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

Yıl 2021, Cilt: 15 Sayı: 4, 888 - 894, 20.12.2021

Tuğba Menekli , Runida Doğan , Sibel Şentürk

https://doi.org/10.21763/tjfmpc.989985

Öz

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.

Anahtar Kelimeler

Palliative care, pain, nurse., patient comfort

Palyatif Bakım Hastalarında Ağrı Düzeyi ile Genel Konfor Arasındaki İlişkinin İncelenmesi

Öz

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.

Anahtar Kelimeler

Palyatif bakım, ağrı, hemşire., hasta konforu

Kaynakça

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