Geriatrik Tip 2 Diyabet Hastalarında Nöropatik Ağrı ve Yaşam Kalitesi Arasındaki İlişki

Öz

Amaç: Çalışma, geriatrik tip 2 diyabetli hastalarda nöropatik ağrı ile yaşam kalitesi arasındaki ilişkiyi değerlendirmek amacıyla tanımlayıcı olarak gerçekleştirildi. Gereç ve Yöntemler: Çalışmanın verileri “Soru Formu, Görsel Analog Skala (VAS), Douleur Neuropathique 4 Soru (DN4) anketi ve Dünya Sağlık Örgütü Yaşam Kalitesi Ölçeği Yaşlı Yetişkinler Modülü (WHOQOL-OLD) kullanılarak toplandı. DN4 anketinde nöropatik ağrı için sınır değer 4/10 ve üzeri olarak belirlendi. WHOQOL-OLD ölçeğinden elde edilen puanlar 24 ile 120 arasında değişti”. Bulgular: 65-79 yaş aralığındaki hastaların dahil edildiği bu çalışmada hastaların çoğunluğu erkek, 65-69 yaş aralığında ve okuma yazma bilmiyorlardı. Geriatrik hastaların çoğunluğunun 10 yıldan uzun süredir tip 2 diyabet hastası olduğu, diyabet tedavisinde insülin ile birlikte oral antidiyabetik ilaç kullandığı ve diyabete ek olarak kronik kardiyovasküler hastalığının da bulunduğu tespit edildi. Hastaların VAS’a göre genel ağrı skor ortalaması 6,27±1,48 iken, DN4’e göre nöropatik ağrı skor ortalaması 8,15±1,14 ve WHOQOL-OLD’a göre genel yaşam kalitesi skor ortalaması 68,67±6,61 olarak bulundu. Sonuç: Çalışmanın sonuçlarına göre, VAS ağrı skoru ile DN4 skoru arasında (r = 0,502, p = 0,001) ve WHOQOL-OLD genel skoru ile DN4 skoru arasında (r = -0,420 p = 0,007) anlamlı korelasyon olduğu ortaya konuldu. Ayrıca, diyabet tanısının süresi (p=0,038), diyabet tedavisinin türü (p=0,018), diyabet kontrolü için hastaneye yatış (p=0,047) ile hastaların DN4 skor ortalamasının anlamlı olduğu bulundu.

Anahtar Kelimeler

• Diyabet
• Geriatri
• Hemşirelik
• Nöropatik Ağrı

The Relationship Between Neuropathic Pain and Quality of Life in Geriatric Type 2 Diabetic Patients

Öz

Aim: This descriptive study was conducted to evaluate the relationship between neuropathic pain and quality of life in geriatric patients with type 2 diabetes. Material and Methods: The data of the study were collected using “Questionnaire Form, Visual Analogue Scale (VAS), Douleur Neuropathique 4 Questions (DN4) questionnaire, and the World Health Organization Quality of Life Instrument Older Adults Module (WHOQOL-OLD). In the DN4 questionnaire, the limit value for neuropathic pain was determined to be 4/10 and above. The scores obtained from the WHOQOL-OLD scale ranged between 24 and 120”. Results: This study, which included patients aged 65-79, found that the majority of the patients were male, 65-69 years old, and illiterate. The majority of the geriatric patients had type 2 diabetes for more than 10 years, were using oral antidiabetic medications along with insulin for their diabetes treatment, and had chronic cardiovascular disease in addition to their diabetes. The patients' mean overall pain score according to the VAS was 6.27±1.48, the mean neuropathic pain score according to the DN4 was 8.15±1.14, and the mean overall quality of life score according to the WHOQOL-OLD was 68.67±6.61. Conclusion: The study results revealed a significant correlation between the VAS pain score and the DN4 score (r=0.502, p=0.001), and between the WHOQOL-OLD overall score and the DN4 score (r=-0.420, p=0.007). Furthermore, the duration of diabetes diagnosis (p = 0.038), the type of diabetes treatment (p=0.018), and hospitalization for diabetes control (p=0.047) were found to be significantly related to the patients' mean DN4 score.

Anahtar Kelimeler

• Diabetes
• Geriatrics
• Neuropathic Pain
• Nursing

Destekleyen Kurum

No financial support was received for this research.

Etik Beyan

Ethics committee approval (Decision no: 2018/72) was obtained from the Gaziantep University Clinical Research Ethics Committee.

Teşekkür

We would like to thank all patients and healthcare professionals who participated in the study.

Kaynakça

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