Pain Management Nursing最新文献

{"title":"Current Landscape of Clinical Interventions for Trigeminal Neuralgia: A Scoping Review.","authors":"María Mateos-Romero, Laura Compañ-Gabucio, Verónica Company, Eduardo Puelles, Sara Quinones, Abraham Andreu-Cervera","doi":"10.1016/j.pmn.2026.05.025","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.05.025","url":null,"abstract":"<p><strong>Objectives: </strong>To describe the most commonly used interventions for the management of trigeminal neuralgia (TN), a neurological disorder characterized by episodes of intense, paroxysmal facial pain that severely affect quality of life and interfere with daily activities such as eating, speaking, and maintaining oral hygiene.</p><p><strong>Design: </strong>Scoping review.</p><p><strong>Data sources: </strong>A systematic search was conducted in PubMed, Scopus, EMBASE, Web of Science, and PsycINFO databases. Articles published between 2020 and 2025, written in English or Spanish, involving adults aged over 18 years and addressing interventions for TN, including pharmacological, surgical, and noninvasive treatments, were considered eligible.</p><p><strong>Review/analysis methods: </strong>Studies were screened by title, abstract, and full-text review according to predefined eligibility criteria. The review focused on identifying and mapping the range of interventions used in TN management. Thirty-seven articles met the inclusion criteria and were included in the final synthesis.</p><p><strong>Results: </strong>Most of the included studies investigated minimally invasive interventions, particularly percutaneous rhizotomy, followed by noninvasive approaches such as neuromodulation techniques and invasive procedures including microvascular decompression. The evidence suggests that TN management requires a multimodal approach, with pharmacological therapy as the first-line treatment and surgical or neuromodulation procedures reserved for refractory cases. Treatment selection should consider pain severity, response to medication, and the presence of neurovascular compression. Complementary therapies may also contribute to improving patient outcomes, although further research is needed to establish their effectiveness.</p><p><strong>Conclusions: </strong>An individualized treatment approach is essential to optimize pain control and improve quality of life in individuals with TN. Integrating pharmacological, surgical, and noninvasive strategies according to patient characteristics and clinical presentation may enhance treatment effectiveness and functional outcomes.Nursing Practice.</p><p><strong>Implications: </strong>These findings emphasize the importance of systematic pain assessment, patient education regarding pharmacological management, monitoring for adverse effects associated with interventional procedures, and the implementation of psychosocial support strategies. Nurses play a key role in promoting treatment adherence, identifying unmet supportive care needs, and improving the overall quality of life of individuals living with TN.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148278334","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 Topical Lidocaine and Benzocaine on Pain Level and Injection Satisfaction in Arteriovenous Fistula Catheter Applications.","authors":"Sevil Güler, Ali Kaplan, Seda Şahan, Murat Hayri Sipahioğlu","doi":"10.1016/j.pmn.2026.05.016","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.05.016","url":null,"abstract":"<p><strong>Background: </strong>Pain during arteriovenous fistula (AVF) catheterization is a common discomfort faced by hemodialysis patients and can negatively affect treatment adherence, satisfaction, and overall quality of life. Effective pain management strategies are crucial to improving patient comfort during vascular access procedures.</p><p><strong>Aim: </strong>This study aimed to evaluate the effectiveness of topical lidocaine and benzocaine in reducing pain and enhancing injection satisfaction during AVF catheterization among hemodialysis patients.</p><p><strong>Design: </strong>A randomized controlled trial was conducted with 60 hemodialysis patients who met the inclusion criteria.</p><p><strong>Methods: </strong>Participants were randomly assigned to three groups: Lidocaine spray (n = 20), benzocaine spray (n = 20), and Placebo (n = 20). Pain intensity and injection satisfaction were measured immediately after catheterization using the visual analogue scale and the Injection Satisfaction Scale. Hemodynamic parameters were recorded pre- and postprocedure. Data were analyzed using ANOVA, paired t-test, Kruskal-Wallis test, Dunn's test, and Pearson's correlation analysis, with a significance level of p < .05.</p><p><strong>Results: </strong>Pain scores were significantly lower in the lidocaine and benzocaine groups compared to the placebo group (p = .002). Injection satisfaction scores were significantly higher in both intervention groups compared to the placebo group (p < .001). No significant difference was observed between the lidocaine and benzocaine groups regarding pain and injection satisfaction scores (p > .05). A moderate negative correlation was found between pain intensity and injection satisfaction.</p><p><strong>Conclusions: </strong>Both lidocaine and benzocaine were found to be effective in reducing pain and enhancing injection satisfaction during AVF catheterization. Further multicenter trials with larger sample sizes are recommended to support the generalizability of these findings in clinical settings.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148272566","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 Acupuncture on Pain in Patients With Breast Cancer: A Systematic Review and Meta-Analysis.","authors":"Rong Liu, Hui Zhao, Bin Mei","doi":"10.1016/j.pmn.2026.05.020","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.05.020","url":null,"abstract":"<p><strong>Objective: </strong>Conventional therapies for breast cancer pain have inherent limitations, prompting interest in acupuncture as a complementary analgesic approach. This study presents an updated systematic review and meta-analysis to evaluate its efficacy.</p><p><strong>Methods: </strong>An extensive literature investigation was undertaken via PubMed, Web of Science, Cochrane Library, Embase, China National Knowledge Infrastructure (CNKI), and Wanfang Database, encompassing all entries up to February 2025. Only randomized controlled trials focusing on acupuncture-assisted therapy (manual acupuncture, electroacupuncture, auricular acupuncture, warm needling, and moxibustion) for breast cancer-related pain were included. Meta-analytic techniques were applied to aggregate pain scores, and the 95% confidence intervals for the standardized mean difference were computed. Sensitivity and subgroup analyses were conducted to assess the robustness of the findings. Bibliographic handling and data collection were supported by EndNote and Excel; statistical analyses utilized RevMan 5.4 and Stata 16.</p><p><strong>Results: </strong>A total of 35 randomized controlled trials comprising 40 treatment arms and 2,716 participants were included. Acupuncture significantly reduced pain compared with control interventions (standardized mean difference = -1.61, 95% confidence interval [-1.97, -1.25], I² = 94%, p < .00001). Subgroup analyses based on patient population, acupuncture type, combination therapies, intervention duration, and geographic origin demonstrated consistent advantages of acupuncture. The most frequently applied acupoints included Zusanli (16 studies), Quchi (13 studies), Hegu (9 studies), and Sanyinjiao (8 studies).</p><p><strong>Conclusions: </strong>Acupuncture-based therapy demonstrates marked effectiveness in easing pain among individuals with breast cancer. Despite significant heterogeneity, acupuncture-based therapy offers superior pain control with a favorable safety profile relative to standard treatments.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148265631","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":"Factors Associated With Pain and Physical Function in Osteoarthritis: A Systematic Review.","authors":"Aby Yazid Al Busthomy Rofi'i, Siriphan Sasat, Pachanat Nunthaitaweekul","doi":"10.1016/j.pmn.2026.05.007","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.05.007","url":null,"abstract":"<p><strong>Purpose: </strong>This systematic review aimed to identify and synthesize the psychological, physical, and behavioral factors associated with pain and physical function in individuals with nonsurgically managed OA.</p><p><strong>Design: </strong>A systematic review following JBI methodology and PRISMA guidelines.</p><p><strong>Methods: </strong>Studies from the last 10 years were searched across four major databases (PubMed, Scopus, CINAHL, and ScienceDirect). Twelve observational studies met the inclusion criteria for synthesis.</p><p><strong>Results: </strong>For pain, adverse psychological states, including kinesiophobia, pain catastrophizing, and depression, were strongly associated with higher pain intensity. A higher Body Mass Index (BMI), insufficient physical activity, and poor sleep were also linked to greater pain. For physical function, psychological distress (catastrophizing, depression) and key physical impairments were dominant predictors of functional decline. Older age, higher BMI, and lower socioeconomic status were also associated with worse function.</p><p><strong>Conclusions: </strong>The experience of OA is multifactorial, shaped by an interplay of psychological, physical, and behavioral factors.</p><p><strong>Clinical implications: </strong>These findings highlight the importance of comprehensive assessment, including psychological screening, lifestyle evaluation, and culturally sensitive care planning, to optimize pain management and functional outcomes in individuals with OA.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148252439","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":"Biological Therapies in Rheumatoid Arthritis: An Integrative Review of Their Effects on Pain, Sleep, Physical Activity, and Quality of Life.","authors":"Mohammad M Alnaeem, Hiba Ahmad Al-Jibrini, Mohammad A Abu Sabra","doi":"10.1016/j.pmn.2026.05.004","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.05.004","url":null,"abstract":"<p><strong>Purpose: </strong>Rheumatoid arthritis (RA) is a chronic autoimmune disease characterized by pain, sleep disturbance, and physical activity impairments, significantly impacting patients' quality of life (QoL). Biological therapies, targeting specific inflammatory pathways, have emerged as effective interventions for managing RA symptoms and disease progression. This integrative review explored the effects of biological therapies on pain management, physical activity, sleep quality, and QoL in adult patients with RA, emphasizing their role in improving patient outcomes.</p><p><strong>Design: </strong>An integrative review was conducted as outlined by Whittemore and Knafl.</p><p><strong>Methods: </strong>This methodology allows for the inclusion of diverse study designs to comprehensively synthesize the literature. Data from all sources were analyzed thematically to identify consistent findings and overarching insights into the effects of biological therapies on RA-related outcomes.</p><p><strong>Results: </strong>A total of 21 studies with diverse designs-including observational studies, cohort studies, randomized controlled trials, and reviews-were included, with sample sizes ranging from 33 to 1,651 participants. Biological therapies demonstrated significant benefits in reducing pain, improved joint function, and enhanced mobility by alleviating fatigue and stiffness. Sleep quality improved through reductions in nocturnal discomfort and disease activity. Overall, biological therapies produced marked improvements in health-related QoL across physical, psychological, and social domains by lowering disease burden and associated emotional distress such as anxiety and depression.</p><p><strong>Conclusion: </strong>Biological therapies represent a transformative advancement in RA management, providing targeted control of inflammation that alleviates pain, improves functional ability, enhances sleep quality, and elevates overall QoL.</p><p><strong>Clinical implications: </strong>These findings underscore the essential role of nurses in delivering evidence-based, holistic care through assessment, education, and adherence support in order to optimize outcomes for patients receiving biologic therapy.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148239700","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":"Implementation of Innovative, Multimodal, Tiered Approaches for Analgesic Administration.","authors":"Marilyn A Bazinski, Anne Marie Smith, Deb Bruene, Amanda J Tomasik, Maureen F Cooney","doi":"10.1016/j.pmn.2026.05.001","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.05.001","url":null,"abstract":"<p><strong>Purpose: </strong>Prescribing analgesia based solely on subjective pain scores, referred to as \"dosing to numbers\" or \"dosing to pain intensity,\" has important limitations and associated risks. Healthcare institutions may encounter negative accreditation findings when discrepancies exist between pro re nata (PRN) analgesia administration and patients' self-reported pain intensity. This manuscript proposes an innovative, multimodal, tiered analgesic approach that advances pain management beyond subjective pain scores toward a more holistic, patient-centered model.</p><p><strong>Design: </strong>This article describes a clinical practice innovation informed by multimodal pain management principles, opioid stewardship strategies, and implementation experiences from four academic medical centers.</p><p><strong>Methods: </strong>The proposed approach incorporates nonpharmacological and pharmacological interventions within a multimodal framework. Tiered analgesic prescribing and administration emphasize the lowest effective dose while promoting function. Comprehensive pain assessments address limitations of traditional pain intensity scores by incorporating patient-specific factors, including age, comorbidities, prior analgesic responses, pharmacokinetics, and functional goals. Functional assessment tools provide standardized language to guide individualized interventions. A tiered approach combines provider intention with nursing autonomy through multimodal, opioid-sparing interventions.</p><p><strong>Results: </strong>Tiered analgesic approaches have been implemented at four academic medical centers represented by the authors. Reported institutional outcomes included improved regulatory compliance, enhanced patient safety, increased clinician satisfaction, high provider adherence to tiered protocols, reduced negative accreditation findings, and improved anticipatory pain management practices.</p><p><strong>Conclusions: </strong>Healthcare institutions can improve patient outcomes, enhance regulatory compliance, and promote safer prescribing practices through updated standards of practice, revised order sets, and comprehensive, holistic pain assessments. A multimodal, tiered analgesic approach provides a practical framework applicable across patient populations.</p><p><strong>Clinical implications: </strong>A tiered analgesic approach supports nursing autonomy, promotes patient function, enhances interdisciplinary communication, and facilitates safer, evidence-based pain management practices.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148227369","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":"Positive Emotions in Pediatric Communication During Needle Procedures: An Observational Study.","authors":"Kari Sørensen, Hilde Wøien, Lena Heyn","doi":"10.1016/j.pmn.2026.05.017","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.05.017","url":null,"abstract":"<p><strong>Purpose: </strong>Fear of pain and anxiety are common among children undergoing needle procedures. Actively involving the child in communication can help reduce their distress and foster a stronger nurse-child relationship. Positive emotions have the potential to strengthen the patient-nurse connection and may also play an important role in managing children's distress, though further research is needed to fully understand their impact. This study aimed to identify expressions of positive emotions in procedural communication between children, parents, and nurses, using the seven categories of the Positive Emotion Communication (PEC) coding system.</p><p><strong>Design: </strong>A secondary analysis of nine previously collected video recordings exploring fear and pain during needle injections among children recently diagnosed with rheumatic diseases. Positive emotions were identified using the PEC coding system, and the findings were analyzed using descriptive statistics.</p><p><strong>Results: </strong>We identified 328 expressions of positive emotions (60% from nurses, 30.5% from parents and 9.5% from children). All participants widely used the category Positive Focus, while nurses and parents favored the category Praise or Support. Children used the category Humor more frequently than other participants. Communication was mainly directed at children, with parents also receiving encouragement.</p><p><strong>Conclusion: </strong>Nurses frequently used positive utterances in their communication with children and parents during this challenging healthcare procedure. The PEC coding system proved useful for identifying positive emotions in pediatric communication research; however, it lacks the ability to capture nonverbal communication and responses.</p><p><strong>Clinical implications: </strong>Using positive emotions in medical conversations with children has significant potential to enhance their healthcare experience. However, further research is needed to refine the PEC coding system to better capture nonverbal communication and responses, ensuring a more comprehensive understanding of positive communication in pediatric care.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148227372","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":"Psychometric Evaluation of the Turkish PICES in Chronic Pain Patients.","authors":"Ayfer Beyaz Coşkun, Gülcan Bahçecioğlu Turan","doi":"10.1016/j.pmn.2026.05.015","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.05.015","url":null,"abstract":"<p><strong>Purpose: </strong>This study was conducted to examine the validity and reliability of the Turkish version of the Pain-induced Comfort Eating Scale (PICES), which was developed to assess pain-related comfort eating behavior in individuals with chronic pain.</p><p><strong>Method: </strong>This cross-sectional study was conducted between June and October 2025 at an internal medicine outpatient clinic of a university hospital in Elazığ with 161 community-dwelling adults experiencing chronic pain. To ensure a representative sample of stable outpatients, acutely hospitalized inpatients were excluded. Data were collected using a Personal Information Form, PICES, Three-factor Eating Questionnaire, and Brief Pain Inventory. The scale's content and language validity were assessed by expert opinion; its construct validity was examined using Confirmatory Factor Analysis. Reliability analyses included Cronbach's alpha, McDonald's omega, and intraclass correlation coefficient (ICC) for test-retest reliability.</p><p><strong>Findings: </strong>The content validity indices were found to be the item-level content validity index = 0.90-1.00 and the scale-level content validity index = 0.94. The Kaiser-Meyer-Olkin value was 0.739, and Bartlett's sphericity test was significant (p < .001). As a result of confirmatory factor analysis, a single-factor structure consisting of three items was confirmed, and factor loadings ranging from 0.850 to 0.970 were determined. The internal consistency of the scale was found to be high (Cronbach's alpha = 0.860; McDonald's omega = 0.902), and the test-retest reliability conducted with 30 participants was determined to be excellent (ICC = 0.924). Positive and significant correlations were found between PICES scores and the pain intensity and pain interference subscales of the Brief Pain Inventory (p < .01). Furthermore, PICES scores showed weak and negative correlations with the cognitive restraint and uncontrolled eating subscales of the TFEQ-18, providing evidence for discriminant validity.</p><p><strong>Conclusion: </strong>The Turkish version of the PICES is a valid and reliable tool for assessing pain-related comfort eating in outpatient clinical settings. Its brevity allows for quick use in research and clinical practice to identify maladaptive eating responses to chronic pain.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148227330","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":"Psychometric Evaluation of the Fatigue Severity Scale in Chronic Neck Pain.","authors":"Mehmet Canli, Sabina Muradova, Eda Uçar, Irem Canli, Şafak Kuzu, Hikmet Kocaman, Anil Özüdoğru, Hasan Yildirim","doi":"10.1016/j.pmn.2026.05.018","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.05.018","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate the psychometric properties of the existing Turkish version of the Fatigue Severity Scale (FSS-TR) in individuals with chronic neck pain.</p><p><strong>Design: </strong>A cross-sectional study.</p><p><strong>Methods: </strong>A total of 106 participants were included. Content validity was assessed by experts using the Item-Level Content Validity Index (I-CVI) and Content Validity Ratio, while face validity was examined through patient feedback using the Comprehensibility Index (CI). Construct validity was tested using Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA).</p><p><strong>Results: </strong>CFA showed excellent fit indices (Comparative Fit Index = 0.989, Tucker-Lewis Index = 0.983, Root Mean Square Error of Approximation = 0.066, Standardized Root Mean Square Residual = 0.022), with factor loadings from 0.771 to 0.927. Convergent and discriminant validity were examined with Pearson correlations using the Turkish Fatigue Impact Scale (FIS-TR) and the Visual Analog Scale for fatigue (VAS fatigue), showing strong correlations with FIS-TR (r = 0.800, p < .001) and VAS fatigue (r = 0.803 and p < .001). Reliability analyses indicated excellent internal consistency (Cronbach's α = 0.959) and high test-retest reliability (ICC = 0.894).</p><p><strong>Conclusions: </strong>The findings suggest that the FSS-TR is a valid and reliable tool for assessing fatigue in individuals with CNP.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148227315","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 Kolcaba-Based Nursing Care on Comfort and Outcomes in Valve Surgery.","authors":"Özkan Sir, Mağfiret Kaşıkçı","doi":"10.1016/j.pmn.2026.05.014","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.05.014","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate the effect of nursing care based on Kolcaba's comfort theory on the comfort levels of patients undergoing open heart valve surgery.</p><p><strong>Design: </strong>A randomized controlled trial design was used.</p><p><strong>Methods: </strong>The study was conducted between October 2024 and April 2025 in the Cardiovascular Surgery Department of Van Health Sciences University Training and Research Hospital. Fifty-six eligible patients were randomly assigned to the intervention group (n = 28) or the control group (n = 28). The intervention group received nursing care guided by Kolcaba's comfort theory, while the control group received routine care. Data were collected using the Patient Information Form, General Comfort Scale, Visual Analog Scale (VAS), and Nursing Outcomes Classification (NOC).</p><p><strong>Results: </strong>Patients in the intervention group showed a statistically significant improvement in overall comfort levels after receiving theory-based nursing care. Post-test scores on the General Comfort Scale were higher in the intervention group compared to the control group. VAS scores decreased significantly in the intervention group, indicating reduced pain. In addition, postoperative NOC outcome scores were significantly higher in the intervention group than in the control group.</p><p><strong>Conclusion: </strong>Nursing care based on Kolcaba's comfort theory increases the comfort of open heart valve surgery patients, reduces their pain, and has been shown to increase nursing outcome classification scores.</p><p><strong>Clinical implication: </strong>Kolcaba-based nursing care can enhance postoperative comfort, improve recovery outcomes, and support holistic patient management in valve surgery, guiding nurses to implement structured comfort-focused interventions throughout perioperative care.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148227337","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}