Karaciğer nakil hastalarının ağrı inançları ile ağrı şiddeti arasındaki ilişki
Küçük Resim Yok
Tarih
2021
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
İnönü Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu araştırma karaciğer nakil hastalarının ağrı inançları ile ameliyat sonrası ağrı şiddeti arasındaki ilişkiyi belirlemek amacıyla tanımlayıcı ve ilişkisel olarak yapıldı. Materyal ve Metot: Araştırmanın evrenini; Turgut Özal Tıp Merkezi Karaciğer Nakil Enstitüsü'nde karaciğer nakli olan tüm hastalar, örneklemini ise bu hastalar arasından araştırmaya alınma kriterlerine uyan 118 hasta oluşturdu. Ocak 2020 – Haziran 2021 tarihleri arasında yürütülen araştırmada veriler Kişisel Bilgi Formu, Ağrı İnançları Ölçeği ve Sayısal Derecelendirme Ölçeği ile toplandı. Verilerin değerlendirilmesinde SPSS 25 paket programı kullanıldı. Bulgular: Araştırma sonucunda hastaların ağrı şiddeti puan ortalamasının 2.91 ± 1.50, organik inanç puan ortalamasının 3.39 ± 0.85, psikolojik inanç puan ortalamasının 3.86 ± 1.28, ağrı inancı toplam puanı ortalamasının ise 7.25 ± 1.80 olduğu belirlendi. Hastaların ağrı şiddeti puan ortalaması ile ağrı inancı toplam ve alt boyut puan ortalamaları arasında orta düzeyde pozitif yönlü ilişki olduğu belirlendi (p<0.05). Geliri giderden yüksek olan, cerrahi bölge + cerrahi dışı bölgede ağrı yaşayan ve nonopioid + adjuvan grubu ilaç alan hastaların psikolojik ağrı inanç puanlarının, ameliyat öncesi dönemde ağrısı olan hastaların ise hem organik hem psikolojik ağrı inanç puanlarının önemli düzeyde yüksek olduğu belirlendi (p<0.05). Ağrı şiddeti üzerinde psikolojik inançların organik inançlara göre daha fazla etkili olduğu bulundu. Sonuç: Hastaların ağrı şiddeti puan ortalamasının düşük, psikolojik inanç puan ortalamasının organik inanç puan ortalamasından yüksek olduğu belirlendi. Ağrı şiddeti arttıkça organik ve psikolojik inanç puanlarının arttığı saptandı. Araştırma sonucu ağrı inançlarının belirlenmesinin ağrı kontrolünün sağlanmasında önemli yeri olduğunu göstermektedir. Anahtar Kelimeler: Ağrı, Ağrı İnançları, Ağrı Şiddeti, Hemşire, Karaciğer Nakli
Objective: This study was conducted in a descriptive relational manner to determine the relationship between pain beliefs and postoperative pain severity in liver transplant patients. Materials and Methods: The population of the study consisted of all patients who had liver transplantation in Turgut Özal Medical Center Liver Transplantation Institute, and the sample consisted of 118 patients who agreed to participate in the study and met the inclusion criteria. In this study, which was conducted between January 2020 and May 2021, the data were collected using the Personal Information Form, Numerical Rating Scale and Pain Beliefs Questionnaire. SPSS 25 software was used for the evaluation of the data. Results: As a result of the study, the average pain intensity of liver transplant patients was 2.91 ± 1.50, the average organic belief score was 3.39 ± 0.85, the average psychological belief score was 3.86 ± 1.28, and the total pain belief score was 7.25 ± 1.80. It was determined that there was a moderately positive correlation between the mean pain severity score and the total and sub-dimension mean scores of the patients (p <0.05). It was determined that the psychological pain belief scores of the patients whose income was higher than the expenditure, who had pain in the surgical area + non-surgical area, and who took nonopioid + adjuvant group drugs, and the organic and psychological pain belief scores of those who had pain in the preoperative period were significantly higher (p <0.05). It was found that psychological beliefs were more effective than organic beliefs on pain severity. Conclusion: It was determined that the mean pain intensity of the patients was low, and the mean of psychological belief was higher than the mean of organic belief. It was determined that as the severity of pain increased, the organic and psychological belief scores increased. The result of the research shows that the determination of pain beliefs has an important place in providing pain control. Keywords: Pain, Pain Beliefs, Pain Severity, Nurse, Liver Transplantation
Objective: This study was conducted in a descriptive relational manner to determine the relationship between pain beliefs and postoperative pain severity in liver transplant patients. Materials and Methods: The population of the study consisted of all patients who had liver transplantation in Turgut Özal Medical Center Liver Transplantation Institute, and the sample consisted of 118 patients who agreed to participate in the study and met the inclusion criteria. In this study, which was conducted between January 2020 and May 2021, the data were collected using the Personal Information Form, Numerical Rating Scale and Pain Beliefs Questionnaire. SPSS 25 software was used for the evaluation of the data. Results: As a result of the study, the average pain intensity of liver transplant patients was 2.91 ± 1.50, the average organic belief score was 3.39 ± 0.85, the average psychological belief score was 3.86 ± 1.28, and the total pain belief score was 7.25 ± 1.80. It was determined that there was a moderately positive correlation between the mean pain severity score and the total and sub-dimension mean scores of the patients (p <0.05). It was determined that the psychological pain belief scores of the patients whose income was higher than the expenditure, who had pain in the surgical area + non-surgical area, and who took nonopioid + adjuvant group drugs, and the organic and psychological pain belief scores of those who had pain in the preoperative period were significantly higher (p <0.05). It was found that psychological beliefs were more effective than organic beliefs on pain severity. Conclusion: It was determined that the mean pain intensity of the patients was low, and the mean of psychological belief was higher than the mean of organic belief. It was determined that as the severity of pain increased, the organic and psychological belief scores increased. The result of the research shows that the determination of pain beliefs has an important place in providing pain control. Keywords: Pain, Pain Beliefs, Pain Severity, Nurse, Liver Transplantation
Açıklama
Anahtar Kelimeler
Hemşirelik, Nursing
