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Kronik idiyopatik bel ağrısına yaklaşım

Approach to chronic idiopathic back pain

Journal Name:

  • Türkiye Aile Hekimliği Dergisi

Publication Year:

  • 2010
DOI: 
doi:10.2399/tahd.10.183

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Chronic idiopathic back pain (CIBP) is most important cause of physical insufficiency that can be seen mostly 30-50 age group. It effects 85% of people any time of their lives and physiological, psychological and social factors are the causes of CIBP. When approaching back pain, the most important factors are the history and physical examination of the patient. It is important to watch out the red flags. Age, being female, low education status, depres¬sion, stress, dissatisfaction with job, lack of exercise are the impor¬tant factors of CIBP. When planning the treatment, these factors must be evaluated and biopsychosocial and multidisciplinary approach must be used. In this approach; instead of biological fac¬tors, social, psychological and cultural factors are also studied. Cognitive behavioral and problem solving therapy methods are used in biopsychosocial approach. In summary, by lowering the emotional stress on pain perception and lowering the replay to pain and to get continuity of the treatment, cognitive behavioral treatment can be used in the first step of the health care system. This will help prevent chronic pain and restriction.
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Abstract (Original Language): 
Kronik idiyopatik bel ağrısı (KİBA); en sık 30-50 yaşları arasında görülür, insanların %85'ini hayatlarının bir döneminde etkiler, nedenleri arasında fiziksel, psikolojik ve toplumsal etkenler yer alır, en sık karşılaşılan fiziksel yetersizlik nedenidir. Bel ağrısına yaklaşımın en önemli bölümü öykü ve sistemik fizik muayenedir. Ayırıcı tanıda kırmızı bayraklara mutlaka dikkat edilmelidir. KİBA'nın olu¬şumunda yaş, kadın olmak, eğitim düzeyi düşüklüğü, depresyon, stres, iş memnuniyetsizliği, egzersiz eksikliği önemli etkenlerdir. Tedavide bu noktaları da göz önünde bulundurmalı, ilaçların yanı sıra biyopsikososyal ve multidisipliner yaklaşımdan yararlanmalıdır. Biyopsikososyal modelde bilişsel davranışçı ve problem çözücü tedavi stratejileri kullanılmaktadır. Duygusal stresi azaltarak ağrı al¬gısının ve ağrıya olan cevabın azaltılmasını sağlayarak kalıcı sonuç alabilen bilişsel davranışçı tedavi birinci basamak sağlık kuruluşlarında desteklenmelidir: Böylece kronik ağrı ve kısıtlılığın gelişiminin önlenmesi sağlanabilir.
FULL TEXT (PDF): 
PDF icon arastrmx_116859_14_pp_183-187.pdf
  • 4
183-187
  • Turkish

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