Research Information System
19th Internatioal Pelvic Pain Society Annual Scientific Meeting, İstanbul, Turkey, 25 - 29 May 2011, pp.168
GOAL: It is a descriptive study which is planned to determine the postoperative pain after hysterectomy.
METHOD: This study is performed among 49 hospitalized women who have hysterectomy in the a public hospital. Data was collected by the researchers through face-to-face method using a survey form developed according to literature and “Short-Form McGill Pain Questionnaire (SF-MPQ)”. These are applied between 1st-3rh days after hysterectomy operation. SF-MPQ consists of 3 sections. First section is localization; second is severe of pain and; third is general pain evaluation. Two scores (sensory and affective) are obtained from second section. These scores can be range from 0-33 for sensory; 0-12 for affective domain. Total score is range from 0-45. High score is showed that severe pain. In the analysis of the data frequency, percentage and; chi-square were used by SPSS 13 packet software.
FINDINGS: The mean age of the participants was 51.93±9.09 years (range 30-74). 59% of women graduated primary school. 63% of women had TAH+BSO; 12% TAH and; %25 VAH plus anterior or posterior colpograhy. When questionnaire was applied women were in the 1.79±0.86 postoperative day. Indications of hysterectomy were 39% myoma uteri; 20% dysfunctional uterine bleeding and 22% decensus uteri. According to SF-MPQ the most of localization of pain was pelvic area (82%). 49% of women defined as “deep pain”; 39% “both of deep and superficial pain” and 11% “superficial pain”. 47% of women described as “distressing” for pain. The mean score was 8.51±4.28 for sensory domain; 2.59±2.14 for affective domain and; 11.14±6.17 for total. The most comfortable position for the less feeling pain was 73% supine, 12% semi-fowler. The methods used to reduce pain were 41% using painkiller; 32% informing the doctor and; 22% walking. Factors increasing the pain were 26% uncomfortable position and; 24% urinary catheter.
RESULTS: TAH group had the highest score (12.5±6.92) for severe of pain. There was no significant relation between general pain score and operation type. There was negative correlation between general pain score and age. General pain score decreased with increasing age (p: 0, 01).
KEY WORDS: Hysterectomy, pelvic pain