Pain Management Nursing最新文献

{"title":"Nurse-Led Sedation in ICU: Impact on Clinical Outcomes of Mechanically Ventilated Patients - A Systematic Review and Meta-Analysis of RCTs.","authors":"Qinyao Li, Jun Zhang, Qian Wang, Yutong Zhang, Hongmei Li, Ying Shi","doi":"10.1016/j.pmn.2025.09.007","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.09.007","url":null,"abstract":"<p><strong>Background: </strong>Mechanically ventilated patients in intensive care units (ICUs) often require sedation to tolerate life-sustaining interventions. However, sedation management can be complex, and improper dosing can lead to adverse outcomes. Nurse-led sedation protocols have emerged as a promising strategy to optimize sedation care, but the evidence base remains fragmented.</p><p><strong>Objective: </strong>This systematic review and meta-analysis aim to synthesize the available evidence on the impact of nurse-led sedation protocols on clinical outcomes in mechanically ventilated patients.</p><p><strong>Methods: </strong>We conducted a comprehensive search of multiple electronic databases, including PubMed, EMBASE, Scopus, CINAHL, and the Cochrane Library, to identify relevant publications in peer-reviewed journals. To quantify the effects of nurse-led sedation protocols, we calculated the mean difference (MD) and risk ratio (RR) with corresponding 95% confidence intervals. Heterogeneity across studies was evaluated using the Cochrane Q statistic, I2 statistic, and associated p-value. All analyses were performed using RevMan 5.4 software.</p><p><strong>Results: </strong>This meta-analysis of 16 RCTs, involving 1887 patients, demonstrated the substantial effectiveness of nurse-led sedation protocols in improving clinical outcomes. Specifically, nurse-led sedation protocols significantly reduced: ICU mortality: RR 0.32 (95% CI 0.26-0.38), I2 = 26%, p < .001, incidence of delirium: RR 0.42 (95% CI 0.35-0.49), I2 = 20%, p < .001, length of ICU stay: SMD -3.54 (95% CI -4.20 to -2.88), I2 = 68%, p < .001, length of hospital stay: SMD -1.88 (95% CI -2.31 to -1.45), I2 = 50%, p < .001 and duration of mechanical ventilation: SMD -2.73 (95% CI -3.24 to -2.21), I2 = 65%, p < .001. However, no significant difference was observed in the incidence of self-extubation between nurse-led sedation protocols and usual care: RR 1.09 (95% CI 0.97-1.23), I2 = 0%, p = .15.</p><p><strong>Conclusion: </strong>Implementing nurse-led sedation protocols in ICUs is a safe and effective approach, yielding significant benefits, including reduced mortality rates, shorter ICU and hospital stays, decreased mechanical ventilation duration, and lower incidence of delirium, although they do not impact self-extubation rates.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145293125","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":"Validation of the Chinese Version Breakthrough Pain Assessment Tool in Cancer Patients.","authors":"Lin-Jiu Chen, Kun-Ming Rau, Pei-Chao Lin, Yi Liu, Pi-Ling Chou","doi":"10.1016/j.pmn.2025.08.012","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.08.012","url":null,"abstract":"<p><strong>Background: </strong>Patient-reported outcome measures are essential for clinical practice and can also be utilized for auditing purposes to assess the effectiveness of symptom management. Identifying breakthrough pain (BTP) is crucial for managing cancer pain; however, no suitable tool exists in Chinese to evaluate the severity and analgesic reactions associated with BTP.</p><p><strong>Purpose: </strong>This study aimed to translate the Breakthrough Pain Assessment Tool (BAT) into a Chinese version (BAT-C) and to conduct reliability and validity tests.</p><p><strong>Methods: </strong>A prospective, descriptive, cross-sectional design was used. Participants were recruited from the oncology departments in Taiwan (N = 160). Instruments included the BAT-C, the Chinese version of the Brief Pain Inventory, and demographic and disease information. Reliability was established by calculating Cronbach's and test-retest reliability. Validity was estimated using construct validity, convergent validity, and known group validity.</p><p><strong>Results: </strong>The internal consistency was 0.75. The construct validity of the BAT-C was estimated by exploratory factor analysis, the cumulative explained variance of which was 52.93%. Convergent validity showed a significant correlation with pain severity (r = -0.60, p < .01) and pain interference (r = -0.60, p < .01). There was a significant difference among concurrent empirical validity, analgesics (PRN) (t (160) = -5.74, p < .001). Known group validity demonstrated that inpatients had more pain interference than did outpatients (p < .01).</p><p><strong>Conclusions: </strong>The BAT-C demonstrates good reliability and validity. It can comprehensively assess the severity, analgesic response, and side effects of cancer BTP and could potentially improve BTP management.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145275542","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":"Validity of Activity-Based Checks (ABCs) of Pain, A Functional Pain Scale.","authors":"Celina G Virgen, Robert Wright, Bryan Renslo, Tuleen Sawaf, Hanna Moradi, Maria Edelen, Jennifer Villwock","doi":"10.1016/j.pmn.2025.09.010","DOIUrl":"10.1016/j.pmn.2025.09.010","url":null,"abstract":"<p><strong>Purpose: </strong>The Activity-Based Checks of Pain (ABCs) is a pain assessment tool incorporating activities of daily living and instrumental activities of daily living. This instrument is designed to focus on functional capabilities and limitations due to pain. This study was designed to validate the factorial structure of the ABCs and assess its use in participants with chronic pain.</p><p><strong>Methods: </strong>Participants were recruited in two phases. Phase one optimized the design of the ABCs, with 297 subjects selecting their preferred icon for each function and rating its understandability. The most preferred and understandable icons were then used in phase two, where 304 participants with chronic pain completed the ABCs, the Patient-Reported Outcomes Measurement Information System (PROMIS) with additional PROMIS items that were analogous to the ABCs functions but not represented in the PROMIS-29, and the Brief Pain Inventory (BPI). Data were analyzed using exploratory factor analysis and confirmatory factor analysis.</p><p><strong>Results: </strong>Four factor loadings resulted in: multiplanar activities, sitting and/or hip flexor pain, walking and/or ambulation, and pain interference with lightweight unilateral activities. High internal consistency was demonstrated for all four factor loadings (0.623-0.879, 0.577-0.824, 0.512-0.841, 0.519-0.817, respectively). Correlations between items in the ABCs, PROMIS, and BPI resulted in moderate to strong correlations. Test-retest reliability was moderate to strong (intraclass correlation coefficient: 0.74).</p><p><strong>Conclusions: </strong>The results confirm the ABCs as a valid and reliable tool for assessing the impact of pain on function in patients with chronic pain.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145275579","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":"Sex, Income, and Education as Determinants of Chronic Pain in Mainland China.","authors":"Jiafan He, Mimi My Tse, Tyrone Tai On Kwok, Timothy Chung Ming Wu, Tang Shuk Kwan, Yujiang Fan, Chenghuan Qi, Tianhang Chen, Li Huang","doi":"10.1016/j.pmn.2025.09.009","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.09.009","url":null,"abstract":"<p><strong>Background: </strong>Chronic pain is a global health burden with significant impacts on daily functioning and quality of life. While previous studies have reported higher pain prevalence among females globally, emerging evidence from mainland China suggests a contrasting pattern.</p><p><strong>Purpose: </strong>This study aimed to explore the sex differences, and interactions with socio-demographic factors, pain perception in predicting pain intensity among adults with chronic pain in mainland China.</p><p><strong>Design: </strong>This study used a descriptive cross-sectional design.</p><p><strong>Methods: </strong>A survey was conducted among 1,607 adults in mainland China. The Mann-Whitney U test was employed to compare mean pain intensity between sex groups. Generalized Linear Models and stepwise regression were employed to analyze associations with chronic pain.</p><p><strong>Results: </strong>The findings revealed that males reported a higher prevalence and intensity of chronic pain compared to females. Lower income was associated with a higher likelihood of chronic pain, while higher income and lower education were significant predictors of greater pain intensity. Significant interaction effects between income, education, and sex on pain intensity were observed. Furthermore, males' pain intensity was more strongly influenced by the perception that exercise exacerbates pain, while females were more likely to view pain as a natural consequence of aging.</p><p><strong>Conclusion: </strong>These findings challenge traditional assumptions about sex differences in chronic pain and underscore the need for sex-sensitive interventions, such as online pain management programs tailored to address the distinct socio-demographic and perceptual factors influencing men and women.</p><p><strong>Clinical implications: </strong>Recognizing sex differences in chronic pain, particularly related to socio-demographics and pain perception, can help healthcare providers tailor pain assessment and management strategies to improve outcomes for both men and women.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145275515","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 Kids Pain Care E-Booklet on Mothers' Pain Management Practices.","authors":"Dera Alfiyanti, Vivi Yosafianti Pohan, Yuni Sufyanti Arief, Ilya Krisnana","doi":"10.1016/j.pmn.2025.09.013","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.09.013","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the effect of Kids Pain Care E-Booklet in educating mothers on pain management of hospitalized children.</p><p><strong>Methods: </strong>A quasi-experimental pretest-posttest design with a control group was implemented at two pediatric hospitals in Indonesia. Ninety mothers of hospitalized children aged 3-12 years were recruited through consecutive sampling (45 per group). The control group received standard care, while the experimental group participated in a two-session educational program using the Kids Pain Care E-Booklet. Knowledge, attitudes, and practices were assessed using validated questionnaires (Cronbach's α: 0.89-0.96).</p><p><strong>Results: </strong>Baseline characteristics were comparable between groups (p > .05). Post-intervention, the experimental group demonstrated significantly higher knowledge scores (19.93 ± 4.58 vs. 13.87 ± 4.02, p = .002), more positive attitudes (48.28 ± 5.68 vs. 37.06 ± 5.39, p < .001), and improved practices (67.33 ± 5.77 vs. 56.88 ± 5.48, p = .001) compared to the control group. Within the experimental group, significant improvements were observed across all three domains (p < .001), while the control group showed no significant changes. The greatest improvement was observed in mothers' ability to implement non-pharmacological pain management techniques.</p><p><strong>Conclusions: </strong>The Kids Pain Care E-Booklet effectively enhanced mothers' knowledge, attitudes, and practices regarding pain management in hospitalized children. This digital educational tool represents a practical, accessible intervention that empowers mothers to actively participate in alleviating their children's pain during hospitalization.</p><p><strong>Clinical implications: </strong>Pain is a complex experience for children and is one of the most common concerns during hospitalization. The kids pain care e-booklet offers an evidence-based, technology-enhanced solution for family education that can be readily integrated into standard nursing practice to improve pediatric pain management outcomes.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145275518","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":"Walking Duration and Arthritis-Related Joint Pain in Older Adults: Findings From the 2019 BRFSS Survey.","authors":"Hua Chen, Manu Thakral","doi":"10.1016/j.pmn.2025.09.008","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.09.008","url":null,"abstract":"<p><strong>Purpose: </strong>To explore associations between arthritis-related joint pain and walking duration as a primary physical activity among older adults with arthritis.</p><p><strong>Design: </strong>Cross-sectional secondary data analysis.</p><p><strong>Method: </strong>This study used data from the 2019 Behavioral Risk Factor Surveillance System (BRFSS), focusing on respondents aged 50 and older who self-reported a physician diagnosis of arthritis (N = 31,067). Weekly walking duration and joint pain level (none, mild, moderate, severe) were self-reported. A multinomial logistic regression model was applied to examine associations between walking duration and joint pain levels, controlling for age, gender education, income, and race/ethnicity.</p><p><strong>Results: </strong>Walking ≥ 151 min/week was associated with a 15%-28% reduction in the odds of experiencing moderate joint pain and a 23%-30% reduction in the odds of experiencing severe joint pain compared with walking < 150 min/week (all p < .05).</p><p><strong>Conclusion: </strong>Although causality could not be inferred due to the cross-sectional design, moderate increases in weekly walking were significantly associated with lower levels of joint pain. Walking for 301-450 minutes per week (43-64 minutes per day) was linked to substantial pain reduction.</p><p><strong>Clinical implication: </strong>These findings support the role of cumulative daily walking as a therapeutic strategy for managing joint pain in older adults with arthritis. Barriers to walking should be addressed in clinical assessments and nursing interventions to enhance effectiveness.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145244840","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":"Healthcare Personnel's Knowledge, Attitudes, and Practices of Pain Management for People With Dementia: An Integrative Review.","authors":"Na Li, Lihui Pu, Wendy Moyle","doi":"10.1016/j.pmn.2025.09.012","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.09.012","url":null,"abstract":"<p><strong>Background: </strong>Pain management in people with dementia is challenging, and there is a knowledge-practice gap in this area.</p><p><strong>Objective: </strong>The purpose of this study was to comprehensively analyze and synthesize the current evidence on healthcare personnel's knowledge, attitudes, and practices regarding pain management for people with dementia.</p><p><strong>Methods: </strong>An integrative review was conducted. Six electronic databases, including PubMed, CINAHL, Web of Science, PsycINFO, Cochrane Library, and EMBASE, were searched to identify qualified articles. After removing the duplicates, the search results underwent title screening, abstract screening, and full-text review. The 2018 Mixed-Methods Appraisal Tool was used to evaluate the quality of the included articles. Data analysis incorporated data reduction, display, comparison, conclusion drawing, and verification.</p><p><strong>Results: </strong>A total of 32 full-text articles were included, and five themes were summarized based on the knowledge-attitude-practice (KAP) model as (1) inadequate knowledge; (2) mixed negative and positive attitudes towards pain management; (3) challenges in pain identification; (4) challenges and barriers to comprehensive pain assessment; and (5) undertreated and poorly documented pain.</p><p><strong>Conclusion: </strong>Initiatives that prioritize improving healthcare personnel's knowledge, fostering positive attitudes, and promoting the adoption of effective assessment and management methods in pain management for individuals with dementia are essential.</p><p><strong>Clinical implications: </strong>Nurses should participate in comprehensive training and education on dementia-specific pain assessment, proactively collaborate with interdisciplinary healthcare personnel, and ensure timely communication with family caregivers. Additionally, integrating structured pain assessment tools into electronic health records and standardizing documentation protocols could enhance care coordination and quality.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145244756","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 Adding Respiratory Exercises to Core Stability Training in Office Workers With Chronic Low Back Pain: A Randomized Controlled Trial.","authors":"Behzad Nasiri, Farzaneh Saki, Marziyeh Ziya, Naghmeh Gheidi","doi":"10.1016/j.pmn.2025.09.011","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.09.011","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the effectiveness of integrating respiratory exercises with core stability training compared to core stability training alone in improving outcomes for males with chronic non-specific low back pain (CNLBP).</p><p><strong>Design: </strong>A randomized controlled trial was conducted with 28 male participants aged 35-55 years over an eight-week period.</p><p><strong>Methods: </strong>Participants with CNLBP were recruited at the Sport Science Laboratory of Bu-Ali Sina University between September 2021 and October 2022. They were randomly assigned to either a combined core stability and respiratory exercise (CCSRE) group (n=14) or a core stability exercise (CSE) group (n=14). Outcome measures included the Visual Analog Scale (VAS) for pain, Roland-Morris Disability Questionnaire (RMDQ) for functional disability, and Y-Balance Test (YBT) for dynamic balance, assessed 1-3 days before and after the intervention. Repeated measures analysis of variance was used to evaluate group-by-time interactions (p<0.05).</p><p><strong>Results: </strong>Significant group-by-time interactions were observed for pain (F = 22.17, p = 0.001, η² = 0.460), dynamic balance (F = 10.74, p = 0.003, η² = 0.292), and functional disability (F = 18.58, p = 0.001, η² = 0.417). The CCSRE group demonstrated greater reductions in pain and functional disability and larger improvements in dynamic balance compared to the CSE group.</p><p><strong>Conclusion: </strong>The integration of respiratory exercises with core stability training significantly reduces pain and functional disability while enhancing dynamic balance in males with CNLBP compared to core stability training alone.</p><p><strong>Clinical implications: </strong>Incorporating respiratory exercises into core stability training can enhance therapeutic outcomes for males with CNLBP, offering a more effective rehabilitation strategy to reduce pain and improve functional capacity.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145244810","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":"Comparing Nonpharmacological Interventions for Pain, Fear, and Satisfaction: A Randomized Controlled Trial.","authors":"Ramazan Bozkurt, Özlem Doğu, Hacer Efnan Melek Arsoy, Öner Özdemir","doi":"10.1016/j.pmn.2025.09.004","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.09.004","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the effects of nonpharmacological interventions on pain, fear, satisfaction, and duration of peripheral intravenous catheterization (PIC) in children.</p><p><strong>Design: </strong>A randomized controlled trial.</p><p><strong>Materials and methods: </strong>The study was conducted in a training and research hospital in northwest Türkiye between October 2023 and March 2024 with 90 patients, ages 5-12. Children were divided into three groups using a simple randomization method: (1) palm stimulator (n = 30), (2) cartoon (n = 30), and (3) control (n = 30). The child, parent, and observer assessed the children's pain and fear levels before, during, and after PIC. After PIC, the children's and parents' satisfaction was evaluated.</p><p><strong>Results: </strong>The average age of the children was 7.81 ± 2.62. The pain scores recorded for the intervention groups before, during, and one minute after the PIC were significantly lower than those of the control group. The fear scores reported by the children during the PIC were as follows: 1.26 ± 1.50 in the palm stimulator group, 1.33 ± 1.32 in the cartoon group, and 2.76 ± 1.38 in the control group, indicating a statistically significant difference between the groups. However, there was no significant difference in the satisfaction scores of children and parents across the groups. Additionally, the duration of the PIC was the shortest in the control group.</p><p><strong>Conclusions: </strong>The use of palm stimulators and cartoons as nonpharmacological methods in pain intervention for children significantly reduced pain levels before, during, and after procedures. This study, which included evaluations by children, parents, and observer, found that the palm stimulator impacted pain and fear levels comparable to watching a familiar cartoon. Although there was no difference in overall procedure satisfaction between the groups, the satisfaction score for the palm stimulator was notably higher.</p><p><strong>Clinical implications: </strong>The palm stimulator and cartoon film methods can reduce pain and fear during PIC in children. These methods significantly reduced the pain and fear of our participants during PIC.</p><p><strong>The clinical trial registration number: </strong>NCT06772259.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213466","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":"Shoulder Pain, Disability, Health-Related Quality of Life, and Stress.","authors":"Sunghee Kim, Jihyun Oh","doi":"10.1016/j.pmn.2025.09.001","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.09.001","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the relationships among shoulder pain, functional disability, perceived stress, and health-related quality of life (HRQOL), as well as to assess the educational needs related to shoulder pain prevention among middle-aged Korean women.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>This study included middle-aged Korean women recruited between November 27 and December 28, 2022. Data were collected using the Shoulder Pain and Disability Index (SPADI), the 12-item Short-Form Health Survey (SF-12) for HRQOL, the Perceived Stress Scale, and a structured questionnaire assessing educational needs related to shoulder pain prevention. Descriptive and frequency analyses were conducted to examine the general characteristics of participants. Chi-square tests were conducted to compare sociodemographic and behavioral variables by SPADI severity. Differences in HRQOL, shoulder pain, disability, and perceived stress based on educational needs were analyzed. Pearson's correlation analysis was conducted to examine the relationships among variables, and stepwise multiple regression was employed to identify factors influencing HRQOL.</p><p><strong>Results: </strong>Participants with moderate-to-severe shoulder pain (SPADI ≥30) reported significantly higher levels of work-related physical burden, lower educational attainment, and greater willingness to participate in shoulder pain prevention education than those with milder symptoms. Perceived stress levels were also significantly higher among participants in the moderate-to-severe SPADI group compared to those with lower scores. Additionally, significant differences in physical and mental health were observed based on the educational demand for cause and symptom management of participants. Mental health and perceived stress also differed significantly according to demand for posture education. Stress levels varied significantly by demand in indoor home training and proper desk and chair positioning for shoulder pain prevention. Increased shoulder pain was positively correlated with greater disability and perceived stress, alongside declines in physical and mental HRQOL.</p><p><strong>Conclusions: </strong>Most participants sought education focused on shoulder pain causes, management, stress relief, and psychological support.</p><p><strong>Clinical implications: </strong>A mobile app-based educational intervention is recommended to alleviate shoulder pain and stress while offering information on its causes, symptoms, and management.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207305","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}