Pain Management Nursing最新文献

{"title":"Assessing Undergraduate Nursing Pediatric Pain Education in Turkey: A Content Analysis Study.","authors":"Ebru Bakir","doi":"10.1016/j.pmn.2025.01.002","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.01.002","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the incorporation of pediatric pain education within the curricula of undergraduate nursing programs, and to appraise the standard of educational content concerning pediatric pain based on IAPS Curriculum Outline on Pain for Nursing.</p><p><strong>Design: </strong>A descriptive content analysis study.</p><p><strong>Methods: </strong>This study consisted of three phases. Initially, an online search was conducted to gather information on 4-year-undergraduate nursing programs from Turkey Council of Higher Education database via Google. In the second phase, official websites of identified undergraduate nursing programs were systematically searched to access their curricula. Finally, the teaching content at five universities that incorporated pediatric pain into their curricula was assessed according to the International Association for the Study of Pain (IASP)'s Curriculum Outline on Pain for Nursing.</p><p><strong>Results: </strong>Among the 97 universities offering a 4-year undergraduate nursing program, only 26 incorporated pediatric pain education into their curricula. A detailed evaluation of five of these 26 universities, using the IASP-recommended curriculum outline on pain for nursing, revealed that none of the five institutions addressed 10 of the 36 essential topics. Furthermore, only 7 topics were consistently covered across all five programs. Most topics were addressed superficially, with an emphasis on pain nature and nonpharmacological interventions, while interpersonal pain management and clinical conditions were largely overlooked.</p><p><strong>Conclusions: </strong>Through its unique findings from Turkey, this research provides additional evidence to the widely recognized problem of pediatric pain education being disregarded within nursing curricula.</p><p><strong>Clinical implications: </strong>The limited integration of pediatric pain content in Turkish nursing curricula poses a significant barrier to nurses' ability to manage pain in children effectively. Strengthening this aspect of education is essential to ensure nurses are equipped with the necessary skills to provide comprehensive and effective pain care, ultimately improving outcomes for pediatric patients.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143370929","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":"Effect of Topical Hemp (Cannabis sativa L.) Seed Oil on Knee Osteoarthritis: A Randomized Double-Blind Controlled Trial","authors":"Mitra Abbasifard PhD ,&nbsp;Zahrasadat Moosavi PhD ,&nbsp;Maryam Azimi PhD ,&nbsp;Zahra Kamiab PhD ,&nbsp;Gholamreza Bazmandegan PhD ,&nbsp;Alimohamad Madahian PhD ,&nbsp;Mahboobeh Raeiszadeh PhD","doi":"10.1016/j.pmn.2024.08.001","DOIUrl":"10.1016/j.pmn.2024.08.001","url":null,"abstract":"<div><h3>Purpose, and Design</h3><div>Knee osteoarthritis (OA) is one of the most common and debilitating diseases, especially in the elderly. Hemp seed oil is a plant product that has been used as a food or drug since ancient times because of its anti-inflammatory and analgesic properties.</div></div><div><h3>Methods</h3><div>A double-blind, active, placebo-controlled trial was done to assess the efficacy of hemp seed oil on knee OA. Ninety patients were randomly allocated to three groups; hemp seed oil, diclofenac gel, and placebo via a blocked randomization method, and were asked to apply the topical treatment daily for 2 months. The study participant underwent assessments before, and four and 8 weeks after the intervention. Evaluation included measurements of the heel-to-thigh distance, utilization of Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and application of visual analog scale (VAS). Data analysis was performed using SPSS.24 and the significance level was considered as <em>p</em> &lt; .05.</div></div><div><h3>Results</h3><div>All parameters, except heel-to-thigh distance, improved significantly in the hemp seed oil group compared to placebo group. Improvements in VAS and WOMAC parameters were not different comparing the hemp seed oil and diclofenac gel groups. Heel-to-thigh distance decreased significantly within all groups during the study. There were no significant differences in improvements in heel-to-thigh distance comparing the three groups.</div></div><div><h3>Conclusion, and Clinical Implications</h3><div>Hemp seed oil led to greater improvements in VAS pain score and WOMAC parameters, but not knee flexion range, compared to placebo. There were no differences in measured outcomes comparing hemp seed oil and diclofenac gel.</div></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"26 1","pages":"Pages e74-e81"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142293080","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 Impact of Work-Related Musculoskeletal Pains on Routine Tasks Among Operating Room Nurses: A Multicenter Cross-Sectional Study","authors":"Aynur Koyuncu Ph.D., R.N. ,&nbsp;Kübra Kaya M.Sc., R.N. ,&nbsp;Onur Kaya M.D. ,&nbsp;Ayla Yava Ph.D., R.N.","doi":"10.1016/j.pmn.2024.08.003","DOIUrl":"10.1016/j.pmn.2024.08.003","url":null,"abstract":"<div><h3>Purpose</h3><div>To determine work-related musculoskeletal pain (MSP) among 105 operating room nurses (ORNs) and its effect on their routine work.</div></div><div><h3>Design</h3><div>Multicenter cross-sectional design.</div></div><div><h3>Methods</h3><div>This study was conducted with 105 nurses working in operating rooms of five different hospitals between December 15, 2021, and February 15, 2022. Data were collected using the “Nordic Musculoskeletal Questionnaire.” SPSS 22.0 was used for data analysis, and a significance level of <em>p</em> &lt; .05 was established.</div></div><div><h3>Results</h3><div>Among the nurses, 75.2% were female, 78.1% had undergraduate education, and 59% worked &gt;40 hours/week. In the previous 12 months, 69.5% of ORNs experienced lower back pain; 68.6%, neck pain; and 61.9%, back pain. The duration spent working as a scrub nurse increased the possibility of experiencing pain in the hands, wrists, back, shoulders, and lower back region (<em>p</em> &lt; .05), and women had an increased risk of lower back and back pain (<em>p</em> &lt; .05). Neck, lower back, back, wrist, and hand pain increased the risk of being unable to perform daily tasks (<em>p</em> &lt; .05).</div></div><div><h3>Conclusions</h3><div>Extended work hours as a scrub nurse increase the risk of MSP, including lower back region, neck, and back pain among ORNs. Women have a higher risk of lower back and back pain. Addressing musculoskeletal issues in this profession is crucial.</div></div><div><h3>Clinical Implications</h3><div>Addressing musculoskeletal discomfort is vital because of its impact on nurses’ job performance and potential patient harm. Providing ergonomic equipment, training nurses on musculoskeletal health, and raising awareness can help. It is also important to encourage regular breaks.</div></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"26 1","pages":"Pages e88-e96"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142293102","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":"Thriving Through Pain: A Whole-Person and Resilience Comparative Study Using Mobile Health Application Technology for Individuals With Self-Reported Pain Challenges","authors":"Robin R. Austin Ph.D., D.N.P., D.C., R.N., N.I.-B.C., F.A.M.I.A., F.N.A.P.,&nbsp;Susan Alexander D.N.P., A.P.R.N.-B.C.,&nbsp;Ratchada Jantraporn Ph.D., M.S., R.N.,&nbsp;Sripriya Rajamani M.B.B.S., Ph.D., M.P.H., F.A.M.I.A.","doi":"10.1016/j.pmn.2024.09.004","DOIUrl":"10.1016/j.pmn.2024.09.004","url":null,"abstract":"<div><h3>Background</h3><div>Pain is a complex condition and affects one's life beyond physical symptoms. National pain management recommendations include a whole-person approach that includes strengths (or resilience).</div></div><div><h3>Purpose</h3><div>The purpose of this study was to examine de-identified data from the MyStrengths+MyHealth application to examine, Strengths, Challenges, and Needs for the population and a subset of the data for those with and without self-reported Challenges in the <em>Pain</em> concept.</div></div><div><h3>Design</h3><div>This cross-sectional comparative study used de-identified consumer-generated whole-person strengths data from the MyStrengths+MyHealth (MSMH) application.</div></div><div><h3>Methods</h3><div>Data was collected from various community settings between 2019 and 2023 and approved by the University's Institutional Review Board. From the sample population (N=1737), we identified those with self-reported <em>Pain</em> (n=1280) and without self-reported <em>Pain</em> (n=457) and compared Strengths, Challenges, and Needs.</div></div><div><h3>Results</h3><div>The sample population (<strong>N</strong>=1737) was largely in the age range of 45-64 years (51.2%), Male (56.4%), White (90.5%), non-Hispanic/Latino (86.6%), and Married (74.2%). The <em>Pain group</em> (n=1280) reported significantly fewer Strengths (p&lt;0.001) and more average Challenges and Needs (p&lt;0.001) than the <em>Without Pain Group</em> (n=457) across all concepts. For the <em>Pain Group</em>, the most frequent Strength reported was <em>Role Change</em> (70.5%), the most frequent Challenge <em>Nutrition</em> (96.1%), and the greatest Need was <em>Income</em> (89.9%).</div></div><div><h3>Conclusions</h3><div>Despite reporting Challenges and Needs, the <em>Pain Group</em> identified many Strengths. The <em>Pain Group</em> identified <em>Role Change</em> (70.5%) as a top Strength was surprising and may suggest adaptability to chronic pain. MSMH has potential to empower individuals to provide a comprehensive whole-person assessment and resilience which may be particularly useful for those living with chronic pain.</div></div><div><h3>Clinical Implications</h3><div>This study has clinical implications for supporting the use of digital health tools such as mobile applications for capturing contextual data directly from patients to enable nurses to provide more accessible and personalized care to patients.</div></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"26 1","pages":"Pages 55-64"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142472245","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":"Effect of a Non-pharmacological Intervention on Vaccine-related Pain: Randomized Clinical Trial","authors":"Elaine Aparecida da Cunha Lima M.Sc. ,&nbsp;Luana Vieira Toledo Ph.D. ,&nbsp;Marisa Dibbern Lopes Correia Ph.D. ,&nbsp;Daniela de Almeida Pereira Ph.D. ,&nbsp;Renata Oliveira Caetano ,&nbsp;Thaís Bitencourt Faria ,&nbsp;Caroline de Castro Moura Ph.D. ,&nbsp;Paula Krempser Ph.D. ,&nbsp;Luciene Muniz Braga Ph.D.","doi":"10.1016/j.pmn.2024.04.013","DOIUrl":"10.1016/j.pmn.2024.04.013","url":null,"abstract":"<div><h3>Background</h3><div>Acute pain during vaccine administration is an expected event; however, some strategies, such as the use of high frequency vibration devices associated with cryotherapy, may minimize it.</div></div><div><h3>Aim</h3><div>Evaluate the effect of high frequency vibration associated with cryotherapy on the level of pain related to the administration of influenza vaccine by intramuscular route in adults.</div></div><div><h3>Method</h3><div>A randomized clinical trial was conducted with 350 adults who received the influenza vaccine. Participants allocated to the intervention group used a high-frequency vibration device associated with cryotherapy during vaccination, and those in the control group administered the vaccine according to the service routine.</div></div><div><h3>Results</h3><div>Mean self-reported pain after vaccination of participants who used the device was lower (1.5 ±1.7) when compared to those who did not use it (1.9 ±1.9) (<em>p</em> = .041). There was an association of higher levels of pain after vaccination with participants in the control group (<em>p</em> = .011), females (<em>p</em> = .042), with higher level of pain expected with vaccination (<em>p</em> &lt; .001) and higher level of anxiety before (<em>p</em> &lt; .001) and after vaccination (<em>p</em> = .001).</div></div><div><h3>Conclusions</h3><div>The use of high frequency vibration associated with cryotherapy has been shown to be a viable non-pharmacological intervention for the reduction of pain associated with influenza vaccination in adults.</div></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"26 1","pages":"Pages e18-e23"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141075355","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":"Comparison of trunk muscle endurance between women with and without chronic neck pain","authors":"Gamze Yalcinkaya Colak P.T., Ph.D. ,&nbsp;Muge Kirmizi P.T., Ph.D. ,&nbsp;Yesim Salik Sengul P.T., Ph.D. ,&nbsp;Orhan Kalemci M.D., Ph.D. ,&nbsp;Salih Angin P.T., Ph.D.","doi":"10.1016/j.pmn.2024.08.002","DOIUrl":"10.1016/j.pmn.2024.08.002","url":null,"abstract":"<div><h3>Purpose</h3><div>To compare trunk flexor, extensor, and lateral flexor muscle endurance between women with moderate to severe disability due to chronic neck pain (CNP) and asymptomatic women.</div></div><div><h3>Design</h3><div>Observational case-control study.</div></div><div><h3>Methods</h3><div>Thirty women with CNP and Neck Disability Index scores ranging from 30% to 70% and 28 asymptomatic women were included. The visual analog scale was used to assess neck pain intensity at rest and during activity. To assess trunk muscles endurance, trunk flexor endurance test, Sorensen test, and side bridge endurance test were performed.</div></div><div><h3>Results</h3><div>Analysis of covariance indicated that neck pain group had lower body mass index-adjusted endurance times of trunk flexor, extensor, and lateral flexor muscles with large effect sizes (<em>p</em> &lt; .001, <em>η</em>² = 0.378-0.696). Trunk flexor endurance time showed a moderately negative correlation with neck pain intensity at rest and a weakly negative correlation with neck disability score (<em>r</em> = –460 and –365, <em>p</em> &lt; .05).</div></div><div><h3>Conclusions</h3><div>Women with moderate to severe disability due to CNP exhibited decreased trunk muscle endurance, which may be a predisposing factor for low back pain. Also, trunk flexor endurance was related to neck pain complaints. A holistic approach, addressing the entire spine rather than focusing solely on the cervical region, might be useful for managing CNP.</div></div><div><h3>Clinical Implications</h3><div>The findings of reduced endurance in trunk muscles should be considered when incorporating interventions in the management of CNP to effectively address pain and disability.</div></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"26 1","pages":"Pages e82-e87"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142154814","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":"Peripheral Percutaneous Electrical Nerve Stimulation for Neuropathies: A Systematic Review and Meta-analysis","authors":"Sara Mogedano-Cruz MSc ,&nbsp;María López-Pérez MSc ,&nbsp;Diego Gijón-Lago MSc ,&nbsp;Carlos Romero-Morales PhD ,&nbsp;José Luis Alonso-Pérez PhD ,&nbsp;Jorge Hugo Villafañe PhD ,&nbsp;Sergio L. Jiménez Saiz PhD ,&nbsp;María Dolores Sosa-Reina PhD","doi":"10.1016/j.pmn.2024.11.005","DOIUrl":"10.1016/j.pmn.2024.11.005","url":null,"abstract":"<div><h3>Objective</h3><div>The main objective of this review is to demonstrate the use of Peripheral Percutaneous Electrical Nerve Stimulation (PENS), together with its most up-to-date protocols, for the treatment of neuropathies.</div></div><div><h3>Design</h3><div>We conducted a systematic search for randomised clinical trials evaluating the effectiveness of PENS on pain intensity, sleep quality, oral analgesic intake and depression in patients with neuropathic pain.</div></div><div><h3>Data Sources</h3><div>The search was performed in Pubmed, PEDro and Cochrane databases.</div></div><div><h3>Analysis methods</h3><div>The meta-analysis was conducted using RevMan 5.4 software. The mean difference was applied for variables with the same measurement scale, while the standardized mean difference was used for different scales. The inverse variance method was employed for statistical analysis, with heterogeneity assessed using the I² and Cochrane Q statistics.</div></div><div><h3>Results</h3><div>Four articles that met the search requirements were included. After qualitative and quantitative synthesis, the results obtained were an improvement in pain intensity (−3.57 [−4.01, −3.13]; <em>p</em> &lt; .05) and sleep quality (2.48 [1.96, 3.00]; <em>p</em> &lt; .05) and a reduction in medication intake (−2.37 [−4.26, −0.47]; <em>p</em> &lt; .05) and depressive behaviours (−1.10 [−1.55, −0.66]; <em>p</em> &lt; .05). The overall methodological quality was rated as moderate and the risk of bias as unclear.</div></div><div><h3>Conclusions</h3><div>The scientific evidence found is still limited for the use of PENS in neuropathies. However, this study suggests an encouraging future for the use of this therapy as a treatment tool in physiotherapy.</div></div><div><h3>Nursing Practice Implications</h3><div>PENS requires nurse education on electrode/needle placement and patient instruction, with documentation of key parameters. This review emphasizes the need for further research to establish standardized protocols and optimal application parameters for different neuropathic pain conditions.</div></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"26 1","pages":"Pages 93-101"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of Transcutaneous Electrical Acupoint Stimulation (TEAS) for Management of Postoperative Pain After Gynecological Surgeries: A Meta-Analysis","authors":"Fateme Tahmasbi M.D. ,&nbsp;Sarvin Sanaie M.D., Ph.D. ,&nbsp;Sahand Eslami M.D. ,&nbsp;Alireza Rahimi-Mamaghani M.D., M.Sc., F.I.P.P.","doi":"10.1016/j.pmn.2024.12.005","DOIUrl":"10.1016/j.pmn.2024.12.005","url":null,"abstract":"<div><h3>Purpose</h3><div>Transcutaneous Electrical Acupoint Stimulation (TEAS) is a noninvasive technique that involves the application of electrical stimulation to specific acupoints on the skin. This meta-analysis aimed to evaluate the clinical efficacy of TEAS in alleviating postoperative pain after gynecological surgeries.</div></div><div><h3>Method</h3><div>A systematic search of multiple electronic databases was carried out to identify relevant studies that investigated the use of TEAS for postoperative pain management in gynecological surgery settings.</div></div><div><h3>Results</h3><div>After screening and data extraction, a total of 10 randomized controlled trials (RCTs) were included in the meta-analysis. The results of the meta-analysis showed that TEAS was associated with reduction in postoperative pain intensity compared to control interventions, such as sham stimulation or conventional analgesics. However, this reduction was statistically insignificant (<em>p</em> &gt; .05). Additionally, TEAS was found to be effective in reducing the consumption of analgesic medications and improving patient satisfaction with pain management. The assessment of certainty of evidence revealed a grading of low to moderate.</div></div><div><h3>Conclusions</h3><div>Overall, the findings of this meta-analysis suggest that TEAS may be a promising adjunctive therapy for alleviating postoperative pain in gynecological surgery patients. However, caution should be exercised when interpreting the results and making clinical recommendations based on the low to moderate quality of the current evidence. Further high-quality studies are needed to confirm these results and establish optimal treatment protocols for TEAS in this patient population.</div></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"26 1","pages":"Pages 111-124"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142971898","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)00008-6","DOIUrl":"10.1016/S1524-9042(25)00008-6","url":null,"abstract":"","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"26 1","pages":"Page A5"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143269898","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 Virtual Reality Application on Pain Intensity, Anxiety Level and Patient Satisfaction in Patients Who Undergo Bronchoscopy: A Randomized Controlled Trial","authors":"Ayşegül Sariköse MSN ,&nbsp;Gülcan Bahcecioglu Turan Ph.D., R.N.","doi":"10.1016/j.pmn.2024.10.007","DOIUrl":"10.1016/j.pmn.2024.10.007","url":null,"abstract":"<div><h3>Background</h3><div>Bronchoscopy is a medical procedure that allows imaging of the airways and lungs. With the help of a light and camera at its tip, the bronchoscope device can enter the airway and provide real-time visualization. Since most patients are conscious during the bronchoscopy procedure, they may experience pain and anxiety regarding possible complications and an uncertain outcome.</div></div><div><h3>Aim</h3><div>This study was conducted to determine the effects of virtual reality (VR) application on pain intensity, anxiety level, physiological symptoms of anxiety (vital signs) and patients' satisfaction level with the use of virtual reality while undergoing a bronchoscopy.</div></div><div><h3>Design</h3><div>A parallel randomized controlled trial.</div></div><div><h3>Setting</h3><div>Bronchoscopy unit of the chest diseases service of a 1053 bed university hospital in eastern Turkey.</div></div><div><h3>Sample and Methods</h3><div>The study was conducted with a total of 70 patients, 35 in the intervention group and 35 in the control group. The researcher interviewed patients and approved those who met the research criteria and agreed to participate in the study. The researcher applied relaxation exercises to the patients in the intervention group using virtual reality glasses for 5 minutes before the procedure and 4-5 minutes during the procedure. No interventions were made for the patients in the control group. Data were collected using the Descriptive Information Form, Visual Analog Scale (VAS), Anxiety Assessment Scale (AAS), Physiological Symptoms of Anxiety Follow-up Form, and Virtual Reality Glasses Application Satisfaction Form.</div></div><div><h3>Results</h3><div>When compared with the control group, the mean scores of VAS, AAS, heart rate, diastolic and systolic blood pressure, and respiratory rate of the intervention group were found to decrease significantly, while the O₂ saturation value increased significantly (<em>p</em> &lt; .05). It was found that 82.5% of the patients in the intervention group want to use virtual reality glasses if they have another intervention, and 70% recommend relaxation exercises with virtual reality glasses to patients who will undergo bronchoscopy.</div></div><div><h3>Conclusion</h3><div>Study results for this sample revealed that the use of VR decreased pain intensity scores, state anxiety levels, anxiety severity, diastolic blood pressure, systolic blood pressure, heart rate and respiratory rate, and increased O₂ saturation in patients who underwent bronchoscopy. In line with these results, VR should be considered during bronchoscopy procedures.</div></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"26 1","pages":"Pages 102-110"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142625482","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}