Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Determining Pain Coping Behaviors of Patients with Acute and Chronic Pain: The Cross-Sectional Descriptive Study
Akut ve Kronik Ağrısı Olan Hastaların Ağrıyla Başa Çıkma Davranışlarının Belirlenmesi: Kesitsel Tanımlayıcı Çalışma
Ayşe GÖKÇE IŞIKLIa , Sacide YILDIZELİ TOPÇUb , Fatma ÖNÜTc , Filiz TUNCEL SAĞLAMc
aTrakya University Keşan Hakkı Yörük School of Health, Department of Nursing, Edirne, Türkiye
bTrakya University Faculty of Health Sciences, Department of Nursing, Edirne, Türkiye
cTrakya University Faculty of Medicine, Department of Thoracic Surgery, Edirne, Türkiye
Turkiye Klinikleri J Nurs Sci. 2024;16(2):299-308
doi: 10.5336/nurses.2023-99715
Article Language: EN
Full Text
ABSTRACT
 Objective: The aim of this study was to determine the coping behaviours of patients with acute and chronic pain. Material and Methods: This cross-sectional, descriptive study was conducted in the thoracic surgery and rheumatology wards of a university hospital. The data consisted of 118 patients with acute (59) and chronic (59) pain between 2.1.2023-1.8.2023. Patient Description Forms and the Pain Coping Inventory were collected. Descriptive analyses, independent sample t-tests, chi-square tests (Fisher's exact test), and Pearson chisquare analyses were used to evaluate the data. Results: In the study, it was determined that male patients used active coping methods (p=0.038) and pain transformation (p=0.016) at a statistically significant level in coping with pain compared to female patients. When the level of education was analysed, it was found that university graduate patients used distancing from active coping methods at a statistically significant level (p=0.043). There was no statistical significance between the patients' behaviours of coping with acute pain and coping with chronic pain (p>0.05). Conclusion: In the study, it was determined that patients' methods of coping with pain did not differ significantly according to the type of pain (acute or chronic). We recommend that nurses know the pain coping behaviours of patients with acute and chronic pain for a holistic approach to pain management.

Keywords: Pain coping; nursing; acute pain; chronic pain
ÖZET
 Amaç: Bu araştırmanın amacı, hastaların akut ve kronik ağrıyla başa çıkma davranışlarının belirlenmesidir. Gereç ve Yöntemler: Kesitsel ve tanımlayıcı türdeki bu araştırma, bir üniversite hastanesinin göğüs cerrahisi ve romatoloji servislerinde yürütüldü. Veriler 02.01.2023-01.08.2023 tarihleri arasında akut (59) ve kronik (59) ağrılı toplam 118 hastadan oluştu. Hasta Tanıtıcı Formu ve Ağrıyla Baş Etme Envanteri kullanılarak toplandı. Verilerin değerlendirilmesinde tanımlayıcı analizler, bağımsız örneklem t-testi, ki-kare testi (Fisher's exact test) ve Pearson ki-kare analizi kullanıldı. Bulgular: Araştırmada erkek hastaların kadın hastalara göre ağrıyla başa çıkmada aktif baş etme yöntemlerini (p=0,038) ve bu yöntemlerden ağrıyı dönüştürmeyi (p=0,016) istatistiksel olarak anlamlı düzeyde kullandıkları belirlendi. Eğitim düzeyi incelendiğinde, üniversite mezunu hastaların aktif baş etme yöntemlerinden uzaklaştırmayı istatistiksel olarak anlamlı düzeyde kullandıkları saptandı (p=0,043). Hastaların akut ağrıyla baş etme davranışları ile kronik ağrıyla baş etme davranışları arasında istatistiksel olarak anlamlılık bulunamadı (p>0,05). Sonuç: Araştımada ağrının türüne göre (akut veya kronik), hastaların ağrı ile başa çıkma yöntemlerinin kullanımında anlamlı farklılık olmadığı belirlendi. Hemşirelerin, akut ve kronik ağrılı hastaların ağrı yönetiminde bütüncül yaklaşım için hastaların ağrıyla baş etme davranışlarını bilmelerini önermekteyiz.

Anahtar Kelimeler: Ağrıyla baş etme; hemşirelik; akut ağrı; kronik ağrı
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