Use Cases of Complementary and Integrated Therapies in Palliative Care Patients in Pain Management

Nazan Akça; Demet Yaldıran; Derya Demirkol Sakar

Makale detayları

Use Cases of Complementary and Integrated Therapies in Palliative Care Patients in Pain Management

Yazarlar:

Nazan Akça | Demet Yaldıran | Derya Demirkol Sakar

Yayıncı:

Mardin Artuklu University

Ana Başlıklar:

Hemşirelik

Dergi:

Artuklu International Journal of Health Sciences Vol.3 Issue 2, pp.137-142

Belge Tipi:

Makale

Yayın Tarihi:

11/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001296885

pISSN:

2792-0321

Anahtar kelimeler:

Özet:

 Introduction: Coping with the symptom of pain in palliative care patients is a difficult situation. Complementary and integrated practices are evidence-based practices that can be used in addition to treatment in managing pain symptoms. The purpose of this study was to evaluate the pain characteristics of palliatives care patients as well as the complementary and integrated therapies utilized to manage pain. Methods: This descriptive study was conducted with 77 patients who met the inclusion criteria out of 102 patients admitted to the palliative care clinic of a hospital. The data of the research; The Patient Information Form was collected through face-to-face interviews using the Visual Analogue Scale, Complementary and Integrated Therapy Use Cases Questionnaire. Before data was collected, ethics committee approval and institutional permission were obtained. The data was analysed using descriptive statistics. p0.05 was considered statistically significant. Results: More than half 58.4 of the patients hospitalized in the palliative care clinic were cancer patients. It was determined that all of these patients were hospitalized in the clinic due to pain symptoms. It was found that the mean VAS pain severity was 4.242.06 3-10 and more than half of the patients 63.6 experienced constant pain. It was determined that almost all of the patients used pharmacological treatment to cope with pain. Apart from this, 83.1 of the patients, respectively, in coping with pain; It was determined that she used complementary and integrated therapies such as massage, exercise and listening to music. There was no significant difference between the socio-demographic characteristics of the patients and the use of complementary and integrated therapies. The patients stated that they obtained information about these therapies to cope with pain mostly from the internet and other patients. It was found that 87.5 of those who applied these therapies were informal caregivers. Conclusion: Palliatives care patients first symptoms on admission to the hospital were pain, they had moderate pain, and most of them employed complementary and integrative therapies in addition to analgesic medication to cope with it. Palliatives care nurses should provide trainings to patients and informal carers, as well as practice complementary and integrated therapies within the framework of evidence-based procedures.

 Introduction: Coping with the symptom of pain in palliative care patients is a difficult situation. Complementary and integrated practices are evidence-based practices that can be used in addition to treatment in managing pain symptoms. The purpose of this study was to evaluate the pain characteristics of palliatives care patients as well as the complementary and integrated therapies utilized to manage pain. Methods: This descriptive study was conducted with 77 patients who met the inclusion criteria out of 102 patients admitted to the palliative care clinic of a hospital. The data of the research; The Patient Information Form was collected through face-to-face interviews using the Visual Analogue Scale, Complementary and Integrated Therapy Use Cases Questionnaire. Before data was collected, ethics committee approval and institutional permission were obtained. The data was analysed using descriptive statistics. p0.05 was considered statistically significant. Results: More than half 58.4 of the patients hospitalized in the palliative care clinic were cancer patients. It was determined that all of these patients were hospitalized in the clinic due to pain symptoms. It was found that the mean VAS pain severity was 4.242.06 3-10 and more than half of the patients 63.6 experienced constant pain. It was determined that almost all of the patients used pharmacological treatment to cope with pain. Apart from this, 83.1 of the patients, respectively, in coping with pain; It was determined that she used complementary and integrated therapies such as massage, exercise and listening to music. There was no significant difference between the socio-demographic characteristics of the patients and the use of complementary and integrated therapies. The patients stated that they obtained information about these therapies to cope with pain mostly from the internet and other patients. It was found that 87.5 of those who applied these therapies were informal caregivers. Conclusion: Palliatives care patients first symptoms on admission to the hospital were pain, they had moderate pain, and most of them employed complementary and integrative therapies in addition to analgesic medication to cope with it. Palliatives care nurses should provide trainings to patients and informal carers, as well as practice complementary and integrated therapies within the framework of evidence-based procedures.

 Introduction: Coping with the symptom of pain in palliative care patients is a difficult situation. Complementary and integrated practices are evidence-based practices that can be used in addition to treatment in managing pain symptoms. The purpose of this study was to evaluate the pain characteristics of palliatives care patients as well as the complementary and integrated therapies utilized to manage pain. Methods: This descriptive study was conducted with 77 patients who met the inclusion criteria out of 102 patients admitted to the palliative care clinic of a hospital. The data of the research; The Patient Information Form was collected through face-to-face interviews using the Visual Analogue Scale, Complementary and Integrated Therapy Use Cases Questionnaire. Before data was collected, ethics committee approval and institutional permission were obtained. The data was analysed using descriptive statistics. p0.05 was considered statistically significant. Results: More than half 58.4 of the patients hospitalized in the palliative care clinic were cancer patients. It was determined that all of these patients were hospitalized in the clinic due to pain symptoms. It was found that the mean VAS pain severity was 4.242.06 3-10 and more than half of the patients 63.6 experienced constant pain. It was determined that almost all of the patients used pharmacological treatment to cope with pain. Apart from this, 83.1 of the patients, respectively, in coping with pain; It was determined that she used complementary and integrated therapies such as massage, exercise and listening to music. There was no significant difference between the socio-demographic characteristics of the patients and the use of complementary and integrated therapies. The patients stated that they obtained information about these therapies to cope with pain mostly from the internet and other patients. It was found that 87.5 of those who applied these therapies were informal caregivers. Conclusion: Palliatives care patients first symptoms on admission to the hospital were pain, they had moderate pain, and most of them employed complementary and integrative therapies in addition to analgesic medication to cope with it. Palliatives care nurses should provide trainings to patients and informal carers, as well as practice complementary and integrated therapies within the framework of evidence-based procedures.

 Giriş: Palyatif bakım hastalarında ağrı semptomu ile baş edebilmek zor bir durumdur. Tamamlayıcı ve butunleşik uygulamalar ağrı semptomunu yönetmede tedaviye ek olarak kullanılabilen kanıta dayalı uygulamalardır. Bu çalışmanın amacı, palyatif bakım hastalarının ağrı özelliklerinin yanı sıra ağrıyı yönetmek için kullanılan tamamlayıcı ve butunleşik terapileri değerlendirmektir. Yöntem: Tanımlayıcı nitelikte olan bu çalışma, bir hastanenin palyatif bakım kliniğine başvuran 102 hastadan dahil edilme kriterlerine uyan 77 hasta ile gerçekleştirilmiştir. Araştırmanın verileri; Hasta Bilgi Formu, Visual Analog Skala, Tamamlayıcı ve Butunleşik Terapi Kullanım Durumları Anketi kullanılarak yuz yuze göruşme ile toplanmıştır. Veriler toplanmadan önce etik kurul onayı ve kurum izni alınmıştır. Veriler tanımlayıcı istatistikler kullanılarak değerlendirilmiştir. p0.05 istatistiksel olarak anlamlı kabul edilmiştir. Bulgular: Palyatif bakım kliniğinde yatan hastaların yarısından fazlasını 58.4 kanser hastaları oluşturmuştur. Bu hastaların tamamının ağrı semptomu nedeniyle klinikte yattıkları saptanmıştır. VAS ağrı şiddeti ortalamalarının 4.242.06 3-10 olduğu ve hastaların yarısından fazlasının surekli ağrı 63.6 yaşadıkları bulunmuştur. Hastaların tamamına yakınının ağrıyla baş etmede farmakolojik tedavi kullandığı ve 83.1inin sırasıyla; masaj, egzersiz ve muzik dinleme gibi tamamlayıcı ve butunleşik terapileri kullandığı saptanmıştır. Hastaların sosyo-demografik özellikleri ile tamamlayıcı ve butunleşik terapiler kullanım durumları arasında anlamlı bir fark bulunmamıştır. Hastalar, ağrıyla baş etmek için uyguladığı bu terapilerle ilgili bilgiye daha çok internet ve diğer hastalardan ulaştığını ifade etmişlerdir. Bu terapileri uygulayanların 87.5inin informal bakım vericiler olduğu bulunmuştur. Sonuç: Palyatif bakım hastalarının hastaneye ilk başvurma nedenlerinin ağrı olduğu, bu hastaların orta şiddette ağrı yaşadıkları ve ağrıyla baş etmek için hastaların tamamına yakınının analjezik tedavisiyle birlikte tamamlayıcı ve butunleşik terapileri kullandığı saptanmıştır. Palyatif bakım hemşirelerinin ağrı yaşayan hastalara tamamlayıcı ve butunleşik terapilerle ilgili kanıta dayalı uygulamalar kapsamında uygulama yapması, hasta ve informal bakım vericilere de eğitim vermesi önerilebilir.

Makale detayları

Use Cases of Complementary and Integrated Therapies in Palliative Care Patients in Pain Management

Yazarlar:

Nazan Akça | Demet Yaldıran | Derya Demirkol Sakar

Yayıncı:

Mardin Artuklu University

Ana Başlıklar:

Hemşirelik

Dergi:

Artuklu International Journal of Health Sciences Vol.3 Issue 2, pp.137-142

Belge Tipi:

Makale

Yayın Tarihi:

11/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001296885

pISSN:

2792-0321

Pain

Palliative care

Complementary and integrated therapies

NursingAğrı

Palyatif bakım

Tamamlayıcı ve bütünleşik terapiler

Hemşirelik

Sayı

Makale detayları

Yazarlar: Nazan Akça | Demet Yaldıran | Derya Demirkol Sakar

Yayıncı: Mardin Artuklu University

Ana Başlıklar: Hemşirelik

Dergi: Artuklu International Journal of Health Sciences Vol.3 Issue 2, pp.137-142

Belge Tipi: Makale

Yayın Tarihi: 11/2023

Belge Dili: Türkçe

Document ID (Org No.): 2001296885

pISSN: 2792-0321

Sayı

Yazarlar:

Nazan Akça | Demet Yaldıran | Derya Demirkol Sakar

Yayıncı:

Mardin Artuklu University

Ana Başlıklar:

Hemşirelik

Dergi:

Artuklu International Journal of Health Sciences Vol.3 Issue 2, pp.137-142

Belge Tipi:

Makale

Yayın Tarihi:

11/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001296885

pISSN:

2792-0321