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Factors associated with pain level in patients receiving intravitreal injection    
Yazarlar
Dr. Öğr. Üyesi Ali İNALTEKİN
Türkiye
Erdinç Bozkurt
Türkiye
Yüksel Kıvrak
Afyonkarahisar Sağlık Bilimleri Üniversitesi, Türkiye
Özet
Purpose: To identify the factors associated with the pain level in patients receiving intravitreal injection. Methods: A total of 120 patients were prospectively evaluated, and 104 were included in the study. Patients were asked to rate their pain intensity from 0 to 10 on the visual analog scale. Factors that were possibly associated with pain level were evaluated using a sociodemographic data form, state anxiety inventory, and the hospital anxiety and depression scale. Results: Of the participants, 54 (51.9%) were female, and 50 (48.1%) were male, with a mean age of 65 ± 9.01 years. There was a positive correlation between pain level and state anxiety scores (r = 0.30; P < 0.001) and a negative correlation between hospital anxiety score (r = -0.23; P = 0.02) and hospital depression score (r = -0.27; P = 0.01). The correlation between pain score and education level was significantly higher in primary and secondary school graduates (P < 0.01). Smokers were observed to have higher pain scores (6.50 ± 2.21 in smokers and 4.87 ± 2.50 in nonsmokers; P = 0.01). Among diagnostic groups, pain scores were found to be significantly lower in the diabetic retinopathy (DR) group (6.82 ± 1.99 in age-related macular degeneration, 5.94 ± 2.27 in retinal vein occlusion, and 3.58 ± 1.97 in DR; P < 0.001). When pain scores were evaluated according to the drug injected, the group receiving bevacizumab injection was observed to have higher pain scores (7.32 ± 1.81 in bevacizumab, 4.00 ± 2.08 in aflibercept, and 3.92 ± 1.96 in ranibizumab; P < 0.001). Based on the multiple regression analysis, the state anxiety score, hospital anxiety score, hospital depression score, and smoking status were observed not to be significant predictors. The level of education, diagnosis, and active substance were found to have a statistically significant effect on pain perception. Conclusion: In this study, pain levels have been found to be high in smokers, those with a low educational level, individuals receiving bevacizumab for intravitreal injection, and those having a higher level of state anxiety, whereas patients with DR have lower pain scores.
Anahtar Kelimeler
Anti-vascular endothelial growth factor | Anxiety | Intravitreal injection | Pain | Visual analog scale
Makale Türü Özgün Makale
Makale Alt Türü ESCI dergilerinde yayımlanan tam makale
Dergi Adı Journal of Current Ophthalmology
Dergi ISSN 2452-2325
Dergi Tarandığı Indeksler esci
Makale Dili Türkçe
Basım Tarihi 01-2021
Cilt No 33
Sayı 3
Sayfalar 323 / 329
Doi Numarası 10.4103/joco.joco_6_21
BM Sürdürülebilir Kalkınma Amaçları
Atıf Sayıları
SCOPUS 2
Factors associated with pain level in patients receiving intravitreal injection

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