Background: This study aimed to explain the fear of surgery in surgical patients, the affecting factors, and their relationship. Methods:This study was conducted as a descriptive and cross-sectional study. The study population consists of 300 patients undergoing surgical intervention. Data were collected using the "Patient Information Form" and "Surgical Fear Questionnaire". Parametric and nonparametric tests were used to evaluate the data. The relationship between the fear questionnaireand age, number of previous surgeries, and pre-operative pain were evaluated using Spearman correlation analysis. The relationship with emotional stress was evaluated with multiple linear regression analysis. Results: In this study, it was determined that the predictors of the surgical fear level of the patients were age, gender, anesthesia type, and pre-operative pain experience. There was a negative correlation between the age of the patients and the fear of surgery score and a positive correlation between the pre-operative pain severity and the fear of surgery score. It was determined that the factors most associated with pre-operative fear levels were the patients' pre-operative sense of inadequacy (p <0.001), feeling anxious and unhappy, and confusion about the surgery decision (p <0.005). Conclusion: According to the results of this study, it has been determined that the emotional states and fears of the patients before the surgery have significant effects on the fear of surgery. For this, it is recommended to determine the emotional states and fears of the patients before the surgery and to make appropriate interventions, as it will facilitate compliance with the surgical process.

Background This study aimed to explain the fear of surgery in surgical patients, the affecting factors, and their relationship. Methods This study was conducted as a descriptive and cross-sectional study. The study population consists of 300 patients undergoing surgical intervention. Data were collected using the “patient information form” and “Surgical Fear Questionnaire.” Parametric and nonparametric tests were used to evaluate the data. The relationship between the fear questionnaire and age, number of previous surgeries, and pre-operative pain was evaluated using Spearman correlation analysis. The relationship with emotional stress was evaluated with multiple linear regression analysis. Results In this study, it was determined that the predictors of the surgical fear level of the patients were age, gender, anesthesia type, and pre-operative pain experience. There was a negative correlation between the age of the patients and the fear of surgery score and a positive correlation between the pre-operative pain severity and the fear of surgery score. It was determined that the factors most associated with pre-operative fear levels were the patients’ pre-operative sense of inadequacy (p < 0.001), feeling anxious and unhappy, and confusion about the surgery decision (p < 0.05). Conclusion According to the results of this study, it has been determined that the emotional states and fears of the patients before the surgery have significant effects on the fear of surgery. For this, it is recommended to determine the emotional states and fears of the patients before the surgery and to make appropriate interventions, as it will facilitate compliance with the surgical process.

Background The presence of a chest tube is a factor significantly associated with pain and pain posttube thoracostomy that negatively affects sleep quality (SQ). Aim To determine the relationship between the pain severity and SQ of patients who underwent the tube thoracostomy (TT). Methods This was a descriptive and cross‐sectional survey conducted from May 1, 2018, to December 30, 2018, in the thoracic surgery department of Sivas Cumhuriyet University Hospital in Central Anatolia/Turkey. Data were collected using a questionnaire form, a Numerical Rating Scale to determine pain severity, and the Richard–Campbell Sleep Questionnaire to assess SQ. Results The study was carried out with 102 patients who underwent the TT. The mean age of the participants were 48.94 years. The mean scores for the scale items indicated that during the procedure and on the first day of post‐TT, the pain severity of the patients was very high, their SQ was low. Pain level decreased gradually in the following days, and the SQ increased. There was a positive, strong correlation between the post‐TT first day pain and first night SQ (r = 0.380, p = 0.000), second day pain and second night SQ (r = −0.537, p = 0.000), and third day pain and third night SQ (r = −0.507, p = 0.000). Conclusion The results of this study highlight that the pain severity of post‐TT significantly affect the quality of the patients’ night sleep.

Proton pompa inhibitörleri (PPİ) gastrointestinal sistem hastalıklarında ve nonsteroidal antiinflamatuar ilaçların gastrointestinal sistem üzerindeki yan etkilerini önlemek amacıyla kullanılan ilaçlardır. Ülkemizde yapılan çalışmalar yıllar içinde proton pompa inhibitörlerinin kullanımındaki artışı gözler önüne sermiştir. Tüm ilaçlarda olduğu gibi proton pompa inhibitörlerinin de kullanımıyla bazı istenmeyen etkiler gelişebilmektedir. Artmış kemik kırığı riski proton pompa inhibitörlerinin uzun dönem kullanımları ile ortaya çıkan yan etkiler arasında yer almaktadır. Proton pompa inhibitörlerinin kemik kırığına yol açma nedenleri ile ilgili pek çok teori ileri sürülmektedir. Son yıllarda yapılan meta-analiz ve sistematik derlemelerden ortaya çıkan sonuçlar kırığa zemin hazırladığını destekler nitelikte olup bir yıldan uzun süreli proton pompa inhibitörü kullananlarda kalça kırığı, vertebra kırığı, bilek ve ön kol kırığının proton pompa inhibitörü kullanmayanlara göre birkaç kat daha fazla olduğu yönündedir. Özellikle yaşlı ve kadınlarda kırık riskinin daha fazla olduğu bildirilmektedir. Bu derleme PPİ kullanımının oluşturduğu riskler açısından dikkat çekmesi ve bakımı planlamada yol gösterici olması amacı ile yazılmıştır.