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Tunc Tuna P, Tuna HI, Molu B, Yildirim Keskin A. Factors Affecting Postoperative Pain Beliefs Among Surgical Patients in Türkiye: A Cross-Sectional Study. Pain Manag Nurs 2024; 25:e265-e270. [PMID: 38461043 DOI: 10.1016/j.pmn.2024.02.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2023] [Revised: 02/09/2024] [Accepted: 02/12/2024] [Indexed: 03/11/2024]
Abstract
BACKGROUND Frequency, ability to cope, and severity of pain; the genetic structure of the individual affects their emotional and cultural characteristics, beliefs, and personal characteristics. It is stated that pain beliefs are one of the factors affecting emotional pain control and approach to pain. AIMS This study, it is aimed to determine the pain beliefs of individuals experiencing postoperative pain. METHODS Cross-sectional descriptive study. Surgical services of a single secondary care hospital. 170 patients who were in the first week after surgery, experienced acute pain, were between the ages of 18-65, and did not have a psychiatric disorder were evaluated. Collection Tools: Postoperative pain levels of the patients were evaluated with a Visual Analog Scale. As the VAS score increases, the pain level increases. Pain beliefs were evaluated with the Pain Beliefs Scale. Pain Beliefs Scale increases in the score obtained from the sub-score of the scale indicate that the pain beliefs related to that test are high. A student T-Test was used for bivariate comparisons between groups. One-way ANOVA was used to compare trivariate groups. In addition, Spearman's Correlation analysis was performed. Statistically, a confidence interval of >95% was used. The statistical significance level was set as p < 0.05. RESULTS It was found that the pain levels of the patients participating in the study were low and the scores they received from the Pain Beliefs Scale subscales were moderate. It was determined that those with lower education levels had higher scale scores in the psychological beliefs sub-dimension of the Pain Beliefs Scale. In the organic beliefs sub-dimension, it was determined that those with lower income levels had higher organic beliefs. It was determined that the postoperative pain experienced did not affect pain beliefs (p > 0.05). CONCLUSION It was concluded that there was no relationship between the pain level and pain beliefs of patients with low pain in the postoperative period. Individuals experiencing postoperative pain believe that pain occurs due to the influence of both organic and psychological factors. For this reason, it is recommended factors that nurses who care for individuals experiencing postoperative pain provide care for both organic and psychological sources of pain.
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Affiliation(s)
| | | | - Birsel Molu
- Department of Nursing, Selcuk University, Konya, Turkey
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Hayaki J, Abrantes AM, Anderson B, Stein MD. Chronic Pain and Cannabis Use Frequency, Intensity, and Severity in Young Adults. Subst Use Misuse 2024; 59:576-582. [PMID: 38017655 PMCID: PMC10922830 DOI: 10.1080/10826084.2023.2287240] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2023]
Abstract
BACKGROUND Cannabis use is common among young adults and is associated with many physical and mental health problems. Persons with chronic pain may be particularly susceptible to using cannabis at high rates, including for analgesic purposes, thus exposing themselves to greater risk of cannabis-related problems. However, little research has examined connections between chronic pain and cannabis use in the young adult population. MATERIALS AND METHODS Participants were young adults from the community who were recruited for a larger health behaviors study. The present sample included 403 persons from this larger sample who reported cannabis use in the past 90 days. Participants completed measures of demographic characteristics, cannabis and alcohol use, and chronic pain. RESULTS This young adult sample reported using cannabis on an average of 47.1 of the past 90 days, and 20.1% reported chronic pain. Chronic pain was associated with greater cannabis use frequency (IRR = 1.35, 95%CI 1.15; 1.57, p < 0.001), intensity (IRR = 1.61, 95%CI 1.18; 2.21, p = 0.003), and negative consequences (IRR = 1.23, 95%CI 1.02; 1.48, p < 0.030). DISCUSSION In this sample of young adults who use cannabis, chronic pain was significantly associated with frequent, intense cannabis use, as well as more cannabis-related negative consequences. These findings suggest that chronic pain may be a marker for a particularly high-risk pattern of cannabis use in this age group, thus identifying an especially vulnerable subset of young adults who may require heightened research and clinical attention.
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Affiliation(s)
- Jumi Hayaki
- Department of Psychology, College of the Holy Cross, Worcester, MA, USA
| | - Ana M. Abrantes
- Department of Psychiatry & Human Behavior, Warren Alpert Medical School, Brown University, Providence, RI, USA
- Behavioral Medicine and Addiction Research Unit, Butler Hospital, Providence, RI, USA
| | - Bradley Anderson
- Behavioral Medicine and Addiction Research Unit, Butler Hospital, Providence, RI, USA
| | - Michael D. Stein
- Department of Health Law, Policy & Management, School of Public Health, Boston University, Boston, MA, USA
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Chen YR, Chen CCH, Wu WW, Tang FI, Lu LC. Nurses' knowledge of and attitude toward postoperative patient-controlled analgesia (PCA) and the associated factors. BMC Nurs 2024; 23:21. [PMID: 38183011 PMCID: PMC10768379 DOI: 10.1186/s12912-024-01702-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2023] [Accepted: 01/01/2024] [Indexed: 01/07/2024] Open
Abstract
BACKGROUND Postoperative pain control is pivotal for surgical care; it facilitates patient recovery. Although patient-controlled analgesia (PCA) has been available for decades, inadequate pain control remains. Nurses' knowledge of and attitude toward PCA may influence the efficacy on clinic application. PURPOSE The purpose of this study is to evaluate nurses' knowledge of and attitude toward postoperative PCA and investigate the associated factors. METHODS This is a cross-sectional study. We enrolled registered nurses from a 2200-bed medical center in northern Taiwan within one year. The participants completed an anonymous self-reported PCA knowledge inventory and PCA attitude inventory. Data were analyzed descriptively and associated were tested using logistic regression. RESULTS With 303 participants enrolled, we discovered that nurses had limited knowledge of and a negative attitude toward PCA. Under half of the participants know how to set up a bolus dose and lockout intervals. The majority held misconceptions regarding side effect management for opioids. The minority agree to increase the dose when a patient experienced persistent pain or suggested the use of PCA. Surprisingly, participants with a bachelor's or master's degree had lower knowledge scores than those with a junior college degree. Those with 6-10 years of work experience also are lower than those with under 5 years of experience. However, the participants with experience of using PCA for patient care had higher knowledge scores and a more positive attitude. CONCLUSIONS Although postoperative PCA has been available for decades and education programs are routinely provided, nurses had limited knowledge of and a negative attitude toward PCA. A higher education level and longer work experience were not associated with more knowledge. The current education programs on PCA should be revised to enhance their efficacy in delivering up-to-date knowledge and situation training which may convey supportive attitude toward clinical application of PCA.
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Affiliation(s)
- Ying-Ru Chen
- School of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan (ROC)
- Department of Nursing, National Taiwan University Hospital, Taipei, Taiwan (ROC)
| | - Cheryl Chia-Hui Chen
- School of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan (ROC)
- Department of Nursing, National Taiwan University Hospital, Taipei, Taiwan (ROC)
| | - Wei-Wen Wu
- School of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan (ROC)
- Department of Nursing, National Taiwan University Hospital, Taipei, Taiwan (ROC)
| | - Fu-Ing Tang
- School of Nursing, National Yang-Ming Chiao Tung University, Taipei, Taiwan (ROC)
| | - Ling-Chun Lu
- Second Degree of Science in Nursing, College of Medicine, National Taiwan Univeristy, 10051, No 1, Jen-Ai Road Sec. 1, Taipei, Taiwan (ROC).
- Department of Nursing, National Taiwan University Hospital Yu-Lin Branch, Yu-Lin county, Taiwan (ROC).
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Bahadır-Yılmaz E, Şahin M, Yüksel A. Spiritual Well-Being and Psychological Well-Being Among Hemodialysis Patients in Turkey: A Descriptive and Correlational Study. JOURNAL OF RELIGION AND HEALTH 2023; 62:4347-4362. [PMID: 36574155 DOI: 10.1007/s10943-022-01719-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 12/08/2022] [Indexed: 11/29/2023]
Abstract
This study aimed to determine the psychological and spiritual well-being of hemodialysis patients in Turkey. This descriptive and correlational study included 86 hemodialysis patients. Data were collected using the Spiritual Well-Being Scale and Psychological Well-Being Scale. There was a positive correlation between spiritual and psychological well-being (r = 0.315, p = 0.003). Psychological well-being and age explained 39% of total variance (F = 7.593, p = 0.001). In conclusion, there should be provided individualized spiritual care and counseling to improve the psychological well-being of hemodialysis patients.
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Affiliation(s)
- Emel Bahadır-Yılmaz
- Department of Psychiatric Nursing, Faculty of Health Sciences, Giresun University, Giresun, 28340, Turkey.
| | - Meleknur Şahin
- Başakşehir Çam and Sakura City Hospital, Pediatric Cardiovascular and Cardiology Service, Istanbul, Turkey
| | - Arzu Yüksel
- Department of Psychiatric Nursing, Faculty of Health Sciences, Aksaray University, Aksaray, Turkey
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Garcia D, Kazemitabar M, Asgarabad MH. The 18-item Swedish version of Ryff's psychological wellbeing scale: psychometric properties based on classical test theory and item response theory. Front Psychol 2023; 14:1208300. [PMID: 37854148 PMCID: PMC10580072 DOI: 10.3389/fpsyg.2023.1208300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2023] [Accepted: 08/24/2023] [Indexed: 10/20/2023] Open
Abstract
Background Psychological wellbeing is conceptualized as the full engagement and optimal performance in existential challenges of life. Our understanding of psychological wellbeing is important for us humans to survive, adapt, and thrive during the challenges of the 21st century. Hence, the measurement of psychological wellbeing is one cornerstone for the identification and treatment of both mental illness and health promotion. In this context, Ryff operationalized psychological wellbeing as a six-dimensional model of human characteristics: self-acceptance, positive relations with others, environmental mastery, personal growth, autonomy, and purpose in life. Ryff's Psychological Wellbeing Scale has been developed and translated into different versions. Here, we examine and describe the psychometric properties of the 18-item Swedish version of Ryff's Psychological Wellbeing Scale using both Classical Test Theory (CTT) and Item Response Theory (IRT). Methods The data used in the present study was earlier published elsewhere and consists of 768 participants (279 women and 489 men). In addition to the 18-item version of the scale, participants answered the Temporal Satisfaction with Life Scale, the Positive Affect Negative Affect Schedule, and the Background and Health Questionnaire. We examined, the 18-item version's factor structure using different models and its relationship with subjective wellbeing, sociodemographic factors (e.g., education level, gender, age), lifestyle habits (i.e., smoking, frequency of doing exercise, and exercise intensity), and health issues (i.e., pain and sleeping problems). We also analyzed measurement invariance with regard to gender. Moreover, as an addition to the existing literature, we analyzed the properties of the 18 items using Graded Response Model (GRM). Results Although the original six-factor structure showed a good fit, both CTT and IRT indicated that a five-factor model, without the purpose in life subscale, provided a better fit. The results supported the internal consistency and concurrent validity of the 18-item Swedish version. Moreover, invariance testing showed similar measurement precision by the scale across gender. Finally, we found several items, especially the purpose in life's item "I live life one day at a time and do not really think about the future," that might need revision or modification in order to improve measurement. Conclusion A five-factor solution is a valid and reliable measure for the assessment of psychological wellbeing in the general Swedish population. With some modifications, the scale might achieve enough accuracy to measure the more appropriate and correct six-dimensional theoretical framework as detailed by Ryff. Fortunately, Ryff's original version contains 20 items per subscale and should therefore act as a perfect pool of items in this endeavor.
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Affiliation(s)
- Danilo Garcia
- Department of Behavioral Sciences and Learning, Linköping University, Linköping, Sweden
- Centre for Ethics, Law and Mental Health (CELAM), University of Gothenburg, Gothenburg, Sweden
- Promotion of Health and Innovation (PHI) Lab, International Network for Well-Being, Linköping, Sweden
- Department of Psychology, University of Gothenburg, Gothenburg, Sweden
- Department of Psychology, Lund University, Lund, Sweden
| | - Maryam Kazemitabar
- Yale School of Medicine, Yale University, New Haven, CT, United States
- VA Connecticut Healthcare System, West Haven, CT, United States
- Promotion of Health and Innovation (PHI) Lab, International Network for Well-Being, New Haven, CT, United States
| | - Mojtaba Habibi Asgarabad
- Health Promotion Research Center, Iran University of Medical Sciences, Tehran, Iran
- Department of Health Psychology, School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran
- Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway
- Positive Youth Development Lab, Human Development and Family Sciences, Texas Tech University, Lubbock, TX, United States
- Center of Excellence in Cognitive Neuropsychology, Institute for Cognitive and Brain Sciences, Shahid Beheshti University, Tehran, Iran
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Gong C, Gao W, Zhang B, Tang H, Xie Y. Investigation and analysis of training injury and its psychological effects on firefighters in Beijing A cross-sectional study. Medicine (Baltimore) 2023; 102:e35179. [PMID: 37747013 PMCID: PMC10519485 DOI: 10.1097/md.0000000000035179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Revised: 08/19/2023] [Accepted: 08/21/2023] [Indexed: 09/26/2023] Open
Abstract
Firefighters' high-intensity training often leads to injuries in the musculoskeletal system. Studies have found that these injuries in the musculoskeletal system may contribute to poor psychological issues. At the same time, low psychological well-being increases the risk of injuries, illness, and mortality. According to research reports, firefighters generally have a good psychological state. So this study aims to survey and analyze the training-related injuries and psychological states of firefighting and rescue personnel in Beijing. This cross-sectional study employed a questionnaire survey to gather data from a total of 214 firefighters in a certain city. The participants were required to complete a questionnaire about musculoskeletal injuries and psychological status, and then these data were statistically analyzed. The incidence of training-related injuries is relatively high among firefighting and rescue teams, with the highest proportions observed in the lower back, knees, and ankles. Overweight and obese firefighters are more prone to ankle injuries. In the group with injuries, the subjective well-being index is lower compared to the group without injuries. Firefighters experiencing moderate to severe pain due to injuries exhibit lower subjective well-being indices compared to those with mild pain. Psychological resilience and the impact of pain on training and sleep can predict the subjective well-being index of firefighters. It is recommended that firefighting and rescue teams enhance preventive measures for musculoskeletal injuries during training to elevate the subjective well-being of firefighters.
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Affiliation(s)
- Cheng Gong
- Department of Rehabilitation Medicine, Beijing Friendship Hospital, Capital Medical University, Beijing, China
| | - Wentao Gao
- Combat Training Service, Beijing Dongcheng District Fire and Rescue Detachment, Beijing, China
| | - Bo Zhang
- Department of Rehabilitation Medicine, Beijing Friendship Hospital, Capital Medical University, Beijing, China
| | - Haifeng Tang
- School of Sport Medicine and Rehabilitation, Beijing Sport University, Beijing, China
| | - Ying Xie
- Department of Rehabilitation Medicine, Beijing Friendship Hospital, Capital Medical University, Beijing, China
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Blasco-Abadía J, Bellosta-López P, Palsson T, Moreno González S, García-Campayo J, Doménech-García V. Spanish version of the pain beliefs questionnaire: Translation, cross-cultural adaptation, validation, and psychometric properties in a working population. Musculoskelet Sci Pract 2023; 66:102827. [PMID: 37459817 DOI: 10.1016/j.msksp.2023.102827] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Revised: 07/07/2023] [Accepted: 07/10/2023] [Indexed: 08/26/2023]
Abstract
BACKGROUND Chronic musculoskeletal pain is a major health problem and a common cause of disability in the workplace. Beliefs related to musculoskeletal pain may influence its onset and perpetuation. Consequently, tools designed to identify potentially harmful beliefs are needed. However, the Pain Beliefs Questionnaire (PBQ) is not available for individuals speaking European-Spanish. OBJECTIVES To translate and culturally adapt the original English version of the PBQ into European-Spanish and evaluate its psychometric properties among Spanish workers with and without chronic musculoskeletal pain. DESIGN Study on measurement properties. METHODS A translation and cultural adaptation process was based on a forward-backward translation process. One hundred fifty-one active workers were included. Participants completed the PBQ (composed of the organic and psychological subscales), the Pain Catastrophizing Scale (PCS), and the Hospital Anxiety and Depression Scale (HADS). Finally, thirty participants completed the PBQ again two weeks later for test-retest reliability. RESULTS The PBQ showed adequate internal consistency (Cronbach's alpha: 0.72-0.73), good item response stability (weighted Kappa: 0.65-0.90), and reliability (Intraclass Correlation Coefficient: 0.72-0.80). A positive correlation was found between the PCS and the organic subscale (r = 0.403). However, no significant correlations were found between the HADS and the PBQ subscales. Workers with chronic musculoskeletal pain showed greater scores in the organic subscale and lower scores in the psychological subscale than workers without pain. CONCLUSION The Spanish version of the PBQ was linguistically accurate and acceptable for use by workers with and without musculoskeletal pain.
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Affiliation(s)
- Julia Blasco-Abadía
- Universidad San Jorge. Campus Universitario, Autov. A23 km 299, 50830, Villanueva de Gállego, Zaragoza, Spain
| | - Pablo Bellosta-López
- Universidad San Jorge. Campus Universitario, Autov. A23 km 299, 50830, Villanueva de Gállego, Zaragoza, Spain.
| | - Thorvaldur Palsson
- Department of Physiotherapy and Occupational Therapy, Aalborg University Hospital, Aalborg, Denmark
| | - Sergio Moreno González
- Universidad San Jorge. Campus Universitario, Autov. A23 km 299, 50830, Villanueva de Gállego, Zaragoza, Spain
| | - Javier García-Campayo
- Department of Psychiatry. University of Zaragoza. c/Domingo Miral s/n, 50009, Zaragoza, Spain
| | - Víctor Doménech-García
- Universidad San Jorge. Campus Universitario, Autov. A23 km 299, 50830, Villanueva de Gállego, Zaragoza, Spain
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Torlak MS, Unuvar BS, Gercek H. Effect of Aerobic Exercise on the Levels of Pain, Quality of Life, and Alexithymia in Alexithymic Individuals With Chronic Pain: A Single-Blinded Randomized Controlled Trial. J Manipulative Physiol Ther 2022; 45:652-659. [PMID: 37294216 DOI: 10.1016/j.jmpt.2023.04.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2022] [Revised: 04/10/2023] [Accepted: 04/10/2023] [Indexed: 06/10/2023]
Abstract
OBJECTIVE This study aimed to investigate the effects of aerobic exercise on pain, degree of alexithymia, and quality of life in individuals with alexithymia and chronic pain. METHODS A total of 40 participants who scored 61 or higher on the Toronto Alexithymia Scale-20 (TAS-20) were included in the study. The sample was subdivided into 2 groups using a computerized randomization program: an aerobic exercise group (n = 20) and a control group (n = 20). Participants in the aerobic exercise group underwent a 30-minute jogging protocol at 60% to 90% of maximum heart rate 3 days per week for 8 weeks under the supervision of a physiotherapist. Participants in the control group continued their daily physical activities. Outcome measures were the TAS-20, visual analog scale, Graded Chronic Pain Scale, and 36-Item Short Form Health Survey. RESULTS There was no statistically significant difference between the demographics of the 2 groups (P > .05). There was a statistically significant improvement in TAS-20, Graded Chronic Pain Scale, visual analog scale, and 36-Item Short Form Health Survey scores of the participants in the aerobic exercise group compared to the control group (P ˂ .05). CONCLUSION Aerobic exercise had a positive effect on pain, quality of life, and degree of alexithymia in individuals with alexithymia and chronic pain.
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Affiliation(s)
- Mustafa Savas Torlak
- Vocational School of Health Services, Department of Physical Therapy, KTO Karatay University, Karatay, Konya, Turkey.
| | - Bayram Sonmez Unuvar
- Vocational School of Health Services, Department of Physical Therapy, KTO Karatay University, Karatay, Konya, Turkey
| | - Hasan Gercek
- Vocational School of Health Services, Department of Physical Therapy, KTO Karatay University, Karatay, Konya, Turkey
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Yüksel A, Bahadir-Yilmaz E, Karakoyun A. The Relationship between Alexithymia, Psychological Well-Being and Religious Coping in Fibromyalgia Patients in Turkey. JOURNAL OF RELIGION AND HEALTH 2022; 61:3909-3921. [PMID: 34085189 DOI: 10.1007/s10943-021-01294-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 05/20/2021] [Indexed: 06/12/2023]
Abstract
This study aimed to investigate the relationship between alexithymia, psychological well-being, and religious coping in fibromyalgia patients. This study was planned as a descriptive and cross-sectional research design. The sample consisted of 175 fibromyalgia patients. Data were collected using the Toronto Alexithymia Scale-20, the Psychological Well-being Scale, and the Religious Coping Scale. Data were analyzed by Pearson's correlation test and Multiple Linear Regression analysis. A negative correlation was found between alexithymia and negative religious coping (r = - 0.377, p = 0.000). A positive correlation was found between psychological well-being and negative religious coping (r = 0.364, p = 0.000). The alexithymia was predicted by psychological well-being level (β = - 0.629), positive (β = 0.170) and negative (β = - 0.216) religious coping levels (p < 0.05). Negative and positive religious coping strategies can affect psychological well-being and expressive thinking in patients with FMS.
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Affiliation(s)
- Arzu Yüksel
- Faculty of Health Sciences, Department of Psychiatric Nursing, Aksaray University, Aksaray, Turkey
| | - Emel Bahadir-Yilmaz
- Faculty of Health Sciences, Department of Psychiatric Nursing, Giresun University, Giresun, 28340, Turkey.
| | - Ahmet Karakoyun
- Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Aksaray University, Aksaray, Turkey
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Gülnar E, Özveren H, Tüzer H, Yılmazer T. An Investigation of Pain Beliefs, Pain Coping, and Spiritual Well-Being in Surgical Patients. JOURNAL OF RELIGION AND HEALTH 2022; 61:4028-4038. [PMID: 34269958 DOI: 10.1007/s10943-021-01340-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 07/04/2021] [Indexed: 06/13/2023]
Abstract
This study investigated pain beliefs, pain coping, and spiritual well-being in surgical patients. The study adopted a cross-sectional, descriptive, and correlational research design. The sample consisted of 213 voluntary patients admitted to a surgery clinic between April and November 2019. Data were collected using a demographic characteristics questionnaire, the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale-12 item (FACIT-Sp-12), the Pain Beliefs Questionnaire (PBQ), and the Pain Coping Questionnaire (PCQ). Number, percentage, mean, and Spearman's correlation were used for analysis. Participants had a total FACIT-Sp-12 score of 25.99 ± 8.43. They had a mean PBQ "organic beliefs" and "psychological beliefs" subscale score of 4.44 ± 0.64 and 4.96 ± 0.68, respectively. They had a mean PCQ "self-management," "helplessness," "conscious coping attempts," and "medical remedies" subscale score of 15.83 ± 6.15, 9.41 ± 4.63, 8.72 ± 3.66, and 7.46 ± 5.33, respectively. Spiritual well-being was weakly and positively (r = 0.445, p < 0.000) correlated with self-management and moderately and negatively correlated (r = - 0.528, p < 0.000) with helplessness. Participants with higher organic and psychological beliefs had lower spiritual well-being. The results indicate that nurses should evaluate both pain and spiritual well-being in patients.
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Affiliation(s)
- Emel Gülnar
- Faculty of Health Sciences, Nursing Department, Kırıkkale University, Kırıkkale, Turkey.
| | - Hüsna Özveren
- Faculty of Health Sciences, Nursing Department, Kırıkkale University, Kırıkkale, Turkey
| | - Hilal Tüzer
- Faculty of Health Sciences, Nursing Department, Ankara Yıldırım Beyazıt University, Ankara, Turkey
| | - Tuba Yılmazer
- Faculty of Health Sciences, Nursing Department, Ankara Yıldırım Beyazıt University, Ankara, Turkey
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Bağci N, Doğan R. The relationship between pain beliefs and pain severity in liver transplant patients. Transpl Immunol 2022; 72:101564. [DOI: 10.1016/j.trim.2022.101564] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2022] [Revised: 02/26/2022] [Accepted: 02/26/2022] [Indexed: 11/16/2022]
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12
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Małek A. Pain in Tourette Syndrome-Children’s and Parents’ Perspectives. J Clin Med 2022; 11:jcm11020460. [PMID: 35054154 PMCID: PMC8779202 DOI: 10.3390/jcm11020460] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2021] [Revised: 01/06/2022] [Accepted: 01/11/2022] [Indexed: 12/10/2022] Open
Abstract
Tourette Syndrome (TS) is a neurodevelopmental condition characterized by the presence of tics and associated behavioral problems. Yale Global Tic Severity Scale (YGTSS), The PedsQL Pediatric Pain Questionnaire, and Pediatric Pain Coping Inventory were used to assess the severity of tics, the severity of the pain, the location of the pain and pain coping strategies both from children’s and parents’ perspectives. Sixty percent of children demonstrated pain (past or present); the pain was reported by 72% of parents raising children with TS. The pain most commonly was cervical, throat, shoulder, ocular, and joint pain; most children declared pain located in more than one part of the body. Consistency between the declarations of children and their parents in coping with pain was observed. Pain should be recognized as a common comorbid aspect of tic disorders in childhood and therapeutic treatment must include the reduction of pain caused by tics.
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Affiliation(s)
- Agnieszka Małek
- Department of Physical Education and Social Sciences, Gdansk University of Physical Education and Sport, 80-336 Gdansk, Poland
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Disceken FM, Kose G. Association of preoperative pain beliefs with postoperative pain levels in abdominal surgery patients. J Clin Nurs 2021; 30:3249-3258. [PMID: 33973286 DOI: 10.1111/jocn.15831] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2021] [Revised: 04/15/2021] [Accepted: 04/19/2021] [Indexed: 01/18/2023]
Abstract
AIMS AND OBJECTIVES This study aimed to analyse the association of preoperative pain beliefs with postoperative pain levels in abdominal surgery patients. BACKGROUND Postoperative pain is related to not only clinical and demographic characteristics but also pain beliefs. The perception, intensity and expression of pain as a subjective experience varies among individuals and cultures. Personal beliefs about pain play an important role in pain experiences and responses. DESIGN This cross-sectional study consisted of 126 abdominal surgery patients admitted to the General Surgery and Gynecological Surgery Clinics between September 2018-January 2019. The STROBE (Strengthening The Reporting of Observational Studies in Epidemiology) checklist was used as a guideline for this study. METHODS Data were collected through descriptive information forms, pain characteristics questionnaires, Visual Analogue Scales and pain beliefs questionnaires. One-way variance analysis and Pearson's correlation and t tests were used for data analysis. RESULTS The mean age of the participants was 48.63 ± 14.27 years. A total of 37.3% of the participants experienced moderate pain and 35.7% experienced severe pain at the 8th postoperative hour. Pain intensity significantly decreased at 16, 24 and 32 h postoperatively. In the predischarge interviews, 92.1% of the patients expressed limitations in physical activities due to pain. There was a relationship between 8-16 h postoperatively and sex and pain expectancy. Mean scores obtained from the organic and psychological beliefs subscales of the Pain Belief Questionnaire were 3.12 ± 0.79, and 2.37 ± 1.11, respectively. The psychological beliefs score was negatively associated with the level of education, and the organic beliefs score was higher for those participants who had undergone gynaecological surgery. There was a weak and positive correlation between the organic beliefs and psychological beliefs subscales of the Pain Beliefs Questionnaire. CONCLUSION Patients had moderate to severe postoperative pain, and sex and pain expectations affected the experienced level of pain. Most participants believed that the pain was organic in origin. The level of education exerted a significant impact on pain beliefs. RELEVANCE TO CLINICAL PRACTICE Characteristics and perception of pain and pain beliefs are important factors that should be determined to personalise pain relief care and maintain effective pain management.
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Affiliation(s)
| | - Gulsah Kose
- Department of Nursing, Faculty of Health Sciences, Mugla Sıtkı Kocman University, Mugla, Turkey
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Atílio FGC, Suzuki AF, Damaceno DG, Alarcon MFS, Marin MJS, Girotto MA. Dolor en adultos mayores de 80 años: características, impactos y estrategias de afrontamiento. REVISTA CUIDARTE 2021. [DOI: 10.15649/cuidarte.1310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Introducción: Como consecuencia del proceso de envejecimiento a nivel mundial y, en especial, en la población de adultos mayores, el cual está relacionado con los cambios en el proceso de senescencia, la prevalencia del dolor crónico ha aumentado exponencialmente. La presente investigación tiene como objetivo describir la presencia del dolor, sus características y las estrategias de afrontamiento entre los adultos mayores de 80 años. Materiales y métodos: Se realizó un estudio exploratorio cuantitativo descriptivo mediante la recolección de datos a través del instrumento Cuestionario Breve Del Dolor, además de datos sociodemográficos de 60 adultos mayores de 80 años que residían en el área de influencia de un equipo de Estrategia de Salud de la Familia ubicado en un municipio del centro occidente de Sao Paulo. Resultados: La muestra final contó con 60 adultos mayores con una media de 85.2 años, en su mayoría mujeres (64%), viudas (67%), de piel blanca (82%), jubiladas (67%) y con educación primaria completa (32%). Entre los participantes, el 73% presentó dolor en la última semana con repercusiones importantes en su vida diaria. El dolor se localiza frecuentemente en las extremidades inferiores e interfiere de forma moderada o intensa en la realización de las actividades cotidianas. Se observó que el 48% de los adultos mayores recurren a la implementación de medidas farmacológicas y no farmacológicas para el alivio del dolor con resultados satisfactorios. Conclusiones: El afrontamiento del dolor en esta población requiere un enfoque multifactorial e integral que involucre la atención interdisciplinar y el apoyo familiar. Se supone que la presencia de dolor entre los adultos mayores de 80 años es alta, lo que interfiere con su vida diaria, pero que encuentran alivio mediante la implementación de medidas farmacológicas y no farmacológicas.
Como citar este artículo: Atílio, Fernando Gustavo Cordeiro; Suzuki, Augusto Furukawa; Damaceno, Daniela Garcia; Alarcon, Miriam Fernanda Sanches; Marin, Maria José Sanches; Girotto, Marcos Antonio. Dor no idoso acima de 80 anos: características, impactos e estratégias de enfrentamento. Revista Cuidarte. 2021;12(2):e1310. http://dx.doi.org/10.15649/cuidarte.1310
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Ursavaş FE, Yaradılmış YU. Relationship Between Pain Beliefs and Postoperative Pain Outcomes After Total Knee and Hip Replacement Surgery. J Perianesth Nurs 2020; 36:187-193. [PMID: 33358319 DOI: 10.1016/j.jopan.2020.09.014] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2020] [Revised: 08/19/2020] [Accepted: 09/11/2020] [Indexed: 10/22/2022]
Abstract
PURPOSE The aim of this study was to investigate the relationship between pain beliefs and postoperative pain outcomes in patients who underwent total knee replacement or total hip replacement. DESIGN This was a descriptive, prospective, and cross-sectional study. METHODS The study population included all patients who met the sampling criteria and agreed to participate in the study between April 2019 and January 2020 (N = 91). Data were collected using a sociodemographic and clinical characteristics form, the Pain Beliefs Questionnaire (PBQ), and the Turkish Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R-TR). Sociodemographic and clinical data and PBQ scores were obtained preoperatively, and the APS-POQ-R-TR was applied 24 hours after surgery. FINDINGS In the first 24 hours, the mean lowest pain level was 2.96 ± 2.29; mean highest pain level was 8.05 ± 2.66. In the evaluation of the relationships between patients' sociodemographic characteristics and mean PBQ organic and psychological beliefs scores, statistically significant differences were observed according to income and education level. Mean PBQ organic and psychological beliefs scores were not significantly associated with APS-POQ-R-TR total scores or subscale scores for pain severity, activity interference, sleep interference, and perception of care; affective effect of pain; or adverse effects of pain treatment. CONCLUSIONS The results of our study indicate that education level and socioeconomic status were associated with patients' pain beliefs, but we observed no relationship between pain beliefs and perceived pain outcomes.
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Affiliation(s)
- Figen Erol Ursavaş
- Department of Surgical Nursing, Faculty of Health Science, Çankırı Karatekin University, Çankırı, Turkey.
| | - Yüksel Uğur Yaradılmış
- Department of Orthopaedics and Traumatology, University of Health Sciences, Keçiören Health Practice and Research Center, Ankara, Turkey
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Finlay J, Lind C, Dela Cruz AM. Concept analysis: Resilience in young women with chronic pain. Nurs Forum 2020; 56:389-395. [PMID: 33345367 DOI: 10.1111/nuf.12543] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2020] [Revised: 10/29/2020] [Accepted: 12/04/2020] [Indexed: 11/26/2022]
Abstract
The aim of this article is to define the concept of resilience in the context of chronic pain, while presenting a historical background of resilience. Resilience in young women with chronic pain is discussed where findings exist. Chronic pain places a considerable burden on individual and societal health; resilience is critical to chronic pain management. Enhancing understanding of the concept of resilience can promote resilience and aid in early recognition of impaired coping. Rodgers's evolutionary method of concept analysis was used. Using CINAHL, PubMed, and Google Scholar databases, articles published from 1979 to 2020 were analyzed to identify conceptual components of resilience. We reviewed included articles to determine surrogate terms, relevant uses of the concept, attributes, references of the concept, antecedents, consequences, and related concepts. Resilience in the context of chronic pain is a lifelong process of positive adaption and thriving despite adversity. Components of Rodgers's evolutionary method are identified for the concept. Further research on resilience in young women with chronic pain is needed, given the current lack of literature. Developing nursing interventions to foster resilience is important to promote long-term, effective self-management of individuals living with chronic pain.
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Affiliation(s)
- Jenise Finlay
- Faculty of Nursing, University of Calgary, Calgary, Alberta, Canada
| | - Candace Lind
- Faculty of Nursing, University of Calgary, Calgary, Alberta, Canada
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