Pain Assessment In Patients Who Receive Hemodialysis Treatment

Öz

Aim: Pain is an important health issue that is common among patients who receive hemodialysis (HD) treatment and greatly affects the patients’ quality of life. This study aims to assess the qualitative pain characteristics of patients who receive HD treatment using the McGill Pain Questionnaire. Materials and Method: This quantitative, descriptive and cross-sectional study included 87 patients who received HD treatment. Data were collected using an information form and the McGill Pain Questionnaire in the HD clinic of a training and research hospital in Turkey between 01.04.2019 and 31.09.2019. Results: The study found that the mean current pain scores of the HD patients were moderate (2.13±0.56). The study determined that the patients experienced pain most often in the lower extremity (36.8%) and head region (29.9%) and least in the upper extremity (11.5%). The hemodialysis procedure (44.8%), not following the diet (23%), fatigue (16.1%) and stress (16.1%) were found to intensify the pain. The study found that analgesics (36.8%), resting (31%), complementary approaches (17.2%) and other practices (14.9%) relieved pain when patients were in pain. The study also found that the patients often used the words tiring (n=47), sickening (n=42), fearful (n=41) and wretched (n=38) to define the pain they felt. Conclusion: Measuring and categorizing pain are greatly important to increase the quality of life. The results obtained indicate that assessment of the pain individualistically will be a guide to provide a holistic approach in HD patients.

Anahtar Kelimeler

• Pain
• pain measurement
• hemodialysis
• McGill Pain Questionnaire

Hemodiyaliz Tedavisi Gören Hastalarda Ağrı Değerlendirmesi

Öz

Amaç: Hemodiyaliz (HD) tedavisi gören hastalarda ağrı sık görülen ve büyük ölçüde yaşam kalitesini etkileyen önemli bir sağlık problemidir. Bu araştırma, McGill Ağrı Anketi ile hemodiyaliz tedavisi gören hastaların kalitatif ağrı özelliklerini değerlendirmeyi amaçlamaktadır. Gereç ve Yöntem: Araştırma, hemodiyaliz tedavisi gören 87 hasta ile gerçekleştirilen nicel, tanımlayıcı ve kesitsel bir çalışmadır. Veriler bilgi formu ve McGill Ağrı Anketi aracılığıyla 01.04.2019-31.09.2019 tarihleri arasında Türkiye’de bir eğitim araştırma hastanesinin hemodiyaliz kliniğinde toplandı. Bulgular: Çalışmada HD hastalarının var olan ağrı şiddeti puan ortalamalarının orta düzeyde (2.13±0.56) olduğu belirlendi. Katılımcıların en sık alt ekstremite (%36.8), ve baş bölgesinde (%29.9) en az üst ekstremitede (%11.5) ağrı deneyimlediği saptandı. Hemodiyaliz işlemi (%44.8), diyete dikkat etmemek (%23), yorgunluk (%16.1) ve stresin (%16.1) ağrıyı artırdığı görüldü. Hastaların ağrısı olduğunda ise sırası ile analjeziklerin (%36.8), istirahat etmenin (%31), tamamlayıcı yaklaşımların (%17.2) ve diğer uygulamaların (%14.9) ağrıyı azalttığı belirlendi. Hastaların hissettikleri ağrıları tanımlarken sıklıkla yorucu (n=47), tiksindirici (n=42), korku veren (n=41) ve sefil eden (n=38) ifadelerini kullandığı görüldü. Sonuç: Yaşam kalitesinin artırılmasında ağrıyı ölçmek ve karakterize etmek son derece önemlidir. Elde edilen sonuçların hemodiyaliz hastalarında, ağrıyı bireye özgü değerlendirerek bütüncül bir yaklaşımın sunulmasında yol gösterici olacağı düşünülmektedir.

Anahtar Kelimeler

• Ağrı
• ağrı ölçümü
• hemodiyaliz
• McGill Pain Questionnaire

Kaynakça

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