WHY TO WAITING FOR PTERYGIUM SURGERY?

Öz

OBJECTIVE: It was aimed to find out the factors affecting the operation time in patients undergoing pterygium surgery and to determine the precautions that can be taken.
MATERIAL AND METHODS: The study included 53 patients who were operated for pterygium in our clinic between January 2014 and February 2017. The reasons for delaying the surgery were asked to the patients. Five groups were formed between 1-5 according to the answers. The groups were as follows: 1. Patients who don’t feel uncomfortable even though knowing the pterygium disease, 2. Patients who are unaware of pterygium disease, 3. Patients who want to wait for the pterygium tissue to grow a little more, 4. Patients who are concerned about recurrence because they had undergone pterygium surgery previously from the same eye, 5. Patients who are afraid of any surgery.
RESULTS: The most common reason for delaying pterygium surgery was that the patient was not feeling uncomfortable even though they knew that they had the pterygium disease. The second reason was to be afraid of any surgery. The distribution of reasons for delaying surgery was as follows: Group 1: 23 (43.4%), Group 2: 8 (15.09%), Group 3: 8 (15.09%), Group 4: 7.55% Group 5: 10 patients (18.87%).
CONCLUSIONS: Patient-related delay in pterygium surgery may affect surgical success and results. Informing patients about the operation and providing psychological-social support to alleviate patients' worries may prevent delays of surgery.

Anahtar Kelimeler

• pterygium
• delay of surgery
• inform
• surgery

PTERJİUM CERRAHİSİ İÇİN NEDEN BEKLENİR?

Öz

AMAÇ: Pterjium cerrahisi yapılan hastalarda ameliyat zamanını etkileyen faktörleri bulmak ve alınabilecek önlemleri tespit etmek amaçlanmıştır.
GEREÇ VE YÖNTEM: Ocak 2014-Şubat 2017 arası kliniğimizde pterjium nedeniyle cerrahi yapılan 53 hastanın 53 gözü çalışmaya alındı. Hastaların bilgileri, ameliyatı bekleme sebepleri ve cerrahi öyküsü sorgulandı. Hastaların cevaplarına göre gruplandırma yapıldı: Hastalığını bildiği halde çok fazla rahatsızlık duymamak (grup 1), hastalığının farkında olmamak (grup 2), ameliyat olmak için pterjiumun biraz daha ilerlemesini beklemek (grup 3), pterjium cerrahisi daha önce geçirip yine tekrarlamasından endişe etmek (grup 4) ve ameliyattan korkmak (grup 5).
BULGULAR: En çok karşılaşılan pterjium ameliyatı geciktirme nedeni; hastalığını bildiği halde çok fazla rahatsızlık duymamak idi. İkinci sırada ise, ameliyat olmaktan korkmak olduğu tespit edildi. Cerrahiyi geciktirme nedenleri dağılımı şu şekilde idi: 1.Grup 23 (%43.4), 2.grup 8 (%15.09), 3.grup 8 (%15.09), 4.grup 4 (%7.55), 5.grup 10 (%18.87) hasta.
SONUÇ: Pterjiumda hasta kaynaklı ameliyat zamanı gecikmesinin ameliyat başarısını ve sonuçlarını etkileyebileceği, yapılacak ameliyatla ilgili hastaların bilgilendirilmesi, hastaların endişelerinin giderilmesinde psikolojik-sosyal destek verilmesi ameliyat olma zamanında gecikmeleri önleyebilir.

Anahtar Kelimeler

• pterjium
• ameliyat gecikmesi
• bilgilendirme
• cerrahi

Kaynakça

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