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Dergiler / Medical Records / 2026 / Sayı: 1

Açık Kalp Cerrahisi Geçiren Hastalarda Hastalık Algıları ve Ameliyata Özgü Anksiyete Üzerindeki Etkileri

Illness Perceptions and Their Impact on Surgery-Specific Anxiety in Patients Undergoing Open-Heart Surgery

Serdar Sever(UŞAK ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ, HEMŞİRELİK BÖLÜMÜ)0000-0001-8627-4237
Zehra Üzel(USAK UNIVERSITY)0009-0006-6219-6936
Esra Aydemir(USAK UNIVERSITY)0009-0001-0368-1070
Cavidan Duyğun(USAK UNIVERSITY)0009-0004-7895-0468
Sayfa
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Yayın Tarihi
2026-03-24
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Bulgular: Katılımcıların yaş ortalaması 62,3±10,4 olup %67,5’i erkekti.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Öz Amaç: Bu çalışma, açık kalp cerrahisi planlanan hastalarda hastalık algıları ile ameliyata özgü anksiyete arasındaki ilişkiyi incelemeyi ve ameliyata özgü anksiyetenin temel yordayıcılarını belirlemeyi amaçlamıştır.
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Temel Bulgular & Veri:Çalışma Ocak–Eylül 2025 tarihleri arasında yürütülmüştür.
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Sonuç & Katkı:Bulgular: Katılımcıların yaş ortalaması 62,3±10,4 olup %67,5’i erkekti.
🔬Tür:Uygulamalı Anket & Alan Araştırması
📍Kapsam:2025 · 120 hasta
⚙️Değişkenler:Açık Kalp Cerrahisi · Hastalık Algısı · Preoperatif Anksiyete

Özet

Öz Amaç: Bu çalışma, açık kalp cerrahisi planlanan hastalarda hastalık algıları ile ameliyata özgü anksiyete arasındaki ilişkiyi incelemeyi ve ameliyata özgü anksiyetenin temel yordayıcılarını belirlemeyi amaçlamıştır. Gereç ve Yöntem: Tanımlayıcı ve ilişkisel bir araştırma deseni kullanılmıştır. Çalışma Ocak–Eylül 2025 tarihleri arasında yürütülmüştür. Elektif koroner arter baypas grefti (KABG) veya kalp kapak cerrahisi planlanan toplam 120 hasta kolayda örnekleme yöntemiyle çalışmaya dahil edilmiştir. Veriler, kişisel bilgi formu, Hastalık Algısı Anketi (IPQ) ve Ameliyata Özgü Anksiyete Anketi (ASSQ) ile toplanmıştır. Tanımlayıcı istatistikler, Pearson korelasyonu ve çoklu doğrusal regresyon analizleri uygulanmıştır. Bulgular: Katılımcıların yaş ortalaması 62,3±10,4 olup %67,5’i erkekti. Ortalama ASSQ puanı 29,4±5,9 bulunmuş ve bu orta-yüksek düzeyde ameliyata-özgü anksiyeteyi göstermiştir. Çok değişkenli analizde duygusal temsillerin (β=0,60, p<0,001) anksiyetenin en güçlü pozitif yordayıcısı olduğu, tedavi kontrolünün (β=-0,95, p<0,001) ise anksiyete düzeyini anlamlı biçimde azalttığı saptanmıştır. Cinsiyet (erkek: β=-1,92, p=0,029) ve medeni durum (bekar: β=-2,54, p=0,049) da daha düşük anksiyete ile ilişkili bulunmuştur. Son model, ameliyata özgü anksiyetedeki varyansın %49,7’sini açıklamıştır (R²=0,497). Sonuç: Hastalık algıları, özellikle duygusal problemler ve tedavi kontrolüne ilişkin inançlar, açık kalp cerrahisini bekleyen hastalarda ameliyata özgü anksiyetenin temel belirleyicileridir. Bu bulgular, ameliyat öncesi psikolojik değerlendirmenin ve hastalıkla ilişkili duygusal yükü azaltan, hastaların kontrol algısını güçlendiren müdahalelerin gerekliliğini vurgulamaktadır. Bu tür stratejilerin rutin preoperatif bakıma entegre edilmesi, anksiyeteyi azaltmaya ve iyileşme sonuçlarını geliştirmeye katkı sağlayabilir.

Abstract

Aim: This study aimed to examine the relationship between illness perceptions and surgery-specific anxiety in patients scheduled for open-heart surgery and to identify the key predictors of surgery-specific anxiety. Material and Methods: A descriptive and correlational design was employed. The study was conducted between January and September 2025. A total of 120 patients scheduled for elective coronary artery bypass grafting (CABG) or heart valve surgery were included using convenience sampling. Data were collected via a personal information form, Illness Perception Questionnaire (IPQ), and Anxiety Specific to Surgery Questionnaire (ASSQ). Descriptive statistics, Pearson’s correlation, and multiple linear regression analyses were employed. Results: The mean age of participants was found to be 62.3±10.4, and 67.5% were male. The mean ASSQ score was 29.4±5.9, indicating moderate-to-high surgery-specific anxiety. The multivariate analysis found that emotional representations (β=0.60, p<0.001) were the strongest positive predictor of anxiety, whereas treatment control (β=-0.95, p<0.001) significantly reduced anxiety levels. Gender (male: β=-1.92, p=0.029) and marital status (single: β=-2.54, p=0.049) were also associated with lower anxiety. The final model explained 49.7% of the variance in surgery-specific anxiety (R²=0.497). Conclusion: Illness perceptions, particularly emotional distress and treatment control beliefs are key determinants of surgery-specific anxiety in patients awaiting open-heart surgery. These findings emphasize the need for preoperative psychological assessment and targeted interventions that reduce illness-related emotional burden and strengthen patients’ sense of control. Integrating such strategies into routine preoperative care may help alleviate anxiety and improve recovery outcomes.

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Bu Makaleye Atıf Yap

Sever, S., Üzel, Z., Aydemir, E., Duyğun, C. (2026). Açık Kalp Cerrahisi Geçiren Hastalarda Hastalık Algıları ve Ameliyata Özgü Anksiyete Üzerindeki Etkileri. Medical Records, Sayı: 1. https://doi.org/10.37990/medr.1792950

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