Pain Management Nursing最新文献

{"title":"Information for Readers","authors":"","doi":"10.1016/S1524-9042(24)00243-1","DOIUrl":"10.1016/S1524-9042(24)00243-1","url":null,"abstract":"","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"25 5","pages":"Page A5"},"PeriodicalIF":1.6,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1524904224002431/pdfft?md5=5ceb55a28398beb58a05c1eedfa79e51&pid=1-s2.0-S1524904224002431-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142162649","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":"The Effects of Self-Acupressure on Pain and Sleep Quality in Patients With Coronary Artery Disease: A Randomised Controlled Trial.","authors":"Seda Başak, Gülcan Bahcecioglu Turan, Zülfünaz Özer","doi":"10.1016/j.pmn.2024.07.013","DOIUrl":"https://doi.org/10.1016/j.pmn.2024.07.013","url":null,"abstract":"<p><strong>Purpose: </strong>The most important cause of death among cardiovascular diseases is Coronary artery disease (CAD). Pain and insomnia symptoms are the most common symptoms in CAD patients. Acupressure is used in patients with CAD as one of the energy-based complementary and alternative methods. This study was conducted to investigate the effects of self-acupressure on pain and sleep quality in patients with coronary artery disease.</p><p><strong>Design: </strong>This is a randomised controlled trial.</p><p><strong>Methods: </strong>This study was conducted between June and August 2021 with a total of 80 participants, 40 in the intervention and 40 in the control group. The participants in the intervention group were asked to perform a total of 16 sessions for 4 weeks, 2 days a week in the morning and afternoon, for a total of 23 minutes, depending on the preparation and compression time to be performed on 5 points. The control group did not receive any intervention during the study. Data were collected by using Descriptive Information Form, Visual Analogue Scale (VAS) and Pittsburgh Sleep Quality Index (PSQI).</p><p><strong>Results: </strong>After self-acupressure, the VAS total score of the intervention group decreased significantly compared to the control group (t=-11.861; p<.05). After intervention PSQI total and subscale mean scores of the intervention group decreased significantly compared to the control group (t=-7.767; p<.05). It can be seen that self-acupressure application has a negative and significant effect on PSQI total mean scores and VAS total mean score of patients (p<.05).</p><p><strong>Conclusion: </strong>The results of this study showed that self-acupressure was effective in improving the pain and sleep quality of patients with coronary artery disease.</p><p><strong>Clinical implications: </strong>Self-acupressure is an accessible and inexpensive method, it is recommended to be supported and maintained in the management of coronary artery disease in nursing practice.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142154823","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":"Lifetime Pain Management Experiences of Female Breast Cancer Survivors Aged 65+ Years.","authors":"Karen E Alsbrook, Susan W Wesmiller, Emilia J Diego, Paul W Scott, Caroline K Harpel, Erin V Keelan, Sofie A Patzak, Yuchen U Zhang, Teresa Hagan Thomas","doi":"10.1016/j.pmn.2024.08.004","DOIUrl":"https://doi.org/10.1016/j.pmn.2024.08.004","url":null,"abstract":"<p><strong>Purpose: </strong>Explore factors influencing pain management among female breast cancer survivors aged 65+ years with moderate to severe pain based on a score of 4 or greater on the 0-10 numeric rating scale.</p><p><strong>Design: </strong>Qualitative descriptive study.</p><p><strong>Methods: </strong>We interviewed 21 purposefully sampled women aged 65+ years who experienced moderate to severe pain. Researchers coded interview transcripts for factors affecting study participants' pain management experiences.</p><p><strong>Results: </strong>Pain management facilitators included patient-centered interactions with care teams and reliance on psychosocial assets. Challenges included ineffective care team interactions and participants' negative perceptions of opioid analgesia. Other factors included pain attributed to cancer treatment, pain management plan adherence, and psychosocial influencers.</p><p><strong>Conclusions: </strong>With regard to this sample, patient-centered communication and pain management education help female breast cancer survivors aged 65+ years manage their pain. Mitigation of opioid stigma and undermanaged painful comorbid conditions could further optimize pain management. Further research on the effects of breast cancer treatment, level of adherence to pain management recommendations, and psychosocial influences on pain management is needed.</p><p><strong>Clinical implications: </strong>Providing contact information for care team members during and after clinic hours facilitates open communication, including timely reporting of new and undertreated pain. Collaborating with the patient and care team on a clear pain management plan and establishing parameters for when to notify the care team empower patients to optimize management of their pain. Verifying patients' understanding of prescribed analgesia and management of side effects and providing education as needed may reduce negative perceptions of opioid analgesia.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146142","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":"Application of Integrated Medical Care \"Cloud-Based Virtual Ward\" Management Model on Postoperative Analgesia: Based on Zigbee Technology.","authors":"Shaoru Chen, Hui Zhi, Hongmei Zhang, Jie Wang, Xin Li","doi":"10.1016/j.pmn.2024.07.011","DOIUrl":"https://doi.org/10.1016/j.pmn.2024.07.011","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to compare acute care postoperative patients monitored by standard care to those monitored through virtual ward technology by pain team to evaluate status in real-time.</p><p><strong>Design: </strong>Retrospective cohort study.</p><p><strong>Methods: </strong>We included 72,240 and 68,424 postoperative patients who underwent the acute pain service model between January 2021 and April 2022 and the \"cloud-based virtual ward\" management model between May 2022 and September 2023, respectively. Patients were administered patient-controlled intravenous analgesia after surgery, and we collected perioperative data regarding the general condition, operation type, postoperative moderate-to-severe pain, nausea and vomiting, dizziness, hoarseness, and drowsiness of the patients.</p><p><strong>Results: </strong>The incidences of moderate-to-severe postoperative pain, postoperative nausea and vomiting, dizziness, drowsiness, hoarseness, resting pain, and activity pain were significantly reduced in the \"cloud-based virtual ward\" management model when compared with the acute pain service model.</p><p><strong>Conclusions: </strong>Compared to the acute pain service model, the \"cloud-based virtual ward\" management model can enhance pain management satisfaction and lower the frequency of moderate-to-severe postoperative pain and adverse effects.</p><p><strong>Clinical implications: </strong>The \"cloud-based virtual ward\" management model proposed in this study may improve the care of patients with acute postoperative pain. By reviewing the two pain management models for postoperative patients, we were able to compare the incidence of postoperative adverse reactions and use the standard process of the integrated medical care \"cloud-based virtual ward\" management model to optimize the management of postoperative patients and promote their health outcomes.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142056316","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 Lifetime of Work to Promote Health Equity in Pain Management: Honoring the Legacy of Dr. April H. Vallerand (1957-2024)","authors":"Anitha Saravanan Ph.D., M.S.N., APRN-BC ,&nbsp;Navdeep Singh Ph.D., AGACNP-BC ,&nbsp;Jinbing Bai Ph.D., M.S.N., R.N., FAAN","doi":"10.1016/j.pmn.2024.07.014","DOIUrl":"10.1016/j.pmn.2024.07.014","url":null,"abstract":"","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"25 5","pages":"Pages 433-435"},"PeriodicalIF":1.6,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142009207","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 Transcutaneous Electrical Nerve Stimulation on Patients with Total Knee Replacement: A Randomized Controlled Trial.","authors":"Nilgün Özbaş, Emre Ersoy, Murat Korkmaz, Hacı Ali Olçar","doi":"10.1016/j.pmn.2024.07.003","DOIUrl":"https://doi.org/10.1016/j.pmn.2024.07.003","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to determine the effect of transcutaneous electrical nerve stimulation (TENS) on pain, functionality, quality of life, and analgesic consumption in patients undergoing TKR.</p><p><strong>Design: </strong>A single center, randomized controlled trial.</p><p><strong>Methods: </strong>A total of 52 participants were randomly assigned to the intervention (n = 26) and control (n = 26) groups. The intervention group was exposed to conventional TENS. Data were collected with a Patient Identification Form, the Visual Analogue Scale (VAS), the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), the Quality of Life Scale (SF-36), and the Analgesic Tracking Form.</p><p><strong>Results: </strong>VAS and WOMAC scores significantly decreased in the intervention group, over time, while they increased in the control group. SF-36 scores significantly increased in the intervention group over time. It was determined that analgesic consumption was significantly lower in the intervention group than in the control group.</p><p><strong>Conclusions: </strong>TENS significantly reduced pain and increased functionality and quality of life. Our findings suggest that TENS may be an effective adjunctive analgesic therapy in patients receiving TKR; however, more testing is needed in larger and more heterogeneous populations.</p><p><strong>Clinical implications: </strong>Nurses can provide effective postoperative pain control in patients undergoing TKR, increase functionality, accelerate the healing process, and improve their quality of life by using TENS, a non-pharmacological treatment method, in the perioperative period.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141996264","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":"Which Patients With Chronic Pain Do The Primary Care Refers to a Tertiary Hospital in a Developing Country? Experience From a University Hospital.","authors":"Guilherme Salcedo Areunete, Cláudia Zornoff Gavazza, Beatriz Fátima Alves de Oliveira, Nivaldo Ribeiro Villela","doi":"10.1016/j.pmn.2024.07.008","DOIUrl":"https://doi.org/10.1016/j.pmn.2024.07.008","url":null,"abstract":"<p><strong>Purpose: </strong>The study aimed to profile patients with uncontrolled chronic pain referred from primary care to a tertiary hospital in a developing country, and identify factors associated with pain intensity, interference, and its link with mental health.</p><p><strong>Design: </strong>Cross-sectional design.</p><p><strong>Methods: </strong>Data from 906 adult patients with nonmalignant chronic pain during their first visit to the multidisciplinary pain center at the State University of Rio de Janeiro in 2019 were used. The brief pain inventory and the Hospital Anxiety and Depression Scale questionnaire assessed pain intensity, its impact on daily activity, and symptoms of anxiety and depression.</p><p><strong>Results: </strong>The population was predominantly female (68.8%), over 50 (66.3%), with less than 11 years of education (86.5%), and 75.2% were overweight or obese. Most (81.9%) reported moderate or severe pain, significantly interfering with daily activities (>50%). The lower back was the most commonly affected site. Widespread pain was present in 43.6% of patients. High scores for anxiety (67.4%) and depression (52.2%) were observed. Severe pain was predominantly seen in middle-aged women and individuals with high levels of anxiety and depression.</p><p><strong>Conclusion: </strong>Patients with uncontrolled chronic pain referred from primary care to a tertiary hospital were predominantly female, overweight or obese, and exhibited a high prevalence of depression and anxiety. Their pain significantly interfered with daily activities.</p><p><strong>Clinical implications: </strong>The study provides valuable insight into the biopsychosocial characteristics of uncontrolled chronic pain patients in primary care, emphasizing the importance of implementing multidisciplinary approaches to manage chronic pain effectively within primary care settings.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141982971","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 the Efficacy of Propranolol Versus Valsartan in the Prevention of Migraine: A Randomized Controlled Trial.","authors":"Arash Mosarrezaii, Danial Tahazadeh, Hussein Soleimantabar, Pegah Panahi","doi":"10.1016/j.pmn.2024.07.001","DOIUrl":"https://doi.org/10.1016/j.pmn.2024.07.001","url":null,"abstract":"<p><strong>Background: </strong>Migraine is a prevalent episodic headache that affects approximately 14%-15% of the global population. Since valsartan is an antihypertensive drug, it is hypothesized that taking valsartan can prevent migraine attacks in patients with the condition. This study aimed to determine the efficacy of propranolol versus valsartan in preventing migraine attacks.</p><p><strong>Material and methods: </strong>This randomized controlled trial was conducted on 56 patients with migraine from a neurology clinic. Patients were divided into two equal groups of 28 individuals, after providing informed consent. The patients then received either propranolol or valsartan treatment. The intensity and frequency of migraines were compared before and after treatment in both study groups.</p><p><strong>Results: </strong>The patients' mean age was 32.78 years old (±6.9 SD), and 64% of the patients were female. After a 1-month treatment period, the results showed that valsartan patients experienced significantly fewer severe migraine attacks compared to propranolol patients.</p><p><strong>Conclusion: </strong>According to the results of the present study, valsartan may be at least as effective as propranolol and perhaps more effective on some measures.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141982969","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":"Non-Pharmacological Pain and Stress Management (N-PPSM) in Pediatric Wards: A Nurses' Perspective","authors":"Idyatul Hasanah PhD ,&nbsp;Nursalam Nursalam PhD ,&nbsp;Ilya Krisnana PhD ,&nbsp;Yuni Sufyanti Arief PhD ,&nbsp;Nuzul Qur'aniati PhD ,&nbsp;Zikrul Haikal MD ,&nbsp;Ririn Afrian Sulistyawati MKep ,&nbsp;Tita Rohita PhD","doi":"10.1016/j.pmn.2024.07.005","DOIUrl":"10.1016/j.pmn.2024.07.005","url":null,"abstract":"<div><h3>Purpose</h3><p>To describe the nurses’ use of non-pharmacological pain and stress management (N-PPSM) in pediatric wards and their perceptions of the benefits and perceived barriers that encourage and limited their use of these methods.</p></div><div><h3>Methods</h3><p>This was a descriptive cross-sectional study involving 125 nurses working in the pediatric ward of an Indonesian hospital. Data collection utilized modified non-pharmacological method questionnaires, and data analysis involved t-tests and ANOVA.</p></div><div><h3>Results</h3><p>The most widely used N-PPSM by nurses are cognitive methods such as providing education (48%), physical methods by positioning (40%), emotional support (36%), environmental support (45%), and family support (60%). Nurses stated that N-PPSM had few side effects (50.4%), were inexpensive (49.6%), could be performed independently (51.2%), and were easy to use (52.8%). However, during its implementation, there were several obstacles including lack of experience (42.4%), lack of training (48%), lack of equipment (45.6%), nurse belief (36.8%), lack of time (44%), patient unwilling (47.2%), and patient belief (41.6%). Work experience influences the overall utilization of N-PPSM (<em>p</em>-value = .043).</p></div><div><h3>Conclusion</h3><p>The findings from this research emphasize the significance of enhanced training for nurses working in the utilization of N-PPSM in pediatric wards.</p></div><div><h3>Clinical Implications</h3><p>Findings from this study can enhance nurses' knowledge and competence in using N-PPSM in pediatric wards, thus improving patient care. Hospitals may consider implementing new policies, education, training, and infrastructure to support N-PPSM. Educational institutions can also incorporate these methods into nursing curricula, increasing nurses' awareness and skills in using N-PPSM in pediatric patients.</p></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"25 5","pages":"Pages 510-517"},"PeriodicalIF":1.6,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141982970","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":"Perspectives on Online Resources for People Experiencing Pain: A Qualitative Study.","authors":"Marian Wilson, Janet R Katz, Mafe D Chase, Ross J Bindler, Teresa L Rangel, Rebecca A Penders, Pamela S Kohlmeier, Jamie Lewis","doi":"10.1016/j.pmn.2024.07.006","DOIUrl":"https://doi.org/10.1016/j.pmn.2024.07.006","url":null,"abstract":"<p><strong>Background: </strong>Innovations in technology offer potential solutions to address pain care inequities. To maximize impacts, greater understanding is needed regarding preferences and priorities of people experiencing or treating pain.</p><p><strong>Objectives: </strong>This study conducted focus groups to investigate the perspectives of people with pain and healthcare workers regarding online resources for pain management. Researchers asked about barriers to current pain management and what resources would be most desired in an online format to meet needs.</p><p><strong>Methods: </strong>Participants were a randomly selected sub-sample of adults from a northwestern region of the United States who participated in an online, survey-based study. Eligible participants identified as either a person who had received treatment for pain or a healthcare worker who cared for people with pain. Of the 199 survey respondents, 30 participated in one of three focus group sessions. Focus groups were conducted using videoconferencing technology, then recorded, transcribed, and analyzed using thematic analysis.</p><p><strong>Results: </strong>Focus group participants included 22 adults who identified as a person treated for pain of any type and 8 healthcare workers. Themes relating to eHealth use reflected desires for (1) freely accessible and vetted pain management information in one place, (2) reliable information tailored to need and pain type, and (3) easy-to-use resources. Findings revealed that some effective pain management resources do exist, yet obstacles including inflexible and inequitable healthcare practices and lack of knowledge about options may limit access to these resources.</p><p><strong>Conclusion: </strong>Including preferences of user groups can assist in creating resources that are likely to be useful for those with pain and their caregivers. Innovations are needed to address persisting gaps in care.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141907381","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}