Pain And Coping Methods Of Hemodialysis Patients During The Covid-19 Pandemic Process

Sevil Güler
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Abstract

Objectives: This research was conducted to determine determine the pain and coping methods of hemodialysis patients during the covid-19 pandemic process . Methods: The research was conducted between April 2022 and August 2022. Data were collected from four dialysis centers in a city center. A total of 503 people receive hemodialysis treatment in the centers where the study was conducted. The sample consisted of 170 patients who volunteered to participate in the study and met the study criteria. The data of the study were collected using patient information form, and VAS Pain (Pain Level Measurement and Pain Coping Scale (PCS). Results: Accordingly, the VAS pain score experienced by the patients during the Covid 19 pandemic process is 7.64±0.97. The mean scores of the PCQ sub-dimensions; 27.1±8.96 in the self-coping sub-dimension; 19.86±4.83 in the helplessness sub-dimension; 9.77±5.24 in the sub-dimension of conscious cognitive interventions; It was found to be 18.84±4.22 in the sub-dimension of seeking medical help. In the case of VAS and PCQ total points averages, according to the pain characteristics of individuals, the severity of the pain, the pain type, the pain type the difference between the time and the scale point averages according to the methods of dealing with pain was statistically significant (p<0.05). It has been found that the average of VAS and PCQ total points for individuals who suffer unbearable, have chest pain, define sudden and sharp pain, and experience pain all day long. In individuals who are waiting for the pain to be rested and spontaneous, VAS points averages and those who practice breathing exercises have been found to have significantly higher PCQ total score average. Conclusions: Most of the patients who participated in our study described the pain they experienced during the pandemic process suddenly and sharply, and the mean scores of VAS pain and PCQ were found to be significantly higher in this patient group. It has been determined that pain is experienced mostly at night and analgesics are mostly used to cope with it.
新冠肺炎大流行期间血液透析患者的疼痛及应对方法
目的:本研究旨在了解covid-19大流行期间血液透析患者的疼痛及应对方法。方法:研究时间为2022年4月~ 2022年8月。数据从市中心的四个透析中心收集。在进行这项研究的中心,共有503人接受了血液透析治疗。样本包括170名自愿参加研究并符合研究标准的患者。采用患者信息表、疼痛水平测量与疼痛应对量表(VAS Pain, Pain Level Measurement and Pain Coping Scale, PCS)收集研究数据。结果:相应的,患者在新冠肺炎大流行过程中的VAS疼痛评分为7.64±0.97。PCQ子维度的平均得分;自应对子维度27.1±8.96;无助感子维度19.86±4.83;意识认知干预子维度为9.77±5.24;求医问药的子维度为18.84±4.22。在采用VAS和PCQ总积分平均的情况下,根据个体的疼痛特征、疼痛的严重程度、疼痛的类型、疼痛的类型、时间与根据疼痛处理方法得出的评分平均的差异有统计学意义(p<0.05)。研究发现,患有难以忍受的胸痛,定义为突然和尖锐疼痛,并且整天经历疼痛的个体的VAS和PCQ总分的平均值。在等待疼痛消退和自发的个体中,VAS平均得分和那些进行呼吸练习的人的PCQ总分平均得分明显更高。结论:参与我们研究的大多数患者描述了他们在大流行过程中突然而急剧地经历的疼痛,并且发现该患者组的VAS疼痛和PCQ平均评分明显更高。人们已经确定,疼痛主要发生在夜间,止痛剂主要用于治疗疼痛。
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