Determination of anxiety, hopelessness and depression levels of patients after lung resection


Yesilbas B. B., ŞİMŞEK YABAN Z.

Psychology, Health and Medicine, cilt.30, sa.9, ss.2113-2130, 2025 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 30 Sayı: 9
  • Basım Tarihi: 2025
  • Doi Numarası: 10.1080/13548506.2025.2538253
  • Dergi Adı: Psychology, Health and Medicine
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, Academic Search Premier, ASSIA, PASCAL, CAB Abstracts, CINAHL, Educational research abstracts (ERA), MEDLINE, Psycinfo, SportDiscus
  • Sayfa Sayıları: ss.2113-2130
  • Anahtar Kelimeler: Anxiety, depression, hope, nursing, thoracic surgical procedures
  • Kocaeli Üniversitesi Adresli: Evet

Özet

This study aimed to investigate the levels of depression, anxiety, and hopelessness in patients following lung resection surgery, as well as the interrelationships among these variables. A descriptive and correlational study was conducted with 177 patients who underwent lung resection between November 2019 and May 2022. Data were collected using a Sociodemographic Information Form, the Beck Hopelessness Scale, the Beck Depression Scale (BDS), and the State-Trait Anxiety Scale (STAI), all administered postoperatively. Descriptive statistics (means, standard deviations, frequencies), independent samples t-tests, one-way analysis of variance (ANOVA) with post-hoc tests (Bonferroni or Tamhane’s T2), and Pearson correlation analysis were performed using SPSS version 23. Levene’s test was used to assess the homogeneity of variances. A p-value of < 0.05 was considered statistically significant. The average age of the participants was found 57.75 ± 6.65 and 61.6% of the patients were male and malignancy rate was 74.5%. According to the data, all patients experienced some level of hopelessness, with 33.3% of the participants experiencing minimal, 23.7% mild, 28.2% moderate and 14.7% severe hopelessness. Depression was also experienced by all participants. Specifically, 1.7% had mild depression, 11.9% had moderate depression, and 86.4% had severe depression. The mean state anxiety score was 50.73 ± 6.02, and the mean trait anxiety score was 50.82 ± 3.91. A positive and statistically significant correlation was found between the Beck Depression Scale and the State Anxiety scores (p < 0.05). The psychological condition of patients following lung resection is too significant to be overlooked. Therefore, it is essential to support patients undergoing thoracic surgery throughout the perioperative period using a holistic approach providing specialist psychological support when necessary. Routine screening for mental health symptoms and early psychosocial interventions such as therapeutic communication, psychiatric consultation, and nursing (consultation-liaison) support should be integrated into perioperative care.