DOES ANXİETY AND DEPRESSION BEFORE ENDOMETRİAL BIOPSY İNCRİASE PAİN PERCEPTİON?

Yıl 2024, Cilt: 25 Sayı: 3, 322 - 327, 18.07.2024

Fatih Çelik , Ayşe Yalçınkaya Yılmaz

https://doi.org/10.18229/kocatepetip.1374056

Öz

OBJECTIVE: The aim of this study is to determine the effect of pre-procedure anxiety and depression levels on pain perception in women undergoing endometrial curettage and to investigate the possible factors contributing to pain perception in these women.
MATERIAL AND METHODS: In this study, 82 premenopausal women who underwent endometrial curettage due to abnormal uterine bleeding were reviewed. The Turkish version of the Hospital Anxiety and Depression Scale (HADS) was used to assess the psychological status of the participants. Patients were asked to evaluate the pain they felt during the procedure and 60 minutes after the procedure by using a visual analog scale.
RESULTS: The VAS (Visual Analog Scale) scores during the procedure showed a positive and significant correlation with the pre-procedural HADS anxiety scores (r=0.255, p=0.021) and depression scores (r=0.424, p=0.001). The VAS scores recorded 60 minutes after the procedure also showed a positive and significant correlation with pre-procedural anxiety scores (r=0.213, p=0.045) and depression scores (r=0.191, p=0.046). The VAS scores related to the procedure were significantly influenced by the waiting time in the hospital (p=0.001) and anxiety scores (p=0.001). The VAS scores recorded 60 minutes after the procedure (p=0.001) were significantly influenced by the duration of the procedure (p=0.002), anxiety scores (p=0.128), and depression scores (p=0.002)
CONCLUSIONS: Anxious and/or depressive mood may increase the perception of endometrial biopsy-related pain. Various precautions such as reducing the waiting time or informing the patient during the waiting period might be beneficial in terms of reducing pre-procedural anxiety and depression levels.

Anahtar Kelimeler

Anxiety, Curettage, Depression, Pain.

ENDOMETRİAL BİYOPSİ ÖNCESİ KAYGI VE DEPRESYON AĞRI ALGISINI ARTTIRIR MI?

Öz

AMAÇ: Bu çalışmanın amacı, endometriyal küretaj uygulanan kadınlarda işlem öncesi anksiyete ve depresyon düzeylerinin ağrı algısı üzerindeki etkisini belirlemek ve bu kadınlarda ağrı algısına katkıda bulunan olası faktörleri araştırmaktır.
GEREÇ VE YÖNTEM: Bu çalışmada, anormal uterin kanama nedeniyle endometrial küretaj uygulanan 82 premenopozal kadın gözden geçirildi. Katılımcıların psikolojik durumlarını değerlendirmek amacıyla Hastane Anksiyete ve Depresyon Ölçeği'nin (HADÖ) Türkçe versiyonu kullanıldı. Hastalardan işlem sırasında ve işlemden 60 dakika sonra hissettikleri ağrıyı görsel analog ölçekte değerlendirmeleri istendi.
BULGULAR: İşlem sırasındaki Vizüel Analog Skala (VAS) puanları, işlem öncesi HADÖ anksiyete puanları (r=0,255, p=0,021) ve depresyon puanları (r=0,424, p=0,001) ile pozitif ve anlamlı korelasyon göstermiştir. İşlemden 60 dakika sonra kaydedilen VAS skorları, işlem öncesi anksiyete skorları (r=0,213, p=0,045) ve depresyon skorları (r=0,191, p=0,046) ile pozitif ve anlamlı korelasyon göstermiştir. İşleme bağlı VAS skorları, hastane içi bekleme süresi (p=0,001) ve anksiyete skorlarından anlamlı derecede etkilenmiştir. (p=0,001). İşlemden 60 dakika sonra kaydedilen VAS skorları, işlem süresinden (p=0,002), anksiyete skorlarından (p=0,128,) ve depresyon skorlarından (p=0,002) anlamlı derecede etkilenmiştir (p= 0,001).
SONUÇ: Kaygılı ve/veya depresif ruh hali endometrial biyopsiye bağlı ağrı algısını arttırabilmektedir. Bekleme süresinin kısaltılması veya bekleme süresi içerisinde hastanın bilgilendirilmesi gibi çeşitli önlemler, işlem öncesi kaygı ve depresyon düzeyinin azaltılmasına yönelik etki göstermesi açısından faydalı olabilir.

Anahtar Kelimeler

Anksiyete, Küretaj, Depresyon, Ağrı

Etik Beyan

Afyonkarahisar Sağlık Bilimleri Üniversitesi Etik Kurulundan 2011-KAEK-2 numarasıyla etik onay alınmıştır.

Kaynakça

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