Evaluation of Postoperative Pain Perceptions and Anxiety Levels in Patients Undergoing Ureterorenoscopy

Yıl 2025, Cilt: 12 Sayı: 3, 343 - 349, 29.09.2025

Hatice Eğilmez , Aynur Koyuncu , Ayla Yava

https://doi.org/10.34087/cbusbed.1514192

Öz

Aim; This study was conducted to investigate postoperative pain and anxiety levels in patients undergoing ureterorenoscopy.
Method; Descriptive and correlational study. A total of 165 patients who met the study criteria and agreed to participate were included in the study. Data were collected from the patients by direct interview within the first 24 hours postoperative in the urology clinic. Postoperative, the time when the patients came to the urology clinic was accepted as the zero (0th) hour, and the pain levels perceived were routinely evaluated every four hours by keeping the time difference constant at the specified time intervals (0-4, 5-9, 10-14, 15-19, 20-24 hour). Pain perceptions was evaluated using Visual Analog Scale, and anxiety was assessed using the State-Trait Anxiety Inventory-State. Statistical significance was set at p < 0.05.
Results; The results indicated that pain and anxiety were high in the first hours (0–4 hours) of surgery, and women experienced significantly more pain and anxiety (p < 0.05). There was a significant positive correlation between pain and anxiety (rspearman = 0.40 and p < 0.05). Pain was found to be related to anxiety.
Conclusion; Pain and anxiety levels of the patients were found to be high in the first hours after surgery. It is thought that these results will contribute to the assessment and management of patients' pain and anxiety levels and planning appropriate nursing interventions.

Keywords: Ureterorenoscopy, pain, anxiety

Anahtar Kelimeler

ureterorenoscopy, , pain, , anxiety

Proje Numarası

Proje çalışması değil

Evaluation of Postoperative Pain Perceptions and Anxiety Levels in Patients Undergoing Ureterorenoscopy

Öz

Aim; This study was conducted to investigate postoperative pain and anxiety levels in patients undergoing ureterorenoscopy.
Method; Descriptive and correlational study. A total of 165 patients who met the study criteria and agreed to participate were included in the study. Data were collected from the patients by direct interview within the first 24 hours postoperative in the urology clinic. Postoperative, the time when the patients came to the urology clinic was accepted as the zero (0th) hour, and the pain levels perceived were routinely evaluated every four hours by keeping the time difference constant at the specified time intervals (0-4, 5-9, 10-14, 15-19, 20-24 hour). Pain perceptions was evaluated using Visual Analog Scale, and anxiety was assessed using the State-Trait Anxiety Inventory-State. Statistical significance was set at p < 0.05.
Results; The results indicated that pain and anxiety were high in the first hours (0–4 hours) of surgery, and women experienced significantly more pain and anxiety (p < 0.05). There was a significant positive correlation between pain and anxiety (rspearman = 0.40 and p < 0.05). Pain was found to be related to anxiety.
Conclusion; Pain and anxiety levels of the patients were found to be high in the first hours after surgery. It is thought that these results will contribute to the assessment and management of patients' pain and anxiety levels and planning appropriate nursing interventions.

Anahtar Kelimeler

ureterorenoscopy, , pain, , anxiety

Etik Beyan

Hasan Kalyoncu Üniversitesi Sağlık Bilimleri Fakültesi Girişimsel Olmayan Araştırmalar Etik Kurul onayı alınmıştır. Tam metnin yöntem kısmında etik onay numarası yazılmıştır. Araştırmaya hastalar gönüllü katılım sağlamıştır.

Destekleyen Kurum

Destekleyen kurum yok

Proje Numarası

Proje çalışması değil

Teşekkür

Yok

Kaynakça

• 1. Gürler H, Gündüz ES, Risk factors in urinary stones: A case–control study. Int J Urol Nurs. 2021;1–6.
• 2. Boarin M, Villa G, Capuzzi C, et al. Dietary and lifestyle recommendations for urolithiasis prevention: A systematic literature review. Int J Urol Nurs. 2018;12:53–70.
• 3. Akıncı M, Esen T, Tellaloğlu S. Urinary Stone Disease in Turkey: An Updated Epidemiological Study. European Urology, 1991; 20(3):200–203.
• 4. Muslumanoglu AY, Binbay M, Yuruk E, Akman T, Tepeler A, Esen T, Tefekli AH. Updated epidemiologic study of urolithiasis in Turkey. I: Changing characteristics of urolithiasis. Urol Res. 2011 Aug;39(4):309-14.
• 5. Ahn ST, Kim JH, Park JY, et al. Acute postoperative pain after ureteroscopic removal of stone: Incidence and risk factors. Korean Journal of Urology, 2012;53(1):34–39.
• 6. Preston A. Milburn, Kim H. Thai, Amr El Mekresh, Patrick S. Lowry & Marawan M. El Tayeb. Relation of postoperative pain medication to return for unplanned care after ureteroscopy, Baylor University Medical Center Proceedings, 2019;32(2):199-201.
• 7. Rosen GH, Hargis PA, Kahveci A, Lough C, Moss A, Golzy M, Murray K. Randomized Controlled Trial of Single-dose Perioperative Pregabalin in Ureteroscopy. J Ürol. 2023 Eylül;210(3):517-528.
• 8. Mulugeta H, Ayana M, Sintayehu M, et al. Preoperative anxiety and associated factors among adult surgical patients in debre markos and felege hiwot referral hospitals, Northwest Ethiopia. BMC Anesthesiology 2018;18(1):155.
• 9. Sturgeon J. A, Langford D, Tauben D, Sullivan M. Pain intensity as a lagging indicator of patient improvement: Longitudinal relationships with sleep, psychiatric distress, and function in multidisciplinary care. The Journal of Pain, (2021);22(3):313–321.
• 10. Ak S, Ongün P, Şenel Ç, et al. The effect of postoperative pain level on sleep quality in patients who undergo major urological surgery. Journal of Inonu University Vocational School of Health Services 2022;10(3):992–1003.
• 11. Mei G, Jiang W, Xu W, et al. Effect of comfort care on pain degree and nursing satisfaction in patients undergoing kidney stone surgery. American Journal of Translational Research 2021;13(10):11993–11998.
• 12. Arlı Ş, K. Cerrahi Bakımda Ağrı Yönetimine İlişkin Hemşirelik Girişimleri. Manisa CBU Sağlık Bilimleri Enstitüsü Dergisi / Manisa CBU Journal of Institute of Health Science 2017:4(3);1013-1021
• 13. Cohen J. Statistical Power Analysis for the Behavioral Sciencess . 1988: (2nd ed.). Routledge.
• 14. Öner N, Le Compte A. State and trait anxiety inventory handbook. Istanbul Boğaziçi University Press 1983: pp(1-26).
• 15. Julian L, J. Measures of anxiety: State–Trait Anxiety Inventory (STAI), Beck Anxiety Inventory (BAI), and Hospital Anxiety and Depression Scale-Anxiety (HADS-A). Arthritis Care and Research 2011;63(Suppl. 11):S467–S472.
• 16. Aydıngülü N, Arslan S. Comfort Levels of Patients at Early Postoperative Period. KSU Medical Journal 2021;16(3) : 401-406.
• 17. Du K, Wang R, S. Vetter J, et al. Unplanned 30-day encounters after uretero-renoscopy for urolithiasis. Journal of Endourology, 2018;32(12):1100-1107.
• 18. Ucer O, Ceylan Y, Ekren F, et al. Effect of anxiety and pain on success of shockwave lithotripsy (SWL) for treatment of proximal ureteral and renal pelvic stones. Urolithiasis, 2016:44(6);559–564.
• 19. Sun j, Xu W, Ye H, Tang D, Jiang Y, Kang Y, Pan J, Zhu J, Zhou M, Che L. Stress Induces Prolonged Pain Recovery After Surgery: Involvement of Glucocorticoid-Related Pathway. Int J Neuropsychopharmacol. 2023 Mar 11;26(4):268–279.
• 20. Yang B, Liu S, Wang J, et al. The impact of watching real-time videos of flexible ureteroscopic lithotripsy on anxiety and depression in patients. Int Urol Nephrol, 2022;54(5):1009-1015.
• 21. Akıncı N. Determining postoperative anxiety and depression levels of the patients hospitalized in surgical clinics. Health Care Acad J. 2022; 9(2):113-119.
• 22. Belfer I. Pain in women. Pain 2017;29(2):51–54.