POSTMENOPOZAL KANAMASI OLAN HASTALARDA ENDOMETRİAL BİYOPSİ ÖNCESİ ANKSİYETE VE DEPRESYON RİSK DÜZEYLERİNİN BELİRLENMESİ

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Abstract

Introduction: To determine the anxiety and depression risk levels of women with postmenopausal bleeding before the endometrial biopsy. Material and Methods:This is a descriptive study and it was applied to 213 women with postmenopausal bleeding before endometrial biopsy between April 2012 – May 2013 in the Ankara Numune Education and Research Hospital and Bayrampasa State Hospital Department of Gynecology and Obstetrics. Individual Identification Form and The Hospital Anxiety and Depression Scale (HAD) were used in data collection. Results: The mean score of HAD-A was found 10.41 ± 2.70 (min=0, max=17) before the before the endometrial biopsy in women with postmenopausal bleeding. Taking 10 as cutting point, 74.7% of them were found to be at risk in terms of anxiety. The HAD-D mean score was found .10 ± 2.85 (min=0, max=16). Taking 7 as cutting point, 71.3% of women with postmenopausal bleeding were found to be at risk in terms of depression. Conclusion:Although endometrial biopsy is a common gynecological procedure, psychological effects of it have been considered very few and ignored. In our study, anxiety was determinated in the majority of women with postmenopausal bleeding before endometrial biopsy. The lack of information postmenopausal women should be identified to decrease their anxiety level which was seen before endometrial biopsy. Also their anxiety level should be reduced by using appropriate communication techniques during the biopsy
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Abstract

Introduction: To determine the anxiety and depression risk levels of women with postmenopausal bleeding before the endometrial biopsy.

Material and methods

This is a descriptive study and it was applied to 213 women with postmenopausal bleeding before endometrial biopsy between April 2012 – May 2013 in the Ankara Numune Education and Research Hospital and Bayrampasa State Hospital Department of Gynecology and Obstetrics. Individual Identification Form and The Hospital Anxiety and Depression Scale (HAD) were used in data collection. Results: The mean score of HAD-A was found 10.41 ± 2.70 (min=0, max=17) before the before the endometrial biopsy in women with postmenopausal bleeding. Taking 10 as cutting point, 74.7% of them were found to be at risk in terms of anxiety. The HAD-D mean score was found .10 ± 2.85 (min=0, max=16). Taking 7 as cutting point, 71.3% of women with postmenopausal bleeding were found to be at risk in terms of depression. Conclusion: Although endometrial biopsy is a common gynecological procedure, psychological effects of it have been considered very few and ignored. In our study, anxiety was determinated in the majority of women with postmenopausal bleeding before endometrial biopsy. The lack of information postmenopausal women should be identified to decrease their anxiety level which was seen before endometrial biopsy. Also their anxiety level should be reduced by using appropriate communication techniques during the biopsy. Key words: Postmenopause, Biopsy, Anxiety, Depression Anahtar Kelimeler Kaynakça - Creasman WT. Endometrial cancer: incidence, prognostic factors, diagnosis, and treatment. Semin Oncol. 1997;24(1 Suppl 1):S1-140-S1-50. - Gredmark T, Kvint S, Havel G, Mattsson LA. Histopathological Findings in Women with Postrnenopausal Bleeding. Br J Obstet Gynaecol. 1995;102(2):133-136. - Karadeniz G, Altıparmak S, Aydemir Ö, Karadağ F. Koroner anjiografi öncesi anksiyete ve depresyon. 3P Dergisi. 2005;13(1):43-47 - Karadeniz G, Tarhan S, Yanıkkerem E, Dedeli Ö, Kahraman E. Manyetik Rezonans ve Bilgisayarlı Tomografi Öncesi Hastalarda Anksiyete ve Depresyon. Klinik Psikiyatri. 2008;11(2):77-83. - Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361-370. - Aydemir Ö, Güvenir T, Küey L, Kültür S. Hastane Anksiyete ve Depresyon Ölçeği Türkçe Formunun Geçerlik Güvenilirlik Çalışması. Türk Psikiyatri Dergisi. 1997;8(4):280-287 - Jemal A, Siegel R, Xu J, Ward E. Cancer statistics, 2010. CA Cancer J Clin. 2010;60(5):277-300. - Gredhnark T, Kvint S, Havel G, Mattsson LA. Histopathological Findings in Women with Postrnenopausal Bleeding. Br J Obstet Gynaecol. 1995;102(2):133-136. Ayrıntılar Birincil Dil Türkçe Konular - Bölüm - Yazarlar Mustafa Erkan Sarı Bu kişi benim Deha Denizhan Keskin Bu kişi benim Gizem Özcanlı Bu kişi benim Cemal Atalay Bu kişi benim Yayımlanma Tarihi 1 Haziran 2015 Gönderilme Tarihi 1 Haziran 2015 Kabul Tarihi - Yayımlandığı Sayı Yıl 2015 Cilt: 5 Sayı: 2

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