Research Article
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Kronik kas-iskelet ağrısı olan bireylerin başa çıkma yöntemleri ve algılanan faydalarının araştırılması

Year 2024, Volume: 2 Issue: 3, 71 - 79, 31.12.2024

Abstract

Amaç: Bu çalışmanın amacı, kas-iskelet sistemi sorunlarına bağlı kronik ağrı şikayeti olan bireylerin başa çıkma yöntemlerini ve ağrılarının tedavisinde uyguladıkları yöntemin algılanan yararlılığını, ağrının bölgesine, şiddetine ve süresine göre incelemektir.
Yöntem: Çalışmaya üç aydan uzun süredir kas iskelet sistemine ait ağrı şikayeti olan 18-65 yaş bireyler dahil edildi. Nörolojik problemi bulunan ve hipertansiyon, diabet, solunum sistemi gibi sistemlere ait kronik hastalığı bulunan bireyler çalışma dışında bırakıldı. Ağrı değerlendirmesi; ağrı bölgesi, ağrının süresi, sıklığı, şiddeti ve ne kadar zamandır devam ettiği gibi bilgiler sorgulanarak yapıldı. Ağrıyı azaltmak için kullandığı yöntemler ve bu yöntemlerin ağrı üzerinde ne derecede etkisi sorgulandı.
Sonuçlar: Çalışmaya yaş ortalaması 42.11±11.49 yıl olan 52 kadın, 49 erkek olmak üzere 101 olan 101 birey katıldı. Bireylerin ağrı ile başa çıkma stratejileri incelendiğinde büyük çoğunluğunun (%85.1) ilaç kullanımını tercih ettiği görüldü. Bunun masajın (%62.4), sıcak uygulamanın (%60.4) ve egzersizin (%58.4) takip ettiği belirlendi.
Tartışma: Çalışmanın sonucunda, kas siskelet sistemine ait kronik ağrıya sahip bireylerin ağrı ile başa çıkma yaklaşımların büyük oranda fizyoterapi ve rehabilitasyon modalitelerinden oluştuğunu ve bu modalitelerden büyük oranda fayda gördükleri belirlendi. Masaj, sıcak-soğuk ajanlar, nefes teknikleri gibi fizyoterapinin bilimsel anlamda hakim olduğu ajanlar ile ilgili olarak, ağrı ile mücadelede doğru uygulama yöntemleri hakkında bireylerin bilinçlendirilmesinin sağlanması ve yaygınlaştırılması yararlı olacaktır.

References

  • 1. Cohen SP, Vase L and Hooten WM, Chronic pain: an update on burden, best practices, and new advances. The Lancet. 2021; 397(10289): 2082-97.
  • 2. Small C, Laycock H. Acute postoperative pain management. Journal of British Surgery. 2020; 107(2):70-80.
  • 3. Matarese M, Lommi M, De Marinis MG, Riegel B. A systematic review and integration of concept analyses of self‐care and related concepts. J Nurs Scholarship. 2018; 50(3): 296-305.
  • 4. Richard AA, Shea K. Delineation of self‐care and associated concepts. J Nurs Scholarship. 2011;43(3):255-64.
  • 5. Barlow J, Wright C, Sheasby J, Turner A, Hainsworth J. Self-management approaches for people with chronic conditions: a review. Patient Educ Couns.2002; 48(2), 177-87.
  • 6. Blyth FM, March LM, Nicholas MK, Cousins MJ. Self-management of chronic pain: a population-based study. Pain.2005; 113(3), 285-92.
  • 7. Núñez-Cortés R, Espin A, Pérez-Alenda S, López-Bueno R, Cruz-Montecinos C, Vincents-Seeberg KG, Andersen, LL. Association between pain coping and symptoms of anxiety and depression, and work absenteeism in people with upper limb musculoskeletal disorders: A systematic review and meta-analysis. Arch Phys Med Rehab.2024; 105(4), 781-91.
  • 8. Nicholas MK, Blyth FM, Are self-management strategies effective in chronic pain treatment? Pain Man. 2016; 6(1):75-88.
  • 9. Bonanni R, Cariati I, Tancredi V, Iundusi R, Gasbarra E, Tarantino U. Chronic pain in musculoskeletal diseases: Do you know your enemy? J Clin Med.2022; 11(9): 2609.
  • 10. Ho LY. A concept analysis of coping with chronic pain in older adults. Pain Manag Nurs. 2019; 20(6), 563-71.
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  • 15. Bradson ML, Cadden MH, Guty ET, Riegler KE, Thomas GA, Graham-Engeland JE, Arnett PA. Coping style moderates the effect of pain on depression symptoms in multiple sclerosis. Arch Clin Neuropsych. 2022; 37(7): 1515-26. 16. Núñez-Cortés R, Espin A, Pérez-Alenda S, López-Bueno R, Cruz-Montecinos C, Vincents-Seeberg KG, Andersen LL.Association between pain coping and symptoms of anxiety and depression, and work absenteeism in people with upper limb musculoskeletal disorders: A systematic review and meta-analysis. Arch Phys Med Rehab. 2024;105(4):781-791.
  • 17. Mallick-Searle T, Sharma K, Toal P, Gutman A. Pain and function in chronic musculoskeletal pain—treating the whole person. J Multidiscip Healthcare. 2021; 335-347.
  • 18. Kongsted A, Ris I, Kjaer P, & Hartvigsen J. (2021). Self-management at the core of back pain care: 10 key points for clinicians. Brazil J Phys Ther. 2021; 25(4): 396-406.
  • 19. Qaseem A, Wilt TJ, McLean RM, Forciea MA; Clinical Guidelines Committee of the American College of Physicians; Denberg TD, Barry MJ, Boyd C, Chow RD, Fitterman N, Harris RP, Humphrey LL, Vijan S. Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians. Ann Intern Med. 2017 Apr 4;166(7):514-30.
  • 20. Setchell J, Costa N, Ferreira M, Hodges PW. What decreases low back pain? A qualitative study of patient perspectives. Scand J Pain. 2019 Jul 26;19(3):597-603. doi: 10.1515/sjpain-2019-0018. PMID: 31031264.
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  • 23. Ferreira-Valente A, Damião C, Pais-Ribeiro J, Jensen MP. The role of spirituality in pain, function, and coping in individuals with chronic pain. Pain Med. 2020; 21(3): 448-57.
  • 24.Treede RD, Rief W, Barke A, Aziz Q, Bennett MI, Benoliel R, Cohen M, Evers S, Finnerup NB. Chronic pain as a symptom or a disease: The IASP Classification of Chronic Pain for the International Classification of Diseases (ICD-11). Pain 2019; 160:19–27.

Investigation of coping methods and perceived benefits of individuals with chronic musculoskeletal pain

Year 2024, Volume: 2 Issue: 3, 71 - 79, 31.12.2024

Abstract

Purpose: The aim of this study is to examine the coping methods of individuals with chronic pain due to musculoskeletal problems and the perceived usefulness of the method they apply in the treatment of their pain, according to the region, severity and duration of pain.
Methods: Individuals aged 18-65 years with complaints of musculoskeletal pain for more than three months were included in the study. Individuals with neurologic problems and chronic diseases such as hypertension, diabetes and respiratory system were excluded. Pain assessment was performed by questioning information such as the site of pain, duration, frequency, intensity and duration of pain. The methods used to reduce pain and the effect of these methods on pain were questioned.
Results: A total of 101 individuals (52 women and 49 men) with a mean age of 42.11±11.49 years participated in the study. When the coping strategies of the individuals were examined, it was seen that the majority (85.1%) preferred the use of medication. This was followed by massage (62.4%), heat application (60.4%) and exercise (58.4%).
Discussion: As a result of the study, it was determined that the approaches to cope with pain of individuals with chronic musculoskeletal pain consisted largely of physiotherapy and rehabilitation modalities and that they benefited greatly from these modalities. It would be useful to raise awareness of individuals about the correct application methods in the fight against pain in relation to agents that physiotherapy is scientifically dominant, such as massage, hot-cold agents, breathing techniques.

References

  • 1. Cohen SP, Vase L and Hooten WM, Chronic pain: an update on burden, best practices, and new advances. The Lancet. 2021; 397(10289): 2082-97.
  • 2. Small C, Laycock H. Acute postoperative pain management. Journal of British Surgery. 2020; 107(2):70-80.
  • 3. Matarese M, Lommi M, De Marinis MG, Riegel B. A systematic review and integration of concept analyses of self‐care and related concepts. J Nurs Scholarship. 2018; 50(3): 296-305.
  • 4. Richard AA, Shea K. Delineation of self‐care and associated concepts. J Nurs Scholarship. 2011;43(3):255-64.
  • 5. Barlow J, Wright C, Sheasby J, Turner A, Hainsworth J. Self-management approaches for people with chronic conditions: a review. Patient Educ Couns.2002; 48(2), 177-87.
  • 6. Blyth FM, March LM, Nicholas MK, Cousins MJ. Self-management of chronic pain: a population-based study. Pain.2005; 113(3), 285-92.
  • 7. Núñez-Cortés R, Espin A, Pérez-Alenda S, López-Bueno R, Cruz-Montecinos C, Vincents-Seeberg KG, Andersen, LL. Association between pain coping and symptoms of anxiety and depression, and work absenteeism in people with upper limb musculoskeletal disorders: A systematic review and meta-analysis. Arch Phys Med Rehab.2024; 105(4), 781-91.
  • 8. Nicholas MK, Blyth FM, Are self-management strategies effective in chronic pain treatment? Pain Man. 2016; 6(1):75-88.
  • 9. Bonanni R, Cariati I, Tancredi V, Iundusi R, Gasbarra E, Tarantino U. Chronic pain in musculoskeletal diseases: Do you know your enemy? J Clin Med.2022; 11(9): 2609.
  • 10. Ho LY. A concept analysis of coping with chronic pain in older adults. Pain Manag Nurs. 2019; 20(6), 563-71.
  • 11. Carlsson AM. Assessment of chronic pain. I. Aspects of the reliability and validity of the visual analogue scale. Pain. 1983; 16(1):87-101.
  • 12. Fink, R. Pain assessment: the cornerstone to optimal pain management. in Baylor university medical center proceedings. 2000. Taylor & Francis.
  • 13. Heath L, Philip A.Chronic pain care: Time for excellence. Fam Med Commun Health. 2020; 8(2).
  • 14. El-Tallawy SN, Nalamasu R, Salem GI, LeQuang JAK, Pergolizzi JV, Christo PJ. Management of musculoskeletal pain: an update with emphasis on chronic musculoskeletal pain. Pain Ther. 2021; 10: 181-209.
  • 15. Bradson ML, Cadden MH, Guty ET, Riegler KE, Thomas GA, Graham-Engeland JE, Arnett PA. Coping style moderates the effect of pain on depression symptoms in multiple sclerosis. Arch Clin Neuropsych. 2022; 37(7): 1515-26. 16. Núñez-Cortés R, Espin A, Pérez-Alenda S, López-Bueno R, Cruz-Montecinos C, Vincents-Seeberg KG, Andersen LL.Association between pain coping and symptoms of anxiety and depression, and work absenteeism in people with upper limb musculoskeletal disorders: A systematic review and meta-analysis. Arch Phys Med Rehab. 2024;105(4):781-791.
  • 17. Mallick-Searle T, Sharma K, Toal P, Gutman A. Pain and function in chronic musculoskeletal pain—treating the whole person. J Multidiscip Healthcare. 2021; 335-347.
  • 18. Kongsted A, Ris I, Kjaer P, & Hartvigsen J. (2021). Self-management at the core of back pain care: 10 key points for clinicians. Brazil J Phys Ther. 2021; 25(4): 396-406.
  • 19. Qaseem A, Wilt TJ, McLean RM, Forciea MA; Clinical Guidelines Committee of the American College of Physicians; Denberg TD, Barry MJ, Boyd C, Chow RD, Fitterman N, Harris RP, Humphrey LL, Vijan S. Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians. Ann Intern Med. 2017 Apr 4;166(7):514-30.
  • 20. Setchell J, Costa N, Ferreira M, Hodges PW. What decreases low back pain? A qualitative study of patient perspectives. Scand J Pain. 2019 Jul 26;19(3):597-603. doi: 10.1515/sjpain-2019-0018. PMID: 31031264.
  • 21. McClintock AS, McCarrick SM, Garland EL, Zeidan F, Zgierska AE. Brief Mindfulness-Based Interventions for Acute and Chronic Pain: A Systematic Review. J Altern Complement Med. 2019;25(3):265-78. 22. Shires A, Sharpen L, Davies JN,Newton-John TR. The efficacy of mindfulness-based interventions in acute pain: a systematic review and meta-analysis. Pain. 2020; 161(8): 1698-1707.
  • 23. Ferreira-Valente A, Damião C, Pais-Ribeiro J, Jensen MP. The role of spirituality in pain, function, and coping in individuals with chronic pain. Pain Med. 2020; 21(3): 448-57.
  • 24.Treede RD, Rief W, Barke A, Aziz Q, Bennett MI, Benoliel R, Cohen M, Evers S, Finnerup NB. Chronic pain as a symptom or a disease: The IASP Classification of Chronic Pain for the International Classification of Diseases (ICD-11). Pain 2019; 160:19–27.
There are 22 citations in total.

Details

Primary Language English
Subjects Physiotherapy
Journal Section Research Articles
Authors

Sabiha Bezgin 0000-0002-8459-8956

Tezel Yıldırım Şahan 0000-0002-4004-3713

Fırat Çiçekli 0000-0001-7276-4833

Murat Özkaya 0000-0001-6844-5637

Publication Date December 31, 2024
Submission Date September 13, 2024
Acceptance Date December 17, 2024
Published in Issue Year 2024 Volume: 2 Issue: 3

Cite

Vancouver Bezgin S, Yıldırım Şahan T, Çiçekli F, Özkaya M. Investigation of coping methods and perceived benefits of individuals with chronic musculoskeletal pain. JHUPTR. 2024;2(3):71-9.