Investigation of pre-operative ruminative thought styles and related factors in patients receiving inpatient treatment in the otorhinolaryngology clinic


Demir İ., Eskiyurt R., Yılmaz Y. F.

Journal of Psychiatric Nursing, vol.16, no.1, pp.10-18, 2025 (ESCI, Scopus, TRDizin) identifier

  • Publication Type: Article / Article
  • Volume: 16 Issue: 1
  • Publication Date: 2025
  • Doi Number: 10.14744/phd.2025.88785
  • Journal Name: Journal of Psychiatric Nursing
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.10-18
  • Keywords: Anxiety, insomnia, pre-operative period, rumination
  • Ankara Yıldırım Beyazıt University Affiliated: Yes

Abstract

Objectives: The aim of this study was to investigate the relationship between pre-operative ruminative thought style and anxiety level and sleep quality in patients receiving inpatient treatment in the Otorhinolaryngology Clinic. Methods: The descriptive, cross-sectional, and correlational study was conducted between May 01 and October 01, 2024, in the otolaryngology clinic of a public hospital. Sociodemographic data form, ruminative thinking style questionnaire (RTSQ), Beck Anxiety Inventory (BAI), and Richard-Campbell Sleep Questionnaire (RCSQ) were administered to the participants. Results: The mean age of the patients who participated in our study was 40.75±16.26 years. The mean score of the RTSQ was 77.234±1.40, the mean score of BAI was 12.424±0.61 and the mean score of the RCSQ was 52.104±1.44. RTSQ was found to have a positive relationship with the BAI (r=0.434, p<0.05) and a negative relationship with RCSQ (r=−0.201, p<0.05). A negative relationship was found between the BAI and RCSQ (r=−0.304, p<0.05). Among the patients who had negative thoughts about the surgery, 14.7% stated statements related to fear of death. Conclusion: This study revealed that as ruminative thinking increased, anxiety levels increased and sleep quality decreased in pre-operative patients in a surgical clinic. Future studies can be planned on the effect of rumination on the recovery process, demand for medical treatment for pain, and length of hospitalization of patients hospitalized in a surgical clinic.