Sezaryen sonrası ağrının karakteristik özelliği

Year 2021, , 1 - 6, 21.01.2021

Tuğba Gürbüz , Nefise Tanrıdan Okçu

https://doi.org/10.32322/jhsm.719225

Abstract

Amaç: Çalışmada, elektif veya acil nedenlerden dolayı sezaryen yapılan hastalarda postoperatif ağrının karakteristik özelliklerini analiz etmek amaçlanmıştır.
Gereç ve Yöntemler: Bu çalışma, sezaryen yapılan 78 hastayı içeren gözlemsel ve tanımlayıcı bir kesitsel analizdir. Araştırma esnasında hastaların ilk 6 saatteki görsel ağrı skalası (VAS) skorları değerlendirilmiş ve ağrılarının karakteristik tanımlamaları sorgulanmıştır.
Bulgular: Postoperatif ilk 6 saatteki ortalama VAS skorları 5.56 ± 1.31'dir. Hastaların ağrı hissettiği vücut lokalizasyonu insizyon bölgesinde %7.7, umbilikus altında %14.1, tüm karın bölgesinde %23.1, insizyonun sağ tarafında %50, insizyonun sol tarafında %1.3, insizyonun her iki yanında %3,8 olarak saptanmıştır. Hastaların anestezi tipleri ve VAS skorları karşılaştırıldığında, ortalamalar arasındaki fark, istatistiksel olarak anlamlı bulunmamıştır (p> 0.05). Ağrının yeri ile sezaryen sayısı arasında istatistiksel olarak anlamlı bir fark tespit edilmemiştir (p> 0.05). Postoperatif mobilizasyon saatleri ile hastaların memnuniyet skorları arasında istatistiksel olarak anlamlı bir ilişki saptanmıştır (p <0.05).
Sonuç: Sezaryen sonrası ağrının azaltılması; annenin iyileşme süreci ve anne ile bebek arasındaki erken bağın gelişimi için oldukça önemlidir. Sezaryen sonrası ağrının en çok hissedilen yeri tespit edilir, değerlendirilir ve özellikleri belirlenirse; ağrıyı azaltmak veya ortadan kaldırmak için uygun müdahaleler planlanabilir.

Keywords

Ağrı, Doğum, Sezaryen

Supporting Institution

Yok

Charecteristics of postcesarean section pain

Abstract

Aim: The aim of this study was to analyze the characteristics of postoperative pain in patients undergoing cesarean delivery for elective or urgent reasons.
Material and Methods: This study is an observational descriptive cross-sectional analysis involving 78 patients who underwent cesarean delivery. Visual Pain Scale (VAS) scores of 78 patients were evaluated in the first 6 hours and the patients were asked about the characteristic descriptions of the pain.
Results: Mean VAS scores in the first 6 hours postoperatively were 5.56 ± 1.31. Body localizations where the patients feel pain were 7.7% in the incision site, 14.1% under the umbilicus, 23.1% in the whole abdominal region, 50% on the right side of the incision, 1.3% on the left side of the incision and 3.8% on both sides of the incision. When the anesthesia types and VAS scores of the patients were compared, the differences between the averages were not statistically significant (p > 0.05). There was no statistically significant difference between the location of pain and the number of cesarean sections (p >0.05). There was a statistically significant relationship between the postoperative mobilization hours and the patients' satisfaction scores (p < 0.05).
Conclusion: Treatment of the post-cesarean pain is very important for the recovery process of the mother and the development of the early bond between the mother and the infant. If the post-cesarean delivery pain is identified, evaluated and its characteristics are determined, appropriate interventions can be made to reduce or eliminate the pain.

Keywords

Cesarean, Delivery, Pain

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