Üriner Sistem Taş Hastalığı ve Ağrı Tedavisi: Yeni Ne Var?

Bayar, Göksel; Tanrıverdi, Orhan

doi:10.5350/endo2016090108

Cited by 2 publications

(4 citation statements)

References 30 publications

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“…Böbrek taşı patogenezinde kalsiyum oksalat taşları en sık taş oluşum nedeni olarak bilinmektedir. 6 Tüm sıvı türleri idrar çıkışına neden olup taş oluşum riskini spontan olarak azaltabilecek en yararlı yöntemlerdir. Bu yüzden herhangi bir sebeple idrarla atılan kalsiyumu azaltmak, idrarı alkali yapmak için hastalara ilk önerilen su ve sıvı alımının artırılması ve oksalat oluşumunu önlemek için diyet değişikliği sağlamaktır.…”

Section: Discussionunclassified

“…Ağrı, taşın sebep olduğu obstrüksiyona sekonder renal pelvisteki basınç artışı ve böbrek kapsülündeki gerilme neticesinde ortaya çıkmaktadır. 6 Böbrek taşı oluşumunu önlemede ise diyet ve farmakolojik müdahalelerin etkili olduğu bilinmekle birlikte diyet değişikliklerini sürdürmenin zorluğu, reçeteli ilaçların yan etki profilleri ve maliyetleri nedeniyle hastalarda tedaviye uyum zor olabilmektedir. 7 Ayrıca, hastalar yaşadıkları yan etkiler nedeniyle alternatif seçeneklere başvurabilmektedirler.…”

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The Relationship Between Pain and Use of Complementary and Integrative Therapy in Patients with Kidney and Ureteral Stones: A Descriptive Study

BEKTAŞ AKPINAR,

AKPINAR,

ÖZCAN YÜCE

2024

J Tradit Complem Med

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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.Anah tar Ke li me ler: Tutum; tamamlayıcı terapiler; böbrek ve üreter taşı; ağrı ABS TRACT 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...

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Section: Discussionunclassified

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The Relationship Between Pain and Use of Complementary and Integrative Therapy in Patients with Kidney and Ureteral Stones: A Descriptive Study

BEKTAŞ AKPINAR,

AKPINAR,

ÖZCAN YÜCE

2024

J Tradit Complem Med

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“…Today, despite the developments in pain control, inadequate pain management is still an important problem 14 . For this reason, it is a known fact that nephrolithiasis patients resort to non‐pharmacological methods as well as pharmacological agents for pain management 15,16 . In a study conducted by Şahin Akboğa et al (2023), it was reported that nearly half of the patients used non‐pharmacological methods to relieve renal colic pain, and the highest rate of patients used phytotherapy 17 .…”

Section: Introductionmentioning

confidence: 99%

“…14 For this reason, it is a known fact that nephrolithiasis patients resort to non-pharmacological methods as well as pharmacological agents for pain management. 15,16 In a study conducted by Şahin Akbo ga et al (2023), it was reported that nearly half of the patients used non-pharmacological methods to relieve renal colic pain, and the highest rate of patients used phytotherapy. 17 In addition to quantitative studies examining patients' pain and methods of coping with pain, qualitative studies including patients' statements will contribute to both the literature and the quality of pain care.…”

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confidence: 99%

Pain experiences of nephrolithiasis patients planned for percutaneous nephrolithotomy: A qualitative study

Deniz Doğan,

Yurtseven,

Köse Tosunöz

2024

Int J of Uro Nursing

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This study was carried out to determine the pain experienced by nephrolithiasis patients scheduled for PNL and the methods of coping with pain. The qualitative descriptive study was conducted with 22 patients aged between 23 and 75 years who experienced pain due to nephrolithiasis. The data were collected between January and November 2023 using the “Personal Information Form” and “Semi‐structured Interview Form”. The content analysis was used to investigate the pain experienced by patients. Patients reported the character of pain as pulling, stabbing, scratching, swelling, pressing, and indescribable, and the intensity of the pain as the most severe pain experienced, unbearable, and killing. Patients reported the effects of the pain as tiring, immobilized, breathtaking, and appetite suppressant. The methods used by the patients were categorized under two themes: pain‐orientated and directed at the source of pain. In addition to pharmacological methods to cope with pain, patients reported hot application and distraction techniques. Patients also reported using some herbs in addition to the medical treatments recommended by the physician to reduce kidney stones to cope with the pain they experienced. In line with these results, the subjective nature of pain should not be forgotten during pain assessment, which is one of the most important steps in controlling the pain of patients with renal colic due to nephrolithiasis, and pain should be evaluated in all its dimensions. Considering that patients also use nonpharmacological methods to control this severe pain, these methods should be questioned.

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Üriner Sistem Taş Hastalığı ve Ağrı Tedavisi: Yeni Ne Var?

Cited by 2 publications

References 30 publications

The Relationship Between Pain and Use of Complementary and Integrative Therapy in Patients with Kidney and Ureteral Stones: A Descriptive Study

The Relationship Between Pain and Use of Complementary and Integrative Therapy in Patients with Kidney and Ureteral Stones: A Descriptive Study

Pain experiences of nephrolithiasis patients planned for percutaneous nephrolithotomy: A qualitative study

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