Evaluation of Self-Care and Self-Efficacy in Patients Experiencing Phantom Pain After Amputation

Year 2024, , 296 - 303, 28.06.2024

Hamdiye Banu Katran , Nuray Akyüz , Nurgül Arpag , Sevgi Gür

https://doi.org/10.33808/clinexphealthsci.1105212

Abstract

Objective: This study was conducted with a comparative and descriptive research design to evaluate the self-care agency and self-efficacy of patients who experienced phantom pain after limb amputation.
Methods: The population of the study consisted of 54 patients who underwent limb amputation operations in a university hospital in Istanbul between 1 January 2018 and 1 January 2020. Sample selection was not made, all patients included the population were reached by phone after their discharge. When the data were collected, one patient was excluded due to being younger than 18 years of age, 12 patients died, 9 patients had stump pain, and the study was completed with 32 patients. Data were collected using a "Personal Information Form", the Visual Analog Scale, the Exercise of Self-Care Agency Scale and the Self-Efficacy Scale.
Results: The mean Exercise of Self-Care Agency Scale score of the patients was found to be 79.37±21.55. Their mean total Self-Efficacy score was 70.00±16.10. There was no statistically significant relationship between postoperative phantom pain and scale scores.
Conclusion: It was determined that patients who experienced phantom pain after amputation had moderate self-care agency and perceived self-efficacy levels.

Keywords

Amputation, phantom limb pain, self-care, self efficacy

Supporting Institution

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Project Number

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Thanks

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References

• Sesli E, Karaaslan AA, Öztürk AM. Amputasyon nedenleri. Türkiye Klinikleri J Orthop & Traumatol-Special Topics. 2011;4(4):8-14. (Turkish)
• Chen IH, Chi MJ. Effects of self-care behaviors on medical utilization of the elderly with chronic diseases-A representative sample study. Arch Gerontol Geriatr. 2015;60:478–485. DOI: 10.1016/j.archger.2015.01.014.
• Kaya H. Özbakım değerlendirme ölçeğinin (ÖBDÖ) dil eşdeğerliği ve güvenirliği. Hemşirelik Bülteni 2005;13(55):139-148. (Turkish)
• Özkan S, Durna Z. İnsüline bağımlı diyabetli hastalarda özbakım gücünün belirlenmesi. Ege Üniv Hem YO Derg 2006;22:121-125. (Turkish)
• Dereli Yılmaz S, Kızılkaya Beji N. Gebelikte özbakım gücünün değerlendirilmesi. Genel Tıp Derg. 2010;20(4):137-142. (Turkish)
• Nahcivan N, Tuncel N. Sağlıklı gençlerde özbakım gücü ve aile ortamının etkisi. Hemşirelik Bülteni 1999;12(45):49-60. (Turkish)
• Webber D, Guo Z, Mann S. Self-care in health: We can define it, but should we also measure it?. SelfCare. 2013;4(5):101-106.
• Senemoğlu N. Gelişim, öğrenme ve öğretim, kuramdan uygulamaya. Gazi Kitabevi, Ankara, 2001; pp.235-236. (Turkish)
• Schwarzer R, Fuchs R. Self-efficacy and health behaviours. In M. Conner & P. Norman (Eds.), Predicting health behaviour: Research and practice with social cognition models Open University Press.1996; pp.163-196.
• Van der Ven NCW, Weinger KYJ, Pouwer F, Ader H, Van der Ploeg HM, Snoek FJ. The confidence in diabetes self-care scale. Diabetes Care 2003;26(3):713-718. DOI: 10.2337/diacare.26.3.713
• Uğurlu SB. Postoperative neuropsychiatric system. Türkiye Klinikleri J Surg Med Sci. 2007;3(27):23-28.
• Krenzisckek D, Wilson L, Newhouse R, Mamaril M, Kane HL. Clinical evaluation of the ASPAN pain and comfort clinical guideline. J Perianesth Nurs. 2004;19(3):150-163. DOI: 10.1016/j.jopan.2004.03.003. PMID: 15195274.
• Şener G, Erbahçeci F. Protezler. H.Ü. Fizik Tedavi ve Rehabilitasyon YO Yayınları Ankara, 2001; pp:239-92. (Turkish)
• Yıldırım M, Kanan N. The effect of mirror therapy on the management of phantom limb pain. Agri 2016;28(3):127-134. DOI: 10.5505/agri.2016.48343
• Kooijman CM, Dijkstra PU, Geertzen JHB, Elzinga A, van der Schans CP. Phantom pain and phantom sensations in upper limb amputees: An epidemiological study. Pain 2000;87(1):33-41. DOI: 10.1016/S0304-3959(00)00264-5. PMID: 10863043.
• Dijkstra PU, Geertzen JHB, Stewart R, van der Schans CP. Phantom pain and risk factors: A multivariate analysis. J Pain Symptom Manage. 2002;24(6):578-585. DOI: 10.1016/s0885-3924(02)00538-9. PMID: 12551807.
• Yılmaz E, Çeçen D, Kızıl Toğaç H, Mutlu S, Kara H, Aslan A. Ameliyat sürecindeki hastaların konfor düzeyleri ve hemşirelik bakımları. CBU-SBED. 2018;5(1):3-9. (Turkish)
• Raichle KA, Hanley MA, Molton I, Kadel NJ, Campbell K, Phelps E, Ehde D, Smith DG. Prosthesis use in persons with lower- and upper-limb amputation. J Rehabil Res Dev. 2008;45(7):961-972. DOI: 10.1682/jrrd.2007.09.0151. PMID: 19165686; PMCID: PMC2743731.
• Ephraim PL, Wegener ST, MacKenzie EJ, Dillingham TR, Pezzin LE. Phantom pain, residual limb pain, and back pain in amputees: Results of a national survey. Archives of physical medicine and rehabilitation 2005;86(10):1910-1919. DOI: 10.1016/j.apmr.2005.03.031
• Besser A, Flett GL, Hewitt PL. Perfectionism, cognition, and affect in response to performance failure vs. success. Journal of Rational-Emotive & Cognitive-Behavior Therapy 2004;22:297-324. DOI: 10.1023/B:JORE.0000047313.35872.5c
• Besser A, Priel B. Emotional responses to a romantic partner’s imaginary rejection: The roles of attachmeny anxiet, covert narcissism, and self-evaluation. J Pers. 2009;77(1):287-325. DOI: 10.1111/j.1467-6494.2008.00546.x. Epub 2008 Dec 10. PMID: 19076997.
• Kearney BY, Fleischer BJ. Development of an instrument to measure exercise of self-care agency. Res Nurs Health 1979;2(1):25-34.
• Sherer M, Maddux JE, Mercandante B, Prentice-dunn S, Jacobs B, Rogers RW. The Self-efficacy scale: Construction and validation. Psychological Reports 1982;51(2):663-71. DOI: 10.2466/pr0.1982.51.2.663.
• Gözüm S, Aksayan S. Öz yeterlik ölçeğinin Türkçe formunun güvenilirlik ve geçerliliği. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 1999;2(1):21-34.
• Alsancak S, Altınkaynak H. Fantom hissi, fantom ağrısı ve ağrılı güdük, Ankara Üniversitesi Dikimevi, Sağlık Hizmetleri Meslek Yüksekokulu Yıllığı 2003;4(1):21-24.
• Uğur F, Akın A, Esmaoğlu A, Doğru K, Örs S, Aydoğan H, Gülcü N, Boyacı A. Alt ve üst ekstremite amputasyonlarının fantom ağrısı ve fantom ekstremite hissi yönünden karşılaştırılması. Ağrı 2007;19(1):50-56. (Turkish)
• Foell J, Bekrater-Bodmann R, Flor H, Cole J. Phantom limb pain after lower limb trauma: Origins and treatments: The International Journal of Lower Extremity Wounds 2011;10(4) 224-235. DOI: 10.1177/1534734611428730
• Başal Ö. Amputasyonlar. Derman Tıbbi Yayıncılık, 2015; pp.856-868. (Turkish)
• Ventham N, Heyburn P, Huston N. 374 prevalence of phantom limb pain in diabetic and non-diabetic leg amputees: A cross-sectional observational survey. Eur J Pain Suppl. 2010;4(1):106–107. DOI: 10.1016/S1754-3207(10)70379-5.
• Lau-Walker M. Relationship between illness representation and self-efficacy. J Adv Nurs 2004;48(3):216-225. DOI: 10.1111/j.1365-2648.2004.03190.x. PMID: 15488035.
• Kara B, Fesçi H. Tip I diabet hastalarının özbakım gücünün incelenmesi, Sendrom Dergisi 2000;12(4):28-32. (Turkish)
• Baykal YB, Yaman E, Burc H, Yorgancigil H, Atay T, Yıldız M. Is scintigraphy a guideline method in determining amputation levels in diabetic foot? J Am Podiatr Med Assoc. 2014;104(3):227-232. DOI: 10.7547/0003-0538-104.3.227. PMID: 24901580.
• Hanley MA, Jensen MP, Smith DG, Ehde DM, Edwards TW, and Robinson LR. Preamputation pain and acute pain predict chronic pain after lower extremity amputation. J Pain. 2007;8(2):102-109. DOI: 10.1016/j.jpain.2006.06.004.
• Richardson C, Crawford K, Milnes K, Bouch E, Kulkarni J. A Clinical evaluation of postamputation phenomena including phantom limb pain after lower limb amputation in dysvascular patients. Pain Management Nursing 2015;16(4):561-569. DOI: 10.1016/j.pmn.2014.10.006
• Bosmans JC, Geertzen JH, Post WJ, van der Schans CP, Dijkstra PU. Factors associated with phantom limb pain: A 31/2-year prospective study. Clin Rehabil. 2010;24(5):444-453. DOI: 10.1177/0269215509360645. PMID: 20442256.
• Gül A, Üstündağ H, Zengin N. Böbrek nakli yapılan hastalarda özbakım gücünün değerlendirilmesi, Genel Tıp Derg. 2010;20(1):7-11. (Turkish)
• Türkcan Düzöz G. Hipertansiyonlu hastalarda özbakım gücünün değerlendirilmesi. Hemşirelik Forumu 2005;8(2):22-26. (Turkish)
• Üstündağ H, Zengin N. Baş Boyun kanseri nedeni ile cerrahi girişim geçiren hastaların özbakım gücünün değerlendirilmesi. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi 2008;11:63-68. (Turkish)
• Alemdar H, Çınar Pakyüz S. Hemodiyaliz hastalarında özbakım gücünün yaşam kalitesine etkisinin değerlendirilmesi. Nefroloji Hemşireliği Dergisi 2015;10(2):19-30. (Turkish)
• Yılmaz E, Aslan A, Ergin E. Kolonoskopi yapılacak hastalarda bağırsak temizliğine öz etkililik düzeylerinin etkisi. CBU-SBED. 2018;5(4):192-198. (Turkish)
• Vatansever Ö, Ünsar S. Esansiyel hipertansiyonlu hastaların ilaç tedavisine uyum/öz etkililik düzeylerinin ve etkileyen faktörlerin belirlenmesi. Türk Kardiyoloji Derneği Kardiyovasküler Hemşirelik Dergisi 2014;5(8):66-74. DOI: 10.5543/khd.2014.008 (Turkish)
• Karasawa Y, Yamada K, Iseki M, Yamaguchi M, Murakami Y, Tamagawa T, Kadowaki F, Hamaoka S, Ishii T, Kawai A, Shinohara H, Yamaguchi K, Inada E. Association between change in self-efficacy and reduction in disability among patients with chronic pain. PLoS ONE. 2019;14(4):e0215404. DOI: 10.1371/journal.pone.0215404.
• Tsay SL, Healstead M. Self-care, self-efficacy, depression, and quality of life among patients receiving hemodialysis in Taiwan. Int J Nurs Stud. 2002;39(3):245-251. DOI: 10.1016/s0020-7489(01)00030-x.
• Song MR, Kim MJ, Lee ME, Lee IB, Shu MR. A study on the correlation between self-efficacy and self-care in hemodialysis patients. Journal of Korean Academy of Nursing 1999;29(3):563-575. DOI: 10.4040/jkan.1999.29.3.563
• Lew EL, Owen SV. A measure of self- care, self efficacy. Res Nurs Health. 1996;19(5):421-429. DOI: 10.1002/(SICI)1098-240X(199610)19:5<421::AID-NUR6>3.0.CO;2-S.