Factors affecting treatment preferences of chronic pain patients in primary care and current treatment options in chronic pain
Birinci basamakta kronik ağrılı hastaların tedavi tercihlerini etkileyen faktörler ve kronik ağrıda güncel tedavi seçenekleri
DOI:
https://doi.org/10.14687/jhs.v16i3.5556Keywords:
Primary care, chronic pain, treatment, factor, current, Birinci basamak, kronik ağrı, tedavi, faktör, güncelAbstract
Research problem/aim: In a multicenter study of the World Health Organization, 22% of patients who applied to primary health care centers reported that their pain continued for 6 months. Multidisciplinary approach and empathy are important for patients with chronic pain. 20% of first-line outpatient referrals consist of chronic painful cases. When the analgesics are used correctly in the treatment of pain, sufficient pain control can be achieved in 85%. Non-steroidal and steroid analgesics may present with high doses of gastrointestinal side effects.
Method: The sociodemographic characteristics of the participants were recorded on the forms prepared by the researchers.
Finding: The mean age of the patients was 58.62 ± 10.72.Pain was found to affect sleep. (* p <0.05)
Conclusion: The patient sector, which is far from rational drug use, can cause great harm to the country's economy. With the extensive studies to be carried out, the treatment method of the patients and the reasons why they prefer. It will be helpful for the chronic pain patients to get the right information from their doctors about the treatment options. For this reason, family physicians should be equipped with up-to-date information about all methods used in chronic pain treatment.
Extended English summary is in the end of Full Text PDF (TURKISH) file.
Özet
Araştırma problem/amaç: Dünya Sağlık Örgütünün çok merkezli yapılan bir araştırmasında birinci basamak sağlık merkezlerine başvuran hastaların %22’sinde ağrılarının 6 aydır devam ettiği belirtilmektedir. Kronik ağrısı olan hastalara multidispliner yaklaşım ve empati önemlidir. Birinci basamak poliklinik başvurularının %20’si kronik ağrılı olgulardan oluşmaktadır. Ağrı tedavisinde analjezikler doğru kullanıldığında %85’inde yeterli ağrı kontrolü sağlanabilmektedir. Non-steroid ve steroid analjezikler yüksek dozlarda gastrointestinal yan etkilerle karşımıza çıkabilmektedir.
Metot: Katılımcıların sosyodemografik özellikleri araştırmacılar tarafından önceden hazırlanan formlara kaydedildi.
Bulgular: Çalışmaya katılan hastaların ortalama yaşları 58.62±10.72 olarak tespit edildi. Ağrının uykuyu etkilediği bulunmuştur.(* p<0,05)
Sonuçlar: Akılcı ilaç kullanımından uzak hasta kesimi ülke ekonomisine büyük zararlar verebilmektedir. Yapılacak geniş kapsamlı çalışmalar ile hastaların hangi tedavi yöntemini, neden tercih ettikleri konusu daha açığa kavuşacaktır. Kronik ağrı hastalarının tedavi seçenekleri hakkında doktorlarından doğru bilgi alması kendisine en uygun yöntemi seçmesi konusunda yol gösterici olacaktır. Bunun için de aile hekimlerinin kronik ağrı sağaltımında kullanılan tüm yöntemler hakkında güncel bilgilerle donanımlı olması gerekmektedir.
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