Year 2016, Volume 1 , Issue 3, Pages 61 - 64 2017-01-12

Narcotic analgesic use of hospitalized patients with lung cancer in palliative care service
Palyatif bakım servisinde yatan akciğer kanserli hastaların narkotik analjezik kullanımı

Hüseyin Can [1] , Gülseren Pamuk [2] , Hilal İkbal Bilyay [3] , Esra Meltem Koç [4] , Yusuf Cem Kaplan [5] , Yüksel Küçükzeybek [6] , Ahmet Alacacıoğlu [7]


Introduction: Greater than half of cancer patients suffer from the pain, which is the one of the major problems that disrupt the quality of life at, any time during the disease. Pain should be decreased as soon as possible and the maintenance treatment should be planned in these groups of patients. The World Health Organization (WHO) suggests the use of a three-step analgesic ladder approach including non-opioid, weak opioid and strong opioids according to the severity of the pain. However, the pain palliation can’t be accomplished in more than 80% of patients because of the wrong thoughts of health professionals, patients and patients’ relatives about narcotic analgesics.

Methods: In this study 72 lung cancer patients, hospitalized between 29 July 2013 to 31 December 2015 at Izmir Katip Çelebi University Atatürk Education and Research Hospital Palliative Care and Support Service were assessed retrospectively about pain palliation.

Results: Patients mean ages 61.2 ± 8.2 and 77.8% (56) were male, and 22.2% (16) were female. Patients applied with different complaints such as Inability to feed, pain, general condition disorders, shortness of breath and nausea and 27.8% (20) of patients had only admitted with pain. The median duration of hospital stay was 7 (2-45) days, which is the 18.1% of patients were not given any analgesics. 49.2% (29) of patients have second line treatment, 50.8% (30) had received third line treatment. Hospitalization indication and discharge status of the patients was statistically significant association between analgesic use (p = 0.002; p = 0.03).

Conclusion: Cancer pain is the most common symptom affecting the quality of life negatively. Pain management should be well known by clinicians. Success in the treatment of pain patients linked to multidisciplinary approach include the whole psychological and social environment will be possible with the treatment applied by step approach.

Giriş: Kanser hastalarının yarıdan fazlası hastalığın herhangi bir döneminde yaşam kalitelerini bozan en önemli sorunlardan birisi olan ağrıyı maruz kalmaktadır. Bu hastalarda ağrı en kısa sürede azaltılmalı ve idame tedavisi planlanmalıdır. Dünya Sağlık Örgütü kanser hastalarında ağrının şiddetine göre non-opioid, zayıf opioid ve güçlü opioidlerin kullanıldığı 3 basamaklı analjezik merdiven tedavisini önermektedir. Fakat ağrının palyasyonu sağlık çalışanları, hasta ve hasta yakınlarının narkotik analjezikler hakkındaki yanlış düşünceleri nedeniyle %80’den fazla oranda yapılamamaktadır

Yöntem: Bu çalışmada İzmir Katip Çelebi Üniversitesi Atatürk Eğitim Araştırma Hastanesi Palyatif Bakım ve Destek servisinde 29.07.2013 ile 31.12.2015 tarihler arasında yatan akciğer kanseri tanılı 72 hasta retrospektif  olarak ağrı palyasyonu açısından değerlendirildi.

Bulgular: Yaş ortalaması 61,2 ± 8,2 yıl olan hastaların %77,8 (56)’i erkek, %22,2 (16)’sı kadındı. Beslenememe, ağrı, genel durum bozukluğu, nefes darlığı ve bulantı gibi farklı şikayetler ile başvuran hastaların %27,8(20)’i yalnızca ağrı şikayeti ile başvurmuştu.  Yatış süresi ortanca değeri 7 (2-45) gün olan hastaların %18,1’ine ise herhangi bir analjezik verilmemişti. %49,2 (29)’si 2. basamak tedavi, %50,8 (30)’i ise 3. basamak tedavi almıştı. Hastaların yatış endikasyonları ve taburcu olma durumları  ile analjezik kullanımı arasında istatistiksel olarak anlamlı ilişki bulunmuştur (sırasıyla p = 0,002; p = 0,03).

Sonuç: Kanserde yaşam kalitesini olumsuz yönde etkileyen en sık semptom ağrıdır. Ağrı tedavisinin klinisyenler tarafından iyi bilinmesi gerekmektedir. Ağrı tedavisinde başarı, hastayı psikolojik ve sosyal çevresi ile bir bütün olarak ele alan multidisipliner bir yaklaşım ile uygulanan basamak tedavisi ile mümkün olabilecektir.

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Primary Language en
Subjects Health Care Sciences and Services
Published Date Dec 2016
Journal Section Original Research
Authors

Author: Hüseyin Can
Institution: İZMİR KATİP ÇELEBİ ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, AİLE HEKİMLİĞİ ANABİLİM DALI
Country: Turkey


Author: Gülseren Pamuk
Institution: İZMİR KATİP ÇELEBİ ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, AİLE HEKİMLİĞİ ANABİLİM DALI
Country: Turkey


Author: Hilal İkbal Bilyay
Institution: İZMİR KATİP ÇELEBİ ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, AİLE HEKİMLİĞİ ANABİLİM DALI
Country: Turkey


Author: Esra Meltem Koç
Institution: İZMİR KATİP ÇELEBİ ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, AİLE HEKİMLİĞİ ANABİLİM DALI
Country: Turkey


Author: Yusuf Cem Kaplan
Institution: İZMİR KATİP ÇELEBİ ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, TIBBİ FARMAKOLOJİ ANABİLİM DALI
Country: Turkey


Author: Yüksel Küçükzeybek
Institution: Katip Çelebi Üniversitesi, Tıp Fakültesi, Tıbbi Onkoloji Bilim Dalı, İzmir, Türkiye
Country: Turkey


Author: Ahmet Alacacıoğlu
Institution: Katip Çelebi Üniversitesi, Tıp Fakültesi, Tıbbi Onkoloji Bilim Dalı, İzmir, Türkiye
Country: Turkey


Dates

Publication Date : January 12, 2017

Bibtex @research article { fppc287410, journal = {Family Practice and Palliative Care}, issn = {2458-8865}, eissn = {2459-1505}, address = {}, publisher = {SERNEV}, year = {2017}, volume = {1}, pages = {61 - 64}, doi = {10.22391/920.287410}, title = {Narcotic analgesic use of hospitalized patients with lung cancer in palliative care service}, key = {cite}, author = {Can, Hüseyin and Pamuk, Gülseren and Bilyay, Hilal İkbal and Koç, Esra Meltem and Kaplan, Yusuf Cem and Küçükzeybek, Yüksel and Alacacıoğlu, Ahmet} }
APA Can, H , Pamuk, G , Bilyay, H , Koç, E , Kaplan, Y , Küçükzeybek, Y , Alacacıoğlu, A . (2017). Narcotic analgesic use of hospitalized patients with lung cancer in palliative care service. Family Practice and Palliative Care , 1 (3) , 61-64 . DOI: 10.22391/920.287410
MLA Can, H , Pamuk, G , Bilyay, H , Koç, E , Kaplan, Y , Küçükzeybek, Y , Alacacıoğlu, A . "Narcotic analgesic use of hospitalized patients with lung cancer in palliative care service". Family Practice and Palliative Care 1 (2017 ): 61-64 <http://www.fppc.com.tr/en/issue/27302/287410>
Chicago Can, H , Pamuk, G , Bilyay, H , Koç, E , Kaplan, Y , Küçükzeybek, Y , Alacacıoğlu, A . "Narcotic analgesic use of hospitalized patients with lung cancer in palliative care service". Family Practice and Palliative Care 1 (2017 ): 61-64
RIS TY - JOUR T1 - Narcotic analgesic use of hospitalized patients with lung cancer in palliative care service AU - Hüseyin Can , Gülseren Pamuk , Hilal İkbal Bilyay , Esra Meltem Koç , Yusuf Cem Kaplan , Yüksel Küçükzeybek , Ahmet Alacacıoğlu Y1 - 2017 PY - 2017 N1 - doi: 10.22391/920.287410 DO - 10.22391/920.287410 T2 - Family Practice and Palliative Care JF - Journal JO - JOR SP - 61 EP - 64 VL - 1 IS - 3 SN - 2458-8865-2459-1505 M3 - doi: 10.22391/920.287410 UR - https://doi.org/10.22391/920.287410 Y2 - 2016 ER -
EndNote %0 Family Practice and Palliative Care Narcotic analgesic use of hospitalized patients with lung cancer in palliative care service %A Hüseyin Can , Gülseren Pamuk , Hilal İkbal Bilyay , Esra Meltem Koç , Yusuf Cem Kaplan , Yüksel Küçükzeybek , Ahmet Alacacıoğlu %T Narcotic analgesic use of hospitalized patients with lung cancer in palliative care service %D 2017 %J Family Practice and Palliative Care %P 2458-8865-2459-1505 %V 1 %N 3 %R doi: 10.22391/920.287410 %U 10.22391/920.287410
ISNAD Can, Hüseyin , Pamuk, Gülseren , Bilyay, Hilal İkbal , Koç, Esra Meltem , Kaplan, Yusuf Cem , Küçükzeybek, Yüksel , Alacacıoğlu, Ahmet . "Narcotic analgesic use of hospitalized patients with lung cancer in palliative care service". Family Practice and Palliative Care 1 / 3 (January 2017): 61-64 . https://doi.org/10.22391/920.287410
AMA Can H , Pamuk G , Bilyay H , Koç E , Kaplan Y , Küçükzeybek Y , Alacacıoğlu A . Narcotic analgesic use of hospitalized patients with lung cancer in palliative care service. Fam Pract Palliat Care. 2017; 1(3): 61-64.
Vancouver Can H , Pamuk G , Bilyay H , Koç E , Kaplan Y , Küçükzeybek Y , Alacacıoğlu A . Narcotic analgesic use of hospitalized patients with lung cancer in palliative care service. Family Practice and Palliative Care. 2017; 1(3): 64-61.