Afsaneh ZAREI, Ali Fakhr MOVAHEDI, Abbasali EBRAHIMIAN

Koroner arter baypas greftleme sonrası göğüs ağrısının şiddeti ve fizyolojik belirteçler arasındaki ilişki: Korelasyon çalışması

Amaç: Bu çalışmada koroner arter baypas greftleme yapılan hastalarda göğüs ağrısının şiddeti ve fizyolojik belirteçler arasındaki ilişki incelendi. Çalışma planı: Bu korelasyon çalışmasına Aralık 2016 - Mart 2018 tarihleri arasında bir üniversite hastanesinde koroner arter baypas greftleme yapılan toplam 126 hastanın (104 erkek, 22 kadın; ort. yaş 62.3±8.5 yıl; dağılım, 45-80 yıl) göğüs ağrısı şiddeti ve fizyolojik yanıtları solunum egzersizi sırasında değerlendirildi. Ameliyatın ikinci gününde ağrı şiddeti sayısal bir değerlendirme ölçeği ile ölçüldü. Fizyolojik belirteçler, Nihon Kohden (MU65) takip cihazı ile belirlendi. Bulgular: Ortalama ağrı şiddeti skoru 7.8±1.9 (dağılım 1-10) idi. Ağrı şiddeti ve fizyolojik belirteçler arasında anlamlı bir ilişki saptanmadı (p>0.05). Ağrı şiddeti ve hastanın yaşı arasında negatif bir ilişki izlendi (r=-0.183 ve p=0.04). Ağrı şiddeti erkek ve kadın cinsiyeti arasında anlamlı düzeyde farklı değildi (p=0.064). Sonuç: Çalışma sonuçlarımız, koroner arter baypas greftleme yapılan hastalarda göğüs ağrısının şiddeti ve fizyolojik yanıtlar arasında anlamlı bir ilişki olmadığını göstermektedir.

The relationship between chest pain intensity and physiological indicators after coronary artery bypass grafting: A correlational study

Background: This study aims to evaluate the relationshipbetween chest pain intensity and physiological indicators inpatients undergoing coronary artery bypass grafting.Methods: In this correlational study, chest pain intensity andphysiological responses of a total of 126 coronary artery bypassgrafting patients (104 males, 22 females; mean age 62.3±8.5years; range, 45 to 80 years) during respiratory exercise wereevaluated in a referral hospital setting between December2016 and March 2018. On the second day after surgery, painintensity was measured by a numerical rating scale. Physiologicalindicators were collected using the Nihon Kohden (MU65)monitoring device.Results: The mean pain intensity score was 7.8±1.9 (range, 1 to 10).There was no significant correlation between the pain intensityand physiological indicators (p>0.05). There was a negativecorrelation between the pain intensity and age of the patient (r=-0.183 and p=0.04). Pain intensity was not significantly differentbetween male and female gender (p=0.064).Conclusion: Our study results show no significant relationshipbetween the chest pain intensity and physiological responses inpatients undergoing coronary artery bypass grafting.

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