BURCU BABADAĞ SAVAŞ, GÜLER BALCI ALPARSLAN, MEHMET SACİT GÜLEÇ

Coping with the pain of elderly pain patients: Nursing approach

Amaç: Bu tanımlayıcı çalışma geriatrik ağrı hastalarının ağrıyla başa çıkma yollarını belirlemek amacıyla yapıldı.Gereç ve Yöntem: Tanımlayıcı tipte yapılan araştırma, bir üniversite hastanesinin Algoloji Servisi'nde yatan, 60 yaş ve üzerinde olan 28 Kasım 2014-28 Ocak 2015 tarihleri arasında 100 hastayla yürütüldü. Veriler araştırmacılar tarafından ilgili literatür taranarak hazırlanan Tanımlayıcı Özellikler Veri Formu ve Ağrıyla Başa Çıkma Ölçeği kullanılarak yüz yüze görüşme yöntemiyle toplandı. Verilerin değerlendirilmesinde tanımlayıcı istatistiksel metodlar, t testi, One-way Anova testi kullanıldı.Bulgular: Hastaların ağrı yaşama süresi 1 ay ile 40 yıl arasında değişmekte olup, ortalama ağrı yaşama süresi 63.57±82.65 aydı. Hastaların ağrıyla başa çıkma ölçek alt boyutundan aldıkları puan ortalamaları; kendi kendine başa çıkma 19.22±6.54, çaresizlik 13.45±3.86, bilinçli bilişsel girişimler 11.90±3.97 ve tıbbi çare arama 12.62±3.98 idi. Ağrı kontrolünün kendisinde olduğu inancına sahip hastaların kendi kendine başa çıkma ölçek puanları (p

Geriatrik ağrı hastalarının ağrıyla başa çıkma durumları: Hemşirelik yaklaşımı

Objectives: This study was designed to examine methods used by elderly patients to cope with pain and serve as a guide for nurses.Methods: This descriptive survey was carried out with geriatric patients (n=100) aged 60 years or more in inpatient Algology Unit of a university hospital between November 28, 2014 and January 28, 2015. Data were collected using descriptive characteristics questionnaire prepared based on review of the literature and via one-on-one interviews using Pain Coping Questionnaire (PCQ). Data were evaluated using descriptive statistical methods, Independent sample t-test, one-way analysis of variance test, and Pearson correlation coefficient.Results: Duration of pain experienced by the patients ranged from 1 month to 40 years, with mean duration of 63.57±82.65 months. Mean subscale scores of PCQ were: self-management, 19.22±6.54; helplessness, 13.45±3.86; conscious coping efforts, 11.90±3.97; and medical remedies, 12.62±3.98. Score of the patients who reported that they could manage their pain on their own (p<0.05), and of those who relied on medical remedies, believing that pain control is in the hands of nurses (p<0.05), were significantly higher.Conclusion: Means of coping with pain vary in geriatric patients and it is recommended that these differences be taken into account in nursing interventions

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Holahan CJ, Moos RH. Risk, resistance, and psychological distress: A longitudinal analysis with adults and children. J Abnorm Psychol 1987;96(1):3-13.
Lazarus RS, Folkman S. The coping process: An alternative to traditional formulations. Stress, Appraisal, and Coping. Springer Publishing Company, Newyork, USA; 1984. p. 141-2.
Akın Korhan E, Uyar M, Eyigör C, Hakverdioğlu Yönt G, Çelik S, Khorshıd L. The effects of music therapy on pain in patients with neuropathic pain. Pain Manag Nurs 2014;15(1):306-14.
Thrane S, Cohen SM. Effect of reiki therapy on pain and anxiety in adults: An in-depth literature review of rando- mized trials with effect size calculations. Pain Manag Nurs 2014;15(4):897-908.
Kathleen P, Moddeman G. Managing chronic pain in the elderly. Am Nurse Today 2010;59.
Karaca S, Demir O, Aşkın R, Şimşek İ. The reliability and va- lidity of pain coping questionnaire. 5. Congress of Turkish- German Physical Medicine and Rehabilitation 1996; Antal- ya, Turkey.
Barry LC, Kerns RD, Guo Z, Duong BD, Iannone LP, Car- rington Reid M. Identification of strategies used to cope with chronic pain in older persons receiving primary care from a Veterans Affairs Medical Center. J Am Geriatr Soc 2004;52(6):950-6.
Özel F, Yıldırım Y, Fadıloğlu Ç. Pain management of elderly in nursing homes. Pain 2014;26(2):57-64.
Benyon K, Muller S, Hill S, Mallen C. Coping strategies as predictors of pain and disability in older people in primary care: A longitudinal study. BMC Fam Pract 2013;14(1):1-7.
Tanrıverdi G, Okanlı A, Çetin H, Ozyazicioglu N, Sezgin H, Kararman HO, et al. Pain in the elderly population. Turk J Gerıatr 2009;12(4):190-7.
Çöçelli LP, Bacaksız BD, Ovaoğlu N. The nurse factor in pain therapy. Gaziantep Tıp Derg 2008;14:53-8.
Babadağ B, Balcı Alparslan G, Güleç S. The relationship bet- ween pain beliefs and coping with pain of algology pati- ents'. Pain Manag Nurs 2015;16(6):910-9.
Balcı Alparslan G, Babadağ B, Özkaraman A, Yıldız P, Mus- mul A, Korkmaz C. Effects of music on pain in patients with fibromyalgia. Clin Rheumatol 2016;35(5):1317-21.
Allcock N, McGarry J, Elkan R. Management of pain in older people within the nursing home: A preliminary study. He- alth Soc Care Community 2002;10(6):464-71.
Avşaroğulları L. Recent developments in the analgesia and sedation in the Emergency Department. Acil Tıp Dergisi Ekim 2000, III. Acil Tıp Sempozyumu Özel Sayısı 2000;203- 22.
Kandemirci D. Analysis of the relationship between trigge- ring to headache daily stress factors, pain assessment be- haviours and ways of coping with pain. Unpublished mas- ter thesis, Ege University Social Sciences Institute 2010; İzmir, Turkey.
Walsh DA, Radcliffe JC. Pain beliefs and perceived physi- cal disability of patients with chronic low back pain. Pain 2002;97(1):23-31.
Kleinke CL. How chronic pain patients cope with pain: Re- lation to treatment outcome in a multidisciplinary pain cli- nic. Cognit Ther Res 1992;16(6):669-85.
Ersek M, Turner JA, Cain KC, Kemp CA. Results of a rando- mized controlled trial to examine the efficacy of a chro- nic pain self-management group for older adults. Pain 2008;138(1):29-40.
Pons T, Shipton E, Mulder R. The relationship between beli- efs about pain and functioning with rheumatologic condi- tions. Rehabil Res Pract 2012:1-9.
Yavuz KF, Yavuz N, Ulusoy S, Alnıak İ, Güneş HNG. Mala- daptive cognitive content and attitudes accompanying tension type headache and migraine. Düşünen Adam 2013;26:12-21.
Lapierre S, Desjardins S, Préville M, Berbiche D, Lyson Mar- coux M. Wish to die and physical illness in older adults. Psychology Research 2015;5(2):125-37.
Ertekin Pınar Ş, Tel H. Individual with a diagnosis of depres- sion and nursing approach. J Psychiatr Nurs 2012;3(2):86- 91.
Zamora H, Clingerman EM. Health literacy among older adults: A systematic literature review. J Gerontol Nurs 2011;37(10):41-51.
Cornally N, McCarthy G. Chronic pain: The help-seeking behavior, attitudes, and beliefs of older adults living in the community. Pain Manag Nurs 2011;12(4):206-17.
Jackson T, Iezzi T, Gunderson J, Nagasaka T, Fritch A. Gen- der differences in pain perception: The mediating role of self-efficacy beliefs. Sex Roles 2002;47(11):561-8.
Miller C, Newton SE. Pain perception and expression: The influence of gender, personal self-efficacy, and lifespan so- cialization. Pain Manag Nurs 2006;7(4):148-52.
Şahin Ş. Gender and pain. Pain 2004;16(2):17-25.
Cowan DT, Fitzpatrick JM, Roberts JD, While AE, Baldwin J. The assessment and management of pain among older people in care homes: Current status and future directions. Int J Nurs Stud 2003;40(3):291-8.
Jarzyna D, Jungquist CR, Pasero C, Willens JS, Nisbet A, Oa- kes L, et al. American Society for Pain Management Nursing Guidelines on Monitoring for OpioidInduced Sedation and Respiratory Depression. Pain Manag Nurs 2011;12(3):118- 45.
Koch T, Jenkin P, Kralik D. Chronic illness self-management: Locating the 'self'. J Adv Nurs 2004;48(5):484-92.
Helmes E. Goburdhun A. Cognitions related to chronic pain: Revision and extension of the cognitive evaluation questionnaire. Clin J Pain 2007;23(1):53-61.
Dijkstra A, Vlaeyen JWS, Rijnen H, Nielson W. Readiness to adopt the self-management approach to cope with chro- nic pain in fibromyalgic patients. Pain 2001;90(1):37-45.
Ersek M, Turner JA, Cain KC, Kemp CA. Chronic pain self- management for older adults: A randomized controlled trial. BMC Geriatr 2004;4(7):1-11.
Vitiello MV, Rybarczyk B, Von Korff M, Stepanski EJ. Cogni- tive behavioral therapy for insomnia improves sleep and decreases pain in older adults with co-morbid insomnia and osteoarthritis. J Clin Sleep Med 2009;5(4):355-62.