Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Cerrahi Girişim Planlanan Hastalarda Sağlık Okuryazarlığı Düzeyi ile Cerrahi Kaygı Arasındaki İlişki: Kesitsel Araştırma
Relationship Between Health Literacy Level and Surgical Anxiety in Patients Planned to Undergo Surgery: A Cross-Sectional Research
Hamide ŞİŞMANa , Refiye AKPOLATb , Çiğdem BİLDİRİCİc
aÇukurova Üniversitesi, Abdi Sütcü Sağlık Hizmetleri Meslek Yüksekokulu, Sağlık Bakım Hizmetleri Bölümü, Yaşlı Bakımı Programı, Adana, Türkiye
bUluslararası Kıbrıs Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Cerrahi Hastalıkları Hemşireliği AD, Lefkoşa, KKTC
cÇukurova Üniversitesi Tıp Fakültesi, Genel Cerrahi AD, Adana, Türkiye
Turkiye Klinikleri J Nurs Sci. 2025;17(3):915-24
doi: 10.5336/nurses.2024-106514
Article Language: TR
Full Text
ÖZET
 Amaç: Cerrahi hastalarının sağlık okuryazarlığı (SOY) düzeyi ile cerrahi anksiyete ilişkisini değerlendirmek ve konunun önemine dikkat çekmektir. Gereç ve Yöntemler: Çalışma, Kasım 2023-Ocak 2024 tarihleri arasında bir üniversite hastanesinde elektif cerrahi geçirecek olan 112 hasta ile yürütülmüştür. Veriler Kişisel Bilgi Formu, Türkiye Sağlık Okuryazarlığı Ölçeği ve Cerrahi Kaygı Ölçeği (CAÖ) kullanılarak toplanmıştır. Verilerin analizinde sayı yüzde dağılımı, bağımsız örneklem t-testi, tek yönlü varyans analizi ve korelasyon analizleri kullanılmıştır. Bulgular: Katılımcıların SOY puan ortalaması 31,5±9,7 olup, %24,8'inin yetersiz SOY, %32,7'sinin sorunlu/sınırlı SOY düzeyine sahip oldukları sonucu elde edilmiştir. Yaş, eğitim düzeyi ve verilen eğitimi anlama düzeyi ile SOY ölçek puan ortalaması arasında istatistiksel olarak anlamlı ilişki bulunmuştur (p<0,05). En düşük SOY puan ortalaması 65 yaş ve üzeri katılımcılarda (27±13), okuryazar olan grupta (26±9) ve eğitimi anlama düzeyini fena değil olarak tanımlayan grupta (24±11) olduğu bulunmuştur. CAÖ puan ortalaması 42,7±13,8 olup, en yüksek cerrahi anksiyete puan ortalaması eğitimi kötü anladığını ifade eden grupta (55±9) bulunmuştur. SOY puan ortalaması ile CAÖ puan ortalaması arasında orta düzeyde, negatif yönde anlamlı bir ilişki saptanmıştır (p<0,05). Sonuç: Bu çalışmadan elde edilen sonuçlar elektif cerrahi geçirecek hastaların SOY düzeyindeki azalmanın cerrahi anksiyetenin artmasına neden olduğunu göstermiştir. Eğitim düzeyinin düşük olması, yaşın 65 ve üzerinde olması, verilen eğitimi anlama düzeyinin kötü olmasının SOY puanlarını düşürdüğü sonucuna ulaşılmıştır.

Anahtar Kelimeler: Anksiyete; cerrahi; sağlık okuryazarlığı
ABSTRACT
 Objective: To evaluate the effect of health literacy level of surgical patients on surgical anxiety and to draw attention to the importance of the issue. Material and Methods: The study was conducted with 112 patients undergoing elective surgery at a university hospital between November 2023-January 2024. Data were collected using Personal Information Form, Turkish Health Literacy Scale and Surgical Anxiety Scale (SAS). Number and percentage distribution, independent sample t-test, one-way analysis of variance and correlation analysis were used to analyze the data. Results: The average health literacy score of the participants was 31.5±9.7 and it was concluded that 24.8% had an inadequate health literacy (IHL) level, and 32.7% had a problematic/limited health literacy level. A statistically significant relationship was found between age, level of education, understanding of the given education, and the mean IHL scale score (p<0.05). The lowest health literacy score average was found in participants aged 65 and over (27±13), in the literate group (26±9), and in the group that defined their level of understanding of education as not bad (24±11). The mean SAS score was 42.7±13.8, and the highest mean surgical anxiety score was found in the group that stated that they understood the training poorly (55±9). A moderate negative correlation was found between the mean health literacy score and the mean SAS score (p<0.05). Conclusion: The results obtained from this study showed that a decrease in the level of IHL in patients who will undergo elective surgery leads to an increase in surgical anxiety. It was concluded that low level of education, age 65 and over and poor level of understanding of the education decreased the IHL scores.

Keywords: Anxiety; surgery; health literacy
REFERENCES:
  1. Tözün M, Sözmen MK. Halk sağlığı bakışı ile sağlık okuryazarlığı [Health literacy with perspective of public health]. Smyrna Tıp Dergisi. 2015;2:48-54. [Link] 
  2. World Health Organization [Internet]. Health literacy. © 2025 WHO [Erişim tarihi: 30 Ağustos 2024]. Erişim adresi: [Link] 
  3. Öncü Ö. Sağlık okuryazarlığının hipertansiyon kontrolünde önemi [Importance of health literacy in control of hypertension]. Dünya İnsan Bilimleri Dergisi. 2018;2018(1):45-70. [Link] 
  4. Park NH, Song MS, Shin SY, Jeong JH, Lee HY. The effects of medication adherence and health literacy on health-related quality of life in older people with hypertension. Int J Older People Nurs. 2018;13(3):e12196. [Crossref]  [PubMed] 
  5. Luckenbaugh AN, Moses KA. The impact of health literacy on urologic oncology care. Urol Oncol. 2022;40(4):117-9. [PubMed]  [PMC] 
  6. Karadağ Arlı Ş. Ameliyat öncesi anksiyetenin APAIS ve STAI-I ölçekleri ile değerlendirilmesi [Evaluation of the preoperative anxiety with apais and STAI-I Scales]. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi. 2017;4(3):38-47. [Link] 
  7. İbrahimoğlu Ö, Gezer N, Öğütlü Ö, Polat E. The relationship between perioperative care quality and postoperative comfort level in patients with hip replacement surgery. J Perianesth Nurs. 2023;38(1):69-75. [Crossref]  [PubMed] 
  8. Li XR, Zhang WH, Williams JP, Li T, Yuan JH, Du Y, et al. A multicenter survey of perioperative anxiety in China: Pre- and postoperative associations. J Psychosom Res. 2021;147:110528. [Crossref]  [PubMed] 
  9. Aspalter M, Enzmann FK, Hölzenbein TJ, Hitzl W, Primavesi F, Algayerova L, et al. Preoperative anxiety as predictor of perioperative clinical events following carotid surgery: a prospective observational study. Perioper Med (Lond). 2021;10(1):53. [Crossref]  [PubMed]  [PMC] 
  10. Ma J, Li C, Zhang W, Zhou L, Shu S, Wang S, et al. Preoperative anxiety predicted the incidence of postoperative delirium in patients undergoing total hip arthroplasty: a prospective cohort study. BMC Anesthesiol. 2021;21(1):48. [Crossref]  [PubMed]  [PMC] 
  11. Çetin F, Yılmaz E. Cerrahi kliniğinde yatan hastaların sağlık okuryazarlığı düzeylerinin sağlık algısı ve ameliyat korkusuna etkisi [The effects of health literacy levels of patients in surgical clinic on health perception and surgical fear]. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi. 2022;7(1):61-7. [Link] 
  12. Şahin Altun Ö, Karaman Özlü Z, Kaya M, Olçun Z. Does the fear of surgery prevent patients from sleeping? Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2017;20(4):260-6. [Link] 
  13. Göl G. Cerrahi Anksiyete Ölçeği Türkçe Geçerlilik Ve Güvenilirliği [Yüksek lisans tezi]. Ordu: Ordu Üniversitesi; 2021. [Link] 
  14. Bröder J, Okan O, Bauer U, Bruland D, Schlupp S, Bollweg TM, et al. Health literacy in childhood and youth: a systematic review of definitions and models. BMC Public Health. 2017;17(1):361. Erratum in: BMC Public Health. 2017;17(1):419. [Crossref]  [PubMed]  [PMC] 
  15. Kan ZE, Sevim E. Sağlık okuryazarlığı ile akılcı ilaç kullanımı arasındaki ilişkinin incelenmesi [Examination of the relationships between health literacy and rational drug use]. Hacettepe Sağlık İdaresi Dergisi. 2023;26(3):641-54. [Link] 
  16. Yağız E. Kocaeli Üniversitesi öğrencilerinin sağlık okuryazarlığı düzeyleri ve bu durumun akılcı ilaç kullanımıyla olan ilişkisinin incelenmesi [Tıpta uzmanlık tezi]. Kocaeli: Kocaeli Üniversitesi; 2020. [Link] 
  17. Balkaya AN, Karaca Ü, Yılmaz C, Ata F. COVID-19 Pandemisinde Elektif Cerrahi Uygulanacak Hastaların Preoperatif Anksiyete Düzeylerinin Değerlendirilmesi [Evaluation of preoperative anxiety levels of patients undergoing elective surgery in covid-19 pandemic]. Uludağ Tıp Dergisi. 2021;47(2):233-9. [Crossref] 
  18. Burton D, King A, Bartley J, Petrie KJ, Broadbent E. The surgical anxiety questionnaire (SAQ): development and validation. Psychol Health. 2019;34(2):129-46. [Crossref]  [PubMed] 
  19. Okyay P, Abacıgil F. Türkiye Sağlık Okuryazarlığı Ölçekleri Güvenilirlik ve Geçerlilik Çalışması: Sağlığın Geliştirilmesi. 1. Baskı. Ankara: T.C. Sağlık Bakanlığı Yayınları; 2016.
  20. Riiser K, Helseth S, Haraldstad K, Torbjørnsen A, Richardsen KR. Adolescents' health literacy, health protective measures, and health-related quality of life during the Covid-19 pandemic. PLoS One. 2020;15(8):e0238161. [PubMed]  [PMC] 
  21. Nguyen HT, Do BN, Pham KM, Kim GB, Dam HTB, Nguyen TT, et al. Fear of COVID-19 scale-associations of its scores with health literacy and health-related behaviors among medical students. Int J Environ Res Public Health. 2020;17(11):4164. [PubMed]  [PMC] 
  22. van der Heide I, Poureslami I, Mitic W, Shum J, Rootman I, FitzGerald JM. Health literacy in chronic disease management: a matter of interaction. J Clin Epidemiol. 2018;102:134-8. [Crossref]  [PubMed] 
  23. Taş AT, Akış N. Sağlık okuryazarlığı [Health literacy]. STED. 2016;25(3):119-24. [Link] 
  24. Gümüştekin M, Balatlı A, Kantarcı MA, Tunç YE, Aykır ME, Yozcu A, et al. Bir üniversite sağlık kampüsündeki bireylerin sağlık okuryazarlık düzeylerinin belirlenmesi [Determination of health literacy levels of people in a university health campus]. Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi. 2024;38(1):32-45. [Crossref] 
  25. Svendsen MT, Bak CK, Sørensen K, Pelikan J, Riddersholm SJ, Skals RK, et al. Associations of health literacy with socioeconomic position, health risk behavior, and health status: a large national population-based survey among Danish adults. BMC Public Health. 2020;20(1):565. [PubMed]  [PMC] 
  26. Abdel Latif MMM. The enigma of health literacy and COVID-19 pandemic. Public Health. 2020;185:95-6. [Crossref]  [PubMed]  [PMC] 
  27. Guo S, Yu X, Davis E, Armstrong R, Riggs E, Naccarella L. Adolescent health literacy in Beijing and Melbourne: a cross-cultural comparison. Int J Environ Res Public Health. 2020;17(4):1242. [Crossref]  [PubMed]  [PMC] 
  28. Shah A, Macauley C, Ni L, Bay AA, Hackney ME. The relationship between attitudes about research and health literacy among African American and white (non-hispanic) community dwelling older adults. J Racial Ethn Health Disparities. 2022;9(1):93-102. [Crossref]  [PubMed]  [PMC] 
  29. Sagong H, Yoon JY. Pathways among frailty, health literacy, acculturation, and social support of middle-aged and older Korean immigrants in the USA. Int J Environ Res Public Health. 2021;18(3):1245. [PubMed]  [PMC] 
  30. Friedrich S, Reis S, Meybohm P, Kranke P. Preoperative anxiety. Curr Opin Anaesthesiol. 2022;35(6):674-8. [Crossref]  [PubMed] 
  31. Şavk A, Kebapçı E, Özcan S. Preoperatif cerrahi hastalarında hastalık algısı ile anksiyete düzeyinin saptanması [Determination of disease perception and anxiety level in preoperative surgery patients]. Journal of Tepecik Education&Research Hospital/İzmir Tepecik Eğitim ve Araştırma Hastanesi Dergisi. 2022;32(1):85-92. [Crossref]  [PubMed] 
  32. Vamos S, Okan O, Sentell T, Rootman I. Making a case for ?education for health literacy?: an international perspective. Int J Environ Res Public Health. 2020;17(4):1436. [Crossref]  [PubMed]  [PMC] 
  33. Chen X, Hay JL, Waters EA, Kiviniemi MT, Biddle C, Schofield E, et al. Health Literacy and Use and Trust in Health Information. J Health Commun. 2018;23(8):724-34. [Crossref]  [PubMed]  [PMC] 
  34. Spring H. Health literacy and COVID-19. Health Info Libr J. 2020;37(3):171-2. [PubMed]  [PMC] 
  35. Yediyıldız MB. Preoperatif Hasta Anksiyete Düzeyleri ile Sağlık Okuryazarlığı Arasındaki İlişkinin Değerlendirilmesi [Tıpta uzmanlık tezi]. Konya: Necmettin Erbakan Üniversitesi; 2021. [Link] 

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