Türkiye’nin Batısında Bir Üniversite Hastanesinde Yatan Erişkin Hastalarda Ağrı Sıklığının Belirlenmesi: Bir Gözlemsel Nokta Prevelans Çalışması

Year 2024, , 297 - 306, 14.10.2024

Erkan Özduran , Volkan Hancı , Yüksel Erkin , Ali Avcı , Ali Emircan Ilgınlı , Burakcan Budakın , Deniz Metin Açıkgöz , Gökhan Gökmen , Mehmet Fatih Erfidan , Muhammed Can Feda Dinç , Rana Elif Aydoğdu , Soner Demircan , Tunahan Birkol

https://doi.org/10.52827/hititmedj.1476101

Abstract

Amaç: Beşinci vital bulgu olarak adlandırılan ağrı aynı zaman da bir yaşam kalitesi göstergesi olarak bilinmektedir. Bu çalışmanın amacı Türkiye’nin batısında bir üniversite hastanesinde yatan erişkin hastalarda ağrı prevalansı ve ilişkili faktörlerini araştırmaktır.
Gereç ve Yöntem: Etik komite onayı alındıktan sonra hazırlanan bu cross-sectional çalışmada dahil edilme kriterlerine uygun hospitalize hastalar 01-31 Mayıs 2022 tarihleri arasında yüzyüze anket yöntemi kullanılarak ağrı prevalansı ve ilişkili faktörler sorgulandı. Araştırmaya katılanlara sosyodemografik veri anketleri uygulanmıştır. Ağrı yoğunluğunu değerlendirmek için Sayısal Derecelendirme Ölçeği (NRS) ve Kısa Ağrı Envanteri (BPI) kullanıldı.
Bulgular: Çalışmaya dahil edilen 762 kişinin ağrı prevelansı 68.5% olarak tespit edilmiştir. NRS ortalaması 6.33±2.24 olarak tespit edilmiştir. Ağrısı olan hastaların 60'ında (%11.7) hafif, 210'unda (%41) orta, 242'sinde (%47.3) şiddetli ağrı vardı. Cinsiyete göre ağrı varlığı arasında anlamlı farklılık tespit edilmiştir (p=0.034). Son 24 saat en kötü ağrı şiddeti ile son 24 saat en hafif ağrı şiddeti (r=0.401, p<0.001) ve son 24 saatteki ortalama ağrı şiddeti (r=0.629, p<0.001) arasında pozitif yönde orta dereceli korelasyon ilişkisi tespit edilmiştir.
Sonuç: Ağrı prevelansı ve ağrı yoğunluğu Türkiye’nin batısında bulunan bir üniversite hastanesinde yüksek tespit edilmiştir. Ağrı yönetimindeki zamanında uygun tedaviler komplikasyon gelişimini önleyebilir ve hasta yaşam kalitesini artırabilir.

Keywords

Ağrı, Ağrı Ölçümü, Ağrı prevelansı, Epidemiyoloji, Yatan Hastalar

Determining the Prevalence of Pain in Adult Patients Hospitalized in a University Hospital in Western Türkiye: An Observational Point Prevalence Study

Abstract

Objective: Pain, called the fifth vital sign, is also known as an indicator of quality of life. This study aimed to investigate the prevalence and associated factors of pain in adult patients hospitalized in a university hospital in western Türkiye.
Material and method: After obtaining ethical committee approval, this cross-sectional study investigated the prevalence of pain and associated factors in hospitalized patients who met the inclusion criteria using a face-to-face survey method between May 1-31, 2022. Sociodemographic data surveys were administered to the participants in the study. The Numeric Rating Scale (NRS) and the Brief Pain Inventory (BPI) were used to assess pain intensity. Pain intensity is defined as mild [1-3], moderate [4-6], or severe [7-10].
Results: The prevalence of pain was found to be 68.5% among the 762 people included in the study. The average NRS was found to be 6.33±2.24. Among the patients with pain, 60 (11.7%) had mild pain, 210 (41%) had moderate pain, and 242 (47.3%) had severe pain. A significant difference was found in between in the presence of pain according to gender (p=0.034). A moderate positive correlation was found between the worst pain intensity in the last 24 h and the least pain intensity in the last 24 h (r=0.401, p<0.001) and the average pain intensity in the last 24 h (r=0.629, p<0.001).
Conclusion: Pain prevalence and pain intensity were high in a university hospital in western Türkiye. Timely and appropriate treatments for pain management can prevent the development of complications and improve the quality of life of patients.

Keywords

Epidemiology, Inpatients, Pain, Pain measurement, Pain prevalence

Ethical Statement

Ethics committee approval was obtained before this cross-sectional study (Dokuz Eylül University Ethics Committee, Ethics committee No: 2022/02-22, Date: 23.02.2022).

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