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

Year 2025, Volume: 12 Issue: 3, 100 - 113, 31.12.2025

Ozcan Cecen Elanur Yilmaz Karabulutlu

https://doi.org/10.56941/odutip.1671854

https://izlik.org/JA89EU94WJ

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

https://izlik.org/JA89EU94WJ

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

References

• American Diabetes Association. Standards of Care in Diabetes-2025. (cited 2025 February 20): Available from URL: https://professional.diabetes.org/standards-of-care.
• Diabetes Diagnosis and Treatment Guide 2024. Turkish Diabetes Foundation. 2025 (cited 2025 February 20): Available from: URL:https://turkdiab.org/admin/PICS/webfiles/DIYABET_TANI_ve_TEDAVI_REHBERI_2024.pdf
• International, Diabetes Federation, Diabetes Atlas 11. Edition. (cited 2025 February 20): Available from: URL:https://diabetesatlas.org/
• TEMD. Guide to Diagnosis, Treatment and Follow-up of Diabetes Mellitus and Its Complications 2024. (16. Oppression). (cited 2025 February 20): Available from: URL: https://file.temd.org.tr/Uploads/publications/guides/documents/diabetesmellitus2024.pdf.
• Gorgulu Ü, Ciftci S, Polat U. Current Treatment Approaches and Nursing Care in the Management of Diabetic Neuropathy. Value in Health Sciences 2022, 12(3), 560-565.
• Chen Y, Song XJ. Diabetic Neuropathic Pain: Directions for Exploring Treatments. Biomedicines, 2024; 12(3), 589.
• Babadag B, Alparslan GB. Pain beliefs of nursing students. Sted 2017, 26: 244-250.
• Metin ZG. Arslan IE. The ways in which diabetic patients cope with peripheral neuropathic pain: A qualitative study. Mersin University Journal of Health Sciences 2017; 10:182-193.
• Davari Moghadam F, Rahami Z, Ahmadi SA, Reisi S, & Ahmadi SM. Predicting quality of life and self-care behaviors in patients with painful diabetic neuropathy based on psychological factors. Scientific Reports, 2025;15, 6431.
• Disken FM, Kose G. The relationship between preoperative pain beliefs and postoperative pain levels in abdominal surgery patients. Clinical Nursing Journal 2021;30 (21-22): 3249-3258.
• Zhang R, Lai M, Wang D. Psychologic Impacts on Diabetic Neuropathic Pain. Curr Pain Headache Rep. 2022 Jun;26(6):423-427.
• Jensen MP, Gammaitoni AR, Olaleye DO, Oleka N, Nalamachu SR, Galer BS. Thepain quality assessment scale: assessment of pain quality in carpal tunnel syndrome. The Journal of Pain 2006; 7: 823-832.
• Sahin N, Bodur S, Salli A, Ugurlu H. Reliability and validity of the Turkish version of the pain quality assesment scale in patients with Carpal Tunnel Syndrome. Nobel Medicus 2010; 6: 26-33.
• Edwards LC, Pearce SA, Turner-Stokes L, Jones A. The Pain Beliefs Questionnaire: An Investigation of Beliefs In The Causesand Consequences of Pain. Pain 1992;51(3):267-272.
• Berk H. Chronic Pain Experience and Pain Beliefs: A Validity and Reliability Study of the Turkish Version of the Pain Beliefs Scale. Doctoral Thesis. Istanbul University, Institute of Social Sciences, 2006.
• Karaca S, Demir F, Askın R, Simsek I. Validity and reliability of the coping with pain scale. 5th Turkish-German Physical Medicine and Rehabilitation Congress Antalya. 1996.
• Baier B, Gierthmühlen J, Baron R & Sommer C. Painful diabetic peripheral neuropathy: Patient experiences and clinical challenges. Pain Reports, 2023; 8(1), e1060.
• Kirk JK, Hunter JC, Mihalko SL, Danhauer SC, Shumaker SA. Perspectives of pain in patients with type 2 diabetes. Expert Review of Endocrinology & Metabolism 2019; 14(3): 215-219.
• Ozturk Birge A, Mollaoğlu M. Patients' pain beliefs and non-pharmacological methods used to manage pain. Pain 2018; 30:84-92.
• Topcu SY. Relations among pain, pain beliefs, and psychological well-being in patients with chronic pain. Pain Management Nursing 2018;19(6):637-644.
• Barroso J, Santiago L M & Costa A. The role of pain beliefs and self-efficacy in chronic pain adaptation: A systematic review. Journal of Pain Research, 2024;17,455-468.
• Yang L, Wang Y & Chen X. Psychological factors, coping strategies, and quality of life in patients with painful diabetic neuropathy. Frontiers in Psychology, 2023; 14, 1183921.
• Selvarajah D, Sloan G, Tesfaye S & Boulton AJM. Psychosocial care for people with diabetic neuropathy: An update. Diabetes Care, 2023; 46(6), 1245–1253.
• Babaoğlu G, İnan LE, Özdel K. The role of cognitive behavioral therapy in the treatment of chronic pain. Journal of Cognitive Behavioral Psychotherapy and Research 2017;6(3):133-140.
• Tesfaye S, Sloan G & Selvarajah D. Diabetic neuropathy: Current perspectives and future directions. Nature Reviews Endocrinology, 2025; 21(2), 95–110.
• Hocaoğlu Emre FS, Saribal D, Yenmis G, Guvenen G. Vascular cell adhesion molecule 1, intercellular adhesion molecule 1, and cluster of differentiation 146 levels in patients with Type 2 diabetes with complications. Endocrinology and Metabolism 2017;32(1): 99-105.
• Shamseer L, O’Connell NE & Moseley G. L. Pain neuroscience education for neuropathic pain: A systematic review and meta-analysis. European Journal of Pain, 2022;26(8), 1724–174128.
• Tatikola SP, Natarajan V, Amaravadi SK, Desai VK, Asirvatham AR & Nagaraja R. Effect of pain neuroscience education+ (PNE+) in people with different mechanisms of chronic pain: A systematic review and meta-analysis. Journal of Bodywork & Movement Therapies 2025;14(5), 215-237. https://doi.org/10.1016/j.jbmt.2024.11.016
• El-Tallawy SN, Farghaly WM & Shehata GA. Coping strategies and their association with pain perception in diabetic neuropathy. Diabetes & Metabolic Syndrome, 2022; 16(7), 102540.
• Hocaoğlu A, Berk HÖS, Ketenci A. Validity and reliability study of the pain coping inventory. Pain 2019; 31(1):32-41.
• Meints SM & Edwards RR. Evaluating psychosocial contributions to chronic pain outcomes. Progress in Neuro-Psychopharmacology and Biological Psychiatry 2018;87: 168-182.
• Jane SW, Lin MS, Chiu WN, Beaton RD, Chen MY. Prevalence, discomfort and self-relief behaviours of painful diabetic neuropathy in Taiwan: a cross-sectional study. BMJ Open 2016; 6 :e011897.