Sacit GÜLEÇ, Güler BALCI ALPARSLAN, Burcu BABADAĞ SAVAŞ

Kronik başağrısı hastalarının ağrı inançları

Amaç: Bu çalışmanın amacı kronik başağrısı yaşayan hastaların ağrı inançlarının kökenini keşfetmektir. Gereç ve Yöntem: Niteliksel özellikteki çalışmada vaka çalışması modeli kullanıldı. Ölçüt örnekleme yöntemiyle bir üniversite hastanesinin Algoloji Polikliniği’ne başvuran kronik başağrısı yaşayan 6 hasta seçildi. Veriler odak grup görüşmesi yöntemiyle toplandı. Veriler toplam 8 açık uçlu sorudan oluşan yarı yapılandırılmış görüşme şekliyle elde edildi. Veriler betimleyici ve içerik analizi yöntemiyle değerlendirildi. Bulgular: Kronik başağrısı hastalarının ağrı yaşama nedeni ve ağrının kökeninin ne olduğu ile ilgili inançları temasına bağlı olarak (1) organik inançlar, (2) psikolojik inançlar ve (3) çevresel inançlar olmak üzere 3 alt tema oluşturulmuştur. Hastalar ağrı nedenini organik inançlar alt temasından en fazla genetik (ailesel), daha sonra sırasıyla fizyolojik ihtiyaçlar, (doku zedelenmesi, ameliyat ve ağır kaldırma) ile ilişkilendirdi. Hastalar ağrı nedenini psikolojik inançlar alt temasından en fazla stres ve bunun yanı sıra üzüntü ve hassas kişilik özellikleri ile ilişkilendirdi. Sonuç: Ağrı tedavisi hemşirelik bakımında ağrı inancı farklılıklarının ve nitel araştırmaların dikkate alınması önerilmektedir

Pain beliefs of chronic headache patients

Objectives: This study was designed to explore the origin of the pain beliefs of chronic headache patients.Methods: This qualitative research has been designed using a case study method. Selected using the criterion samplingmethod, patients consisted of a total of six chronic headache patients in algology outpatient clinic at a University Hospitalin Turkey. The data were collected using focus group methods. Data were obtained using a semi-structured interview formcomposed of eight open-ended questions. Data were evaluated by analyzing both descriptive and content data.Results: Chronic headache patients’ views on why they have pain and which beliefs they have about origin of the pain havethree subthemes: (1) Organic beliefs, (2) psychological beliefs, and (3) environmental beliefs. Patients’ most frequently citedorganic beliefs were genetics (familial) and physiological (tissue damage, surgery, and lifting of heavy objects). Patients’ mostfrequently cited psychological beliefs were stress, sadness, and having a sensitive personality.Conclusion: It is suggested to take pain beliefs differences and qualitative research into consideration in the management ofpain in nursing care

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