Kronik Pelvik Ağrı ve Yaşam Kalitesi

Year 2009, Volume: 17 Issue: 3, 198 - 202, 17.09.2014

Şule Gökyıldız

Abstract

Uluslararas› A¤r› Araflt›rma Derne¤i Taksonomi Komitesi a¤r›y›, “doku harabiyetine ba¤l› olan veya olmayan, kiflinin
geçmiflteki deneyimleriyle de ilgili, hofl olmayan bir emosyonel duyum”olarak tan›mlamaktad›r.
Kronik pelvik a¤r›n›n (KPA) kabul edilmifl bir tan›m› olmamakla beraber, menstrüasyon ve cinsel birleflmeyle iliflkili
olmayan, alt abdomen ve pelvise lokalize, en az 6 ay süreyle devam eden sürekli ya da ara ara ortaya ç›kan, a¤r›d›r.
Yap›lan jinekolojik muayene ve laboratuar de¤erlendirmelerinde nedeni saptanamayan a¤r›lar “kronik pelvik a¤r›
sendromu” olarak tan›mlan›r.
Kronik pelvik a¤r›, fiziksel, sosyal, psikolojik ve ekonomik etkileri olan ve kad›nlar aras›nda yayg›n görülen bir problemdir.
Bir multidisipliner ekip a¤r›n›n somatik, davran›flsal ve psikososyal boyutlar›n›n ayn› anda de¤erlendirilmesini ve
yönetimini sa¤lar.
Anahtar Kelimeler: Kronik pelvik a¤r›, yaflam kalitesi, hemflirelik, ekip yaklafl›m›.

Keywords

Kronik pelvik ağrı, yaşam kalitesi, hemşirelik, ekip yaklaşımı

References

• Carter, J. E (2001). Chronic pelvic pain diagnosis and ma- nagement current system of triage. OBGYN.net Articles, 1- 3,http://obgyn.net/displayarticle.asp?page=/english/pubs/featu- res/carter/cpp_carter_p2 (24.01.2008)
• Collett, B. J., Cordle, C., Stewart, C. (2000). Setting up a multidisciplinary clinic. Bailliere’s Clinical Obstetrics and Gynaecology, 14(3): 541-556.
• Cooperberg, M. R., Stoller, M. L. (2005). Percutaneous Ne- uromodulation. Urol Clin N Am, 32: 71-78.
• Duffy, S. (2001). Chronic pelvic pain: Defining the scope of the problem. International Journal of Gynecology & Obstet- rics, 74(1): 3-7.
• Gelbaya, T. A., El-Halwagy, H. E. (2001). Focus on primary care: Chronic pelvic pain in women. Obstetrical and Gyne- cological Survey, 56(12): 757-764.
• Gunter, J. (2003). Chronic pelvic pain: An integrated appro- ach to diagnosis and treatment. Obstetrical and Gynecologi- cal Survey, 58(9): 615-623.
• Grace, V., Zondervan, K. (2006). Chronic pelvic pain in wo- men in New Zealand: Comparative well-being, comorbidity, and impact on work and other activities. Health Care for Women International, 27: 585-599.
• Howard, F. M., El-Minavi A. M (2000). Taking History. Ho- ward, F. M., Perry , C. P., Carter, J. E. (Eds.). Pelvic Pa- in Diagnosis and Management. Lippincott Williams & Wil- kins, Philadelphia, 7-25.
• Jamieson, D. J., Steege, J. F. (1996). The prevalance of dysmenorrhea, dyspareunia, pelvic pain and irritabl bowel syndome in primary care practices. Obstet Gynecol, 87: 55- 58.
• Koyuncu, F. M. (2004). Kronik pelvik ağrıda yönetim. TJOD-Uzmanlık Sonrası Eğitim ve Güncel Gelişmeler, 1: 23- 31.
• Kroon, N., Reginald, P. (2005). Medical management of chronic pelvic pain. Current Obstetrics & Gynecology, 15: 285-290.
• Maruta, T., Osborne, D., Swanson, D. W., Halling, J. M. (1981). Chronic pain patients and spouses: Marital and se- xual adjustment. Mayo Clin Proc, 56: 307-310.
• Mathias, S. D., Cupperman, M., Liberman, R. F., Lipschutz, R. C., Steege, J. F. (1996). CPP prevalance health related qualitiy of life and economic correlates. Obstet Gynecol, 87: 321– 327.
• Moore, J., Kennedy, S. (2000). Causes of chronic pelvic pa- in. Bailliere’s Clinical Obstetrics and Gynaecology, 14(3): 389-402.
• Pearce, C., Curtis, M. (2007). A multidisciplinary approach to self care in chronic pelvic pain. British Journal of Nur- sing, 16(2): 82-85.
• Tulunay, M., Tulunay, F. C. (2000). Ağrının Değerlendiril- mesi ve Ağrı Ölçümleri. Erdine, S. (Ed.). Ağrı. Nobel Tıp Kitabevleri, İstanbul, 91.
• Verit, F. F., Verit, A., Yeni, E. (2006). The prevalence of sexual dysfunction and associated risk factors in women with chronic pelvic pain: A cross-sectional study. Arch Gynecol Obstet, 274: 297-302.
• Yılmaz, E. (2006). Kronik ağrılı hastalarda yaşam kalitesi. Yayınlanmamış Yüksek Lisans Tezi, Marmara Üniversitesi Sağlık Bilimleri Enstitüsü, İstanbul.
• Zondervan, K. T., ve ark (1999). Prevalence and incidence of chronic pelvic pain in primary care: Evidence from na- tional general practice database. British Journal of Obstetrics and Gynaecology, 106: 1149-1155.
• Zondervan, K. T., Yudkin, P. L., Vessey, M. P. (2001). Chronic pelvic pain in the community: Symptoms, investiga- tions and diagnoses. Am J Obstet Gynecol, 184: 1149-1155.