Kalp Cerrahisinde Psikososyal Sorunlar
Özet
Kalp damar hastalarına perioperatif süreçte verilen psikososyal bakım ile hastaların fiziksel iyilik durumlarını desteklemek ve yaşam kalitelerini artırmak mümkündür. Ameliyat öncesi dönemde hastalar cerrahi sürece bağlı korku, anksiyete gibi durumlar yaşayabilmektedir. Psikososyal tanılama, hasta eğitimi, stres yönetimi ve sosyal destek ağlarını tanımlama ile ameliyat öncesi dönemde yaşadığı korku ve anksiyete azaltılabilir. Korku ve anksiyetenin azaltılmasıyla ameliyat sırası ve sonrası dönemde yaşanabilecek komplikasyon sayısı, anestezik ilaç kullanımı azaltılabilir. Ameliyat sonrası dönemde ise; rehabilitasyon desteğinin verilmesi, hasta eğitiminin yapılması, stres yönetimi ile psikososyal yönden iyilik haline ulaşması sağlayabilir.
Psychosocial care provided to cardiovascular patients in the perioperative period can support their physical well-being and improve their quality of life. In the preoperative period, patients may experience fear and anxiety related to the surgical process. Fear and anxiety in the preoperative period can be reduced by psychosocial diagnosis, patient education, stress management and identification of social support networks. By reducing fear and anxiety, the number of complications that may occur during and after surgery, use of anesthetic drugs can be reduced. In the postoperative period; rehabilitation support, patient education, stress management and psychosocial well-being can be achieved.
Referanslar
WHO. The top 10 causes of death. 2020. (10/04/2023 tarihinde https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death#:~:text=The world’s biggest killer is,8.9 million deaths in 2019 adresinden ulaşılmıştır).
Mavili I, Ahutoglu C, Pestilci Z, Kocabaş S, Akar FZ. Koroner arter baypas greftleme cerrahisi sonrası erken dönemde gelişen komplikasyonlar ve ilişkili etiyolojik faktörler. Göğüs-Kalp-Damar Anestezi ve Yoğun Bakım Derneği Dergisi. 2016;22(1):16–23.
CDC. Publications and Information products from national center for health statistics 2020. (10/04/2023 tarihinde https://www.cdc.gov/nchs/products/index.htm adresinden ulaşılmıştır).
Hinkle JL, Cheever KH. Textbook of medical-surgical nursing. 14th ed. Hinkle JL, Cheever KH, (ed.) Wolters Kluwer Health; 2018.
Honan L. Focus on adult health: medical-surgical nursing. Wolters Kluwer Health; 2018.
Harding MM, Kwong J. Lewis ’ s Medical-Surgical Nursing Assessment and Management of Clinical Problems. 2019.
Aksoy G. Ameliyat Öncesi Hemşirelik Bakımı. In: Aksoy G, Kanan N, Akyolcu N (ed.) Cerrahi Hemşireliği I. 2. Genişle. İstanbul: Nobel Tıp Kitabevleri; 2017. p. 257–97.
Yavuz van Giersbergen M. Ameliyat Öncesi Bakım. In: Karadakovan A, Aslan Eti F (ed.). Dahili ve Cerrahi Hastalıklarda Bakım. Altıncı baskı. Ankara: Akademisyen; 2022.
Yavuz van Giersbergen M. Ameliyat Öncesi Hazırlık ve Bakım. In: Yavuz Van Giersbergen M (ed.) Cerrahi Hemşireliği. Birinci Baskı. Ankara: Ankara Nobel Tıp Kitabevleri; 2023. p. 88–102.
Yılmaz M. Cerrahi Hastanın Değerlendirilmesi. In: Aslan Eti F (ed.) Cerrahi Bakım Vaka Analizleri ile Birlikte. Birinci. Ankara: Akademisyen Tıp Kitabevi; 2016. p. 279–318.
Kanan N. Kalp ve Damar Sisteminin Cerrahi Hastalıkları ve Bakımı. In: Akyolcu N, Kanan N, Aksoy G (ed.) Cerrahi Hemşireliği II. Birinci. İstanbul: Nobel Tıp Kitabevleri; 2018. p. 65–154.
World Health Organization. Mental Disorders 2022 (10/04/2023 tarihinde who.int/news-room/fact-sheets/detail/mental-disordes adresinden ulaşılmıştır).
Hernández-Palazón J, Fuentes-García D, Falcón-Araña L, et al. Assessment of preoperative anxiety in cardiac surgery patients lacking a history of anxiety: contributing factors and postoperative morbidity. J Cardiothorac Vasc Anesth. 2018;32(1):236–44.
Stamenkovic DM, Rancic NK, Latas MB et al. Preoperative anxiety and implications on postoperative recovery: what can we do to change our history. Minerva Anestesiol. 2018;84(11):1307–17.
Türk Dil Kurumu. Güncel Türkçe Sözlük 2023 (15/04/2023 tarihinde sozluk.gov.tr adresinden ulaşılmıştır).
Brown, D., Edwards, H., Seaton, L.,et al. Lewis’s medical-surgical nursing; Assessment and management of clinical problems 4th Edn. 2015;
Flaherty LB, Wood T, Cheng A, et al. Pre-existing psychological depression confers increased risk of adverse cardiovascular outcomes following cardiac surgery: A systematic review and meta-analysis., Journal of Thoracic and Cardiovascular Surgery. Mosby Inc.; 2017;154:1578-1586.
Çam O. Hastalık Sürecinde Birey ve Aileye Yönelik Bakım. In: Karadakovan A, Aslan Eti F (ed.) Dahili ve Cerrahi Hastalıklarda Bakım. Altıncı basım Ankara: Akademisyen Kitabevi; 2022. p. 79-90.
Rosiek A, Kornatowski T, Rosiek-Kryszewska A, et al. Evaluation of stress intensity and anxiety level in preoperative period of cardiac patients. Biomed Res Int. 2016;2016.1248396. doi: 10.1155/2016/1248396.
Memiş S, Aslan Eti F, Aygin D. Denge,Stres ve Adaptasyon. In: Karadakovan A, Aslan Eti F (ed.) Dahili ve Cerrahi Hastalıklar. Altıncı basım. Ankara: Akademisyen Kitabevi; 2022. p. 63–78.
Karadağ M. Homeostazis ve Cerrahi Stres. In: Karadağ M, Bulut H (ed.) Cerrahi Hemşireliği Kavram Haritası ve Akış Şemalı. 1. Baskı. Ankara: Vize Yayıncılık; 2022. p. 11–30.
Engelman DT, Ben Ali W, Williams JB, et al. Guidelines for perioperative care in cardiac surgery: enhanced recovery after surgery society recommendations. JAMA Surg. 2019;154(8):755–66. doi: 10.1001/jamasurg.2019.1153.
Guo P, East L, Arthur A. International Journal of Nursing Studies A preoperative education intervention to reduce anxiety and improve recovery among Chinese cardiac patients: A randomized controlled trial. Int J Nurs Stud 2012;49(2):129–37. doi: 10.1016/j.ijnurstu.2011.08.008.
Ramesh C, Nayak BS, Pai VB, Patil NT, George A, George LS, et al. Effect of preoperative education on postoperative outcomes among patients undergoing cardiac surgery: A Systematic Review and Meta-Analysis. Journal of Perianesthesia Nursing. 2017;32(6):518-529.e2. doi: 10.1016/j.jopan.2016.11.011.
Eastwood D, Manson N, Bigney E, et al. Improving postoperative patient reported benefits and satisfaction following spinal fusion with a single preoperative education session. Spine Journal. 2019;19(5):840–5. doi: 10.1016/j.spinee.2018.11.010.
Gustafsson UO, Scott MJ, Hubner M, et al. Guidelines for perioperative care in elective colorectal surgery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations: 2018. World J Surg. 2019;43(3):659–95. doi: 10.1007/s00268-018-4844-y.
Loghmani L, Monfared MB. The effect of preoperative training on postoperative depression in patients undergoing open heart surgery (2017). Electronic Journal of General Medicine. 2018;15(3). doi.org/10.29333/ejgm/85680
Mccann M, Stamp N, Ngui A, et al. Cardiac Prehabilitation. J Cardiothorac Vasc Anesth. 2019;33(8):225565. doi.org/10.1053/j.jvca.2019.01.023
López-Hernández A, Arguis M, Gimeno-Santos E, Navarro R, Coca-Martínez M, Martínez-Pallí G. Revista Española de Anestesiología y Reanimación Feasibility and effects of prehabilitation in cardiac surgery. Preliminary study. Rev Esp Anestesiol Reanim 2023;70(4):218-223. doi: 10.1016/j.redare.2022.01.009.
Baldini G, Ferreira V, Carli F. Preoperative preparations for enhanced recovery after surgery programs: A Role for Prehabilitation. Surgical Clinics of North America. 2018;98(6):1149–69. doi: 10.1016/j.suc.2018.07.004.
Le Roy B, Selvy M, Slim K. The concept of prehabilitation: What the surgeon needs to know? J Visc Surg. 2016;153(2):109–12. doi:10.1016/j.jviscsurg.2016.01.001
Clifford T. Enhanced recovery after surgery. Journal of Perianesthesia Nursing. 2016;31(2):182–3. doi.org/10.1016/j.jopan.2015.12.007
Wang R, Huang X, Wang Y,et al. Non-pharmacologic approaches in preoperative anxiety, a Comprehensive Review. Frontiers in Public Health. 2022:10: 854673. doi:10.3389/fpubh.2022.854673.
Embong NH, Soh YC, Ming LC, et al. Perspectives on reflexology: A qualitative approach. J Tradit Complement Med. 2017;7(3):327–31. doi:10.1016/j.jtcme.2016.08.008.
Chandrababu R, Rathinasamy EL, Suresh C, et al. Effectiveness of reflexology on anxiety of patients undergoing cardiovascular interventional procedures: A systematic review and meta-analysis of randomized controlled trials. Journal of Advanced Nursing. 2019;75(1):43-53. doi: 10.1111/jan.13822.
Tong Q yu, Liu R, Zhang K, et al. Can acupuncture therapy reduce preoperative anxiety? A systematic review and meta-analysis. Journal of Integrative Medicine. 2021 ;19(1):20-28. doi: 10.1016/j.joim.2020.10.007.
Guo P, Li P, Zhang X, et al. The effectiveness of aromatherapy on preoperative anxiety in adults: A systematic review and meta-analysis of randomized controlled trials. International Journal of Nursing Studies. 2020;111:103747. doi:10.1016/j.ijnurstu.2020.103747.
Rodrigues HF, Furuya RK, Dantas RAS, et al. Association of preoperative anxiety and depression symptoms with postoperative complications of cardiac surgeries. Rev Lat Am Enfermagem. 2018;26. doi: 10.1590/1518-8345.2784.3107.
Rodrigues HF, Furuya RK, Dantas RAS, et al. Anxiety and depression in cardiac surgery: sex and age range differences. Escola Anna Nery - Revista de Enfermagem. 2016;20. doi:10.5935/1414-8145.20160072
Tully PJ, Winefield HR, Baker RA, et al. Depression, anxiety and major adverse cardiovascular and cerebrovascular events in patients following coronary artery bypass graft surgery: A five year longitudinal cohort study. Biopsychosoc Med. 2015;9(1):14 doi:10.1186/s13030-015-0041-5.
Pedersen SS, von Känel R, Tully PJ, et al. Psychosocial perspectives in cardiovascular disease. Eur J Prev Cardiol. 2017;24(3):108–15. doi:10.1177/2047487317703827.
Lichtman JH, Froelicher ES, Blumenthal JA, et al. Depression as a risk factor for poor prognosis among patients with acute coronary syndrome: Systematic review and recommendations: A scientific statement from the american heart association. Circulation. 2014;129(12):1350–69. doi: 10.1161/CIR.0000000000000019.
Li J, Ji F, Song J, Gao X, et al. Anxiety and clinical outcomes of patients with acute coronary syndrome: A meta-analysis. BMJ Open. 2020;10(7). doi:10.1136/bmjopen-2019-034135.
Nguyen Q, Uminski K, Hiebert BM, et al. Midterm outcomes after postoperative delirium on cognition and mood in patients after cardiac surgery. Journal of Thoracic and Cardiovascular Surgery. 2018;155(2):660-667.e2. doi: 10.1016/j.jtcvs.2017.09.131.
DuBois CM, Lopez OV, Beale EE, et al. Relationships between positive psychological constructs and health outcomes in patients with cardiovascular disease: A systematic review. International Journal of Cardiology. 2015;195:265–80. doi:10.1016/j.ijcard.2015.05.121.
Richards SH, Anderson L, Jenkinson CE, et al. Psychological interventions for coronary heart disease: Cochrane systematic review and meta-analysis. Vol. 25, European Journal of Preventive Cardiology. 2018;25(3):247–59. doi: 10.1177/2047487317739978.
Beatty AL, Beckie TM, Dodson J, al. A new era in cardiac rehabilitation delivery: research gaps, questions, strategies, and priorities. Circulation. 2023;147(3):254–66. doi: 10.1161/CIRCULATIONAHA.122.061046.
British Cardiovascular Society. The BACPR Standards and Core Components for Cardiovascular Disease Prevention and Rehabilitation 2023. (13/04/2023 tarihinde https://www.bacpr.org/__data/assets/pdf_file/0021/64236/BACPR-Standards-and-Core-Components-2023.pdf adresinden ulaşılmıştır).
Rees K, Bennett P, West R, et al. Psychological interventions for coronary heart disease. In: Rees K, editor. Cochrane Database of Systematic Reviews. Chichester, 2004;(2) doi:10.1002/14651858.CD002902.pub2
Richards SH, Anderson L, Jenkinson CE, et al. Psychological interventions for coronary heart disease: Cochrane systematic review and meta-analysis. European Journal of Preventive Cardiology. 2018;25(3):247–59. doi:10.1177/2047487317739978.
Kaihara T, Scherrenberg M, Intan-Goey V, et al. Efficacy of digital health interventions on depression and anxiety in patients with cardiac disease: A systematic review and meta-Analysis. European Heart Journal- Digital Health. 2022;3(3):445–54. doi: 10.1093/ehjdh/ztac037.
Hanley AW, Hinich J, Kennedy A, et al. The Analgesic Effects of Nurse-Led, Ultra-Brief Mindfulness Interventions: A Randomized Controlled Trial. Mindfulness. 2023;14(5):1113–24. doi:10.1007/s12671-023-02112-9
Chou R, Gordon DB, De Leon-Casasola OA, et al. Management of postoperative pain: A clinical practice guideline from the American pain society, the American society of regional anesthesia and pain medicine, and the American society of anesthesiologists’ committee on regional anesthesia, executive commi. Journal of Pain. 2016;17(2):131–57. doi:10.1016/j.jpain.2015.12.008
Dobber J, Latour C, Snaterse M, et al. Developing nurses’ skills in motivational interviewing to promote a healthy lifestyle in patients with coronary artery disease. European Journal of Cardiovascular Nursing. 2019;18(1):28–37. doi: 10.1177/1474515118784102
Rushton M, Howarth M, Grant MJ, et al. Person-centred discharge education following coronary artery bypass graft: A critical review. J Clin Nurs. 2017;26(23–24):5206–15. doi:10.1111/jocn.14071.
Altınbaş Y. Sağlık Eğitimi. In: Yavuz van Giersbergen M, (ed). Cerrahi Hemşireliği. Ankara: Ankara Nobel Tıp Kitabevleri; 2023. p. 37–44.
Filomeno L, Minciullo A, Gabellini S. Educational interventions in the perioperative period of the patient undergoing cardiac surgery: a scoping review of the literature. Scenario. 2020;37(2):5–15.
Coskun H, Senture C, Ustunsoz A. The effectiveness of discharge training for patients after cardiac surgery. Rehabilitation Nursing. 2018;43(2):95–102. doi: 10.1097/RNJ.0000000000000079.
