Determining pain and anxiety situations of patients who underwent interventional radiologic procedure with local anesthesia in interventional radiology department
Öz
Aim: The aim of the present study is to determine the pain and anxiety levels in patients before and after undergoing a procedure under local anesthesia in the department of interventional radiology, which has a variable patient profile.
Materials and Methods: The study was designed as a semi-experimental research involving no particular sample profile. Consequently, the study sample comprised 100 patients who met the study inclusion criteria between the specified dates, and who agreed to participate in the study. The 10-point Visual Analogue Scale (VAS) was used to evaluate pain and anxiety levels, and the data analysis assessed frequency distribution through Kruskall Wallis and Mann-Whitney U tests and a Pearson’s correlation coefficient.
Results: Prior to the procedure, 78 percent of the patients reported pain expectancy and 71 percent reported an anxiety level of 4 points or over according to VAS. After the procedure, 37 percent of the patients reported pain levels and 38 percent reported anxiety levels of 4 points or over according to VAS. Patients undergoing nonvascular procedures in the department of interventional radiology reported significantly higher anxiety scores before and after the procedure than patients undergoing vascular procedures (p<0.001).
Conclusions: Determining the pain and anxiety levels in patients will increase the compliance of patients during procedures, minimize deviations from the norm in hemodynamic parameters, reduce the occurrence of undesired events and increase patient satisfaction.
Anahtar Kelimeler
Kaynakça
- Tsetisa D, Krokidis Μ, Negru D, Prassopoulos P. Malignant biliary obstruction: the current role of interventional radiology. Annals of Gastroenterology 2016; 29 (1): 33-6.
- Itri JN. Patient-centered raiology. Radiographics 2015; 35 (6): 1835-46.
- Blomberg F, Brulin C, Andertun R, Rydh A. Patients’ perception of quality of care in a radiology department: A medical-physical approach. Radiol Nurs 2010; 29 (1): 10-7.
- Fang AS, Movva L, Ahmed S, Waldman D, Xue J. Clinical efficacy, safety, and feasibility of using video glasses during interventional radiologic porcedures: A Randomized Trial. J Vasc Interv Radiol 2016; 27 (2): 260-7.
- Kuivalainen AM, Pitkaniemi J, Widenius T, Elonenc E, Rosenberga P. Anxiety and pain during bone marrow aspiration and biopsy. Scandinavian Journal of Pain 2012; 3 (2): 92–6.
- Liden Y, Olofsson N, Landgren O, Johansson E. Pain and anxiety during bone marrow aspiration/biopsy: Comparison of ratings among patients versus health-care professionals. European Journal of Oncology Nursing 2012; 16 (3): 323-9.
- Barrett CS. Anxiety and pain experience of patients undergoing intra-oral buccal mucosa biopsy. Oral Surgery 2009; 2 (3): 111-5.
- Mueller PR, Biswal S, Halpern EF, Kaufman JA, Lee MJ. Interventional radiologic procedures: Patient anxiety, perception of pain, understanding of procedure, and satisfaction with medication—A prospective study. Radiology 2000; 215 (3): 684–8.
- Gonzales M, Rutledge DN. Pain and anxiety during less invasive interventional radiology procedures. J Radiol Nurs 2015; 34: 88-93.
- Tanasale B, Kits J, Kluin PM, Trip A, Kluin-Nelemans HC. Pain and anxiety during bone marrow biopsy. Pain Manag Nurs 2013; 14 (4): 310-7.
- Kulkarnı S, Johnson PCD, Kettles S, Kasthurı RS. Music during interventional radiological procedures, effect on sedation, pain and anxiety: A randomised controlled trial. Br J Radiol 2012; 85 (1016): 1059–63.
- Humphrey KL, Lee JM, Donelan K, Kong CY, Williams O, Itauma O, et al. Percutaneous breast biopsy: Effect on short-term quality of life. Radiology 2014; 270 (2) :362-8.
- Oyekcin DG, Yıldız D, Sahin EM, Gur S. Depression and anxiety in obese. Patients Turk Jem 2011; 15: 121-4.
Girişimsel radyoloji bölümünde lokal anestezi ile işlem yapılan hastaların ağrı ve anksiyete (endişe) durumlarının belirlenmesi
Öz
Amaç: Bu çalışmanın amacı; çok çeşitli hasta profiline sahip olan girişimsel radyoloji bölümünde lokal anestezi ile işlem yapılan hastaların işlem öncesi ve sonrasında ağrı ve anksiyete durumlarının belirlenmesidir.
Gereç ve Yöntem: Araştırma; yarı deneysel olarak planlanmıştır. Araştırmada örneklem seçimine gidilmemiş olup belirtilen tarihler arasında araştırmaya dahil olma kriterlerine uyan ve araştırmaya katılmayı kabul eden 100 hasta araştırmanın örneklemini oluşturmuştur. Hastaların ağrı ve anksiyete durumlarını belirlemek için birden ona kadar numaralanmış Visüel Analog Skala (VAS) kullanılmıştır. Verilerin değerlendirilmesinde frekans dağılımları, Kruskall Wallis, Mann Whitney U, Pearson Korelasyon testleri kullanılmıştır.
Bulgular: İşlem öncesinde hastaların; %78’si ağrı beklentisini, %71’i ise anksiyete seviyesini VAS’a göre 4 ve üzeri puan vererek ifade etmişlerdir. İşlem sonrasında hastaların; %37’si ağrısını, %38’i anksiyetesini VAS’a göre 4 ve üzeri puan vererek ifade etmişlerdir. Girişimsel radyoloji bölümünde nonvasküler işlem yapılan hastaların işlem öncesi ve işlem sonrası anksiyete puanları vasküler işlem yapılan hastalara göre istatistiksel olarak daha yüksek bulunmuştur (p<0,001).
Sonuç: Hastaların ağrı ve anksiyete durumlarının belirlenmesi hastaların işlem sırasında uyumunu arttıracak, hemodinamik belirteçlerin normalden sapmasını en aza indirecek, istenmeyen durumların ortaya çıkışını azaltacak ve hasta memnuniyetini arttıracaktır.
Anahtar Kelimeler
Kaynakça
- Tsetisa D, Krokidis Μ, Negru D, Prassopoulos P. Malignant biliary obstruction: the current role of interventional radiology. Annals of Gastroenterology 2016; 29 (1): 33-6.
- Itri JN. Patient-centered raiology. Radiographics 2015; 35 (6): 1835-46.
- Blomberg F, Brulin C, Andertun R, Rydh A. Patients’ perception of quality of care in a radiology department: A medical-physical approach. Radiol Nurs 2010; 29 (1): 10-7.
- Fang AS, Movva L, Ahmed S, Waldman D, Xue J. Clinical efficacy, safety, and feasibility of using video glasses during interventional radiologic porcedures: A Randomized Trial. J Vasc Interv Radiol 2016; 27 (2): 260-7.
- Kuivalainen AM, Pitkaniemi J, Widenius T, Elonenc E, Rosenberga P. Anxiety and pain during bone marrow aspiration and biopsy. Scandinavian Journal of Pain 2012; 3 (2): 92–6.
- Liden Y, Olofsson N, Landgren O, Johansson E. Pain and anxiety during bone marrow aspiration/biopsy: Comparison of ratings among patients versus health-care professionals. European Journal of Oncology Nursing 2012; 16 (3): 323-9.
- Barrett CS. Anxiety and pain experience of patients undergoing intra-oral buccal mucosa biopsy. Oral Surgery 2009; 2 (3): 111-5.
- Mueller PR, Biswal S, Halpern EF, Kaufman JA, Lee MJ. Interventional radiologic procedures: Patient anxiety, perception of pain, understanding of procedure, and satisfaction with medication—A prospective study. Radiology 2000; 215 (3): 684–8.
- Gonzales M, Rutledge DN. Pain and anxiety during less invasive interventional radiology procedures. J Radiol Nurs 2015; 34: 88-93.
- Tanasale B, Kits J, Kluin PM, Trip A, Kluin-Nelemans HC. Pain and anxiety during bone marrow biopsy. Pain Manag Nurs 2013; 14 (4): 310-7.
- Kulkarnı S, Johnson PCD, Kettles S, Kasthurı RS. Music during interventional radiological procedures, effect on sedation, pain and anxiety: A randomised controlled trial. Br J Radiol 2012; 85 (1016): 1059–63.
- Humphrey KL, Lee JM, Donelan K, Kong CY, Williams O, Itauma O, et al. Percutaneous breast biopsy: Effect on short-term quality of life. Radiology 2014; 270 (2) :362-8.
- Oyekcin DG, Yıldız D, Sahin EM, Gur S. Depression and anxiety in obese. Patients Turk Jem 2011; 15: 121-4.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Aralık 2019 |
| Gönderilme Tarihi | 18 Mayıs 2018 |
| Yayımlandığı Sayı | Yıl 2019Cilt: 58 Sayı: 4 |
