Publication: Travmalı hastalarda ağrı şiddeti ve ağrı geçirme uygulamalarından memnuniyetin belirlenmesi
Abstract
1. ÖZET Çalışma, travmalı hastaların ağrı şiddetlerini ve ağrı geçirme uygulamalarından memnuniyetlerini belirlemek amacıyla tanımlayıcı olarak yapıldı. Araştırmanın evrenini; İstanbul’da travma nedeniyle iki eğitim hastanesinin acil ünitesine başvuran hastalar oluşturdu. Örnekleme 18-65 yaş aralığında olan 418 travmalı hasta alındı. Araştırmada veriler bireysel özellikler formu, Kısaltılmış Yaralanma Değerlendirme ile Görsel Kıyaslama Ölçeği ve McGill-Melzack Ağrı soru formunun dördüncü bölümü kullanılarak toplandı. Bulguların değerlendirilmesinde sayı, yüzdelik, ortalama, standart sapma, One-way Anova Testi, Student t Testi, Pearson Korelasyon Analizi ve Ki-Kare Testi kullanıldı. Araştırma sonucunda hastaların %25.4 (n=106)’ünün 28-37 yaş aralığında, %69.9 (n= 292)’unun erkek, %70.8 (n=296)’inin ilköğretim mezunu, %44.5 (n=186)’inin serbest meslek sahibi, %94.5 (n=395)’inin künt travma ve %75.4 (n=315)’ünün ekstremite bölgesinden yaralandığı saptandı. Araştırma kapsamına alınan hastaların %100 (n=418)’üne Nonsteroid Antiinflamatuar İlaçların %95.5 (n=416) oranıyla İntramüsküler yolla verildiği, %62.9 (n=293)’unun ağrısının geçmediği belirlendi. Travmadan sonra görüşme anına kadar hastaların %51.7 (n=216)’sinin algıladıkları ağrıyı “çok şiddetli”, görüşme anında ise, %69.2 (n=282) oranıyla “rahatsız edici” olarak tanımladıkları belirlendi. Hastaların %63.4 (n=265)’ünün ağrı geçirme uygulamalarından memnun olmadığı, acil ünitedeki bakımdan memnuniyetin ise orta düzeyde (4.35±2.78; 5.18±2.07) olduğu belirlendi. Sonuç olarak ağrı şiddetinin travma şiddetine paralel olarak arttığı, buna karşın ağrı şiddeti yüksek olan hastaların ağrı geçirme yaklaşımlarından ve acil bakımdan memnuniyet düzeyinin düşük olduğu görüldü. Bu sonuçlara dayanarak acil travma ünitelerinde ağrının halen ciddi bir sorun olarak ele alınmadığını, travma hastalarının çoğunluğunun ağrı geçirme yaklaşımlarından ve acil bakımdan memnun olmadığını söyleyebiliriz. Memnuniyet, Travma, Ağrı Şiddeti, Akut Ağrı 2.
THE DETERMINATION BY SATISFACTION OF PATIENTS FROM THE PAİN DEGREE AND PAIN RELIEF APLICATION This study was made descriptive for determine trauma patient’s pain degres and satisfaction of pain relief exercises. This study’s subjects; Patients who recoursed emergency units of two hospital for trauma in İstanbul consisted of . A total of 418 patients with an age range of 18-65 were included. In the research, the data were obtained from an 13 question via individual properties form, shortened wound assestment with visual analog scale and forth section of McGill-Melzack pain question form. The findings are evaluated by percentage, median, standart deviation, chi-square test, One-way Anova Test, Student t Test, Pearson Corelation Analysis. Of the patients, %25.4 (n=106) were in the 28-37 years age range, %69.9 (n= 292) male, %70.8 (n=296) graduate of elementary school, %44.5 (n=186) nonidentified workers, %94.5 (n=395) blunt trauma and %75.4 (n=315) exteremity patients. Of the patients enrolled in the study, %100 (n=418) were given Nonsteroid Antienflamatuar drugs in the ratio of %95.5 (n=416) with Intramuscular way and in the ratio of %62.9 (n=293) maintain their pain were found. Until interview time, %51.7 (n=216) ratio of the patients defined the pain “much severe”,at time of interview, %69.2 (n=282) ratio of the patients defined the pain “awfull” which was felt by the patients after trauma was found. %63.4 (n=265) of the patients did not satisfied from the pain relief exercises, the care satisfaction in the emergency unit was medium degre (4.35±2.78; 5.18±2.07) was found. As a result pain severity increased parallelly with trauma severity, but satisfaction degre from the pain relief exercises and emergency care for patients who had high pain severity was low were found. Via this results, we can say that the pain up to that time in the emergency trauma units hasn’t been handled like a serious problem and most of the trauma patients haven’t been satisfied both from pain relief exercises and emergency care.
THE DETERMINATION BY SATISFACTION OF PATIENTS FROM THE PAİN DEGREE AND PAIN RELIEF APLICATION This study was made descriptive for determine trauma patient’s pain degres and satisfaction of pain relief exercises. This study’s subjects; Patients who recoursed emergency units of two hospital for trauma in İstanbul consisted of . A total of 418 patients with an age range of 18-65 were included. In the research, the data were obtained from an 13 question via individual properties form, shortened wound assestment with visual analog scale and forth section of McGill-Melzack pain question form. The findings are evaluated by percentage, median, standart deviation, chi-square test, One-way Anova Test, Student t Test, Pearson Corelation Analysis. Of the patients, %25.4 (n=106) were in the 28-37 years age range, %69.9 (n= 292) male, %70.8 (n=296) graduate of elementary school, %44.5 (n=186) nonidentified workers, %94.5 (n=395) blunt trauma and %75.4 (n=315) exteremity patients. Of the patients enrolled in the study, %100 (n=418) were given Nonsteroid Antienflamatuar drugs in the ratio of %95.5 (n=416) with Intramuscular way and in the ratio of %62.9 (n=293) maintain their pain were found. Until interview time, %51.7 (n=216) ratio of the patients defined the pain “much severe”,at time of interview, %69.2 (n=282) ratio of the patients defined the pain “awfull” which was felt by the patients after trauma was found. %63.4 (n=265) of the patients did not satisfied from the pain relief exercises, the care satisfaction in the emergency unit was medium degre (4.35±2.78; 5.18±2.07) was found. As a result pain severity increased parallelly with trauma severity, but satisfaction degre from the pain relief exercises and emergency care for patients who had high pain severity was low were found. Via this results, we can say that the pain up to that time in the emergency trauma units hasn’t been handled like a serious problem and most of the trauma patients haven’t been satisfied both from pain relief exercises and emergency care.