Nurses' approaches towards the pain problem of patients admitted to physical therapy and rehabilitation inpatient and outpatient clinics/Hemsirelerin fizik tedavi ve rehabilitasyon kliniklerinde yatan ya da poliklinige basvuran hastalarin agri sorununa yonelik yaklasimlari

Objective: Chronic pain complaints are mostly made by rheumatology patients and patients admitted to physical therapy and rehabilitation inpatient and outpatient clinics. Due to the subjective and objective qualifications of pain; defining pain in these patients is difficult. Clinical observations and study results of pain treatment showed that, like other health professionals, nurses also do not have sufficient knowledge and ability for pain management and they pay attention to acute pain rather than chronic pain. The aim of the study is to determine the approaches of the nurses working in physical treatment and rehabilitation inpatient and outpatient clinics to defining, evaluating and managing pain. Materials and Methods: The research was conducted as a descriptive study in four university hospitals in Ankara who agreed to join the study, between May 15-June 29, 2007 with 27 nurses. Written permission was obtained from the institutions, oral permission was given by the nurses and a questionnaire, developed by the researchers by reviewing the literature, was used for data collection. Percentage values were used to evaluate the data. Results: In this study it was found that of the nurses who joined the study to evaluate patient pain; 70.4% used scales for evaluating pain, 36.9% used a visual analog scale and 44.4% of nurses did not know the name of the scale they used. 89.5% of nurses who used the scale used it for all the patients in clinics, 36.8% of them use a scale in the admission process and vital sign evaluating process; 76.2% of them consider using the scale according to pain severity. It was determined that 90% of nurses use pharmacologic and non-pharmacologic approaches together to manage pain. Conclusion: Nurses use scales for evaluating pain. They consider using scales according to the pain severity and vital signs and use both pharmacological and nonpharmacological approaches to manage pain. Key Words: Rehabilitation, rehabilitation services, pain evaluation, nurse Amac: Kronik agri yakinmasi fizik tedavi ve rehabilitasyon klinik ve polikliniklerine basvuran ve romatolojik hastaligi olan hastalar arasinda siklikla gorulmektedir. Bu hastaliklarda agriyi tanimlamak ise agrinin subjektif ve objektif ozellikleri nedeniyle zordur. Agri tedavisine iliskin calisma sonuclari ve klinik gozlemler; hemsirelerin de diger saglik gorevlileri gibi agri yonetimine iliskin yeterli bilgi ve deneyime sahip olmadiklari ve kronik agriya gore akut agriyla daha faz