The Reasons for the Rejection of Spinal Interventional Pain Management Techniques in Patients with Chronic Lower Back Pain
Creators
- 1. Department of Pain Medicine, Adıyaman University Training and Research Hospital, Adıyaman, Türkiye.
- 2. Department of Pain Medicine, Ağrı Training and Research Hospital, Ağrı, Türkiye.
Description
Abstract
We investigated the reasons for the rejection of spinal interventional pain management techniques (SIPMT) in patients with lower back pain. The patients included in the study applied to an algology outpatient clinic with complaints of chronic lower back pain and were recommended SIPMT. The demographic data, systemic diseases, diagnoses, suggested SIPMT, and reasons why certain patients refused SIPMT, were all evaluated. Among the 196 patients who were recommended SIPMT, 61 (31.1%) refused the treatment. The most common reasons for refusing SIPMT was a belief that the injection would not be a definitive solution (63.9%), belief that the pain would recur after the injection (55.7%), the inability to avoid work that would strain the lower back after the injection (39.3%), and the fear that the pain would worsen (37.7%). If the wide range of concerns patients have about SIMPT can be more comprehensively considered, refusal of such treatments due to unnecessary concerns can be prevented.
Özet
Bel ağrısı olan hastalarda spinal girişimsel ağrı yönetimi tekniklerini (SIPMT) reddetme nedenlerini araştırdık. Algoloji polikliniğine kronik bel ağrısı şikayeti ile başvuran ve SIPMT önerilen tüm hastalar çalışmaya dahil edildi. SIPMT'yi reddeden hastaların demografik verileri, sistemik hastalıkları, tanıları, önerilen SIPMT'ler ve SIPMT'yi reddetme nedenleri değerlendirildi. SIPMT önerilen 196 hastadan 61'i (%31.1) tedaviyi reddetti. SIPMT'nin en sık reddedilme nedenleri enjeksiyonun kesin çözüm olmayacağı düşüncesi (%63.9), enjeksiyondan sonra ağrısının tekrarlayacağı düşüncesi (%55.7), enjeksiyon sonrası belini zorlayacak işlerden kaçınamama (%39.3) ve ağrısının şiddetleneceği korkusu (%37.7) olarak tespit edildi. Hastaların SIMPT'le ilgili geniş bir yelpazede endişeleri vardır. Hastaların endişelerini daha fazla ve daha kapsamlı bir şekilde dikkate alarak giderebilirsek gereksiz endişelerle tedaviyi reddetmelerini önleyebiliriz.
Notes
Kronik Bel Ağrısı Olan Hastaların Spinal Girişimsel Ağrı Tedavisi Yöntemlerini Reddetme Sebepleri
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Additional details
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