Association Between Anxiety and Depression and Needs of Patient Families in Cardiovascular Surgery Intensive Care Unit/Kardiyovaskuler Cerrahi Yogun Bakim Birimlerinde Hasta Yakininin Gereksinimleri: Anksiyete ve Depresyon Ile Iliskisi

• Published in: Yogu︣n bakim dergisi Vol. 9; no. 3; p. 63
• Main Authors: Olcum, Halil Ibrahim, Ozsen, Kelime, Diken, Adem Ilkay, Yazla, Ece, Karadere, Mehmet Emrah
• Format: Journal Article
• Language: English
• Published: AVES 01-12-2018
• Subjects: Anxiety; Cardiac patients; Depression (Mood disorder); Family; Married people; Surgery
• ISSN: 1309-1689
• DOI: 10.5152/dcbybd.2018.1906

Objective: In this study, we primarily aimed to determine "needs" and "anxiety and depression symptom levels" among families of patients who were followed up in cardiovascular surgery intensive care unit (ICU). Furthermore, we sought to investigate the association of anxiety and depression with these needs. Material and Methods: This descriptive study was conducted with relatives of 99 patients who were hospitalized for minimum 24 and maximum 72 hours in cardiovascular surgery ICU. Hospital Anxiety and Depression Scale and Critical Care Family Need Inventory were applied. Percentages and averages were used in descriptive statistics. Moreover, t-test and One Way ANOVA tests were used for comparisons between the gender and relationship groups. Pearson's two-way correlation analysis was used to determine the association between scores obtained from above mentioned scales. Results: The "anxiety" and "depression" subscale scores of female relatives were higher than those of male relatives. The "information" need scores of spouses were higher than those of other family members, and depression level scores of spouses were higher than those of non-consanguineous relatives. Moreover, "proximity/assurance" and "anxiety and depression" subscale scores were related. Conclusion: Patients' relatives show high anxiety and depression symptoms and they strongly need proximity and assurance. Meeting these requirements may reduce symptoms of anxiety and depression. Keywords: Cardiovascular diseases, intensive care unit, family, needs, anxiety, depression Received: 13.09.2018 * Accepted: 22.10.2018 Amac: Bu calismada oncelikle kardiyovaskuler cerrahi yogun bakim biriminde yatarak tedavi goren "hastalarin yakinlarinin gereksinimleri" ile "anksiyete ve depresyon belirti duzeylerinin" belirlenmesi, ikincil olarak da bu belirtilerin gereksinimler ile iliskisinin incelenmesi amaclanmistir. Gerec ve Yontemler: Tanimlayici tipteki bu arastirma Kardiyovaskuler Cerrahi Yogun Bakim biriminde en az 24 en fazla 72 saat suresince yatarak tedavi goren 99 hastanin yakinlari ile gerceklestirilmistir. Hastane Anksiyete ve Depresyon Olcegi (HADO) ve Yogun Bakim Birimlerinde Hasta Yakinlari Gereksinim Olcegi (CCFNI) uygulanmistir. Tanimlayici istatistiklerde; yuzde ve ortalamalar, cinsiyet ve yakinlik duzeyi gruplarinin karsilastirilmasinda t testi ve Tek Yonlu ANOVA testi; olcek puanlari arasindaki iliskinin belirlenmesinde ise Pearson iki yonlu korelasyon analizi kullanilmistir. Bulgular: Kadin hasta yakinlarinin "anksiyete" ve "depresyon" alt olcek puanlari erkek hasta yakinlarinin puanindan yuksek bulunmustur. Hastanin eslerinin "bilgi" gereksinim puanlari diger aile bireylerinden ve hasta eslerinin "depresyon duzeyi" puanlari akraba olmayan yakinlarinin puanlarindan daha yuksek bulunmustur. Ayrica "guvenlik/yakinlik" ile "anksiyete ve depresyon" alt olcekleri arasinda iliski saptanmistir. Sonuc: Yogun bakimda hastasi olan hasta yakinlari yuksek anksiyete ve depresyon belirtileri sergilemektedirler ve onlarin guclu guvenlik ve yakinlik gereksinimleri olmaktadir. Bu gereksinimlerin karsilanmasi anksiyete ve depresyon belirtilerini azaltabilir. Anahtar Kelimeler: Kardiyovaskuler hastaliklar, yogun bakim unitesi, hasta yakini gereksinimleri, anksiyete, depresyon Gelis Tarihi: 13.09.2018 Kabul Tarihi: 22.10.2018