Pain And Quality of Life in Adults with Sickle Cell Disease

E. Huzmeli
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Abstract

Aim: Aim of the study was to examine the relationship between pain and quality of life in adult patients with sickle cell disease (SCD) and to examine complications of SCD on pulmonary system. Material and Methods: A total of 25 individuals (19 male, 6 female) diagnosed with SCD were included in the study. Pulmonary system, quality of life and pain was measured. Pain in rest and activity was questioned with Visual Analog Scale. The quality of life was assessed by the Short Form-36 (SF-36) Scale. Results: It was determined that the individuals experienced an important level of pain in rest and activity levels, however it was seen that the pain level in activity was higher. It was determined that the oxygen saturation average was 91% and incidence of secretion and the number of coughing individuals was 6 and that 2 individuals used accessory respiration muscles. It was also found out that the SF-36 Scale’s parameters’ scores were low and that the quality of life of individuals were negatively affected. There was a moderate, negative and significant correlation between pain in rest and SF-36 Scale’s physical function, pain, general health, mental health parameters. Conclusion: It has been concluded that in the treatment of patients with SCD, although it is not mentioned in patient history, pain related problems should be taken into consideration. We believe that pulmonary and pain rehabilitation to patients with SCD will support their wellbeing.
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成人镰状细胞病患者的疼痛与生活质量
目的:研究成人镰状细胞病(SCD)患者疼痛与生活质量的关系,并探讨SCD对肺系统的并发症。材料与方法:共纳入25例确诊为SCD的患者(男性19例,女性6例)。测量肺系统、生活质量和疼痛。用视觉模拟量表对休息和活动疼痛进行评估。生活质量采用SF-36简易量表进行评估。结果:确定个体在休息和活动水平上经历了重要的疼痛水平,但在活动水平上看到疼痛水平更高。测定血氧饱和度平均值为91%,分泌物发生率和咳嗽人数为6人,有2人使用副呼吸肌。研究还发现,SF-36量表的参数得分较低,个体的生活质量受到负面影响。休息疼痛与SF-36量表的身体功能、疼痛、一般健康、心理健康参数存在中度、负相关和显著相关。结论:在治疗SCD患者时,虽然患者病史中未提及,但应考虑与疼痛相关的问题。我们相信SCD患者的肺部和疼痛康复将有助于他们的健康。
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