Şükran ERTEKİN PINAR, Gülay YILDIRIM, İclal ÖZDEMİR KOL, Sinan GÜRSOY

Algoloji kliniğinde yatan hastaların ağrı ile ilgili etik konulardaki görüşleri

Amaç: Algoloji kliniğinde yatan hastaların ağrıyla ilgili etik konulardaki görüşlerini belirlemektir. Gereç ve Yöntem: Tanımlayıcı çalışmanın örneklemini algoloji kliniğindeki 135 hasta oluşturmuştur. Veriler Visüel Analog Skala (VAS) ve ağrıyla ilgili etik konuları kapsayan soru formuyla toplandı. Verilerin değerlendirilmesinde yüzdelik dağılım, Tukey testi ve Varyans analizi kullanıldı. Bulgular: Hastaların %92.6’sı ağrılarının giderilmesi hakkı olduğuna, %94.8’i kendileriyle ilgili karar alınırken görüşlerinin alınması gerektiğine inanmaktadırlar. “İleri dönem kanseri olan bir hastanın dindirilmesi mümkün olmayan şiddetli ağrısı için ölümüne neden olabilecek miktarda ağrı kesici ilaç istediğinde doktor aşırı doz ilacı vermelidir” önermesine hastaların %43.0’ünün katılmadığı belirlendi. Aynı durumda iken ölümüne neden olabilecek miktarda ağrı kesici ilacı, aile-hasta istediğinde doktorun aşırı doz ilacı vermesi gerektiğine katılımcıların %51.9’unun, aile istemeyip, hasta istediğinde doktorun aşırı doz ilacı vermesi gerekliliğine ise %44.4’ünün katılmadığı saptandı. VAS puan ortalamaları ile ileri dönem kanseri olan bir hastanın dindirilmesi mümkün olmayan şiddetli ağrısı için ölümüne neden olabilecek miktarda ağrı kesici ilacı hastanın kendisi istediğinde veya ilacı aile istemeyip hasta istediğinde doktor aşırı doz ilacı vermesi gerektiği ile ilgili önermeler arasında istatistiksel olarak anlamlı fark olduğu bulundu (p

Views of algology inpatients about ethical issues related to pain

Objectives: To determine the views of patients hospitalized in the algology clinic about ethical issues related to pain.Methods: A total of 135 patients admitted to the algology clinic comprised the population of this descriptive study. Data werecollected using the visual analogue scale (VAS) and the questionnaire on ethical issues related to pain. To evaluate the data,percentage distribution and the Tukey test of variance were used.Results: Of the patients, 92.6% believed that they had the right to pain relief, and 94.8% believed that they should be consultedwhen decisions about them were made. It was determined that 43.0% of the patients disagreed with Proposition 1,“When a terminal-stage cancer patient with unrelievable pain requests an overdose of pain medication, possibly to causedeath, the physician must prescribe it,” while 51.9% of the participants disagreed with Proposition 2, “When a terminal-stagecancer patient with unrelievable pain and his or her family request an overdose of pain medication, possibly to cause death,the physician must prescribe it,” and 44.4% of them disagreed with Proposition 3, “When a terminal-stage cancer patient withunrelievable pain requests an overdose of pain medication, possibly to cause death even though his or her family refuses,the physician must prescribe it.” A statistically significant relationship (p

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