Gülay YILDIRIM, ŞÜKRAN ERTEKİN PINAR, Cevdet DÜGER, Saliha ALTIPARMAK, SİNAN GÜRSOY, Caner MİMAROĞLU

The relation between pain perceived by the patients hospitalized in the algology clinic and their sleep and quality of life

Amaç: Ağrı kliniğinde yatan hastaların algıladığı ağrının uyku ve yaşam kalitesi üzerine etkisini belirlemek. Gereç ve Yöntem: Sivasta bir üniversite hastanesinin ağrı kliniğinde yatarak tedavi gören, çalışmaya katılmayı kabul eden 122 hasta ör- neklemi oluşturmuştur. Veriler Kişisel Bilgi Formu, Visüel Analog Skala (VAS), Pittsburg Uyku Kalitesi Ölçeği (PUKÖ) ve Kısa Form 36 (SF-36) ile toplanmıştır. Verilerin değerlendirilmesinde bağımsız gruplarda t-testi, Mann-Whitney U testi, Kruskal-Wallis testi ve pearson korelasyon analizi kullanılmıştır. Anlamlılık düzeyi p

Ağrı kliniğinde yatan hastaların algıladığı ağrı ile uyku ve yaşam kalitesi arasındaki ilişki

Objectives: Te aim of the present study was to determine the efects of perceived pain on quality of sleep and life in patients hos- pitalized in a pain clinic. Methods: Population of the present descriptive study composed of patients (>18 years old) treated as inpatients in the algology clinic of a university located at the city center of Sivas, who consented to participate in the study (122 patients). Data were collected through Personal Information Form, Visual Analog Scale (VAS), Pittsburg Sleep Quality Index (PSQI) and Short Form 36. Data were analyzed using independent t-test, Mann Whitney U test, Kruskal Wallis test and Pearson correlation test. Statistical signif- cance level was set at p<0.05. Results: A moderate negative correlation was found between VAS and three dimensions of SF-36, namely Physical Functioning, Role-Physical and Role-Emotional. VAS was weakly and negatively correlated to Vitality and Mental Health. Tere was a good linear correlation between VAS and quality of life (QoL), pain score while there was a moderate linear correlation between VAS and the total sleep score. It was found that quality of life was not statistically signifcantly correlated to General Health and Social Functioning. Conclusion: Tere is a relationship between pain, sleep quality and quality of life. Quality of sleep and life was found to decrease as the level of pain increased, and quality of life was afected negatively when the quality of sleep was poor. Applications towards resolv- ing pain would have a positive efect on the quality of sleep and life.

PDF

___

1. P irbudak Çöçelli L, Bacaksız BD, Ovayolu N. The nurse factor in pain therapy. Gaziantep Medical Journal 2008;14(1):53-8.
2. Berker E, Dinçer N. Chronic pain and rehabilitation. Agri. 2005 Apr;17(2):10-6.
3. Kuzeyli Yildirim Y, Uyar M, Fadillioğlu C. Cancer pain and its infuence on quality of life. Agri 2005;17(4):17-22.
4. Ağargün MY, Kara H, Anlar Ö. The reliability and validity of the Pittsburgh Sleep Quality Index. Turkish Journal of Psy- chiatry 1996;7(2):107-15.
5. Graham JE, Streitel KL. Sleep quality and acute pain severity among young adults with and without chronic pain: the role of biobehavioral factors. J Behav Med 2010;33(5):335-45.
6. Smith MT, Perlis ML, Smith MS, Giles DE, Carmody TP. Sleep quality and presleep arousal in chronic pain. J Behav Med 2000;23(1):1-13.
7. Chapman JB, Lehman CL, Elliott J, Clark JD. Sleep quality and the role of sleep medications for veterans with chronic pain. Pain Med 2006;7(2):105-14.
8. Cunningham JM, Blake C, Power CK, OKeefe D, Kelly V, Horan S, et al. The impact on sleep of a multidisciplinary cog- nitive behavioural pain management programme: a pilot study. BMC Musculoskelet Disord 2011;12:5.
9. M arty M, Rozenberg S, Duplan B, Thomas P, Duquesnoy B, Allaert F. Quality of sleep in patients with chronic low back pain: a case-control study. Eur Spine J 2008;17(6):839-44.
10. Blågestad T, Pallesen S, Lunde LH, Sivertsen B, Nordhus IH, Grønli J. Sleep in older chronic pain patients: a comparative polysomnographic study. Clin J Pain 2012;28(4):277-83.
11. Gün var T. Basic principles of chronic pain management in primary care. TJFMPC 2009;3(3):14-7.
12. Skevington SM, Lotfy M, OConnell KA; WHOQOL Group. The World Health Organizations WHOQOL-BREF quality of life as- sessment: psychometric properties and results of the inter- national feld trial. A report from the WHOQOL group. Qual Life Res 2004;13(2):299-310.
13. E ti Aslan F. Pain assessment methods. Cumhuriyet University Journal of Nursing High School 2002;6(1):9-16.
14. Berk HO, Bahadir G. The experience of chronic pain and pain beliefs. Agri 2007;19(4):5-15.
15. M ystakidou K, Parpa E, Tsilika E, Gennatas C, Galanos A, Vla - hos L. How is sleep quality afected by the psychological and symptom distress of advanced cancer patients? Palliat Med 2009;23(1):46-53.
16. Thomtén J, Soares JJ, Sundin Ö. The infuence of psychoso- cial factors on quality of life among women with pain: a pro- spective study in Sweden. Qual Life Res 2011;20(8):1215-25.
17. P rice DD, McGrath PA, Rafi A, Buckingham B. The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain 1983;17(1):45-56.
18 Buy sse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psy- chiatric practice and research. Psychiatry Res 1989;28(2):193- 213.
19. Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item se- lection. Med Care 1992;30(6):473-83.
20. Koçyiğit H, Aydemir Ö, Ölmez N, Memiş A. Kısa Form-36 (SF- 36)nın Türkçe versiyonunun güvenilirliği ve geçerliliği. İlaç ve Tedavi Dergisi 1999;12(2):102-6.
21. Ordu Gokkaya NK, Gokce-Kutsal Y, Borman P, Ceceli E, Dogan A, Eyigor S, et al. Pain and quality of life (QoL) in elderly: the Turkish experience. Arch Gerontol Geriatr 2012;55(2):357-62.
22. Yazıcı K, Tot Ş, Biçer A, Yazıcı A, Buturak V. Anxiety, depression and quality of life in patients with lowback pain and neck pair. [Article in Turkish] Clinic Psychiatry 2003;6(1):95-101.
23. Arslantaş D, Metintaş S, Ünsal A, Kalyoncu C. The qual - ity of life in the elderly people of mahmudiye township of Eskişehir. Osmangazi Medical Journal 2006;28(2):81-9.
24. Jakobsson U , Hallberg IR, Westergren A. Overall and health related quality of life among the oldest old in pain. Qual Life Res 2004;13(1):125-36.
25. Gerdle B, Björk J, Henriksson C, Bengtsson A. Prevalence of current and chronic pain and their infuences upon work and healthcare-seeking: a population study. J Rheumatol 2004;31(7):1399-406. 26. Ş ahin Ş. Gender and pain. Pain 2004;16(2):17-24.
27. Dündar Ü, Solak Ö, Demirdal ÜS, Toktaş H, Kavuncu V. Rela - tion of pain, disability and depression with quality of life in patients with chronic low back pain. General Medical Journal 2009;19(3):99-104.
28. Becker N, Thomsen AB, Olsen AK, Sjøgren P, Bech P, Eriksen J. Pain epidemiology and health related quality of life in chron- ic non-malignant pain patients referred to a Danish multidis- ciplinary pain center. Pain 1997;73:393-400.
29. Boström B, Hinic H, Lundberg D, Fridlund B. Pain and health- related quality of life among cancer patients in fnal stage of life: a comparison between two palliative care teams. J Nurs Manag 2003;11(3):189-96.
30. S wann J. Why your approach to pain afects quality of life. Nursing and Residential Care 2010;12(10):487-90.
31. S ayar K, Arikan M, Yontem T. Sleep quality in chronic pain pa - tients. Can J Psychiatry 2002;47(9):844-8.
32. Lunde LH, Pallesen S, Krangnes L, Nordhus IH. Characteristics of sleep in older persons with chronic pain: a study based on actigraphy and self-reporting. Clin J Pain 2010;26(2):132-7.
33. M arin R, Cyhan T, Miklos W. Sleep disturbance in pa - tients with chronic low back pain. Am J Phys Med Rehabil 2006;85(5):430-5.
34. van de Water AT, Eadie J, Hurley DA. Investigation of sleep disturbance in chronic low back pain: an age- and gender- matched case-control study over a 7-night period. Man Ther 2011;16(6):550-6.
35. Katz DA, McHorney CA. The relationship between insomnia and health-related quality of life in patients with chronic ill- ness. J Fam Pract 2002;51(3):229-35.
36. Veldhuijzen DS, Greenspan JD, Smith MT. Sleep and quality of life in chronic pain. Sleep and Quality of Life in Clinical Medicine 2008:187-97.