Journal of Traditional Medical Complementary Therapies

.: ORIGINAL RESEARCH
Böbrek ve Üreter Taşı Olan Hastaların Ağrı Düzeyi ile Tamamlayıcı ve Bütünleyici Tedavi Kullanımı Arasındaki İlişki: Tanımlayıcı Bir Çalışma
The Relationship Between Pain and Use of Complementary and Integrative Therapy in Patients with Kidney and Ureteral Stones: A Descriptive Study
Nilay BEKTAŞ AKPINARa , Çağrı AKPINARb , Ulviye ÖZCAN YÜCEc
aAnkara Medipol Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Ankara, Türkiye
bAnkara Etlik Şehir Hastanesi, Üroloji Kliniği, Ankara, Türkiye
cOsmaniye Korkut Ata Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Osmaniye, Türkiye
J Tradit Complem Med. 2024;7(1):1-7
doi: 10.5336/jtracom.2023-98025
Article Language: TR
Full Text
ÖZET
 Amaç: Bu araştırma, böbrek ya da üreter taşına bağlı ağrısı olan hastaların ağrı düzeyleri ile tamamlayıcı ve bütünleyici tedavi kullanımı arasındaki ilişkiyi saptamak amacıyla yapılmıştır. Gereç ve Yöntemler: Tanımlayıcı ve kesitsel tipteki bu araştırma bir devlet hastanesinin üroloji polikliniğine Ağustos 2022- Şubat 2023 tarihleri arasında başvuran ve araştırmayı kabul eden, böbrek ve üreter taşı tanılı hastalarla yapılmıştır. Araştırmanın verileri ''sosyodemografik özellikler veri toplama formu'', ''görsel analog skala [visual analog scale (VAS)]'' ve ''Tamamlayıcı Tedavileri Kullanmaya Yönelik Tutum Ölçeği (TTTÖ)'' kullanılarak toplanmıştır. Bulgular: Hastaların cinsiyet, eğitim durumu, medeni hâli, tanı konulma zamanı, öncesinde uygulanan tedavi ve ek hastalık varlığının TTTÖ puan ortalamalarını etkilediği saptandı (p<0,005). Böbrek ve üreter taşı tanısı konulma zamanı 0-3 vs 3-12 ay ve 0-3 vs ≥12 ay olan gruplar arasında TTTÖ puanları arasında anlamlı fark varken (sırasıyla ile p=0,012 ve p=0,036), 3-12 ay ile ≥12 ay arasında anlamlı bir fark izlenmedi (p>0,005). Daha öncesinde medikal ya da cerrahi tedavi uygulanan hastaların TTTÖ puanları uygulanmayanlara göre daha yüksekti (p<0,001). Hastaların VAS ağrı skoru puan ortalaması 7,07±1,18, TTTÖ puan ortalaması ise 15,53±6,47 idi. VAS ağrı skoru ile TTTÖ arasında negatif yönde orta-güçlü derecede bir korelasyon olduğu görüldü (p=0,000; r=-0,451). Hastaların tamamlayıcı ve bütünleyici tedavi olarak en çok kaplıca-kaynak suyu (%41,7), ıhlamur (%20,5) ve yeşil çayı (%18,9) tercih ettikleri belirlendi. Sonuç: Böbrek ve üreter taşı olan hastalarda TTTÖ puanları orta düzeyde olumludur. Hastaların tedavi sürecindeki uzama ve daha az ağrı skoru varlığı, onları daha çok tamamlayıcı ve bütünleyici tedavi kullanımına yönlendirmektedir.

Anahtar Kelimeler: Tutum; tamamlayıcı terapiler; böbrek ve üreter taşı; ağrı
ABSTRACT
 Objective: This study was conducted to determine the relationship between the pain levels of patients with kidney or ureteral stone pain and the use of complementary and integrative therapy. Material and Methods: This descriptive and cross-sectional study was conducted with patients diagnosed with kidney and ureteral stones, who applied to the urology outpatient clinic of a state hospital between August 2022 and February 2023 and accepted the study. The data of the study were collected by using ''socio-demographical characteristics data collection form'', the ''visual analog scale (VAS)'', and ''Attitude towards Using Complementary Therapies Scale (ACTS). Results: It was determined that the patients' gender, education level, marital status, time of diagnosis, previous treatment and presence of additional disease affected mean ACTS scores (p<0.005). While there was a significant difference in ACTS scores between the groups with the time of diagnosis of kidney and ureteral stones 0-3 vs 3-12 months and 0-3 vs ≥12 months (p=0.012 and p=0.036, respectively), there was no significant difference between 3-12 months and ≥12 months (p>0.005). Patients who performed medical or surgical treatment had higher ACTS scores than those who did not (p<0.001). The mean VAS pain scale score of the patients was 7.07±1.18, and the mean ACTS score was 15.53±6.47. There was a moderate-strong negative correlation between VAS pain score and ACTS (p=0.000; r=-0.451). It was determined that the patients mostly preferred thermal water (41.7%), linden (20.5%) and green tea (18.9%) as complementary and integrative treatments. Conclusion: Patients with kidney and ureteral stones have moderately positive ACTS scores. The prolongation of the treatment process and the presence of less pain scores lead them to use more complementary and integrative treatment.

Keywords: Attitude; complementary therapies; kidney and ureteral stones; pain
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