Total Kalça ve Diz Artroplasti Hastalarının Covid-19 Korkusunun Ameliyat Öncesi Anksiyete ve Ameliyat Sonrası Analjezik Gereksinimi ile İlişkisi

Year 2024, , 801 - 812, 21.10.2024

Remziye Cici , Ahmet Özdemir , Gülnaz Kızılkaya , Meral Özkan

https://doi.org/10.33715/inonusaglik.1447100

Abstract

Total kalça ve diz artroplasti hastalarında Covid-19 korkusunun ameliyat öncesi anksiyete ve ameliyat sonrası analjezik gereksinimi ile ilişkisini belirlemek amacıyla yapıldı. Tanımlayıcı türdeki çalışma, Mart 2022-2023 tarihlerinde Türkiye’nin doğusunda bir hastanenin ortopedi kliniğinde artroplasti planlanmış 331 hastayla yapıldı. Çalışmada covid-19 korkusu, durumluk kaygı ölçeği ve vizüel analog ağrı skalası kullanıldı. Hastaların yaş ortalamasının 61.9±14.4 olduğu, %52.0’sinin total diz artroplastisi geçirdiği ve Covid-19 korku puanı ile durumluk kaygı puanı arasında ilişkinin olmadığı belirlendi. Covid-19 korku puanı ile opioid gereksinimi arasında ameliyatın birinci ve ikinci gününde pozitif yönde anlamlı ilişki belirlendi. Covid-19 korku puanı ile non-steroid antiinflamatuar ilaç (NSAİİ) gereksinimi arasında ameliyatın sıfırıncı, birinci ve ikinci gününde pozitif yönde zayıf ilişki saptandı. Parasetamol kullanımı arasında ise birinci ve ikinci gün negatif yönde zayıf ilişki saptandı. Ameliyat öncesi hastaların yaşadığı Covid-19 korkusunun ameliyat öncesi anksiyete ile ilişkili olmadığı ve ameliyat sonrası NSAİİ ve opioidler grubu analjezik kullanımını artırdığı saptandı.

Keywords

Analjezik gereksinimi, Anksiyete, Artroplasti, Covid-19 korkusu

THE RELATIONSHIP OF COVID-19 FEAR WITH PREOPERATIVE ANXIETY AND POSTOPERATIVE ANALGESIC REQUIREMENT IN TOTAL HIP AND KNEE ARTHROPLASTY PATIENTS

Abstract

It was conducted to determine the relationship between fear of Covid-19 and preoperative anxiety and postoperative analgesic requirement in total hip and knee arthroplasty patients. This descriptive study was conducted with 331 patients scheduled for arthroplasty who were hospitalized in the orthopedic clinic of a hospital in eastern Turkey between March 2022-2023. Fear of covid-19, state anxiety inventory, and visual analogue pain scale were used. The mean age of the patients was 61.9±14.4 years, 52.0% had undergone total knee arthroplasty, and there was no relationship between Covid-19 fear score and state anxiety score. A positive significant correlation was found between opioid requirement and Covid-19 fear score on the first and second days after surgery. A weak positive correlation was found between non-steroidal anti-inflammatory drug (NSAID) requirement and Covid-19 fear score on the zero, first and second days after surgery. A weak negative correlation was found between paracetamol use and Covid-19 fear score on the first and second days. It was determined that the Covid-19 fear experienced by the patients before surgery was not associated with preoperative anxiety and increased the use of analgesics such as NSAIDs and opioids after surgery.

Keywords

Analgesic requirement, Anxiety, Arthroplasty, Fear of covid-19

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