Pain and quality of life in adults with sickle cell disease

Aim: Aim of the study was to examine the relationship between pain and quality of life in adult patients with sickle cell disease (SCD) and to examine complications of SCD on pulmonary system.Material and Methods: A total of 25 individuals (19 male, 6 female) diagnosed with SCD were included in the study. Pulmonary system, quality of life and pain was measured. Pain in rest and activity was questioned with Visual Analog Scale. The quality of life was assessed by the Short Form-36 (SF-36) Scale.Results: It was determined that the individuals experienced an important level of pain in rest and activity levels, however it was seen that the pain level in activity was higher. It was determined that the oxygen saturation average was 91% and incidence of secretion and the number of coughing individuals was 6 and that 2 individuals used accessory respiration muscles. It was also found out that the SF-36 Scale’s parameters’ scores were low and that the quality of life of individuals were negatively affected. There was a moderate, negative and significant correlation between pain in rest and SF-36 Scale’s physical function, pain, general health, mental health parameters.Conclusion: It has been concluded that in the treatment of patients with SCD, although it is not mentioned in patient history, pain related problems should be taken into consideration. We believe that pulmonary and pain rehabilitation to patients with SCD will support their wellbeing.

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Ahmed AE, Alaskar AS, Al-Suliman AM, Jazieh AR, McClish DK, Al Salamah M, et al. Health-related quality of life in patients with sickle cell disease in Saudi Arabia. Health Qual Life Outcomes 2015;13:183.
Signorelli AA, Ribeiro SB, Moraes-Souza H, de Oliveira LF, Ribeiro JB, da Silva SH, et al. Pain measurement as part of primary healthcare of adult patients with sickle cell disease. Rev Bras Hematol Hemoter 2013; 35(4):272-7.
Conner-Warren RL. Pain intensity and home pain management of children with sickle cell disease. Issues Compr Pediatr Nurs 1996;19(3):183-95.
Okpala I, Tawil A. Management of pain in sickle-cell disease J R Soc Med 2002:95(9): 456-8.
Vilela RQ, Cavalcante JC, Cavalcante BF, Araújo DL, Lôbo MM, Nunes FA. Quality of life of individuals with sickle cell disease followed at referral centers in Alagoas, Brazil. Rev Bras Hematol Hemoter 2012;34(6): 442-6.
Koçyiğit H, Aydemir Ö, Fisek G, Ölmez N, Memis A. Kısa form 36’nın (KF-36) Türkçe versiyonunun güvenilirliği ve geçerliliği, Romatizmal hastalığı olan bir grup hasta ile çalışma. İlaç ve Tedavi Dergisi, 1999;12(2).
Wewers ME, Lowe NK. A critical review of visual analogue scales in the measurement of clinical phenomena. Res Nurs Health 1990;13(4):227-36.
Siddiqui AK, Ahmed S. Pulmonary manifestations of sickle cell disease Postgrad Med J 2003;79(933):384-90.
Freitas SLF, Ivo ML, Figueiredo MS, Gerk MAS, Nunes CB, Monteiro FF. Quality of life in adults with sickle cell disease: an integrative review of the literature. Rev. Bras. Enferm 2018;71(1):195-205.
Health related quality of life in sickle cell patients: The PiSCES project. https:// access date 21.12.2017.
Fuggle P, Shand PA, Gill LJ, Davies SC. Pain, quality of life, and coping in sickle cell disease. Arch Dis Child 1996;75(3):199- 203.
The World Health Organization Quality of Life assessment (WHOQOL): position paper from the World Health Organization.http://www.ncbi.nlm.nih.gov/ pubmed/8560308 access date 12.12.2017.
Anie KA, Steptoe A, Bevan DH. Sickle cell disease: Pain, coping and quality of life in a study of adults in the UK. Br J Health Psychol 2002;7 (Part 3):331-44.
Platt OS, Brambilla DJ, Milner PF, Rosse WF, Milner PF, Castro O, Steinberg MH, et al. Mortality in sickle cell disease: Life expectancy and risk factors for early death. N Engl J Med 1994;330(23):1639-44.
McClish DK, Penberthy LT, Bovbjerg VE, Roberts JD, Aisiku IP, Levenson JL, et al. Health related quality of life in sickle cell patients: the PiSCES project. Health Qual Life Outcomes 2005;29;3:50.
Sickle Cell Disease. https://www.nhlbi.nih.gov/healthtopics/sickle-cell-disease access date 21.12.2017.
Bulent Artmen. Orak hücre anemisiTürk Ped Arfl 2009;44 Özel Sayı: 39-42.