| Abstract | CILJ ISTRAŽIVANJA: Ispitati zadovoljstvo pacijenata primjenom analgezije nakon kardiokirurškog zahvata na Zavodu za kardiokirurgiju Kliničkog bolničkog centra Split.
MATERIJALI I METODE: Prospektivno istraživanje je provedeno na Zavodu za kardiokirurgiju Kliničkog bolničkog centra Split u vremenskom razdoblju od 15. studenog 2022. do 15. siječnja 2023. godine. Svi su ispitanici ispunili anonimni Upitnik kreiran za potrebe ovog istraživanja.
REZULTATI: U istraživanju je sudjelovalo 50 ispitanika nakon kardiokirurškog zahvata, od kojih je 14 (28%) bilo ženskog spola i 36 (72%) muškog spola, dobi od 41 do > 61 godine. Nakon primjene analgezije srednje vrijednosti i standardne devijacije najmanje razine boli procijenjene VAS skalom koju su pacijenti osjetili u posljednja 24 sata je niska (2,0±2,4 od mogućih 10). Nešto je viša kod žena (2,3±2,1) u odnosu na muškarce (1,9±2,5), ali ta razlika nije bila i statistički značajna (p=0,6046). Najjača razina boli koju su ispitanici osjetili u posljednja 24 sata uz primjenu analgezije je iznosila 4,9±3,3 i statistički je značajno viša (p=0,0281) u žena (6,5±3,1) u odnosu na muškarce (4,2±3,2).Utjecaj boli na raspoloženje i emocije je nizak i kreće se od 2,2±3,0 za osjećaj depresije do 2,8±3,0 za osjećaj anksioznosti. Vrijednosti su nešto više (s izuzetkom osjećaja depresije) kod žena u odnosu na muškarce, ali ta razlika nije bila i statistički značajna. Što se tiče nuspojava lijekova najizraženija je pospanost (3,5±3,0), a najmanje izražena svrbež kože (0,3±1,0). Statistički značajna razlika između muškaraca i žena nađena je za pospanost (p=0,0044) koja je izraženija kod žena (5,4±3,1) u odnosu na muškarce (2,8±2,7) i pojava vrtoglavice (p=0,0039) koja je također izraženija kod žena (2,8±3,4) u odnosu na muškarce (0,7±1,5).
ZAKLJUČCI: Pacijenti su zadovoljni mogućnošću sudjelovanja u odlukama o svom liječenju boli, rezultatima liječenja te razini i kvaliteti dobivenih informacija. Učestalost jake boli u prva 24 sata nakon operacije bila je niska. Primjena lijekova protiv boli pokazala se vrlo učinkovitom. |
| Abstract (english) | AIM: To determine the satisfaction of patients with the use of analgesia after cardiac surgery at the Department of Cardiac Surgery of the Split Clinical Hospital Center.
MATERIALS AND METHODS: The prospective study was conducted at the Department of Cardiac Surgery of the Split Clinical Hospital Center in the period from November 15, 2022 to January 15, 2023. All respondents filled out an anonymous Questionnaire created for the purposes of this research.
RESULTS: Fifty subjects participated in the study after cardiac surgery, of which 14 (28%) were female and 36 (72%) male, aged from 41 to > 61 years. After the application of analgesia, the mean value and standard deviation of the minimum level of pain assessed by the VAS scale that the patients felt in the last 24 hours is low (2.0±2.4 out of a possible 10). It is slightly higher in women (2.3±2.1) than in men (1.9±2.5), but this difference was not statistically significant (p=0.6046). The strongest level of pain experienced by the subjects in the last 24 hours with the use of analgesia was 4.9±3.3 and was statistically significantly higher (p=0.0281) in women (6.5±3.1) than in men (4.2±3.2). The impact of pain on mood and emotions is low and ranges from 2.2±3.0 for feelings of depression to 2.8±3.0 for feelings of anxiety. The values are slightly higher (with the exception of feelings of depression) in women compared to men, but this difference was not statistically significant. Regarding side effects of drugs, the most pronounced is drowsiness (3.5±3.0), and the least pronounced is skin itching (0.3±1.0). A statistically significant difference between men and women was found for sleepiness (p=0.0044), which is more pronounced in women (5.4±3.1) compared to men (2.8±2.7) and the occurrence of dizziness (p =0.0039) which is also more pronounced in women (2.8±3.4) than in men (0.7±1.5).
CONCLUSIONS: Patients are satisfied with the opportunity to participate in decisions about their pain treatment, treatment results, and the level and quality of information received. The incidence of severe pain in the first 24 hours after surgery was low. The use of painkillers has proven to be very effective. |
