 p=0.008, respectively). CONCLUSIONS: In our study, it was found that the anxiety level before the circumcision operation was higher in the children of parents with high anxiety levels. Interventions and psychological support that will reduce parents’ anxiety levels before surgery can reduce the child’s anxiety and increase compliance with the operation process.
Anahtar Kelimeler Circumcision, Male, Child, Parents, Anxiety
Kaynakça 1.Weiss H, Polonsky J, Bailey R, Hankins C, Halperin D, Schmid G. Male circumcision: global trends and determinants of prevalence, safety and acceptability. https://iris.who.int/bitstream/handle/10665/43749/97892?sequence=1. Erişim tarihi: 01.06.2023. 2. Karaman İM, Öztürk M, Koca O. Sünnet komplikasyonları. Androloji Bülteni. 2013;15(53):75–8. 3. Şahin F, Beyazova U, Aktürk A. Attitudes and practices regarding circumcision in Turkey. Child Care Heal Dev. 2003;29(4):275–80. 4. Kain ZN, Mayes LC, Caldwell-andrews AA, Karas DE, Mcclain BC, Kain ZN, et al. Preoperative Anxiety, Postoperative Pain, and Behavioral Recovery in Young Children Undergoing Surgery. Pediatrics. 2006;118(2):651–8. 5. Kain ZN, Caldwell-Andrews A, Wang S-M. Psychological preparation of the parent and pediatric surgical patient. Anesth Clin North Am. 2002;20(1):29–44. 6. Davidson AJ, Shrivastava PP, Jamsen K, Huang GH, Czarnecki C, Gibson MA, Stewart SA SR. Risk factors for anxiety at induction of anesthesia in children : a prospective cohort study. Paediatr Anaesth. 2006;16(9):919– 27. 7. Moura LA, Dias IM PL. Prevalence and factors associated with preoperative anxiety in children aged 5-12 years. Rev Lat Am Enferm. 2016;14(24):e2708. 8. Kain ZN, Mayes LC, Cicchetti DV, Bagnall AL, Finley JD, Hofstadter MB. The Yale Preoperative Anxiety Scale: How Does It Compare with a “Gold Standard”?. Anesth Analg. 1997;85:783–8. 9. Zeev N. Kain, Mayes LC, Cicchetti D V., Caramico LA, Spieker M, Nygren MM, et al. Measurement tool for preoperative anxiety in young children : The Yale preoperative anxiety scale. Child Neuropsychol. 1995;1(3):203–10. 10. Jenkins BN, Fortier M, Kaplan SH, Mayes LC, Kain ZN. Development of a Short Version of the Modified Yale Preoperative Anxiety Scale. Anesth Analg. 2014;119(3):643–50. 11. Hatipoğlu Z, Kırdök O, Özcengiz D. Validity and reliability of the Turkish version of the modified Yale Preoperative Anxiety Scale. Turk J Med Sci. 2019;49:730–7. 12. Spielberger CS, Gorsuch RL, Lushene RE (Edited by). Manual For The State Trait Anxiety Inventory. 1nd Edition, Palo Alto: Consulting Psychologists Press. 1970. 13. Öner N, Le Compte A (Editör). Süreksiz Durumluk/Sürekli Kaygı Envanteri El Kitabı. 1. Baskı, İstanbul: Boğaziçi Üniversitesi Yayınları.1983:1-26. 14. Kain ZN, Mayes LC, O'Connor TZ, Cicchetti DV. Preoperative anxiety in children. Predictors and outcomes. Arch Pediatr Adolesc Med. 1996;150(12):1238–45. 15. Wiswell TE, Roscelli JD. Corroborative evidence for the decreased incidence of urinary tract infections in circumcised male infants. Pediatrics. 1986;78:96–9. 16. Cason DL, Carter BS, Bhatia J. Can circumcision prevent recurrent urinary tract infections in hospitalized infants? , 39, 699– 703. Clin Pediatr (Phila). 2000;39:699–703. 17. Circumcision policy statement. American Academy of Pediatrics. Task Force on Circumcision. Pediatrics. 1999;103(3):686-93. 18. Bevan JC, Johnston C TG. Preoperative parental anxiety predicts behavioural and emotional responses to induction of anaesthesia in children. Can J Anaesth. 1990;37:177–82. 19. Vetter TR. The epidemiology and selective identification of children at risk for preoperative anxiety reactions. Anesth Analg. 1993;77:96–9. 20. Kotiniemi LH, Ryhänen PT, Moilanen IK. Behavioural changes in children following day-case surgery : a 4- week follow-up of 551 children. Anaesthesia. 1997;52:970–6. 21. Holm-Knudsen RJ, Carlin JB MI. Distress at induction of anaesthesia in children. A survey of incidence, associated factors and recovery characteristics. Paed Anaesth. 1998;8:383–92. 22. Visintainer MA, Wolfer JA. Psychological preparation for surgery pediatric patients: the effects on children’s and parents’ stress responses and adjustment. Pediatrics. 1975;56(2):187–202. 23. Yavuz M, Akdeniz B. The Effect of Circumcision on the Mental Circumcision and Mental Health. Aydın Toplum ve İnsan Derg. 2018;4(2):1–16. 24. Şahin KE, Önemli CS. Çocukların kaygı düzeyleri ve ameliyat öncesi dönemde kaygılarını etkileyen faktörler. Med J İzmir Hosp. 2023;27(1):35–41. 25. Cheung HO, Li W, Yan HO, Lam A. Paediatric day surgery : impact on Hong Kong Chinese children and their parents. J Clin Nurs. 2003;12:882–7. 26. Lui JC, Wu KK. Parental anxiety associated with participation in anaesthetic induction in children : questionnaire survey. Hong Kong Med J. 1999;5(1):21–6. 27. Dumont Y, Quirion R. Neuropeptide Y pathways in anxiety-related disorders. Biol Psychiatry. 2014;76(11):834- 835. Toplam 27 adet kaynakça vardır.
Ayrıntılar Birincil Dil Türkçe Konular Çocuk Cerrahisi, Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları, Üroloji Bölüm Makaleler-Araştırma Yazıları Yazarlar Hacer Gizem Gerçek AFYONKARAHİSAR SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, ÇOCUK VE ERGEN RUH SAĞLIĞI VE HASTALIKLARI ANABİLİM DALI 0000-0002-0786-0826 Türkiye
Veli Mert Yazar AFYONKARAHİSAR SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, TIP FAKÜLTESİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, ÜROLOJİ ANABİLİM DALI 0000-0001-7885-1401 Türkiye
Osman Gerçek AFYONKARAHİSAR SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, TIP FAKÜLTESİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, ÜROLOJİ ANABİLİM DALI 0000-0002-8710-7171 Türkiye
Recep Uzun AFYONKARAHİSAR SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, TIP FAKÜLTESİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, ÜROLOJİ ANABİLİM DALI 0000-0002-0841-8757 Türkiye
Ahmet Ali Tuncer AFYONKARAHİSAR SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, TIP FAKÜLTESİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, ÇOCUK CERRAHİSİ ANABİLİM DALI 0000-0002-2750-7317 Türkiye
Yayımlanma Tarihi 29 Nisan 2024 Kabul Tarihi 21 Eylül 2023 Yayımlandığı Sayı Yıl 2024 Cilt: 25 Sayı: 2
Kaynak Göster APA Gerçek, H. G., Yazar, V. M., Gerçek, O., Uzun, R., vd. (2024). SÜNNET OPERASYONU YAPILAN ÇOCUKLARIN VE EBEVEYNLERİNİN KAYGI DÜZEYLERİNİ ETKİLEYEN FAKTÖRLER. Kocatepe Tıp Dergisi, 25(2), 214-220. https://doi.org/10.18229/kocatepetip.1311109 AMA Gerçek HG, Yazar VM, Gerçek O, Uzun R, Tuncer AA. SÜNNET OPERASYONU YAPILAN ÇOCUKLARIN VE EBEVEYNLERİNİN KAYGI DÜZEYLERİNİ ETKİLEYEN FAKTÖRLER. KTD. Nisan 2024;25(2):214-220. doi:10.18229/kocatepetip.1311109 Chicago Gerçek, Hacer Gizem, Veli Mert Yazar, Osman Gerçek, Recep Uzun, ve Ahmet Ali Tuncer. “SÜNNET OPERASYONU YAPILAN ÇOCUKLARIN VE EBEVEYNLERİNİN KAYGI DÜZEYLERİNİ ETKİLEYEN FAKTÖRLER”. Kocatepe Tıp Dergisi 25, sy. 2 (Nisan 2024): 214-20. https://doi.org/10.18229/kocatepetip.1311109. EndNote Gerçek HG, Yazar VM, Gerçek O, Uzun R, Tuncer AA (01 Nisan 2024) SÜNNET OPERASYONU YAPILAN ÇOCUKLARIN VE EBEVEYNLERİNİN KAYGI DÜZEYLERİNİ ETKİLEYEN FAKTÖRLER. Kocatepe Tıp Dergisi 25 2 214–220. IEEE H. G. Gerçek, V. M. Yazar, O. Gerçek, R. Uzun, ve A. A. Tuncer, “SÜNNET OPERASYONU YAPILAN ÇOCUKLARIN VE EBEVEYNLERİNİN KAYGI DÜZEYLERİNİ ETKİLEYEN FAKTÖRLER”, KTD , c. 25, sy. 2, ss. 214–220, 2024, doi: 10.18229/kocatepetip.1311109. ISNAD Gerçek, Hacer Gizem vd. “SÜNNET OPERASYONU YAPILAN ÇOCUKLARIN VE EBEVEYNLERİNİN KAYGI DÜZEYLERİNİ ETKİLEYEN FAKTÖRLER”. Kocatepe Tıp Dergisi 25/2 (Nisan 2024), 214-220. https://doi.org/10.18229/kocatepetip.1311109. JAMA Gerçek HG, Yazar VM, Gerçek O, Uzun R, Tuncer AA. SÜNNET OPERASYONU YAPILAN ÇOCUKLARIN VE EBEVEYNLERİNİN KAYGI DÜZEYLERİNİ ETKİLEYEN FAKTÖRLER. KTD . 2024;25:214–220. MLA Gerçek, Hacer Gizem vd. “SÜNNET OPERASYONU YAPILAN ÇOCUKLARIN VE EBEVEYNLERİNİN KAYGI DÜZEYLERİNİ ETKİLEYEN FAKTÖRLER”. Kocatepe Tıp Dergisi, c. 25, sy. 2, 2024, ss. 214-20, doi:10.18229/kocatepetip.1311109. Vancouver Gerçek HG, Yazar VM, Gerçek O, Uzun R, Tuncer AA. SÜNNET OPERASYONU YAPILAN ÇOCUKLARIN VE EBEVEYNLERİNİN KAYGI DÜZEYLERİNİ ETKİLEYEN FAKTÖRLER. KTD. 2024;25(2):214-20.
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