PREMATÜRE RETİNOPATİSİ MUAYENESİ’NDE AĞRI YÖNETİMİ

Year 2018, Volume: 27 Issue: 2, 170 - 175, 01.07.2018

Ayşe Şener Taplak Emine Erdem

Abstract

Prematüre Retinopatisi (ROP), düşük doğum ağırlıklı
(<1500 gr) ve preterm yenidoğanlarda (<32 hafta) görülen, gözde retinal damarların anormal gelişimine bağlı
oluşan bir hastalıktır. Gözde miyopi, retina dekolmanı,
ambliyopi, strabismus, makula ektopisi, pupilla bloğu ve
tam körlük gibi çeşitli komplikasyonlara neden olan
ROP, yapılan göz muayeneleriyle erken dönemde belirlenip tedavi edilebilmektedir. ROP muayenesi topikal
anestezik damlalar kullanılarak uygulansa da yapılan
çalışmalar işlem sırasında yenidoğanların yüksek ağrı
çektiklerini bildirmektedir. Ağrının en az düzeye indirilmesi ya da giderilmesi her yenidoğanın en doğal hakkıdır ve multidisipliner bir ekip yaklaşımı gerektirir.
Yenidoğanın ağrısının azaltılması ya da giderilmesinde
çeşitli farmakolojik ve nonfarmakolojik yöntemler kullanılabilir. Bu çalışmada ROP muayenesi yapılan preterm
yenidoğanlarda ağrı yönetiminde kullanılan farmakolojik ve nonfarmakolojik yöntemler tartışılmıştır. Bu doğrultuda sağlık profesyonelleri bu yöntemlerden etkinliği
kanıtlanmış olanları uygulamalı ve yenidoğanda ağrıyı
azaltmada kanıta dayalı uygulamalara ve uygulamaların
etkinliğini değerlendiren çalışmalara yer vermelidirler

Keywords

Ağrı, ağrı yönetimi, prematüre retinopatisi

Pan Management in Retinopathy of Prematurity Examination

Abstract

Retinopathy of prematurity (ROP) is a disease seen in
preterm newborns (below 32 weeks) with birth weights
below 1500 gm caused by abnormal development of eye
retinal vessels. ROP, which causes various complications
such as eye myopia, retinal detachment, amblyopia,
strabismus, macular ectopia, pupillary block and
complete blindness, can be diagnosed and treated early
with eye examinations. Although ROP examinations are
performed using by topical anesthetics and eye drops
that dilate the eyebrows, studies have shown that
newborns suffer from high pain during the procedure.
Minimizing or eliminating the pain is the most natural
right of every newborn and requires a multidisciplinary
team approach. Various pharmacological and nonpharmacological methods can be used to reduce or
eliminate neonatal pain. In this study, pharmacological
and non-pharmacological methods used in pain
management in preterm newborns who have
undergone ROP examination have been discussed in the
light of the results of the evidence-based research on
the subject. To this end, nurses should apply the
methods effectiveness of which have been proven and
evidence-based study practices in reducing neonatal
pain and in assessing the effectiveness of the
application.

Keywords

Pain, pain management, retinopathy of prematurity

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