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Year 2013, Volume: 21 Issue: 3, 198 - 204, 20.02.2014

Abstract

Gynaecological pain, occurs more frequently in women of reproductive age in each age group with a common and important health problem which can be seen. Whatever the cause of the pain adversely affecting the quality of life of women. This is a difficult situation in pain management by clinicians, as the process of diagnosis and treatment of a majority of women suffer because of this situation. Well understood due to pathophysiology of gynecological pain semptoms relaxing treatments are insufficient and often. Proven effective interventions is limited to gynecological pain. Therefore, addressing the phenomenon of pain and its treatment requires a multidisciplinary approach, and this team is an indispensable member of the nurses.

References

  • The American College of Obstetricians and Gynecologists (ACOG) (2004). Chronic pelvic pain obstetrics & gynecology. Practice Bulletin, 103(3): 589-605.
  • Atasü, T., Şahmay, S. (2001). Jinekolojide semptomlar. Atasü, T., Şamay S. (Ed.). Jinekoloji. 2. basım, Nobel Tıp Kitabevleri, İstanbul, 103-104.
  • Candiani, G. B., Fedele, L., Vercellini, P., Bianchi, S., Di Nola G. (1992). Presacral neuroctomy for the treatment of pelvic pain associated with endometriosis: A controlled study. Am J Obstet Gynecol., 167: 100-103.
  • Chen, F. P., Chang, S. D., Chu, K. K., Soong, Y. K. (1996). Comparison of laparoscopic presacral neurectomy and laparoscopic uterin nerve ablation for primary dysmenorrhea. J Reprod Med., 41: 463-466.
  • Cheong, Y., Stones, R.W. (2006). Chronic pelvic pain: Aetiology and therapy. Best Practice&Research Clinical Obstetrics and Gynaecology, 20: 695-711.
  • Cheong, Y., Stones, W. (2005). Investigations for chronic pelvic pain. Reviews in Gynaecological Practice, 5: 227-236.
  • Cody, R. F., Ascher, S. M. (2000). Diagnostic value of radiological tests in chronic pelvic pain. Bailliere’s Clinical Obstetrics and Gynaecology, 14(3): 433-466.
  • Cooperberg, M. R., Stoller, M. L. (2005). Percutaneous neuromodulation. Urol Clin N Am., 32: 71-78.
  • Coşkun, A. ve ark. (2008). Hemşire ve ebelere yönelik kadın sağlığı ve hastalıkları öğrenim rehberi. Coşkun, A. (Ed.). İstanbul Medikal Yayıncılık Ltd. Şti., İstanbul, 167-225.
  • Elcombe, S., Gath, D., Day, A. (1997). The psychological effects of laparoscopy on women with chronic pelvic pain. Psychol Med., 27: 1041-1050.
  • El-Din Shawki, H. (2011). The efficacy of laparoscopic uterosacral nerve ablation (LUNA) in the treatment of unexplained chronic pelvic pain: A randomized controlled trial. Gynecol Surg., 8: 31-39.
  • Fall, M. ve ark. (2008). Guidelines on chronic pelvic pain. European Association of Urology, 85-98, http://www.uroweb.org/fileadmin/user_upload/Guidelines/Chronic%20Pelvic%20Pain.pdf (02013).
  • Gelbaya, T. A, El-Halwagy, H. E. (2001). Focus on primary care: Chronic pelvic pain in women. Obstet Gynecol Surv., 56(12): 757-764.
  • Gökyıldız Bayrak, Ş. (2008). Kronik pelvik ağrı şikayeti olan hastalarda tibial sinir uyarısı tedavisinin (nöromodülasyon) yaşam kalitesi üzerine etkisi. Doktora Tezi, İstanbul Üniversitesi Sağlık Bilimleri Enstitüsü, İstanbul.
  • Gökyıldız, Ş., Kızılkaya Beji, N. (2012). Chronic pelvic pain: Gynaecological and non-gynaecological causes and considerations for nursing care. Int J of Urol Nurs., 6: 3–10.
  • Grace, V. M. (1995). Problems of communication, diagnosis, and treatment experienced by women using the New Zealand health services for chronic pelvic pain: A quantitative analysis. Health Care Women Int., 16: 521–535.
  • Helms, J. M. (1987). Acupuncture for the management of primary dysmenorrhea. Obstet Gynecol., 6: 51-56.
  • Hills, S. D., Marchbanks, P. A., Peterson, H. B. (1995). The effectiveness of hysterectomy for chronic pelvic pain. Obstet Gynecol., 86: 941-945.
  • Hoffman, B. L. (2008). Pelvic pain. Schorge, J. O., Schaffer, J. I., Halvorson, L. M., Hoffman, B. L., Bradshaw, K. D., Cunningham
  • F. G. (Eds.). Williams Gynecology. The McGraw-Hill Companies, China, 244-268. Howard, F. M. (2003a). Chronic pelvic pain. The American Collage of Obstetricians and Gynecologists, 101(3): 594-611.
  • Howard, F. M. (2003b). The role of laparoscopy in the chronic pelvic pain patient. Clinical Obstetrics and Gynecology, 46(4): 74976
  • International Association for Study of Pain (IASP) (2011). IASP
  • Taxonomy, http://www.iasppain.org/AM/Template.cfm?Section= Pain_Defi...isplay.cfm&ContentID=1728#Pain (23.10.2011).
  • İstek, A. (2009). Kronik pelvik ağrı şikayeti olan hastalarda posterior tibial sinir uyarısı tedavisinin (nöromodülasyon) yasam kalitesi üzerine etkisi. Uzmanlık Tezi, İstanbul Üniversitesi İstanbul Tıp Fakültesi Kadın Hastalıkları ve Doğum Anabilim Dalı, İstanbul.
  • Kruszka, P. S., Kruszka, S. J. (2010). Evaluation of acute pelvic pain in women. American Family Physician, 82(2): 141-147.
  • Kuligowska, E., Deeds, L., Lu, K. (2005). Pelvic pain: Overlooked and underdiagnosed gynecologic conditions. RadioGraphics, 25: 3–20.
  • Lichten, E., Bombard, J. (1987). Surgical treatment of primary dysmenorrhea with laparoscopic nerve ablation. The Journal of
  • Reproductive Medicine, 32: 37-41. Pirbudak Çöçelli, L., Bacaksız, B. D., Ovayolu, N. (2008). Ağrı tedavisinde hemşirenin rolü. Gaziantep Tıp Dergisi, 14: 53-58.
  • Reiter, R. C., Gambone, J. C., Johnson, S. R. (1991). Avaibility of a multidisciplinary pelvic pain clinic and frequency of hysterectomy for pelvic pain. J Psychosomal Obstet Gynaecol., 12: 109.
  • Rockey, D. C. (2005). Occult gastrointestinal bleeding. Gastroenterol Clin North Am., 34: 699.
  • Sauerland, S. ve ark. (2006). Laparoscopy for abdominal emergencies: Evidence-based guidelines of the European Association for Endoscopic Surgery. Surg Endosc., 20: 14.
  • Sharp, H. T. (2008). Cronic pelvic pain. Gibbs, R. S., Karlan, B. Y., Haney, A. F., Nygaard, I. E. (Eds.). Danforth’s Obstetric and Gynecology. 10. basım, Wolters Kluwer, Lippincontt Williams and Wilkins, Philadelphia, 759-767.
  • Slocumb, J. C. (1984). Neurological factors in chronic pelvic pain: Trigger points and the abdominal pelvic pain syndrome. Am J Obstet Gynecol., 149: 536-543.
  • Stones, W., Cheong,Y. C., Howard, F. M., Singh, S. (2005). Interventions for treating chronic pelvic pain in women. Cochrane Database of Systematic Reviews, 2: 1-43.
  • Swanton, A., Iyer, L., Reginald, P. W. (2006). Diagnosis, treatment and follow up of women undergoing conscious pain mapping for chronic pelvic pain: A prospective cohort study. British Journal of Obstetrics and Gynaecology, 113: 792-796.
  • Taşkın, L. (Ed.). (2009). Doğum ve Kadın Sağlığı Hemşireliği: Üreme siklusu anomalileri. 9. basım, Sistem Ofset Matbaacılık, Ankara.
  • Tjaden, B., Schlaff, W. D., Kimball, A., Rock, J. A. (1992). The efficacy of presacral neurectomy for the relief of midline dysmenorrhea. Obstet gynecol., 167: 100-103.
  • Vandermeer, F. Q., Wong-You-Cheong, J. J. (2009). Imaging of acute pelvic pain. Clinical Obstetrics and Gynecology, 52(1): 2–20. Vincent, K. (2011). Pelvic pain in women: Clinical and scientific aspects. Current Opinion in Supportive and Palliative Care, 5: 143–149. Zondervan, K. T. ve ark. (2001). The community prevalence of chronic pelvic pain in women and associated illness behaviour. Br J Gen Pract, 51: 541–547.

Jinekolojik Ağrı: Tanı ve Tedavide Güncel Yaklaşımlar, Kanıt Temelli Uygulamalar

Year 2013, Volume: 21 Issue: 3, 198 - 204, 20.02.2014

Abstract

Jinekolojik ağrı, üreme çağındaki kadınlarda daha sık görülmekle birlikte her yaş grubunda da görülebilen yaygın ve önemli bir sağlık sorunudur. Ağrı nedeni ne olursa olsun kadınların yaşam kalitesini olumsuz yönde etkilemektedir. Bu ağrı klinisyenler tarafından yönetimi zor bir durum olup, tanı ve tedavi sürecine kadar kadınların bir çoğu bu durumdan dolayı acı çekmektedir. Jinekolojik ağrının patofizyolojisi iyi anlaşılamamış olmasından dolayı uygulanan tedaviler yetersiz kalmakta ve genellikle semptomları rahatlatmaya yönelik olmaktadır. Jinekolojik ağrıda kanıtlanmış etkili müdahaleler sınırlıdır. Bundan dolayı ağrı olgusunun ele alınması ve tedavisi multidisipliner bir yaklaşımını gerektirir ve bu ekibin vazgeçilmez üyesi ise hemşirelerdir.

References

  • The American College of Obstetricians and Gynecologists (ACOG) (2004). Chronic pelvic pain obstetrics & gynecology. Practice Bulletin, 103(3): 589-605.
  • Atasü, T., Şahmay, S. (2001). Jinekolojide semptomlar. Atasü, T., Şamay S. (Ed.). Jinekoloji. 2. basım, Nobel Tıp Kitabevleri, İstanbul, 103-104.
  • Candiani, G. B., Fedele, L., Vercellini, P., Bianchi, S., Di Nola G. (1992). Presacral neuroctomy for the treatment of pelvic pain associated with endometriosis: A controlled study. Am J Obstet Gynecol., 167: 100-103.
  • Chen, F. P., Chang, S. D., Chu, K. K., Soong, Y. K. (1996). Comparison of laparoscopic presacral neurectomy and laparoscopic uterin nerve ablation for primary dysmenorrhea. J Reprod Med., 41: 463-466.
  • Cheong, Y., Stones, R.W. (2006). Chronic pelvic pain: Aetiology and therapy. Best Practice&Research Clinical Obstetrics and Gynaecology, 20: 695-711.
  • Cheong, Y., Stones, W. (2005). Investigations for chronic pelvic pain. Reviews in Gynaecological Practice, 5: 227-236.
  • Cody, R. F., Ascher, S. M. (2000). Diagnostic value of radiological tests in chronic pelvic pain. Bailliere’s Clinical Obstetrics and Gynaecology, 14(3): 433-466.
  • Cooperberg, M. R., Stoller, M. L. (2005). Percutaneous neuromodulation. Urol Clin N Am., 32: 71-78.
  • Coşkun, A. ve ark. (2008). Hemşire ve ebelere yönelik kadın sağlığı ve hastalıkları öğrenim rehberi. Coşkun, A. (Ed.). İstanbul Medikal Yayıncılık Ltd. Şti., İstanbul, 167-225.
  • Elcombe, S., Gath, D., Day, A. (1997). The psychological effects of laparoscopy on women with chronic pelvic pain. Psychol Med., 27: 1041-1050.
  • El-Din Shawki, H. (2011). The efficacy of laparoscopic uterosacral nerve ablation (LUNA) in the treatment of unexplained chronic pelvic pain: A randomized controlled trial. Gynecol Surg., 8: 31-39.
  • Fall, M. ve ark. (2008). Guidelines on chronic pelvic pain. European Association of Urology, 85-98, http://www.uroweb.org/fileadmin/user_upload/Guidelines/Chronic%20Pelvic%20Pain.pdf (02013).
  • Gelbaya, T. A, El-Halwagy, H. E. (2001). Focus on primary care: Chronic pelvic pain in women. Obstet Gynecol Surv., 56(12): 757-764.
  • Gökyıldız Bayrak, Ş. (2008). Kronik pelvik ağrı şikayeti olan hastalarda tibial sinir uyarısı tedavisinin (nöromodülasyon) yaşam kalitesi üzerine etkisi. Doktora Tezi, İstanbul Üniversitesi Sağlık Bilimleri Enstitüsü, İstanbul.
  • Gökyıldız, Ş., Kızılkaya Beji, N. (2012). Chronic pelvic pain: Gynaecological and non-gynaecological causes and considerations for nursing care. Int J of Urol Nurs., 6: 3–10.
  • Grace, V. M. (1995). Problems of communication, diagnosis, and treatment experienced by women using the New Zealand health services for chronic pelvic pain: A quantitative analysis. Health Care Women Int., 16: 521–535.
  • Helms, J. M. (1987). Acupuncture for the management of primary dysmenorrhea. Obstet Gynecol., 6: 51-56.
  • Hills, S. D., Marchbanks, P. A., Peterson, H. B. (1995). The effectiveness of hysterectomy for chronic pelvic pain. Obstet Gynecol., 86: 941-945.
  • Hoffman, B. L. (2008). Pelvic pain. Schorge, J. O., Schaffer, J. I., Halvorson, L. M., Hoffman, B. L., Bradshaw, K. D., Cunningham
  • F. G. (Eds.). Williams Gynecology. The McGraw-Hill Companies, China, 244-268. Howard, F. M. (2003a). Chronic pelvic pain. The American Collage of Obstetricians and Gynecologists, 101(3): 594-611.
  • Howard, F. M. (2003b). The role of laparoscopy in the chronic pelvic pain patient. Clinical Obstetrics and Gynecology, 46(4): 74976
  • International Association for Study of Pain (IASP) (2011). IASP
  • Taxonomy, http://www.iasppain.org/AM/Template.cfm?Section= Pain_Defi...isplay.cfm&ContentID=1728#Pain (23.10.2011).
  • İstek, A. (2009). Kronik pelvik ağrı şikayeti olan hastalarda posterior tibial sinir uyarısı tedavisinin (nöromodülasyon) yasam kalitesi üzerine etkisi. Uzmanlık Tezi, İstanbul Üniversitesi İstanbul Tıp Fakültesi Kadın Hastalıkları ve Doğum Anabilim Dalı, İstanbul.
  • Kruszka, P. S., Kruszka, S. J. (2010). Evaluation of acute pelvic pain in women. American Family Physician, 82(2): 141-147.
  • Kuligowska, E., Deeds, L., Lu, K. (2005). Pelvic pain: Overlooked and underdiagnosed gynecologic conditions. RadioGraphics, 25: 3–20.
  • Lichten, E., Bombard, J. (1987). Surgical treatment of primary dysmenorrhea with laparoscopic nerve ablation. The Journal of
  • Reproductive Medicine, 32: 37-41. Pirbudak Çöçelli, L., Bacaksız, B. D., Ovayolu, N. (2008). Ağrı tedavisinde hemşirenin rolü. Gaziantep Tıp Dergisi, 14: 53-58.
  • Reiter, R. C., Gambone, J. C., Johnson, S. R. (1991). Avaibility of a multidisciplinary pelvic pain clinic and frequency of hysterectomy for pelvic pain. J Psychosomal Obstet Gynaecol., 12: 109.
  • Rockey, D. C. (2005). Occult gastrointestinal bleeding. Gastroenterol Clin North Am., 34: 699.
  • Sauerland, S. ve ark. (2006). Laparoscopy for abdominal emergencies: Evidence-based guidelines of the European Association for Endoscopic Surgery. Surg Endosc., 20: 14.
  • Sharp, H. T. (2008). Cronic pelvic pain. Gibbs, R. S., Karlan, B. Y., Haney, A. F., Nygaard, I. E. (Eds.). Danforth’s Obstetric and Gynecology. 10. basım, Wolters Kluwer, Lippincontt Williams and Wilkins, Philadelphia, 759-767.
  • Slocumb, J. C. (1984). Neurological factors in chronic pelvic pain: Trigger points and the abdominal pelvic pain syndrome. Am J Obstet Gynecol., 149: 536-543.
  • Stones, W., Cheong,Y. C., Howard, F. M., Singh, S. (2005). Interventions for treating chronic pelvic pain in women. Cochrane Database of Systematic Reviews, 2: 1-43.
  • Swanton, A., Iyer, L., Reginald, P. W. (2006). Diagnosis, treatment and follow up of women undergoing conscious pain mapping for chronic pelvic pain: A prospective cohort study. British Journal of Obstetrics and Gynaecology, 113: 792-796.
  • Taşkın, L. (Ed.). (2009). Doğum ve Kadın Sağlığı Hemşireliği: Üreme siklusu anomalileri. 9. basım, Sistem Ofset Matbaacılık, Ankara.
  • Tjaden, B., Schlaff, W. D., Kimball, A., Rock, J. A. (1992). The efficacy of presacral neurectomy for the relief of midline dysmenorrhea. Obstet gynecol., 167: 100-103.
  • Vandermeer, F. Q., Wong-You-Cheong, J. J. (2009). Imaging of acute pelvic pain. Clinical Obstetrics and Gynecology, 52(1): 2–20. Vincent, K. (2011). Pelvic pain in women: Clinical and scientific aspects. Current Opinion in Supportive and Palliative Care, 5: 143–149. Zondervan, K. T. ve ark. (2001). The community prevalence of chronic pelvic pain in women and associated illness behaviour. Br J Gen Pract, 51: 541–547.
There are 38 citations in total.

Details

Primary Language Turkish
Journal Section Reviews
Authors

Halime Kal This is me

Nezihe Kızılkaya Beji

Publication Date February 20, 2014
Published in Issue Year 2013 Volume: 21 Issue: 3

Cite

APA Kal, H., & Kızılkaya Beji, N. (2014). Jinekolojik Ağrı: Tanı ve Tedavide Güncel Yaklaşımlar, Kanıt Temelli Uygulamalar. Florence Nightingale Journal of Nursing, 21(3), 198-204.
AMA Kal H, Kızılkaya Beji N. Jinekolojik Ağrı: Tanı ve Tedavide Güncel Yaklaşımlar, Kanıt Temelli Uygulamalar. Florence Nightingale Journal of Nursing. February 2014;21(3):198-204.
Chicago Kal, Halime, and Nezihe Kızılkaya Beji. “Jinekolojik Ağrı: Tanı Ve Tedavide Güncel Yaklaşımlar, Kanıt Temelli Uygulamalar”. Florence Nightingale Journal of Nursing 21, no. 3 (February 2014): 198-204.
EndNote Kal H, Kızılkaya Beji N (February 1, 2014) Jinekolojik Ağrı: Tanı ve Tedavide Güncel Yaklaşımlar, Kanıt Temelli Uygulamalar. Florence Nightingale Journal of Nursing 21 3 198–204.
IEEE H. Kal and N. Kızılkaya Beji, “Jinekolojik Ağrı: Tanı ve Tedavide Güncel Yaklaşımlar, Kanıt Temelli Uygulamalar”, Florence Nightingale Journal of Nursing, vol. 21, no. 3, pp. 198–204, 2014.
ISNAD Kal, Halime - Kızılkaya Beji, Nezihe. “Jinekolojik Ağrı: Tanı Ve Tedavide Güncel Yaklaşımlar, Kanıt Temelli Uygulamalar”. Florence Nightingale Journal of Nursing 21/3 (February 2014), 198-204.
JAMA Kal H, Kızılkaya Beji N. Jinekolojik Ağrı: Tanı ve Tedavide Güncel Yaklaşımlar, Kanıt Temelli Uygulamalar. Florence Nightingale Journal of Nursing. 2014;21:198–204.
MLA Kal, Halime and Nezihe Kızılkaya Beji. “Jinekolojik Ağrı: Tanı Ve Tedavide Güncel Yaklaşımlar, Kanıt Temelli Uygulamalar”. Florence Nightingale Journal of Nursing, vol. 21, no. 3, 2014, pp. 198-04.
Vancouver Kal H, Kızılkaya Beji N. Jinekolojik Ağrı: Tanı ve Tedavide Güncel Yaklaşımlar, Kanıt Temelli Uygulamalar. Florence Nightingale Journal of Nursing. 2014;21(3):198-204.