The effect of health anxiety on postoperative analgesia requirement and anesthesia recovery in patients undergoing laparoscopic cholecystectomy

karaaslan, özgül; Hacımusalar, Yunus; Ünal Kantekin, Çiğdem; TALIH, GAMZE

The effect of health anxiety on postoperative analgesia requirement and anesthesia recovery in patients undergoing laparoscopic cholecystectomy

Özgül KARAASLAN, (Yozgat Bozok Üniversitesi, Tıp Fakültesi, Psikiyatri Anabilim Dalı, Yozgat, Türkiye)

Çiğdem Ünal KANTEKİN, (Yozgat Bozok Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Yozgat, Türkiye)

Yunus HACIMUSALAR, (Yozgat Bozok Üniversitesi, Tıp Fakültesi, Psikiyatri Anabilim Dalı, Yozgat, Türkiye)

Gamze TALİH (Yozgat Bozok Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Yozgat, Türkiye)

Aile Hekimliği ve Palyatif Bakım

1 0

Yıl: 2019 Cilt: 4 Sayı: 1 Sayfa Aralığı: 7 - 10 Metin Dili: İngilizce İndeks Tarihi: 02-11-2020

The effect of health anxiety on postoperative analgesia requirement and anesthesia recovery in patients undergoing laparoscopic cholecystectomy

Öz:

Introduction: Health anxiety is the excessively negative interpretation of normal physical signs in an individual with no physical disease. Havingknowledge information about the health anxiety levels of patients is one of the criteria that will affect the treatment of the patients’ pain. The aimof this study was to evaluate the preoperative health anxiety of laparoscopic cholecystectomy patients together with the perception of postoperativepain and the requirement for analgesia.Methods: The study included 41 patients of American Society of Anesthesiologists(ASA) grade I-II, aged 18-65 years who were to undergo alaparoscopic cholecystectomy operation and a control group of 40 healthy individuals. The Health Anxiety Inventory was applied to the patientspreoperatively and to the control group. In the postoperative period, the patients were followed up for 24 hours with a patient-controlled analgesiadevice prepared with tramadol. Visuel Analog Scale(VAS) values of patients were below 4 due to the use of patient controlled analgesia device.Total analgesic consumption was recorded. The results were compared statistically.Results: No significant difference was determined between the patient and control groups in respect of age, gender and body mass index (p>0.05).The VAS score of all the patients was less than four. The mean total tramadol consumption of the patients in the first 24 hours postoperatively was221.58±73.06 mg. The analgesia consumption of female patients was significantly higher than that of males (p=0.013). The health anxiety levelsof the patient group were found to be significantly higher than the control group (p<0.001). A positive correlation was determined in the patientgroup between health anxiety and the total analgesia requirement (r=0.813, p<0.01).Conclusions: In conclusion, high level of analgesia consumption was determined in those with high health anxiety and in female patients. Whenplanning postoperative pain treatment, consideration of the gender of the patient and the level of health anxiety will make a positive contributionto the treatment.

Anahtar Kelime:

Laparoskopik kolesistektomi hastalarında sağlık anksiyetesinin postoperatif ağrı algısı ve analjezik ihtiyacına etkisi

Öz:

Giriş: Sağlık anksiyetesi, herhangi bir bedensel hastalık bulunmadığı halde kişide normal bedensel belirtilerin olumsuz yönde aşırı yorumlanmasıdır. Hastaların sağlık anksiyete düzeyleri ile ilgili bilgi sahibi olmak hastaların ağrı tedavisini etkileyecek kriterlerden bir tanesidir. Bu çalışmada laparoskopik kolesistektomi hastalarında preoperatif sağlık anksiyetesi ile postoperatif ağrı algısı ve analjezik ihtiyacının değerlendirilmesi amaçlanmıştır. Yöntem: Çalışmaya American Society of Anaesthesiologists (ASA) I-2 grubu 18-65 yaş arasında ve laparoskopik kolesistektomi operasyonu geçirecek 41 hasta ve 40 sağlıklı kontrol alındı. Sağlıklı kontrollere ve operasyon planlanan hastalara preoperatif dönemde Sağlık Anksiyetesi Envanteri uygulandı. Opere olan hastalara postoperatif dönemde tramadol ile hazırlanmış hasta kontrollü analjezi cihazları takılarak 24 saat takip edildi. Hasta kontrollü analjezi cihazı kullanıldığı için hastların Vizüel Analog Skala (VAS) değerleri 4’ün altındaydı. Total analjezik tüketim miktarı kaydedildi. Sonuçlar istatistiksel olarak karşılaştırıldı. Bulgular: Hasta ve kontrol grubu arasında yaş, cinsiyet ve beden kitle indeksi açısından anlamlı fark yoktu (p>0,05). Bütün hastalarda VAS skoru 4’ün altındaydı. Hastaların 24 saat sonundaki total tramadol tüketimi 221,58±73,06 mg idi. Kadın hastalarda analjezik tüketim miktarı erkek hastalardan anlamlı derecede yüksekti (p=0,013). Sağlık anksiyetesi düzeyleri hasta grubunda kontrol grubuna göre anlamlı derecede yüksek bulundu (p<0,001). Hasta grubunda sağlık anksiyetesi ile total analjezik ihtiyacı arasında pozitif yönde korelasyon tespit edildi (r=0,813, p<0,01). Sonuç: Sonuç olarak sağlık anksiyetesi yüksek olanlarda ve kadın hastalarda analjezik tüketiminin anlamlı derecede yüksek olduğu tespit edilmiştir. Hastalarda postoperatif ağrı tedavisi planlanırken cinsiyet ve sağlık anksiyete düzeyinin de göz önünde bulundurulması tedaviye olumlu katkı sağlayacaktır.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	karaaslan ö, Ünal Kantekin Ç, Hacımusalar Y, TALIH G (2019). The effect of health anxiety on postoperative analgesia requirement and anesthesia recovery in patients undergoing laparoscopic cholecystectomy. , 7 - 10.
Chicago	karaaslan özgül,Ünal Kantekin Çiğdem,Hacımusalar Yunus,TALIH GAMZE The effect of health anxiety on postoperative analgesia requirement and anesthesia recovery in patients undergoing laparoscopic cholecystectomy. (2019): 7 - 10.
MLA	karaaslan özgül,Ünal Kantekin Çiğdem,Hacımusalar Yunus,TALIH GAMZE The effect of health anxiety on postoperative analgesia requirement and anesthesia recovery in patients undergoing laparoscopic cholecystectomy. , 2019, ss.7 - 10.
AMA	karaaslan ö,Ünal Kantekin Ç,Hacımusalar Y,TALIH G The effect of health anxiety on postoperative analgesia requirement and anesthesia recovery in patients undergoing laparoscopic cholecystectomy. . 2019; 7 - 10.
Vancouver	karaaslan ö,Ünal Kantekin Ç,Hacımusalar Y,TALIH G The effect of health anxiety on postoperative analgesia requirement and anesthesia recovery in patients undergoing laparoscopic cholecystectomy. . 2019; 7 - 10.
IEEE	karaaslan ö,Ünal Kantekin Ç,Hacımusalar Y,TALIH G "The effect of health anxiety on postoperative analgesia requirement and anesthesia recovery in patients undergoing laparoscopic cholecystectomy." , ss.7 - 10, 2019.
ISNAD	karaaslan, özgül vd. "The effect of health anxiety on postoperative analgesia requirement and anesthesia recovery in patients undergoing laparoscopic cholecystectomy". (2019), 7-10.

APA	karaaslan ö, Ünal Kantekin Ç, Hacımusalar Y, TALIH G (2019). The effect of health anxiety on postoperative analgesia requirement and anesthesia recovery in patients undergoing laparoscopic cholecystectomy. Aile Hekimliği ve Palyatif Bakım, 4(1), 7 - 10.
Chicago	karaaslan özgül,Ünal Kantekin Çiğdem,Hacımusalar Yunus,TALIH GAMZE The effect of health anxiety on postoperative analgesia requirement and anesthesia recovery in patients undergoing laparoscopic cholecystectomy. Aile Hekimliği ve Palyatif Bakım 4, no.1 (2019): 7 - 10.
MLA	karaaslan özgül,Ünal Kantekin Çiğdem,Hacımusalar Yunus,TALIH GAMZE The effect of health anxiety on postoperative analgesia requirement and anesthesia recovery in patients undergoing laparoscopic cholecystectomy. Aile Hekimliği ve Palyatif Bakım, vol.4, no.1, 2019, ss.7 - 10.
AMA	karaaslan ö,Ünal Kantekin Ç,Hacımusalar Y,TALIH G The effect of health anxiety on postoperative analgesia requirement and anesthesia recovery in patients undergoing laparoscopic cholecystectomy. Aile Hekimliği ve Palyatif Bakım. 2019; 4(1): 7 - 10.
Vancouver	karaaslan ö,Ünal Kantekin Ç,Hacımusalar Y,TALIH G The effect of health anxiety on postoperative analgesia requirement and anesthesia recovery in patients undergoing laparoscopic cholecystectomy. Aile Hekimliği ve Palyatif Bakım. 2019; 4(1): 7 - 10.
IEEE	karaaslan ö,Ünal Kantekin Ç,Hacımusalar Y,TALIH G "The effect of health anxiety on postoperative analgesia requirement and anesthesia recovery in patients undergoing laparoscopic cholecystectomy." Aile Hekimliği ve Palyatif Bakım, 4, ss.7 - 10, 2019.
ISNAD	karaaslan, özgül vd. "The effect of health anxiety on postoperative analgesia requirement and anesthesia recovery in patients undergoing laparoscopic cholecystectomy". Aile Hekimliği ve Palyatif Bakım 4/1 (2019), 7-10.