Evaluation of Neuropathic Pain, Pain Beliefs and Ways of Coping with Pain Experienced by Individuals with Type II Diabetes

Abstract

Abstract Object: This study was conducted to evaluate neuropathic pain, pain beliefs and pain coping styles experienced by individuals with Type II diabetes, and to examine the relationship between these variables. Methods: This study was conducted with 245 Type II diabetic patients in the Internal Medicine Clinics and Polyclinics of a hospital. Personal Information Form, Pain Quality Assessment Scale, Pain Beliefs Scale and Pain Coping Scale were used to collect data. Results: 36.7% of the participants had neuropathy due to diabetes. The average duration of diabetes diagnosis was 8.09±4.28 years. The participants' pain quality assessment scale sub-dimension mean scores were 3.35±2.06 for proximal pain, 3.13±2.07 for superficial pain, and 4.05±2.2 for deep pain. The participants' pain belief scale sub-dimension mean scores were 3.22±0.71 for organic beliefs and 2.65±0.98 for psychological beliefs. The pain coping scale sub-dimension mean scores were 29.49±6.84 for self-coping, 20.70±5.06 for helplessness, 19.71±3.94 for conscious cognitive interventions, and 19.82±4.29 for seeking medical help. A statistically significant relationship was found between the pain quality, pain beliefs, and pain coping sub-dimensions (p<0.05). Conclusion: It was determined that the participants experienced deep pain the most, their pain was mostly based on organic beliefs, and helplessness was the most. It has been determined that the pain experienced and beliefs affect coping styles.

Keywords

• Pain
• coping
• pain beliefs
• diabetes
• nursing

Tip II Diyabetli Bireylerin Yaşadıkları Nöropatik Ağrı, Ağrı İnançları ve Ağrı İle Başa Çıkma Biçimlerinin Değerlendirilmesi

Abstract

Özet Amaç: Bu araştırma Tip II diyabeti olan bireylerin yaşadıkları nöropatik ağrının, ağrı inançlarının ve ağrı ile başa çıkma biçimlerinin değerlendirilmesi, etkileyen faktörlerin belirlenmesi ve bu değişkenlerin birbiri ile ilişkisini incelemek amacıyla yapılmıştır. Gereç ve Yöntem: Bu araştırma bir hastanenin İç Hastalıkları Klinikleri ve Polikliniklerinde 245 Tip II diyabetli hasta ile yürütüldü. Verilerin toplanmasında Kişisel Bilgi Formu, Ağrı Kalitesini Değerlendirme Ölçeği, Ağrı İnançları Ölçeği ve Ağrıyla Başa Çıkma Ölçeği kullanıldı. Bulgular: Katılımcıların %36.7’sinin diyabete bağlı nöropatisi bulunmaktadır. Diyabet tanı süresi ortalama 8.09±4.28 yıldır. Katılımcıların ağrı kalitesi değerlendirme ölçeği alt boyut ortalama puanları proksismal ağrı için 3.35±2.06 yüzeyel ağrı için 3.13±2.07 ve derin ağrı için 4.05±2.2 dir. Katılımcıların ağrı inançları ölçeği alt boyutları ortalama puanları organik inançlar için 3.22±0.71 ve psikolojik inançlar için 2.65±0.98 dir. Ağrı ile başa çıkma ölçeği alt boyutları ortalama puanları ise kendi kendine başa çıkma için 29.49±6.84, çaresizlik için 20.70±5.06, bilinçli bilişsel girişimler için 19.71±3.94 ve tıbbi çare arama için 19.82±4.29 dur. Ağrı kalitesi, ağrı inançları ve ağrı ile baş etme alt boyutları arasında istatistiksel olarak anlamlı ilişki tespit edilmiştir (p<0.05). Sonuç: Katılımcıların en fazla derin ağrı yaşadıkları, ağrılarının çoğunlukla organik inançlara dayalı olduğu ve en fazla çaresizlik belirlenmiştir. Yaşanılan ağrının ve inançların baş etme biçimlerini etkilediği belirlenmiştir.

Keywords

• Ağrı
• baş etme
• ağrı inançları
• diyabet
• hemşirelik

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