Pain Management Nursing最新文献

{"title":"Prevalence of Peristomal Dermatitis-Related Pain: A Cross-Sectional Study.","authors":"Larissa Silva Santana, Maristela Lopes Gonçalves Nunes, Vera Lucia Conceição de Gouveia Santos","doi":"10.1016/j.pmn.2025.04.014","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.04.014","url":null,"abstract":"<p><strong>Purpose: </strong>Peristomal skin complications affect a significant proportion of individuals living with urinary or fecal stomas, with peristomal dermatitis being the most common. Dermatological changes such as erosion, pruritus and pain are critical symptoms impacting the patients' quality of life. The purpose of this manuscript is to analyze the prevalence of peristomal dermatitis-related pain and the associated factors in patients treated in specialized outpatient clinics.</p><p><strong>Design: </strong>This is a secondary, epidemiological, observational, cross-sectional, and correlational study, with data extracted from a previously published primary study.</p><p><strong>Methods: </strong>Data collection instruments included sociodemographic and clinical data forms, the Numerical Rating Scale (NRS) for assessing the intensity of pain, and the DET® Score for evaluating the severity of peristomal dermatitis. Regression analyses were done to determine the factors associated with the presence of peristomal dermatitis-related pain. Both the primary and secondary studies were approved by a Research Ethics Committee.</p><p><strong>Results: </strong>One hundred and nine adults with intestinal and urinary stomas and peristomal skin complications were enrolled in the study. Most participants were males (59/54.1%), with colostomies (58/53.2%). The most common complication was moisture-associated peristomal dermatitis (79/72.5%). The prevalence of peristomal dermatitis-related pain was 33.9% (37/109). The DET® Score was the only variable associated with the presence of \"pain at the consultation\" (0.6346; p < .001) and the \"worst pain during the week\" (0.535; p < .001), indicating that each point on the DET® Score increased consultation pain by 0.6 and the worst pain during the week by 0.5.</p><p><strong>Conclusions: </strong>The study demonstrated that peristomal dermatitis-related pain was present in over one-third of the sample, increasing with the severity of the lesion. Then, care efforts must be taken by health professionals, mainly nurses, in preventing peristomal dermatitis, and consequently, pain and suffering.</p><p><strong>Clinical implications: </strong>The study highlights the importance of a comprehensive patient assessment beyond the immediate clinical presentation of the peristomal skin lesion, including the quantitative and qualitative assessment of nonvisible signs and symptoms such as pain, itching, and burning. Stomatherapists and nonspecialized nurses can use this information to develop individualized care plans that incorporate pain management strategies during and after the change of the collection device. In addition, the association between peristomal skin damage and pain severity emphasizes the need for nurses and patients to monitor skin conditions with preventative measures as part of a pain prevention strategy. This approach can improve peristomal dermatitis - related pain outcomes and increase patients' quality o","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144174445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to \"Online Learning to Improve Nurses' Knowledge, Attitudes, and Self-Efficacy about Managing Postoperative Pain in Older Adults\" [Pain Management Nursing 25/3(2024), 249-257].","authors":"Phichpraorn Youngcharoen, Chayada Piyakhachornrot","doi":"10.1016/j.pmn.2025.05.002","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.05.002","url":null,"abstract":"","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144161248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Evolution of Informational Needs of People With Complex Regional Pain Syndrome.","authors":"Colleen Johnston-Devin, Sancia West, Florin Oprescu, Katrina Lane-Krebs, Michelle Cleary","doi":"10.1016/j.pmn.2025.04.010","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.04.010","url":null,"abstract":"<p><strong>Aim: </strong>To identify the information needs of people with a new or existing diagnosis of complex regional pain syndrome.</p><p><strong>Design: </strong>A qualitative descriptive approach was taken.</p><p><strong>Methods: </strong>Nineteen interviews were conducted with people diagnosed with complex regional pain syndrome. The interviews were focused on issues related to seeking information. Data analysis followed the reflexive thematic analysis framework as identified by Braun and Clarke.</p><p><strong>Results: </strong>Analysis of the interview transcripts revealed four overarching themes-information needs and information-seeking actions at the time of diagnosis, information needs and information-seeking actions in the present, problems seeking or receiving information, and recommendations from lived experience.</p><p><strong>Conclusion: </strong>The information needs of those diagnosed with complex regional pain syndrome evolve from understanding the condition to seeking management strategies specific to personal circumstances as individuals start to understand and manage the condition. People seek support from healthcare professionals and others who have lived with the condition. Access to current, credible information and acknowledgment of their pain reality by healthcare professionals are important considerations for individuals with complex regional pain syndrome.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Digital Counseling for Parents' Use of Nonpharmacological Pain-Relieving Methods in Pediatric Day Surgery.","authors":"Heli Kerimaa, Tarja Pölkki","doi":"10.1016/j.pmn.2025.04.011","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.04.011","url":null,"abstract":"<p><strong>Purpose: </strong>This study evaluated the effectiveness of digital counseling for parents in using nonpharmacological pain-relieving methods on pediatric day surgery patients.</p><p><strong>Design: </strong>A secondary outcome study of the randomized controlled trial.</p><p><strong>Methods: </strong>The participants included 70 children (aged 2-6 years) and their parents in a Pediatric Day Surgical Department at a university hospital. Parents were randomly assigned to an intervention group (n = 36) using a mobile application to guide nonpharmacological pain management or a control group (n = 34) receiving standard care. Effectiveness was measured by the frequency with which parents prepared their children for day surgery and used various pain-relieving methods, including (1) cognitive-behavioral and (2) physical techniques, (3) emotional support, (4) assistance with daily activities, and (5) creating a comfortable environment. Group differences were analyzed using Fisher's Exact Test.</p><p><strong>Results: </strong>Parents in both groups prepared their children for day surgery but provided limited details about the procedure, including its duration and postoperative care. Those who used the mobile app were more effective in using nonpharmacological pain-relieving methods to alleviate their children's pain. They more frequently employed cognitive-behavioral techniques, such as distraction and positive reinforcement, and physical techniques, like massage and positioning. However, statistically significant differences were found only in the timing of information given about the procedure and the use of distraction by parents. Both groups used well emotional support, assistance with daily activities, and creating a comfortable environment following the surgery.</p><p><strong>Conclusions: </strong>The study shows that digital counseling can increase parents' use of nonpharmacological pain-relieving methods in pediatric day surgery. However, it is important that mobile apps promote communication between parents and children rather than replace it.</p><p><strong>Nursing practice implications: </strong>Nurses should ensure digital tools promote interactive communication between parents and children, improving the use of pain relief methods. Training and regular feedback are essential to integrate these tools into nursing practice effectively.</p><p><strong>Clinical trial registration: </strong>This study was registered at ClinicalTrials.gov (NCT03774303).</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144132784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Information for Readers","authors":"","doi":"10.1016/S1524-9042(25)00181-X","DOIUrl":"10.1016/S1524-9042(25)00181-X","url":null,"abstract":"","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"26 3","pages":"Page A5"},"PeriodicalIF":1.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144098325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Rehabilitation on The Productivity Among University Professors With Chronic Musculoskeletal Pain: A Cross-Sectional Study.","authors":"Mônica Jordão de Souza Pinto, Vivian Aline Mininel, Tatiana de Oliveira Sato, Lilian Varanda Pereira, Anamaria Alves Napoleão, Priscilla Hortense","doi":"10.1016/j.pmn.2025.04.013","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.04.013","url":null,"abstract":"<p><strong>Purpose: </strong>To examine how rehabilitation influences work productivity in university professors from Brazilian federal universities with chronic musculoskeletal pain, specifically by investigating its moderating effect on the relationship between pain intensity and productivity loss at work, as well as its mediating role in the association between self-efficacy for chronic pain and productivity loss at work.</p><p><strong>Design and methods: </strong>A cross-sectional study with 974 university professors experiencing chronic musculoskeletal pain conducted via virtual structured questionnaire including Numeric Pain Rating Scale, Work Limitations Questionnaire (WLQ-25), and Chronic Pain Self-Efficacy Scale (CPSS).</p><p><strong>Results: </strong>Total 82.65% of faculty reported moderate to severe pain, and 50.62% were undergoing rehabilitation. The mean total self-efficacy score was 190.13, and mean productivity loss was 7.83%. Moderation analysis showed faculty undergoing rehabilitation had 2.62% productivity loss versus 3.07% for those not undergoing. Mediation analysis indicated a ß correlation coefficient of -0.000 for indirect effect and -0.029 for direct effect.</p><p><strong>Conclusions: </strong>Rehabilitation does not decrease productivity loss as pain intensity increases; however, faculty undergoing rehabilitation exhibit lower productivity loss compared to those who do not. Higher levels of self-efficacy reduce productivity loss, and rehabilitation does not mediate this relationship.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effects of Stress Ball Practice on Patient Anxiety, Pain and Vital Signs During Cataract Surgery: A Randomized Controlled Trial.","authors":"Seda Cansu Yeniğün, Fatma Demir Korkmaz","doi":"10.1016/j.pmn.2025.04.009","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.04.009","url":null,"abstract":"<p><strong>Background: </strong>Although cataract surgery is considered a daily surgical procedure, patients may experience pain and anxiety during surgery, which can affect their vital signs.</p><p><strong>Aims: </strong>This study sought to examine the effects of the use of stress balls on anxiety levels, pain perception, and vital signs in patients during cataract surgery.</p><p><strong>Methods: </strong>The research was conducted between 22.09.2022 and 24.04.2023. The sample comprised 66 patients who underwent cataract surgery under topical anaesthesia at the General Surgery Clinic of Antalya Kumluca State Hospital. The samples were divided into stress ball (n = 33) and control (n = 33) groups. Data were collected via a personal information form, the Visual Analog Scale-Anxiety (VAS-A), the Spielberger Trait Anxiety Inventory (STAI), the Visual Analog Scale (VAS), and a vital signs follow-up form. The stress ball group participants played with stress balls for 15 minutes during cataract surgery, whereas the control group participants received only routine care.</p><p><strong>Results: </strong>Both groups had similar sociodemographic and descriptive characteristics (p > 0.05). The stress ball group had a significantly lower mean postoperative VAS pain score than the control group did (p < 0.05). Compared with the control group, the stress ball group had a significantly lower mean VAS anxiety score, systolic and diastolic blood pressure, and heart rate (p < 0.001). The stress ball group had a significantly lower mean postoperative respiratory rate than the control group did (p < 0.05). The stress ball group had a higher mean postoperative oxygen saturation rate than the control group did (p > 0.05).</p><p><strong>Conclusion: </strong>The results of this study demonstrated that using a stress ball during cataract surgery decreased pain and anxiety levels in patients but also improved vital signs; however, it had no effect on oxygen saturation.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144120515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Mindfulness on Postoperative Pain, Anxiety, and Opioid Use: An Integrative Review.","authors":"Michael A Miller, Lichuan Ye, Maria Van Pelt, Kara J Pavone","doi":"10.1016/j.pmn.2025.04.004","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.04.004","url":null,"abstract":"<p><strong>Objectives: </strong>This integrative review describes using mindfulness to reduce pain and anxiety during the perioperative period in surgical patients. As an exploratory aim, the relationship between mindfulness and opioid use after surgery was also explored.</p><p><strong>Methods: </strong>CINAHL, PubMed and EMBASE databases were queried to identify articles examining the relationship between mindfulness, postoperative pain and opioid consumption, and preoperative anxiety in patients undergoing surgery. Seventeen studies were included in the review, encompassing 1,454 patients.</p><p><strong>Results: </strong>Twelve articles focused on postoperative pain as the primary outcome and 11 of these reported that mindfulness decreased pain scores, mainly after postoperative day seven. Of these 12, seven studies measured opioid consumption and two reported an association between mindfulness and reduction in the use of opioid pain medications. Five articles focused on preoperative anxiety as the primary outcome, and two demonstrated that mindfulness was associated with a statistically significant reduction in anxiety.</p><p><strong>Conclusions: </strong>Evidence suggests that mindfulness has a significant impact on postoperative pain, particularly pain more than one week after surgery. There was limited evidence supporting the use of mindfulness to reduce opioid consumption postoperatively. Similarly, mixed effects were reported describing the use of mindfulness to reduce anxiety before surgery. More research is needed to investigate the impact of mindfulness on pain after surgery and opioid consumption, as well as its impact on anxiety before surgery.</p><p><strong>Nursing practice implications: </strong>Integrating mindfulness into surgical pathways could have positive effects on pain and anxiety for patients during the perioperative and postoperative phases of care.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144079429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pain Assessment and Management Among Nursing Home Residents Living With Dementia.","authors":"Barbara Resnick, Elizabeth Galik, Rachel McPherson, Nayeon Kim, Sorah Levy, Shijun Zhu","doi":"10.1016/j.pmn.2025.04.005","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.04.005","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to describe adherence to survey guidance for the assessment, diagnosis and management of pain across four nursing home communities.</p><p><strong>Design: </strong>This was a descriptive study using baseline data from the study, Testing the Implementation of the Pain Clinical Practice Guideline Using the Evidence Integration Triangle (Pain-CPG-EIT).</p><p><strong>Methods: </strong>Community level data were obtained from Care Compare. Resident data were obtained from the electronic medical record and direct assessments of cognitive status based on the Brief Interview for Mental Status (BIMS) and the Pain Assessment in Advanced Dementia scales.</p><p><strong>Results: </strong>The study included 88 residents with a mean age of 81(SD = 9) and mean BIMS score of 5(SD = 5). The majority was female (72%), white (70%), and non-Hispanic (90%). For 74% of participants, the appropriate assessment tool was not used based on the individual's cognitive status. The majority (93%) of residents had pain addressed in their care plans although these were generic and not person-centered. Overall, 35% of the residents were exposed to nonpharmacologic interventions for pain, 59% were exposed to pharmacologic interventions, and only 2.9(SD = 3.6) out of 10 items were completed for appropriate use of opioids.</p><p><strong>Conclusions: </strong>Pain assessment for residents living with dementia did not meet survey guidance and continues to be a challenge for nursing home staff.</p><p><strong>Clinical implications: </strong>Ongoing work is needed to monitor that interventions are appropriate, effective and safe and that care plans are individualized. Increased adherence to survey guidance for the assessment and management of pain in residents living with dementia will decrease risk to the communities and improve pain assessment and management for residents.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Qualitative Descriptive Study of Nurses' Self-Care Strategies for Pain Management.","authors":"Sharon A Boyd, Laura T Gantt, Regan T Vellan","doi":"10.1016/j.pmn.2025.04.006","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.04.006","url":null,"abstract":"<p><strong>Background: </strong>The nursing profession has one of the highest rates of musculoskeletal injuries, causing nurses to seek out self-care strategies for long-term pain management.</p><p><strong>Purpose: </strong>This study explored nurses' perspectives on the use of self-care strategies for pain management.</p><p><strong>Design: </strong>This study is a secondary analysis using qualitative descriptive design.</p><p><strong>Methods: </strong>A sample of six nurses from eastern North Carolina were interviewed in 2022. Analysis included in-vivo coding, creation of a codebook, key word in context analysis, and thematic analysis.</p><p><strong>Results: </strong>Two themes were identified: \"toll on the body\" and \"maintain to retain.\" Toll on the body was represented by the myriad painful body parts and functional restrictions caused by the physical demands of bedside nursing. Maintain to retain was represented by nurses having an epiphany that a lapse in using self-care strategies contributed to a recurrence of pain.</p><p><strong>Implications for nursing practice: </strong>Employers and nurses must develop a comprehensive approach to injury prevention. Nurses should incorporate weekly exercise and monthly self-care strategies into their routine. Employers should advocate for self-care strategy services to be included in employee benefits.</p><p><strong>Conclusion: </strong>A retention and recruitment strategy for nurses should include attention to maintenance therapies to decrease the incidence of or eliminate chronic musculoskeletal problems.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}