Turkiye Klinikleri Journal of Pediatrics

.: ORIGINAL RESEARCH
Approach to Pain in Pediatric Oncology Patients: A Cross-Sectional Survey
Pediatrik Onkoloji Hastalarında Ağrıya Yaklaşım: Kesitsel Araştırma
Sırma KARAMERCANa , Şeref ÇELİKb , Selcen YÜKSELc , Seda ŞAHİNa , Arzu YAZAL ERDEMa , Derya ÖZYÖRÜKa , Neriman SARIa , Erkan Yavuz AKÇABOYb , Şaziye ŞAHİNb , İnci ERGÜRHAN İLHANa
aAnkara Bilkent City Hospital, Clinic of Child Health and Diseases, Ankara, Türkiye
bAnkara Bilkent City Hospital, Clinic of Anesthesiology and Reanimation, Ankara, Türkiye
cAnkara Yıldırım Beyazıt University Faculty of Medicine, Department of Biostatistics, Ankara, Türkiye
Turkiye Klinikleri J Pediatr. 2025;34(2):47-54
doi: 10.5336/pediatr.2024-107040
Article Language: EN
Full Text
ABSTRACT
 Objective: Pain is a serious medical problem in children as well as in adult patients diagnosed with cancer. Recognition and correct treatment of pain is one of the important points for cancer treatment. Although there are pain guidelines, the lack of a standardized approach creates difficulties in pain control. Material and Methods: A questionnaire was prepared with the algology clinic to question and manage pain in pediatric oncology physicians' patients. The questions were open-ended, multiple-choice. The data obtained were analyzed by the biostatistics department. Results: We questioned pediatric oncology physicians about pain questioning and treatment approaches in pediatric patients with cancer. Questionnaires prepared for this reason were applied to 100 physicians. The data obtained were analyzed. the average professional experience of the physicians participating in the survey was 20 years. The rate of physicians who regularly questioned patients was 65%, while the group that did not question pain was 5%. Approximately 50% of physicians stated that they used scales in pain questioning. The rate of working together with algology was 75%. There were reservations about the use of narcotic analgesics. Conclusion: It is important to evaluate and treat the pain status of pediatric patients with cancer for patient compliance and well-being.

Keywords: Cancer pain; childhood cancer; pain management
ÖZET
 Amaç: Ağrı, kanser tanısı almış yetişkin hastalarda olduğu kadar çocuklarda da ciddi bir tıbbi sorundur. Ağrının tanınması ve doğru tedavisi kanser tedavisi için önemli noktalardan biridir. Ağrı rehberleri olmasına rağmen standart bir yaklaşımın olmaması ağrı kontrolünde zorluklar yaratmaktadır. Gereç ve Yöntemler: Algoloji kliniği ile birlikte pediatrik onkoloji hekimlerinin hastalarında ağrının sorgulanması ve yönetimi için bir anket hazırlandı. Sorular açık uçlu, çoktan seçmeli idi. Toplanan veriler biyoistatistik birimi tarafından analiz edildi. Bulgular: Çocuk onkoloji hekimlerine kanserli çocuk hastalarda ağrı sorgulaması ve tedavi yaklaşımlarını sorguladık. Bu amaçla hazırlanan anketler 100 hekime uygulandı. Elde edilen veriler analiz edildi. Ankete katılan hekimlerin ortalama mesleki deneyimi 20 yıldı. Hastaları düzenli olarak sorgulayan hekimlerin oranı %65 iken, ağrıyı sorgulamayan grup %5 idi. Hekimlerin yaklaşık %50'si ağrı sorgulamasında ölçek kullandığını belirtti. Algoloji ile birlikte çalışma oranı %75'ti. Narkotik analjezik kullanımında çekinildiği görüldü. Sonuç: Kanserli çocuk hastaların ağrı durumunun değerlendirilmesi ve tedavi edilmesi, hasta uyumu ve iyiliği için önemlidir.

Anahtar Kelimeler: Kanser ağrısı; çocukluk çağı kanseri; ağrı yönetimi
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