As long as it is applied with infiltration analgesia to the posterior capsule, CFNB is an effective and safe analgesia method resulting in better postoperative patient comfort and greater ROM. Furthermore, it produces better results in the early postoperative period with a favorable side effect profile.

SummaryObjectives: In surgery clinics, postoperative pain is a common occurrence and care is needed in its treatment. One form of treatment is various acupuncture techniques. This study investigated the effect of acupuncture on postoperative analgesia in patients undergoing laparoscopic cholecystectomy. Methods: A total of 59 patients undergoing laparoscopic cholecystectomy were included in the study; 31 comprised the acupuncture group (Group A), and 29 constituted the control group (group C). All patients underwent standard anesthesia procedures. Patient-controlled analgesia with tramadol was administered postoperatively. Patients' postoperative pain scores, results of the satisfaction questionnaire and amounts of tramadol used were recorded. Results: A comparison of the groups showed Group A pain scores to be significantly lower statistically than those of Group C at all postoperative controls. There was no statistically significant difference for postoperative analgesic consumption and satisfaction level between the groups. Conclusion: Despite detection of a reduction in postoperative pain scores, the application of acupuncture did not cause any change in the consumption of tramadol.Key words: Acupuncture; postoperative pain; patient control analgesia; tramadol. ÖzetAmaç: Ameliyat sonrası ağrı cerrahi kliniklerinde çok fazla görülen ve uğraşı gerektiren en önemli konulardan biridir. Çeşitli akupunktur yöntemleri ameliyat sonrası ağrıyı azaltmak için kullanılmaktadır. Çalışmamızda akupunkturun laparoskopik kolesistektomi geçiren hastalarda ameliyat sonrası analjeziye etkisinin olup olmadığını araştırdık. Gereç ve Yöntem: Çalışmamıza laparoskopik kolesistektomi yapılan, 31 hasta akupunktur grubu (grup A), 29 hasta kontrol grubu (grup K) olarak toplam 59 hasta alındı. Tüm hastalara standart anestezi uygulaması yapıldı. Ameliyat sonrası tramadol ile hasta kontrollü analjezi uygulandı. Ameliyat sonrası hastaların ağrı skorları, hasta memnuniyeti anketi ve tramadol kullanım miktarı kaydedildi. Bulgular: Ameliyat sonrası ağrı skorları iki grup karşılaştırıldığında akupunktur grubunda tüm zamanlarda (0. 1. 2. 6. 12. ve 18. saatlerde) kontrol grubundan istatistiksel olarak anlamlı düzeyde düşük bulunmuştur. Grupların ameliyat sonrası kullanılan analjezik miktarları arasında istatistiksel olarak anlamlı fark saptanmamıştır. İki grup arasında ameliyat sonrası memnuniyet düzeyleri açısından istatiksel olarak anlamlı bir fark saptanmamıştır. Sonuç: Çalışmamızda akupunktur ameliyat sonrası ağrı skorları azalmasına rağmen tramadol kullanımında herhangi bir deği-şiklik yapmamıştır.Anahtar sözcükler: Akupunktur; ameliyat sonrası ağrı; hasta kontrollü analjezi; tramadol.

Objective: Although there are a sufficient number of studies on the mental impacts of the COVID-19 pandemic on healthcare workers (HCWs) in the early phase, few studies have evaluated these impacts in the vaccination phase. This study aimed to assess the prevalence of mental disorders and their associated factors among HCWs in the vaccination phase of the COVID-19 pandemic. Methods: A cross-sectional, web-based survey collected demographic data with the structured 25-item questionnaire, COVID-19 infection status and exposure, and mental health measurements between 13 March 2021 and 20 April 2021, in Turkey. Depression, anxiety, insomnia, distress, resilience, and burnout were assessed by the 9-item patient health questionnaire (PHQ-9), the 7-item generalized anxiety disorder questionnaire (GAD-7), the Jenkins sleep scale (JSS), the 10-item perceived stress scale (PSS-10), the brief resilience scale (BRS), and two subscales of the Maslach burnout inventory (MBI): emotional exhaustion (EE) and depersonalization (DP), respectively. Thereafter, binary logistic regression was performed to explore the risk factors of those HCWs with poor mental health outcomes. Results: A total of 573 HCWs completed the survey. Of the 573 responding participants, 309 (53.9%) were medical doctors, 119 (20.8%) were nurses, and 145 (25.3%) were other HCWs. Overall, 37.5%, 31.9%, 36.3%, and 19.2% of all HCWs reported symptoms of depression, anxiety, insomnia, and suicidal ideation, respectively. Moreover, 77% perceived moderate to high-stress, 49.9% described emotional exhaustion, and 11.3% of HCWs expressed depersonalization. A considerable proportion of participants reported exposure to violence (39.4%) and mobbing (38.6%) during the pandemic. We found a positive relation between getting COVID- 19 vaccine and anxiety (odds ratio [OR], 1.80; 95%CI, 1.01–3.21; p = 0.046). Being a woman (for depression, OR, 2.26; 95% CI, 1.48-3.45; p<0.001; for resilience, OR, 0.55; 95% CI, 0.38-0.80; p=0.002),working on the frontline (for emotional exhaustion, OR, 1.82; 95% CI, 1.26-2.62;p=0.001), being exposed to mobbing (for anxiety, OR, 2.86; 95% CI, 1.93-4.25;p<0.001; for depression, OR, 3.70; 95% CI, 2.55-5.36; p<0.001), being victim of the violence in the pandemic (for depersonalization, OR, 2.82; 95% CI, 1.58-5.03; p<0.001; for insomnia, OR, 2.03; 95% CI, 1.40-2.94; p<0.001), the loss of a loved one due to COVID-19 (for perceived stress, OR, 2.14; 95% CI, 1.22-3.75; p=0.008), having a mental disorder (for resilience, OR, 0.53; 95% CI, 0.30-0.94; p=0.031) and self-medicating with alcohol (for anxiety, OR, 2.86; 95% CI, 1.92-4.25; p<0.001) were associated with worsened mental health outcomes. Conclusions: COVID-19 is still affecting the mental health of HCWs in the vaccination phase. These findings advance the understanding of risk factors for the poor mental health of HCWs during a pandemic. The results revealed that receiving psychological interventions for occupational mental health during the pandemic is important for HCWs.