Pain, anxiety, and depression during bone marrow aspiration and biopsy

Abstract

Objectives: This study is performed with the aim of prospectively analyzing the factors that affect pain, anxiety, and depression in cases for whom bone marrow aspiration and biopsy are performed and the relationships among them. Methods: This study consisted of 90 patients who consulted to Department of Hematology, Faculty of Medicine, Uludag University, and followed-up for bone marrow aspiration and biopsy indication. The data was gathered using a personal information form, Hospital Anxiety Depression scale, and Wong-Baker face pain scale where generally face expressions exist. Results: The average age of the patients who participated in the study was 50.90 years (16.59), and the pain level after the application was 1.98 (1.33). After the application, a positive relationship is determined between the pain level and anxiety (r=-0.79; p=0.02), whereas this has a negative relationship with age (r=0.78; p=0.03). Conclusion: As a result, pain develops depending on bone marrow aspiration and biopsy; therefore, taking precautions aimed at alleviating pain and evaluation of pain before and after the application within the scope of total maintenance have been suggested.