The effect of mirror therapy on the management of phantom limb pain

Amaç: Son iki dekatta, ayna terapisi fantom ekstremite ağrısının (FEA) yönetiminde sıkça kullanılmaya başlanan bir yöntemdir. Ancak, literatürde ayna terapisinde hemşirenin rolüne ilişkin yeterince bulgu yoktur. Bu çalışma, FEA üzerinde ayna terapisinin etkisini incelemek ve ampüte hastalara verilen hemşirelik bakımında ayna terapisinin kullanımının önemini vurgulamak amacıyla gerçekleştirildi. Gereç ve Yöntem: Yarı deneysel düzendeki bu çalışma FEA bildiren 15 ampüte hasta ile İstanbul'daki bir üniversite hastanesi ve özel bir protez kliniğinde gerçekleştirildi. Verilen 40 dakikalık ayna terapisi eğitiminden sonra hastalardan dört hafta boyunca terapiye evde devam etmeleri ve 0-10 Sayısal Ağrı Şiddeti Skalası kullanarak günlük FEA puanlarını terapiden önce ve sonra kaydetmeleri istendi.Bulgular: Dört hafta boyunca her gün uygulanan ayna terapisi ile FEA şiddetinde anlamlı bir düşüşün olduğu saptandı. Ayna terapisi uygulaması ile hastaların demografik özellikleri, ampütasyon ve/veya FEA ile ilişkili özellikleri arasında anlamlı bir ilişki görülmedi. Protez kullanmayan hastaların ayna terapisinden daha fazla yarar gördüğü saptandı.Sonuç: Ayna terapisi FEA'nın tıbbi ve cerrahi tedavisine ek olarak destekleyici bir yöntem olarak uygulanabilir. Bu yöntem, aynı zamanda hastanın bağımsız olarak uygulayabileceği bir yöntem olması nedeniyle hastaların ağrı yönetimindeki özkontrollerini de artıracaktır. Bu bağlamda ayna terapisinin güvenli, ekonomik ve kullanımı kolay bir yöntem olması nedeniyle, FEA'sı olan hastaların hemşirelik bakım planına dahil edilmesi önemlidir.

Fantom ekstremite ağrısının yönetiminde ayna terapisinin etkisi

Objectives: In the last two decades, mirror therapy has become a frequently used method of managing phantom limb pain (PLP). However, the role of nurses in mirror therapy has not yet been well defined. This study examined the effect of mirror therapy on the management of PLP, and discusses the importance of mirror therapy in the nursing care of amputee patients.Methods: This quasi-experimental study was conducted in the pain management department of a university hospital and a prosthesis clinic in İstanbul, Turkey, with 15 amputee patients who had PLP. Forty minutes of practical mirror therapy training was given to the patients and they were asked to practice at home for 4 weeks. Patients were asked to record the severity of their PLP before and after the therapy each day using 0-10 Numeric Pain Intensity Scale.Results: Mirror therapy practiced for 4 weeks provided a significant decrease in severity of PLP. There was no significant relationship between the effect of mirror therapy and demographic, amputation or PLP-related characteristics. Patients who were not using prosthesis had greater benefit from mirror therapy.Conclusion: Mirror therapy can be used as an adjunct to medical and surgical treatment of PLP. It is a method that patients can practice independently, enhancing self-control over phantom pain. As mirror therapy is a safe, economical, and easy-to-use treatment method, it should be considered in the nursing care plan for patients with PLP.

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