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- MakaleAçık Erişim2026Scopus SJRQ2Reliability and validity of the Turkish version of the pain attention and awareness questionnaire for nonspecific musculoskeletal pain
Sürmeli, Mahmut; Özdemir, Özlem Çinar; Topcuoğlu, Ceyhun
Background: Reliable and valid assessments of pain vigilance and awareness are crucial for understanding and treating pain within cognitive-behavioral frameworks, such as the fear-Avoidance Model. While the Pain Vigilance and Awareness Questionnaire (PVAQ) is a widely used tool for this purpose, no culturally adapted and validated version exists for the Turkish-speaking population, creating an instrumental and clinical gap. Objective: This study aimed to translate, culturally adapt, and comprehensively evaluate the psychometric properties of the Turkish version of the PVAQ in a sample of patients with nonspecific musculoskeletal pain. Methods: An instrumental, cross-sectional study was conducted. The PVAQ was translated and adapted into Turkish according to established guidelines. A sample of 131 patients with low back, neck, or shoulder pain completed the PVAQ-T, the Pain Catastrophizing Scale (PCS), the Tampa Scale for Kinesiophobia (TSK), the Hospital Anxiety and Depression Scale (HADS), and a visual analog scale (VAS) for pain intensity. Reliability was assessed via internal consistency (Cronbach’s alpha) and test-retest reliability (intraclass correlation coefficient - ICC). Construct validity was examined via exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Criterion validity was evaluated through Pearson correlations with the PCS, TSK, and HADS. Results: The PVAQ-T demonstrated acceptable internal consistency (Cronbach’s α = 0.83) and good test-retest reliability (ICC = 0.918). EFA supported a two-factor structure (vigilance and awareness), explaining 62.3% of the variance. CFA indicated that the original 16-item model had a suboptimal fit (CFI = 0.807; GFI = 0.732; SRMR = 0.060; RMSEA = 0.138, and χ²/df = 3.46). Following the removal of items 4 and 12 based on exploratory and item-level findings, some fit indices showed modest improvement (CFI = 0.836; GFI = 0.768; SRMR = 0.006), whereas others remained unchanged or worsened (RMSEA = 0.144; χ²/df = 3.69). The PVAQ-T total score showed moderately to strongly, statistically significant (p < 0.001) correlations with the PCS (r = 0.681), TSK (r = 0.694), HADS-Anxiety (r = 0.491), and HADS-Depression (r = 0.416) scores, supporting its criterion validity. Conclusion: Within a Turkish sample of individuals with nonspecific musculoskeletal pain, the 14-item Turkish version of the PVAQ demonstrates adequate reliability and validity for assessing pain-related attention and awareness. While the two-factor structure was supported at the exploratory level, confirmatory findings suggest that results should be interpreted with caution. The PVAQ-TR may be a useful instrument for research and clinical assessment of pain-related attentional processes, highlighting the importance of cultural adaptation and empirical evaluation of psychometric instruments.
- MakaleAçık Erişim2026Scopus SJRQ3Neuro-linguistic programming for postoperative pain management: A randomized controlled trial
Dal, Nursel Alp; Beydağ, Kerime D.; Doğan, Aysel
Effective control of pain after cesarean delivery is essential, as poorly managed postoperative pain is a common complication that can impair maternal recovery and early infant care. This prospective, randomized, single-blind controlled trial, conducted in the postpartum unit of Kocaeli University Hospital, Kocaeli, Türkiye, between March 2021 and June 2022, compared the effect of a single neuro-linguistic programming (NLP) session added to standard postoperative care against standard care alone. Seventy-six consenting women were randomized in equal numbers to the intervention (standard care plus NLP) or control (standard care only) group. The primary outcome was pain intensity, measured with the Visual Analogue Scale (VAS) before and after the intervention period. Mean follow-up pain scores were significantly lower in the intervention group (2.37±1.792) than in the control group (6.68±2.068; p<0.001), while baseline pain scores and maternal demographic and obstetric characteristics did not differ significantly between groups. Adding a single NLP session to standard postoperative care effectively reduced pain after cesarean delivery, supporting its use as a non-pharmacological adjunct in postoperative nursing and midwifery practice. African Journal of Reproductive Health © 2026.; Une prise en charge efficace de la douleur après une césarienne est essentielle, car une douleur postopératoire mal gérée constitue une complication fréquente susceptible de nuire au rétablissement de la mère et aux premiers soins prodigués au nourrisson. Cet essai prospectif, randomisé, contrôlé en simple aveugle, mené dans l’unité post-partum de l’hôpital universitaire de Kocaeli, à Kocaeli, en Turquie, entre mars 2021 et juin 2022, a comparé l’effet d’une seule séance de programmation neurolinguistique (PNL) ajoutée aux soins postopératoires standard à celui des soins standard seuls. Soixante-seize femmes ayant donné leur consentement ont été randomisées en nombre égal dans le groupe d’intervention (soins standard plus PNL) ou dans le groupe témoin (soins standard uniquement). Le critère d’évaluation principal était l’intensité de la douleur, mesurée à l’aide de l’échelle visuelle analogique (EVA) avant et après la période d’intervention. Les scores moyens de douleur observés lors du suivi étaient significativement plus faibles dans le groupe d’intervention (2,37 ± 1,792) que dans le groupe témoin (6,68 ± 2,068 ; p < 0,001), tandis que les scores de douleur initiaux ainsi que les caractéristiques démographiques et obstétricales des mères ne présentaient pas de différence significative entre les groupes. L’ajout d’une seule séance de PNL aux soins postopératoires standard a permis de réduire efficacement la douleur après une césarienne, ce qui plaide en faveur de son utilisation comme complément non pharmacologique dans la pratique infirmière et obstétricale postopératoire.
- MakaleYalnız künye2021Scopus SJRQ2Effects of lavender oil intervention before endoscopic retrograde cholangiopancreatography on patients' vital signs, pain and anxiety: A randomized controlled study
Citlik Saritas, Seyhan; Buyukbayram, Zeliha; Kaplan Serin, Emine; Bilgic, Yilmaz
Background: This study was carried out to determine the effects of lavender oil intervention before endoscopic retrograde cholangiopancreatography (ERCP) on patients' vital signs, pain and anxiety. Materials and methods: This study was designed as a randomized controlled study. The population of the study consisted of adult patients who were going to receive ERCP at the gastroenterology clinic of a university hospital. Ninety patients participated in the study. The data were collected using a Patient Information Form, a Pre-Post Test Record Form, VAS and the State Anxiety Scale. Results: After lavender oil intervention, the pulse rate, systolic-diastolic blood pressure, pain and anxiety levels of the patients in the experiment group were reduced, their oxygen saturation levels were increased, and the difference between the groups was statistically significant (p < 0.05). Conclusion: Lavender oil applied on the patients before the ERCP procedure reduced their pulse rate, systolic-diastolic blood pressure, pain and anxiety levels, while it increased their oxygen saturation levels.
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İncele - MakaleYalnız künye2020Scopus SJRQ2The Effect of Progressive Relaxation Exercises on Pain, Fatigue, and Quality of Life in Dialysis Patients
Kaplan Serin, Emine; Ovayolu, Nimet; Ovayolu, Özlem
Patients receiving hemodialysis treatment may experience several symptoms at the same time, such as fatigue and pain. Progressive relaxation exercises (PRE) have been reported to have positive effect on the control of these symptoms. In this study, a randomized, controlled, and experimental study was conducted to examine the effect of PRE on pain, fatigue, and quality of life in hemodialysis patients; the study was carried out with 48 intervention and 48 control patients receiving treatment in the hemodialysis units of 2 hospitals. Data were collected by a questionnaire prepared by the researcher, which included questions about sociodemographic variables and the disease; Piper Fatigue Scale; Visual Analog Scale that measures pain severity; and SF-36 Quality of Life Scale. The results of study revealed that mean total fatigue score and mean pain score decreased in the intervention group after the application of PRE; whereas no change was observed in the control group (P <.05). It was also found that quality of life physical component mean score and mental component mean score increased in the intervention group after the application of PRE (P <.05).
AtıfScopus35WoS31OpenAlex44İncele