Hemşireler İle Hastaların Ağrı Değerlendirmesi Arasındaki Uyumlarının ve Hemşirelerin Ağrı İnanışlarının Belirlenmesi

Öz

Amaç: Hemşireler ile hastaların ağrı değerlendirmeleri arasındaki uyumun ve hemşirelerin ağrı inançlarının belirlenmesidir. Gereç ve Yöntem: Tanımlayıcı tipteki araştırma, 150 travma hastası ve bu hastalara bakım veren13 hemşire ile Ekim 2018-Mayıs 2019 tarihlerinde gerçekleştirilmiştir. Veriler, Tanıtıcı Bilgiler Formu, Ağrı İnançları Ölçeği (AİÖ), Visual Analog Skala (VAS) ve Ağrı Takip Formu ile toplanmıştır. Tanımlayıcı istatistikler, t testi, ANOVA, Paired Sample t test, Pearson Korelasyon testi ve Intraclass Correlation Coefficient (ICC) testleri ile veriler analiz edilmiştir. Bulgular: Hastaların ve hemşirelerin ortalama ağrı şiddeti 1. günde en yüksek düzeyde saptanmış ve izleyen günlerde istatistiksel olarak anlamlı bir azalma göstermiştir (p<0.001). Hemşire-hasta ağrı değerlendirmeleri arasındaki uyum yüksek olmakla birlikte (ICC: 0.81–0.98; p<0.001), hastaların bildirdiği ağrı puanının hemşirelerin bildirdiği ağrı puanından fazla olduğu saptanmıştır. Hemşirelerin AİÖ Organik İnançlar (AİÖ-Oİ) puan ortalamasının 3.17±1.05, Psikolojik İnançlar (AİÖ-Pİ) puan ortalamasının 2.40±0.33 olduğu, AİÖ-Oİ ile AİÖ-Pİ arasında pozitif bir ilişkinin olduğu saptanmıştır. Sonuç: Hastalarda en şiddetli ağrının 1. günde olduğu ve zamanla giderek azaldığı, ağrı değerlendirmesinde hasta-hemşire uyumunun yüksek olduğu ancak hemşirelerin hastalara göre ağrıyı daha düşük değerlendirdiği ve hemşirelerin ağrı inançlarının daha çok organik kökenli olduğu saptanmıştır.

Anahtar Kelimeler

• Ağrı
• Ağrı Değerlendirmesi
• Hemşire
• İnanç
• Travma

Determination of the Congruence Between Nurses and Patients' Pain Assessment and Nurses' Pain Beliefs

Öz

Aim: To determine the consistency between nurses' and patients' pain assessments and to identify nurses' beliefs about pain. Materials and Methods: This descriptive study was conducted between October 2018 and May 2019 with 150 trauma patients and 13 nurses caring for these patients. Data were collected using the Demographic Information Form, Pain Beliefs Scale (PBS), Visual Analog Scale (VAS), and Pain Follow-up Form. Data were analyzed using descriptive statistics, t-test, ANOVA, Paired Sample t-test, Pearson Correlation test, and Intraclass Correlation Coefficient tests. Results: The average pain intensity of patients and nurses was found to be highest on day 1 and showed a statistically significant decrease on the following days (p<0.001). Although the agreement between nurse and patient pain assessments was high (ICC: 0.81–0.98; p<0.001), it was found that patients reported higher pain scores than nurses. The mean PBS Organic Beliefs (PBS-OB) score for nurses was 3.17±1.05, and the mean Psychological Beliefs (PBS-PB) score was 2.40±0.33. A positive correlation was found between PBS-OB and PBS-PB. Conclusion: It was determined that the most severe pain in patients occurred on the first day and gradually decreased over time, that patient-nurse agreement in pain assessment was high but nurses rated pain lower than patients, and that nurses' beliefs about pain were more organic in origin.

Anahtar Kelimeler

• Beliefs
• Nurse
• Pain
• Pain Assessment
• Trauma

Kaynakça

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