Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Diz Artroskopisi Uygulanacak Hastalarda Ağrı Korkusunun Ağrı Şiddetine Etkisinin Değerlendirilmesi: Tanımlayıcı Araştırma
Assessment of the Effect of Fear of Pain on Pain Intensity in Patients with Knee Arthroscopy: Descriptive Research
Sümeyye TİRYAKİa, Sonay GÖKTAŞa
aSağlık Bilimleri Üniversitesi Hamidiye Hemşirelik Fakültesi, Cerrahi Hastalıkları Hemşireliği ABD, İstanbul, Türkiye
Turkiye Klinikleri J Nurs Sci. 2022;14(2):288-95
doi: 10.5336/nurses.2021-83726
Article Language: TR
Full Text
ÖZET
 Amaç: Bu araştırmanın amacı, diz artroskopisi uygulanacak hastalarda, ağrı korkusunun ağrı şiddetine etkisini incelemektir. Gereç ve Yöntemler: Tanımlayıcı nitelikte olan bu çalışmanın evrenini, Ekim 2018-Mart 2019 tarihleri arasında bir eğitim araştırma hastanesinin ortopedi ve travmatoloji kliniğinde diz artroskopisi uygulanacak hastalar, örneklemini ise araştırma kriterlerini karşılayan 101 hasta oluşturdu. Veriler, 'hasta bilgi formu', 'Ağrı Korkusu Ölçeği-III' ve 'vizüel analog skala' ile toplandı. Bulgular: Hastaların %59,4'ünün 31-45 yaş aralığında olduğu, %60,4'ünün erkek olduğu, %57,4'ünün daha önce cerrahi girişim geçirdiği, %87,1'inin ise kronik hastalığının olmadığı saptandı. Araştırmaya katılan hastaların %60,4'ünün şiddetli ağrı deneyiminin olduğu, ağrı yaşama durumunda %68,3'ünün ağrı kesici kullandığı, %32,7'sinin uyuduğu, %16,8'inin ise sıcak-soğuk uygulama yaptığı belirlendi. Hastaların toplam ağrı korkusu puan ortalamasının 65,52±19,38; şiddetli, hafif ve tıbbi ağrı korkusu alt boyut puan ortalamaları sırasıyla 26,21±8,58; 18,35±5,66 ve 20,95±7,20 olarak bulundu. Vizüel analog skala puan ortalamasının ise 5,81±2,58 olduğu saptandı. Ağrı korkusu toplam puanı ve tüm alt boyutlar ile vizüel analog skala puanı arasında pozitif yönde orta düzeyde anlamlı bir ilişki olduğu ve ameliyat öncesi ağrı korkusunun ameliyat sonrası ağrı şiddetini %24,7 oranında etkilediği saptandı (p=0,001). Sonuç: Çalışma bulguları, diz artroskopisi yapılan hastalarda ağrı korkusunun ağrı şiddetini etkilediğini gösterdi.

Anahtar Kelimeler: Ağrı algısı; ağrı değerlendirmesi; artroskopik cerrahi; hemşirelik bakımı; ameliyat sonrası ağrı
ABSTRACT
 Objective: The aim of this study is to examine the effect of fear of pain on pain severity in patients undergoing knee arthroscopy. Material and Methods: This descriptive study was conducted with 101 patients who will undergo knee arthroscopy in the orthopedics and traumatology clinic of a training and research hospital between October 2018 and March 2019 and agree to take part in the study. The data were collected using 'patient information form', 'Fear of Pain Scale-III' and 'visual analog scale'. Results: It was determined that 59.4% of the patients were between the ages of 31-45, 60.4% were male, 57.4% had undergone previous surgical intervention, and 87.1% had no chronic disease. In the study was determined that 60.4% of the patients taking part in the study experienced severe pain, 68.3% used analgesics in case of pain, 32.7% slept and 16.8% applied hot-cold. It was found that there was a significant positive correlation between the total score for fear of pain and all sub-dimensions and visual analog scale score, and it was found that preoperative pain fear affected postoperative pain intensity by 24.7% (p=0.001). The mean score of the patients' total fear of pain was 65.52±19.38; mean scores of the fear of severe, minor and medical pain were 26.21±8.58, 18.35±5.66 and 20.95±7.20 and the average visual analog scale score was 5.81±2.58. Conclusion: The study findings showed that the fear of pain in patients who underwent knee arthroscopy affected the severity of pain.

Keywords: Pain perception; pain assessment; arthroscopic surgery; nursing care; post-operative pain
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