Yıl: 2021 Cilt: 33 Sayı: 1 Sayfa Aralığı: 1 - 6 Metin Dili: İngilizce DOI: 10.14744/agri.2020.27048 İndeks Tarihi: 03-05-2021

Do informative leaflets affect pre-procedural anxiety and immediate pain after transforaminal epidural steroid injections? A prospective randomized controlled study

Öz:
Objectives: The aim of this study was to evaluate the effect of an informative leaflet provided to patients before a lumbartransforaminal epidural steroid injection (TFESI) on the level of immediate pain and pre-procedural anxiety.Methods: A total of 166 patients were randomized into 2 groups: a group that received an explanatory leaflet (LG) and a control group. Both groups were given verbal information, while the LG was also given an illustrated leaflet describing the injection process. All of the patients were evaluated with the Hospital Anxiety and Depression Scale before the TFESI. The numericalrating scale and the Oswestry Disability Index (ODI) were used to assess disability and pain before and after the TFESI. Majorcomplications that occurred before and during the procedure were recorded and analyzed.Results: The patient characteristics were similar in both groups (age, body mass index, depression level, pre-procedural pain,and ODI). The anxiety level was also similar in both groups (p>0.05). When both groups were evaluated at the first hour afterthe procedure, the numerical rating scale level of pain intensity was also similar (p>0.05). No major complication was observedin either group.Conclusion: The detailed leaflet did not affect the patients’ pre-procedural anxiety or acute post-procedural pain level. However, the importance of informed consent and comprehensive information should not be overlooked.
Anahtar Kelime:

Bilgilendirme broşürleri işlem öncesi anksiyete seviyesi ve transforaminal epidural steroid enjeksiyonu sonrası akut ağrı düzeyini etkiler mi? Prospektif randomize kontrollü bir çalışma

Öz:
Amaç: Lomber radikülopati tedavisinde kullanılan transforaminal epidural steroid enjeksiyonu (TFESE) sonuçları, tedavi öncesi ayrıntılı bilgilendirmeden etkilenebilir. Bu çalışma lomber TFESI enjeksiyonundan önce verilen yazılı ve görsel bilgi broşürünün akut ağrı ve işlem öncesi anksiyete düzeyine etkisini değerlendirmeyi amaçlamıştır. Gereç ve Yöntem: Yüz-altmış-altı hasta Broşür grubu (BG) ve kontrol olarak iki gruba randomize edildi. Her iki gruba sözlü bilgi verildi. BG’ye ayrıca enjeksiyon işlemini tarif eden yazılı ve görsel içerikli bir bilgi broşürü verildi. Tüm hastalar işlem öncesinde Hastane Anksiyete ve Depresyon Ölçeği ile anksiyete açısından değerlendirildi. Sayısal derecelendirme ölçeği ve Oswestry Disabilite İndeksi (ODI), TFESE’den önce ve sonra dizabilite düzeyi ve ağrı değerlendirmesi için kullanıldı. İşlem öncesi ve sırasında meydana gelen major komplikasyonlar kaydedildi. Bulgular: Hastaların özellikleri her iki grupta da benzerdi (yaş, vücut kitle indeksi, işlem öncesi ağrı ve ODI seviyesi). Ayrıca, anksiyete varlığı her iki grupta da benzerdi (p>0,05). Her iki grup işlemden sonraki ilk bir saatte değerlendirildiğinde NRS düzeyleri benzer olarak bulundu (p>0,05). Major bir komplikasyon gözlenmedi. Sonuç: Ayrıntılı bilgilendirme formunun, hastaların enjeksiyon öncesi anksiyete düzeyi ve işlem sonrası akut ağrı seviyesi üzerine etkisi olmamıştır. Ancak, aydınlatılmış onamın ve ayrıntılı bilgilendirmenin önemi göz ardı edilmemelidir.
Anahtar Kelime:

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APA Bahar Ozdemir Y, Sencan S, ERCALIK T, kokar s, Gunduz O (2021). Do informative leaflets affect pre-procedural anxiety and immediate pain after transforaminal epidural steroid injections? A prospective randomized controlled study. , 1 - 6. 10.14744/agri.2020.27048
Chicago Bahar Ozdemir Yeliz,Sencan Savas,ERCALIK TULAY,kokar serdar,Gunduz Osman Do informative leaflets affect pre-procedural anxiety and immediate pain after transforaminal epidural steroid injections? A prospective randomized controlled study. (2021): 1 - 6. 10.14744/agri.2020.27048
MLA Bahar Ozdemir Yeliz,Sencan Savas,ERCALIK TULAY,kokar serdar,Gunduz Osman Do informative leaflets affect pre-procedural anxiety and immediate pain after transforaminal epidural steroid injections? A prospective randomized controlled study. , 2021, ss.1 - 6. 10.14744/agri.2020.27048
AMA Bahar Ozdemir Y,Sencan S,ERCALIK T,kokar s,Gunduz O Do informative leaflets affect pre-procedural anxiety and immediate pain after transforaminal epidural steroid injections? A prospective randomized controlled study. . 2021; 1 - 6. 10.14744/agri.2020.27048
Vancouver Bahar Ozdemir Y,Sencan S,ERCALIK T,kokar s,Gunduz O Do informative leaflets affect pre-procedural anxiety and immediate pain after transforaminal epidural steroid injections? A prospective randomized controlled study. . 2021; 1 - 6. 10.14744/agri.2020.27048
IEEE Bahar Ozdemir Y,Sencan S,ERCALIK T,kokar s,Gunduz O "Do informative leaflets affect pre-procedural anxiety and immediate pain after transforaminal epidural steroid injections? A prospective randomized controlled study." , ss.1 - 6, 2021. 10.14744/agri.2020.27048
ISNAD Bahar Ozdemir, Yeliz vd. "Do informative leaflets affect pre-procedural anxiety and immediate pain after transforaminal epidural steroid injections? A prospective randomized controlled study". (2021), 1-6. https://doi.org/10.14744/agri.2020.27048
APA Bahar Ozdemir Y, Sencan S, ERCALIK T, kokar s, Gunduz O (2021). Do informative leaflets affect pre-procedural anxiety and immediate pain after transforaminal epidural steroid injections? A prospective randomized controlled study. Ağrı, 33(1), 1 - 6. 10.14744/agri.2020.27048
Chicago Bahar Ozdemir Yeliz,Sencan Savas,ERCALIK TULAY,kokar serdar,Gunduz Osman Do informative leaflets affect pre-procedural anxiety and immediate pain after transforaminal epidural steroid injections? A prospective randomized controlled study. Ağrı 33, no.1 (2021): 1 - 6. 10.14744/agri.2020.27048
MLA Bahar Ozdemir Yeliz,Sencan Savas,ERCALIK TULAY,kokar serdar,Gunduz Osman Do informative leaflets affect pre-procedural anxiety and immediate pain after transforaminal epidural steroid injections? A prospective randomized controlled study. Ağrı, vol.33, no.1, 2021, ss.1 - 6. 10.14744/agri.2020.27048
AMA Bahar Ozdemir Y,Sencan S,ERCALIK T,kokar s,Gunduz O Do informative leaflets affect pre-procedural anxiety and immediate pain after transforaminal epidural steroid injections? A prospective randomized controlled study. Ağrı. 2021; 33(1): 1 - 6. 10.14744/agri.2020.27048
Vancouver Bahar Ozdemir Y,Sencan S,ERCALIK T,kokar s,Gunduz O Do informative leaflets affect pre-procedural anxiety and immediate pain after transforaminal epidural steroid injections? A prospective randomized controlled study. Ağrı. 2021; 33(1): 1 - 6. 10.14744/agri.2020.27048
IEEE Bahar Ozdemir Y,Sencan S,ERCALIK T,kokar s,Gunduz O "Do informative leaflets affect pre-procedural anxiety and immediate pain after transforaminal epidural steroid injections? A prospective randomized controlled study." Ağrı, 33, ss.1 - 6, 2021. 10.14744/agri.2020.27048
ISNAD Bahar Ozdemir, Yeliz vd. "Do informative leaflets affect pre-procedural anxiety and immediate pain after transforaminal epidural steroid injections? A prospective randomized controlled study". Ağrı 33/1 (2021), 1-6. https://doi.org/10.14744/agri.2020.27048