Orak Hücre Hastalığı Olan Çocukların Ebeveynlerine Verilen Nonfarmakolojik Ağrı Yönetimi Eğitiminin İki Farklı Ülkedeki Ebeveynlerin Bilgisine Etkisi

Amaç: Bu çalışmanın amacı, iki farklı ülkede yaşayan orak hücre hastalığı olan çocukların ebeveynleri için hazırlanan nonfarmakolojik ağrı yönetimi eğitim programının ebeveynlerin bilgi düzeyi üzerindeki etkisini değerlendirmektir. Gereç ve Yöntem: Çalışma tanımlayıcı niteliktedir. Çalışma 163 ebeveynin (109 Çadlı ve 54 Türk) örneklemiyle gerçekleştirilmiştir. Araştırmacı eğitim programını ebeveynlere uyguladı. Katılımcıların bilgisi başlangıçta ve müdahaleden üç hafta sonra incelendi. Eğitimden sonra ebeveynlerin bilgi düzeyleri nonfarmakolojik yöntemler anketi ile değerlendirildi. Bulgular: Çad’daki orak hücre hastalıklı çocukların 2-3 ayda bir kriz yaşadığı belirlendi. Türkiye’deki çocukların ise 7 ay ila 1 yıl arasında ağrı krizi yaşadığı saptandı. Nonfarmakolojik yöntemlere yönelik eğitim almış ebeveynler orak hücre hastalığı olan çocuklarda ağrıyı azaltmak için kullanılan yöntemlere yönelik ileri düzeyde bilgi sahibi olmuşlardır. Eğitimin sonunda, Türk katılımcıların “resim yapmak ağrıyı azaltabilir, sıcak veya ılık suyla banyo yapmak ağrıyı azaltabilir, pozisyon değiştirmek ağrıyı azaltabilir” ifadelerini daha fazla bildikleri saptandı. Çad’daki katılımcıların eğitim programının sonunda "resim yapmak ağrıyı azaltabilir, pozisyon değiştirmek ağrıyı azaltabilir ve oyun oynamak, dikkat dağıtıcı şeyler ağrıyı azaltabilir" ifadelerine yönelik daha fazla bilgi sahibi olduğu saptandı. Sonuç: Orak hücre hastalığı olan çocukların ebeveynleri için nonfarmakolojik yöntemler eğitim programının her iki ülkedeki ebeveynlerin bilgi düzeyini artırmada etkili olduğu bulunmuştur.

The Effect of Non-Pharmacological Pain Management Training Given to Parents of Children with Sickle Cell Disease on Parents' Knowledge in Two Different Countries

Objective: The aim of this study is to evaluate the effect of non-pharmacological pain management education program for parents of children with sickle cell disease living in two different countries on the knowledge level of parents. Methods: This study is a descriptive study. The study was conducted with a sample of 163 parents (109 Chadian and 54 Turkish). The researcher gave the training program to the parents. Participants’ knowledge were examined at the baseline and three weeks after intervention. After the education, the knowledge levels of the parents were evaluated with a non-pharmacological methods questionnaire. Results: It has been determined that children with sickle cell disease in Chad have a crisis every 2-3 months. If the children in Turkey were found to experience pain crisis between 7 months to 1 year. Parents who have been trained for non-pharmacological methods have advanced knowledge about methods used to reduce pain in children with sickle cell disease. At the end of the training, it was determined that Turkish participants knew more about the statements “painting can reduce pain, taking a bath with hot or warm water can reduce pain, changing positions can reduce pain”. At the end of the training program, participants in Chad were found to have more knowledge of the statements "painting can reduce pain, changing positions can reduce pain, and playing games and distractions can reduce pain". Conclusion: Non-pharmacological methods training program for parents of sickle cell disease children was found to be effective in increasing the knowledge level of parents in both countries.

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