| Abstract [eng] |
Topic of the work: Pain Management for patients experiencing chronic pain. Chronic pain becomes a big medicine, economic and social problem that influences not just every person’s quality of life, disturbs normal social and personal life, family relations, but also public economic potential. Morbidity and incapacity to work in Lithuania meet global tendencies. Aim of the work: To evaluate the chronic pain of patients, their physical and emotional experiences and their knowledge about pain control. Goals of the work: 1. To find out the nature of pain and its intensity for patients who suffer from chronic pain. 2. To find out what methods patients use to decrease pain. 3. To evaluate how chronic pain influences everyday activities of a patient. 4. To evaluate how chronic pain influences emotional state of a patient. 5. To evaluate the knowledge of patients about the management of pain. Object of the research: Patients, who suffer from chronic pain and who are cured in VSI VUL “Santariskiu klinikos” anesthesiology, intensive therapy and pain treatment center. Methodology of the research: Questionnaire poll of patients is presented. 100 respondents were questioned. Results of the work: According to the data of the results, 85% suffered of the chronic pain. The biggest part of the respondents (38%) felt acute type pains. When pain intensity was analyzed, 47% of respondents felt acute pain. Dependence relation between the intensity of pain and age was not determined (p>0.05). The biggest part of people (54%) who suffer from chronic pains is able-bodied population. Treatment of chronic pain is a concurrent part of constant usage of medications. When medication usage was evaluated, it was determined that 41% of respondents used medications constantly, a part of respondents (43%) used medication just when they felt pain and 14% of the respondents did not use medications at all. The biggest part (73%) of the respondents indicated that their pain slightly decreased, 22% stated that usage of medication decreased pain moderately and 5% said that medication usage sufficiently decreased their pain. The bigger part of respondents (56%) did not know any not pharmacologic means to decrease chronic pain, 36% mentioned exercising and 8% of the respondents mentioned pool. There is a statistically significant link among knowledge of not pharmacological means for pain decreasing, their usage and a living location (p<0.001). It was noticed that intensity of chronic pain did not correlate with the influence of chronic pain on everyday activities of a patient. When the research results were overviewed, it became clear that chronic pain made the biggest influence on work, sleep, emotions, communication, movement, personal hygiene, and the minimal influence was made on nutrition. Chronic pain affects emotional state of patients. The existence of anxiety symptoms together with depression disorders is common for both men and women. For the biggest part of respondents anxiety was expressed moderately (30%) and clearly (40%), while other patients did not feel anxiety (30%). Depression was diagnosed for 13% of respondents; moderately expressed depression was for 33% and 54% had no depression. When comparing anxiety, depression index among different age groups, statistically important differences were not determined (p>0.1). More than a half (57%) of respondents who participated in the poll stated that they do not have enough knowledge about pain management. 88% of the respondents expressed the usefulness of learning program of chronic pain management, 12% stated that this program is not necessary for them. Statistically there is no important relation among the necessity of pain management program, age and living place (p>0.05). The hypothesis was true that physical and emotional experiences of patients who suffer from chronic pains influence their inner feelings and that there was not enough knowledge about pain control. |
