Investigation of the Relationship between Pain Level and General Comfort in Palliative Care Patients

Abstract

Purpose: The aim of this study is to investigate the relationship between pain level and general comfort in palliative care patients. Methods: The study was conducted with 358 patients aged 18 years and older, conscious, open to verbal communication, with a Palliative Performance Score of 40% and above, who were hospitalized in the palliative care clinics of a public hospital between March 2019 and February 2020, and agreed to participate in the study. Data were collected with Personal Information Form, Palliative Performance Scale (PPS), Short Form - McGill Melzack Pain Questionnaire (SF-MPQ), and General Comfort Scale (GCS). Independent sample t-test, one-way analysis of variance (ANOVA), Pearson Correlation and Linear Regression analysis were used to analyze the data. Results: Of the participants, the mean age was 38.76±8.90 years, 53.4% were male, 29.6% were cancer patients, It was determined that 39.7% of them had a 4-6 day hospital stay history, and 70.7% of them had their daily life affected due to pain. It was determined that 21.2% of the patients had head extremity, 24.3% had throbbing, 36.6% had terrible pain, 45.3% had a rhythmic-periodic-intermittent pain. As a result of the research, it was determined that the pain intensity (cm) of the patients was 8.01±0.52, and the mean total score of the general comfort scale was 1.87±0.11. A high negative correlation was found between SF-MPQ and GCS (p<0.05). Conclusion: In this study, it was determined that an increase in the level of pain decreased the general comfort level in palliative care patients.

Keywords

• Palliative care
• pain
• nurse.
• patient comfort

Palyatif Bakım Hastalarında Ağrı Düzeyi ile Genel Konfor Arasındaki İlişkinin İncelenmesi

Abstract

Amaç: Bu araştırmanın amacı, palyatif bakım hastalarında ağrı düzeyi ile genel konfor arasındaki ilişkinin incelenmesidir. Yöntem: Çalışma, Mart 2019-Şubat 2020 tarihleri arasında kamuya ait bir hastanenin palyatif bakım kliniklerinde yatarak tedavi gören 18 yaş ve üzerinde olan, bilinci yerinde olan, sözel iletişime açık, Palyatif Performans Skoru %40 ve üzerinde bulunan ve çalışmaya katılmayı kabul eden 358 hasta ile tamamlanmıştır. Veriler, Kişisel Bilgi Formu, Palyatif Performans Skalası (PPS), Kısa McGill Melzack Ağrı Soru Formu (K-MASF) ve Genel Konfor Ölçeği (GKÖ) ile toplanmıştır. Verilerin değerlendirilmesinde Independent Sample t testi, One-Way ANOWA, Pearson Korelasyon ve Linear Regresyon analizi kullanılmıştır. Bulgular: Araştırmaya katılan hastaların yaş ortalaması 38.76±8.90 yıl, %53,4’ünün erkek, %29,6’sının kanser hastası, %39,7’sinin hastanede yatış süresinin 4-6 gün olduğu ve %70,7’sinin ağrı nedeniyle günlük yaşamlarının etkilendiği saptanmıştır. Hastaların %21,2’sinin ağrı bölgesinin baş/ekstremite, %24,3’ünün ağrı niteliğinin zonklama, %36,6’sının genel ağrı şiddetinin berbat, %45,3’ünün ağrısının zamanla ilişkisinin Ritmik-Periyodik-Aralıklı olduğu saptanmıştır. Araştırma sonucunda, hastaların ağrı şiddetinin 8,01±0,52, genel konfor ölçeği toplam puan ortalamasının ise 1,87± 0,11 olduğu belirlenmiştir. K-MASF ve GKÖ arasında yüksek düzeyde negatif yönlü bir ilişki bulunduğu saptanmıştır (p<0,05). Sonuç: Bu araştırmada, palyatif bakım hastalarında ağrı düzeyinin artmasının genel konfor düzeyini azalttığı saptanmıştır.

Keywords

• Palyatif bakım
• ağrı
• hemşire.
• hasta konforu

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