Kolorektal Cerrahi Sonrası Kronik Ağrı İnsidansı ve Risk Faktörlerinin Belirlenmesi

Öz

Bu tanımlayıcı ve kesitsel çalışma kolorektal cerrahi sonrası kronik ağrı insidansını ve risk faktörlerini belirlemek amacıyla yapıldı. Veriler“Hasta Tanımlayıcı Bilgi Formu”, “Sayısal Ağrı Ölçeği”ve “Kısa Ağrı Envanteri” kullanılarak toplandı. Veriler ameliyat öncesinde, ameliyattan 24, 48, 72 saat sonra ve ameliyattan 3 ay sonra toplandı. En yüksek ortalama ağrı düzeyi ilk 24 saatte hareket sırasında 4.02±1.63 idi ve hastaların %27'sinde ameliyattan 3 ay sonra kronik postoperatif ağrı gelişti. Ameliyat sonrası 3. aydaki değerlendirmede, cerrahi deneyimi olmayanlarda şiddetli ağrı ortalamasında (t=-2.552, p=0.050) ve genel anestezi alanlarda hem şiddetli hem de hafif ağrı ortalamasında (t=-4.047, p=0.050; t=-3.199, p=0.004) anlamlı fark bulundu. Kolorektal cerrahi sonrası hastaların yaklaşık üçte birinde cerrahi sonrası kronik ağrı saptanmıştır ve ilk kez ameliyat olan ve genel anestezi alan hastalarda cerrahi sonrası kronik ağrı gelişme riski daha yüksektir.

Anahtar Kelimeler

• Cerrahi Sonrası Kronik Ağrı
• Ağrı Değerlendirmesi
• Kolorektal Cerrahi
• Risk Faktörleri
• Hemşirelik

Chronic After Colorectal Surgery Determination of Pain Incidence and Risk Factors

Öz

This descriptive and cross-sectional study was conducted to determine the incidence of chronic pain after colorectal surgery and its risk factors. Data were collected using the “Patient Identification Form,” “Numerical Pain Scale,” and “Short Pain Inventory.” Data were collected before surgery, 24, 48, and 72 hours after surgery, and 3 months after surgery. The highest average pain level was 4.02±1.63 during movement in the first 24 hours, and 27% of patients developed chronic postoperative pain 3 months after surgery. In the 3-month postoperative assessment, significant differences were found in the mean severe pain score (t=-2.552, p=0.050) in patients without surgical experience and in both severe and mild pain scores (t=-4.047, p=0.050; t=-3.199, p=0.004) in patients who received general anesthesia. Approximately one-third of patients undergoing colorectal surgery experience chronic pain postoperatively, and the risk of developing chronic pain is higher in patients undergoing surgery for the first time and those receiving general anesthesia.

Anahtar Kelimeler

• Chronic Postsurgical Pain
• Pain Assessment
• Colorectal Surgery
• Risk Factors
• Nursing

Kaynakça

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