The Effect of Pain and Anxiety on Sleep Quality in Hospitalized Patients in Surgical Clinics
PDF
Cite
Share
Request
Original Article
P: 288-293
September 2022

The Effect of Pain and Anxiety on Sleep Quality in Hospitalized Patients in Surgical Clinics

J Turk Sleep Med 2022;9(3):288-293
1. Kafkas Üniversitesi Sağlık Bilimleri Fakültesi, Cerrahi Hastalıkları Hemşireliği Anabilim Dalı, Kars, Türkiye
2. Kafkas Üniversitesi Sağlık Bilimleri Fakültesi, Psikiyatri Hemşireliği Anabilim Dalı, Kars, Türkiye
No information available.
No information available
Received Date: 12.01.2022
Accepted Date: 13.06.2022
Publish Date: 05.09.2022
PDF
Cite
Share
Request

ABSTRACT

Objective:

A descriptive and correlational study was conducted to determine the effect of pain and anxiety on sleep quality in patients hospitalized in surgical clinics.

Materials and Methods:

The population of the study consisted of patients who were hospitalized in the surgical clinics of a university hospital in April-June 2019 and accepted to participate in the study. Two hundred-four patients who met the inclusion criteria of the study during these dates were included in the sample of the study. Ethics committee approval and permission from the institution where the study was conducted were obtained before starting the study. Data were collected using the patient identification form, The Numerical Pain Rating Scale (NPRS), State Anxiety Scale (STAI-I) and Richard-Campbell Sleep Scale (RCSS).. Number, percentage, mean, standard deviation, correlation and regression analysis were used in the evaluation of the data.

Results:

It was determined that 32.8% of the patients participating in the study were hospitalized in the general surgery service and 51.0% had surgery. It was found that 48.0% of the patients had sleep problems during their stay in the hospital and 54.1% of the patients having sleep problems had sleep problems due to pain. It was determined that the mean scores of NPRS, STAI-I, and RCSS (3.77±2.52; 42.15±9.99; 49.61±25.34, respectively) were at a moderate level. A statistically significant negative correlation was found between the patients’ mean NPRS and STAI-I scores and the mean RCSS scores (p<0.05).

Conclusion:

It was determined that the pain and anxiety states of patients hospitalized in surgical clinics negatively affected sleep quality.

Keywords: Pain, anxiety, surgical clinic, sleep quality

References

1
Batista dos Santos MM, Amado Martins JC, Nunes Oliveira LM. Anxiety, depression and stress in the preoperative surgical patient. Revista de Enfermagem Referência 2014;4:7-15.
2
Gan TJ. Poorly controlled postoperative pain: prevalence, consequences, and prevention. J Pain Res 2017;10:2287-98.
3
Çakır SK, Özbayır T. Assessment of Patient anxiety levels before and after stoma surgery. Turk J Colorectal Dis 2018;28:159-63.
4
Cimilli C. Anxiety in Surgery. J Clin Psy 2001;4:182-6.
5
Fındık ÜY, Yıldızeli Topçu S. Effect of the way of surgery on preoperative anxiety. Sağlık Bilimleri Fakültesi Hemşirelik Dergisi 2012;22-33.
6
Hur MH, Song JA, Lee J, Lee MS. Aromatherapy for stress reduction in healthy adults: a systematic review and meta-analysis of randomized clinical trials. Maturitas 2014;79:362-9.
7
Aslan FE, Şahin SK, Secginli S, Bülbüloğlu S. Hastaların, ameliyat sonrası ağrı yönetimine ilişkin hemşirelik uygulamalarından memnuniyet düzeyleri: Bir sistematik derleme. Ağrı Dergisi 2018;30:105-15.
8
Kühlmann AYR, de Rooij A, Kroese LF, van Dijk M, Hunink MGM, Jeekel J. Meta-analysis evaluating music interventions for anxiety and pain in surgery. Br J Surg 2018;105:773-83.
9
Lambrini K, Petros O, Ioanna P, Konstantinos K, Konstantinos T, Christos I, Areti T. Sleep and health: Role of dopamine. In Proc. Dopamine, Health Disease 2018;31.
10
Sleep Foundation. Available at: https://www.sleepfoundation.org/ Accessed: 23.01.2021.
11
Erişim adresi: https://hr.mcmaster.ca/app/uploads/2019/07/SUPPLEMENTS_AUGUST_2017_EN_HOMEWOOD.compressed-1-37.pdf Erişim Tarihi: 23.01.2021.
12
Atar NY, Kırbıyık E, Kaya N, Kaya H, Turan N, Palloş A, Eskimez Z. Bir üniversite hastanesinin cerrahi kliniğinde yatan hastaların uyku kalitesi ve uyku durumunu etkileyen faktörler. Türkiye Klinikleri J Nurs Sci 2012;4:74-84.
13
Doğan O, Ertekin Ş, Doğan S. Sleep quality in hospitalized patients. JCN 2005;4:107-13.
14
Önler E, Yılmaz A. Cerrahi birimlerde yatan hastalarda uyku kalitesi. İ.Ü.F.N. Hem. Derg 2008;16:114-21.
15
Öner N, LeCompte A. Durumluluk ve sürekli kaygı envanteri el kitabı. II. Baskı, İstanbul: Boğaziçi Üniversitesi Yayınları, 1985.
16
Özlü ZK, Özer N.Richard-Campbell uyku ölçeği geçerlilik ve güvenilirlik çalışması. Journal of Turkish Sleep Medicine 2015;2:29-32.
17
Mannion H, Molloy DW, O'Caoimh R. Sleep disturbance in older patients in the emergency department: prevalence, predictors and associated outcomes. Int J Environ Res Public Health 2019;16. doi: 10.3390/ijerph16193577.
18
Louis M, Treger K, Ashby T, Smotherman C, Gautum S, Seeram V, Cury J, Jones L. Patient-related factors may influence nursing perception of sleep in the Intensive Care Unit. PLoS One 2020;15. doi: 10.1371/journal.pone.0226323.
19
Jensen PS, Specht K, Mainz H. Sleep quality among orthopaedic patients in Denmark -A nationwide cross-sectional study. Int J Orthop Trauma Nurs 2021;40. doi: 10.1016/j.ijotn.2020.100812.
20
Şahin Altun Ö, Kahraman Özlü Z, Olçun Z, Kaya M. Does The fear of surgery prevent patients from sleeping? Anadolu Hem Sağ Bil Derg 2017;20:260-6.
21
Dobing S, Frolova N, McAlister F, Ringrose J. Sleep quality and factors influencing self-reported sleep duration and quality in the general internal medicine inpatient population. PLoS one 2016;11. doi: 10.1371/journal.pone.0156735
22
Seyhan Ak E, Ayoğlu T, Kandemir D. Kalp Cerrahisi sonrası ağrı kontrolünde yeni yaklaşımlar. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 2017;2:29-32.
23
Uraz Ö. Cerrahi kliniklerde çalışan hemşirelerin ameliyat sonrası sık görülen semptomlara yönelik tamamlayıcı ve alternatif yöntemlere ilişkin bilgi ve uygulamaları. Master’s thesis, İnönü Üniversitesi/Sağlık Bilimleri Enstitüsü 2019.
24
Yanık TÇ, Yılmaz SG. Kardiyovasküler cerrahi sonrası yoğun bakımda yaşanan sorunlar ve hemşirelik bakımı. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi 2019;1:122-7.
25
Düğer Ü, Kolutek R. Nöroloji servisinde yatan geriatrik hastalarda hastane ortamının uyku kalitesine etkisi. Master’s thesis, Nevşehir Hacı Bektaş Veli Üniversitesi 2020.
26
Yanık TÇ, Uğraş GA. Akupresür kullanımının cerrahi girişim sonrası uyku kalitesine etkisi. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi 2020;2:105-12.
27
Karahan E, Çelik S, Zaman F. Ertelenen cerrahi girişimlerin nedenleri ve hasta anksiyete düzeyine etkisi. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 2020;7:123-9.
28
Aras GU, Aydın AK. The relationship between preoperative anxiety and gastrointestinal system symptoms. Cukurova Med J 2021;46:360-70.
29
Arlı ŞK. Evaluation of the Preoperative Anxiety With Apais and STAI-I Scales. Journal of Hacettepe University Faculty of Nursing 2017;4:38-47.
30
Peker K. Preoperatif anksiyetenin değerlendirilmesinde Beck ve durumluk-sürekli anksiyete ölçeklerinin karşılaştırılması. Anestezi Dergisi 2020; 28:109-15.
31
Lee CH, Liu JT, Lin SC, Hsu TY, Lin CY, Lin LY. Effects of educational ıntervention on state anxiety and pain in people undergoing spinal surgery: a randomized controlled trial. Pain Manag Nurs 2018;19:163-71.
32
Tulloch I, Rubin JS. Assessment and management of preoperative anxiety. J Voice 2019;33:691-6.
33
Mulugeta H, Ayana M, Sintayehu M, Dessie G, Zewdu T. Preoperative anxiety and associated factors among adult surgical patients in Debre Markos and Felege Hiwot referral hospitals, Northwest Ethiopia. BMC Anesthesiol 2018;18:155.
34
Şahin M. Korku, kaygı ve kaygı (anksiyete) bozuklukları. Avrasya Sosyal ve Ekonomi Araştırmaları Dergisi (ASEAD) 2019;6:117-35.
35
Bojorquez GR, Jackson KE, Andrews AK. Music therapy for surgical patients: approach for managing pain and anxiety. Crit Care Nurs Q 2020;43:81-5.
36
Sipilä RM, Haasio L, Meretoja TJ, Ripatti S, Estlander AM, Kalso EA. Does expecting more pain make it more intense? Factors associated with the first week pain trajectories after breast cancer surgery. Pain 2017;158;922-30.
2024 ©️ Galenos Publishing House