OPERASYON ODASINDA STRES: AC‹L VE ELEKT‹F CERRAH‹LER

Özet

Amaç: Stres anksiyeteyi art›ran bir faktördür ve operasyon odas›nda ekibin dikkatini azalt›r. Bu makalenin amac› acil ve elektif operasyonlarda stresin seviyesini de¤erlendirmek ve ekipler üzerine etkisini kalitatif ve kantitatif olarak de¤erlendirmektir. Yöntem: Çal›flmaya 64 ameliyata kat›lan ekipler al›nd›. Operasyonlar›n 32’si acil, 32’si elektif idi. Ekiplerin kalp h›z›, tükrük kortizol ölçümleri ve ‘State Trait Anxiety Inventory-Short Form’ (STAI-SF) skalas› kullan›larak bireysel stres seviyeleri belirlendi. ‘Observational Teamwork Assessment for Surgery’ (OTAS) skalas› ile tak›m çal›flmalar› de¤erlendirildi. Bulgular: Bütün ekiplerin operasyon öncesi dönemde ortalama kalp h›zlar› acil vakalarda elektiflere göre daha yüksek bulundu (p

Abstract

Objective: Stress increases anxiety, and reduces attention in operation rooms. The aim of this study was to evaluate the levelof stress and the effect of stress on teamwork in operating rooms, by utilizing quantitative and qualitative assessment.Method: The study was performed on anesthesia and surgery teams that participated in 64 surgeries (emergency; 32, elective:32). Stress levels were assessed individually using heart rate, saliva cortisol levels, and the "State-Trait Anxiety Inventory-ShortForm" (STAI-SF), while team work was assessed using the "Observational Teamwork Assessment for Surgery" (OTAS) tool.Results: Mean heart rate of all team members in emergency surgeries was significantly higher than in elective surgeries duringpreoperative period (p