Mastektomi ameliyat olan hastaların ameliyat öncesi ve sonrası dönemdeki duygusal tepkileri ve hemşirelerin bu tepkilere ilişkin bilgi düzeylerinin incelenmesi
Başlık çevirisi mevcut değil.
- Tez No: 3721
- Danışmanlar: PROF. DR. NEBAHAT KUM
- Tez Türü: Doktora
- Konular: Hemşirelik, Nursing
- Anahtar Kelimeler: Hemşireler, Mastektomi, Nurses, Mastectomy
- Yıl: 1988
- Dil: Türkçe
- Üniversite: Hacettepe Üniversitesi
- Enstitü: Sağlık Bilimleri Enstitüsü
- Ana Bilim Dalı: Hemşirelik Ana Bilim Dalı
- Bilim Dalı: Belirtilmemiş.
- Sayfa Sayısı: Belirtilmemiş.
Özet
Özet yok.
Özet (Çeviri)
SUMMARY This research was palanned with two main aims. First was to define the emotional reactions of radical mastectomy patients in the pre and post-operative periods. Second was to get the nurses, views in relation to the emotional reactions of patients and the nursing approaches to these reactions. This study was realized at the GATA Hospital, SSK Hospital.Oncology Hospital and Hacettepe University Hospital in Ankara. 50 patients who were hospitalized and radically mastectomied during the first six months in the year of 1986, and 40 nurses giving medical care to the mastectomy patients in these hospitals constituted the sample. The Symptom Check-List (SCL-90) wich has nine subtests and totally 90 items each of wich shows a psychiatric symptom as to the related disor der was used to define the emotional reactions of patients. SCL-90 was administered to all the patients by the researcher two times as in both pre-operative and post-operative periods. A questionnaire designed by researcher was administered to all the nurses. It included six open- ended questions. -68-.69- Statistical analysises were made with the help of the methods such as percentage, khi square (x ) and t-test at the 0.05 level of significance. Findings obtained from SCL-90 showed that emotional reaction which appeared intensively in the patients was depression in the period of pre- operation. Obsessive-compulsive behaviors, anxiety and excessive sensitivity in interpersonal relationship followed successively. Post-operative period contained the time between the moment the patient saw the scar first time and the time of discharge. Primer emotional reaction of the patients in the period of post-operation was depression. Excessive sensitivity in interpersonal relationship, obsessive-compulsive behaviors and anxiety followed successively. Level of depression that was the primer reaction in both pre and post-operative periods was higher in the patients who knew the diagnosis than in the patients who didn't have any knowledge about diagnosis. Depression levels of the patients who didn't know the diagnosis diminished significantly after operation. In the period of post- operation, anxiety levels of the patients who were below the age of fifty diminished significantly. There were no evidence of paranoid and psychotic reactions in the patients in also both of two periods. Findings obtained from questionnaire which was administered to the nurses showed that the nurses had competent views and understandings concerning the emotional reactions of the patients in both periods, but they were not sufficient and effective to help the patients to cope with these reactions.
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