Year 2019, Volume 4, Issue 1, Pages 7 - 10 2019-03-18

The effect of health anxiety on postoperative analgesia requirement and anesthesia recovery in patients undergoing laparoscopic cholecystectomy
Laparoskopik kolesistektomi hastalarında sağlık anksiyetesinin postoperatif ağrı algısı ve analjezik ihtiyacına etkisi

Ozgul Karaaslan [1] , Cigdem Unal Kantekin [2] , Yunus Hacimusalar [3] , Gamze Talih [4]

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Introduction: Health anxiety is the excessively negative interpretation of normal physical signs in an individual with no physical disease. Having knowledge information about the health anxiety levels of patients is one of the criteria that will affect the treatment of the patients’ pain. The aim of this study was to evaluate the preoperative health anxiety of laparoscopic cholecystectomy patients together with the perception of postoperative pain 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 a laparoscopic cholecystectomy operation and a control group of 40 healthy individuals. The Health Anxiety Inventory was applied to the patients preoperatively and to the control group. In the postoperative period, the patients were followed up for 24 hours with a patient-controlled analgesia device 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 was 221.58±73.06. The analgesia consumption of female patients was significantly higher than that of males (p=0.013). The health anxiety results of the patient group were found to be significantly higher than the control group (p<0.001). A positive correlation was determined in the patient group 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. When planning postoperative pain treatment, consideration of the gender of the patient and the level of health anxiety will make a positive contribution to the treatment. 

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 idi. Kadın hastalarda analjezik tüketim miktarı erkek hastalardan anlamlı derecede yüksekti (p=0,013). Sağlık anksiyetesi sonuçları 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.

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Primary Language en
Subjects Health Care Sciences and Services
Published Date Apr 2019
Journal Section Original Research
Authors

Orcid: 0000-0003-0829-5088
Author: Ozgul Karaaslan (Primary Author)
Institution: Yozgat Bozok University, Faculty of Medicine, Department of Psychiatry, Yozgat, Turkey
Country: Turkey


Orcid: 0000-0001-6758-7764
Author: Cigdem Unal Kantekin
Institution: Yozgat Bozok University, Faculty of Medicine, Department of Anesthesiology and Reanimation, Yozgat, Turkey
Country: Turkey


Orcid: 0000-0002-1777-2707
Author: Yunus Hacimusalar
Institution: Yozgat Bozok University, Faculty of Medicine, Department of Psychiatry, Yozgat, Turkey
Country: Turkey


Orcid: 0000-0003-4743-9734
Author: Gamze Talih
Institution: Yozgat Bozok University, Faculty of Medicine, Department of Anesthesiology and Reanimation, Yozgat, Turkey
Country: Turkey


Bibtex @research article { fppc435395, journal = {FAMILY PRACTICE AND PALLIATIVE CARE}, issn = {2458-8865}, eissn = {2459-1505}, address = {SERNEV}, year = {2019}, volume = {4}, pages = {7 - 10}, doi = {10.22391/fppc.435395}, title = {The effect of health anxiety on postoperative analgesia requirement and anesthesia recovery in patients undergoing laparoscopic cholecystectomy}, key = {cite}, author = {Karaaslan, Ozgul and Unal Kantekin, Cigdem and Hacimusalar, Yunus and Talih, Gamze} }
APA Karaaslan, O , Unal Kantekin, C , Hacimusalar, Y , Talih, G . (2019). The effect of health anxiety on postoperative analgesia requirement and anesthesia recovery in patients undergoing laparoscopic cholecystectomy. FAMILY PRACTICE AND PALLIATIVE CARE, 4 (1), 7-10. DOI: 10.22391/fppc.435395
MLA Karaaslan, O , Unal Kantekin, C , Hacimusalar, Y , Talih, G . "The effect of health anxiety on postoperative analgesia requirement and anesthesia recovery in patients undergoing laparoscopic cholecystectomy". FAMILY PRACTICE AND PALLIATIVE CARE 4 (2019): 7-10 <http://www.fppc.com.tr/issue/43926/435395>
Chicago Karaaslan, O , Unal Kantekin, C , Hacimusalar, Y , Talih, G . "The effect of health anxiety on postoperative analgesia requirement and anesthesia recovery in patients undergoing laparoscopic cholecystectomy". FAMILY PRACTICE AND PALLIATIVE CARE 4 (2019): 7-10
RIS TY - JOUR T1 - The effect of health anxiety on postoperative analgesia requirement and anesthesia recovery in patients undergoing laparoscopic cholecystectomy AU - Ozgul Karaaslan , Cigdem Unal Kantekin , Yunus Hacimusalar , Gamze Talih Y1 - 2019 PY - 2019 N1 - doi: 10.22391/fppc.435395 DO - 10.22391/fppc.435395 T2 - FAMILY PRACTICE AND PALLIATIVE CARE JF - Journal JO - JOR SP - 7 EP - 10 VL - 4 IS - 1 SN - 2458-8865-2459-1505 M3 - doi: 10.22391/fppc.435395 UR - https://doi.org/10.22391/fppc.435395 Y2 - 2018 ER -
EndNote %0 FAMILY PRACTICE AND PALLIATIVE CARE The effect of health anxiety on postoperative analgesia requirement and anesthesia recovery in patients undergoing laparoscopic cholecystectomy %A Ozgul Karaaslan , Cigdem Unal Kantekin , Yunus Hacimusalar , Gamze Talih %T The effect of health anxiety on postoperative analgesia requirement and anesthesia recovery in patients undergoing laparoscopic cholecystectomy %D 2019 %J FAMILY PRACTICE AND PALLIATIVE CARE %P 2458-8865-2459-1505 %V 4 %N 1 %R doi: 10.22391/fppc.435395 %U 10.22391/fppc.435395
ISNAD Karaaslan, Ozgul , Unal Kantekin, Cigdem , Hacimusalar, Yunus , Talih, Gamze . "The effect of health anxiety on postoperative analgesia requirement and anesthesia recovery in patients undergoing laparoscopic cholecystectomy". FAMILY PRACTICE AND PALLIATIVE CARE 4 / 1 (March 2019): 7-10. https://doi.org/10.22391/fppc.435395