.: ORİJİNAL ARAŞTIRMA
Abdominal Cerrahi Sonrası Kronik Ağrı Sendromlu Hastaların Retrospektif Değerlendirilmesi: 3 Yıllık Deneyimimiz
Retrospective Evaluation of Patients with Chronic Pain Syndrome After Abdominal Surgery: Our 3 Years Experience
Turkiye Klinikleri J Anest Reanim. 2021;19(1):17-25
doi: 10.5336/anesthe.2021-82607
Makale Dili: TR
Tam Metin
ÖZET
Amaç: Kronik postoperatif ağrı (KPA) hayat kalitesini olumsuz etkileyen, iş gücü kaybı ile sağlık sistemlerine büyük bir yük getiren, yönetimi zor ve multimodal yaklaşım gerektiren önemli bir problemdir. Preoperatif ağrı, operasyon tipi, postoperatif akut ağrı ve psikososyal etkenler KPA için risk faktörleri olarak tanımlanmıştır. Bu çalışmada, hastanemizde abdominal cerrahi sonrası KPA ile algoloji servisine başvuran hastalar, retrospektif olarak incelenip risk faktörleri ortaya konmaya çalışılmıştır. Gereç ve Yöntemler: Üç yıl içinde 1.250 abdominal cerrahi geçirmiş hasta arasından, KPA nedeni ile algoloji kliniğimize baş vurmuş 50 hasta retrospektif olarak incelendi. KPA gelişmesinde etkisi olan risk faktörlerini belirlenmeye çalışıldı. Bulgular: Çalışma hastalarının %70'de (35 hasta) her şeyi felaketleştirme yani 'catastrophizing' hasta yapısı, anksiyete ve depresyon bulgularının mevcut olduğu görüldü (p0,05). Sonuç: Abdominal cerrahi sonrası KPA gelişmesinde; hastanın psikososyal yapısı, geçirilmiş ameliyat sayısı, yaşam tarzı önemli risk faktörleridir.
Anahtar Kelimeler: Kronik ağrı; laparotomi; tekrarlayan cerrahi; her şeyi felaketleştirme; anksiyete
Amaç: Kronik postoperatif ağrı (KPA) hayat kalitesini olumsuz etkileyen, iş gücü kaybı ile sağlık sistemlerine büyük bir yük getiren, yönetimi zor ve multimodal yaklaşım gerektiren önemli bir problemdir. Preoperatif ağrı, operasyon tipi, postoperatif akut ağrı ve psikososyal etkenler KPA için risk faktörleri olarak tanımlanmıştır. Bu çalışmada, hastanemizde abdominal cerrahi sonrası KPA ile algoloji servisine başvuran hastalar, retrospektif olarak incelenip risk faktörleri ortaya konmaya çalışılmıştır. Gereç ve Yöntemler: Üç yıl içinde 1.250 abdominal cerrahi geçirmiş hasta arasından, KPA nedeni ile algoloji kliniğimize baş vurmuş 50 hasta retrospektif olarak incelendi. KPA gelişmesinde etkisi olan risk faktörlerini belirlenmeye çalışıldı. Bulgular: Çalışma hastalarının %70'de (35 hasta) her şeyi felaketleştirme yani 'catastrophizing' hasta yapısı, anksiyete ve depresyon bulgularının mevcut olduğu görüldü (p0,05). Sonuç: Abdominal cerrahi sonrası KPA gelişmesinde; hastanın psikososyal yapısı, geçirilmiş ameliyat sayısı, yaşam tarzı önemli risk faktörleridir.
Anahtar Kelimeler: Kronik ağrı; laparotomi; tekrarlayan cerrahi; her şeyi felaketleştirme; anksiyete
ABSTRACT
Objective: Chronic postoperative pain is a condition that negatively affects the quality of life, puts a huge burden on health systems with loss of work force, is difficult to treat and requires a multimodal approach. Preoperative pain, type of operation and anesthetic approach, postoperative acute pain and psychosocial factors have been identified as risk factors for chronic postoperative pain. In this study, patients who applied to the algology service with chronic postoperative pain after abdominal surgery in our hospital were retrospectively analyzed and the risk factors were tried to be revealed. Material and Methods: Among 1,250 patients who had undergone abdominal surgery in 3 years, 50 patients who applied to our algology clinic due to chronic postoperative pain were retrospectively analyzed. It was tried to determine the risk factors affecting the development of chronic postoperative pain. Results: We found that 70% of the study patients (35 patients) had catastrophizing symptoms, anxiety and depression (p0.05). Conclusion: Psychosocial structure of the patient, number of previous surgeries and lifestyle are important risk factors in the development of chronic postoperative pain after abdominal surgery.
Keywords: Chronic pain; laparotomy; reoperation; catastrophization; anxiety
Objective: Chronic postoperative pain is a condition that negatively affects the quality of life, puts a huge burden on health systems with loss of work force, is difficult to treat and requires a multimodal approach. Preoperative pain, type of operation and anesthetic approach, postoperative acute pain and psychosocial factors have been identified as risk factors for chronic postoperative pain. In this study, patients who applied to the algology service with chronic postoperative pain after abdominal surgery in our hospital were retrospectively analyzed and the risk factors were tried to be revealed. Material and Methods: Among 1,250 patients who had undergone abdominal surgery in 3 years, 50 patients who applied to our algology clinic due to chronic postoperative pain were retrospectively analyzed. It was tried to determine the risk factors affecting the development of chronic postoperative pain. Results: We found that 70% of the study patients (35 patients) had catastrophizing symptoms, anxiety and depression (p0.05). Conclusion: Psychosocial structure of the patient, number of previous surgeries and lifestyle are important risk factors in the development of chronic postoperative pain after abdominal surgery.
Keywords: Chronic pain; laparotomy; reoperation; catastrophization; anxiety
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