Pain Management Nursing最新文献

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Impact of BMI and Work Environment Circumstances on Prevalence and Severity of Chronic Pain among Nurses.
IF 1.6 4区 医学
Pain Management Nursing Pub Date : 2025-02-24 DOI: 10.1016/j.pmn.2025.01.013
Saleh Salimi, Uğur Cavlak, Aylin Çarki
{"title":"Impact of BMI and Work Environment Circumstances on Prevalence and Severity of Chronic Pain among Nurses.","authors":"Saleh Salimi, Uğur Cavlak, Aylin Çarki","doi":"10.1016/j.pmn.2025.01.013","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.01.013","url":null,"abstract":"<p><strong>Purpose: </strong>The objective of this study was to explore the relationship between workplace conditions, demographic characteristics, and physical attributes with the prevalence and severity of chronic pain among nurses. The goal was to gain insights into the factors contributing to chronic pain within the nursing profession.</p><p><strong>Methods: </strong>A cross-sectional descriptive-analytic study was conducted among 415 nurses in Turkey using purposive convenience sampling. Data collection instruments included the Graded Chronic Pain Scale, a body diagram, a pain exacerbator/alleviator inquiry, and a socio-demographic form. Data were analyzed using SPSS 25.</p><p><strong>Results: </strong>The majority of participants were female nurses (87.7%) with a mean age of 34.62 ± 9.32 and a body mass index (BMI) of 24.51 ± 4.32. Nearly half reported irregular exercise habits (49.9%), and 36.1% indicated high levels of work-related stress. A significant proportion exhibited moderate levels of work-related anxiety (39%), smoked (40%), and consumed alcohol (37.1%). Chronic pain was experienced by 40.9% on most days, with the head and lumbar regions being the most affected (45.5% and 44.1%, respectively). The study identified a significant association between BMI and pain frequency (p = .043) and severity (p < .014). Furthermore, pain localization and management strategies varied between male and female nurses.</p><p><strong>Discussion: </strong>The study's results underscore the substantial impact of chronic pain on nurses' quality of life, activity levels, and work attendance. Notably, the study provides results that support the relationship between BMI and chronic pain. The study revealed gender-specific differences in pain localization and management strategies among nurses, highlighting the importance of gender-tailored interventions in chronic pain management among nurses.</p><p><strong>Conclusion: </strong>Addressing the interplay between BMI, work-related factors, and chronic pain is vital for nurses' well-being and a conducive work environment, potentially reducing financial costs associated with medical leave and absenteeism.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143503194","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}
引用次数: 0
Pain Acceptance in Chronic Postoperative Pain: Concept Analysis.
IF 1.6 4区 医学
Pain Management Nursing Pub Date : 2025-02-24 DOI: 10.1016/j.pmn.2025.01.011
Sajini M Thekkel, Constance M Johnson, Meagan Whisenant, Deniz Dishman
{"title":"Pain Acceptance in Chronic Postoperative Pain: Concept Analysis.","authors":"Sajini M Thekkel, Constance M Johnson, Meagan Whisenant, Deniz Dishman","doi":"10.1016/j.pmn.2025.01.011","DOIUrl":"10.1016/j.pmn.2025.01.011","url":null,"abstract":"<p><strong>Purpose: </strong>Chronic postoperative pain (CPOP) is a potential outcome of otherwise successful surgery that can persist for months, with its prevalence varied by surgical type, genetic predispositions, and psychosocial factors. Pain acceptance offers better outcomes to these patient populations by fostering a willingness to experience pain without resistance. This analysis examines how pain acceptance contributes to psychological well-being, helps reduce opioid misuse, and enhances quality of life, even in the presence of CPOP.</p><p><strong>Design: </strong>The concept analysis approach follows Walker and Avant's framework (2019).</p><p><strong>Methods: </strong>A literature search across PubMed, Web of Science, and CINAHL yielded 276 articles, of which 16 met the inclusion criteria for adult-centered studies published from 2009 to 2024.</p><p><strong>Results: </strong>Sixteen publications identified through the literature search guided the development of the concept analysis and delineated the essential attributes such as open-mindedness/receptivity, present orientation, self-acceptance, and endurance.</p><p><strong>Conclusions: </strong>Identifying key attributes, antecedents, and consequences of pain acceptance enables healthcare providers to tailor interventions that enhance postoperative recovery in patients with the risk of CPOP.</p><p><strong>Clinical implications: </strong>Findings from the concept analysis support future research on pain acceptance in postoperative populations, guiding healthcare practitioners on developing evidence-based interventions to improve quality of life for individuals with CPOP.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143503310","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}
引用次数: 0
Effects of Virtual Reality on Pain, Anxiety and Fear Among Emergency Department Patients: A Meta-Analysis of Randomized Controlled Trials.
IF 1.6 4区 医学
Pain Management Nursing Pub Date : 2025-02-22 DOI: 10.1016/j.pmn.2025.01.016
Yuchuan Wang, Junjie Tao, Meng Chen, Yingxin Peng, Haoming Wu, Zhenlong Yan, Ping Huang
{"title":"Effects of Virtual Reality on Pain, Anxiety and Fear Among Emergency Department Patients: A Meta-Analysis of Randomized Controlled Trials.","authors":"Yuchuan Wang, Junjie Tao, Meng Chen, Yingxin Peng, Haoming Wu, Zhenlong Yan, Ping Huang","doi":"10.1016/j.pmn.2025.01.016","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.01.016","url":null,"abstract":"<p><strong>Objectives: </strong>To explore the effects of virtual reality (VR) interventions in reducing pain, anxiety, and fear in child and adult emergency departments (EDs).</p><p><strong>Design: </strong>A meta-analysis of randomized controlled trials.</p><p><strong>Data sources: </strong>Articles were searched from PubMed, Embase, The Cochrane Library, and Web of Science (up to 18 October 2024).</p><p><strong>Methods: </strong>The quality of the studies was assessed using the risk of bias tool recommended by the Cochrane Collaboration Risk of Bias Tool, and the Revman version 5.4 software was used to assess the risk of bias in the included studies. Two researchers independently screened eligible articles. The effects of VR on pain, anxiety, or fear in ED patients were estimated with a standardized mean difference (SMD) and 95% confidence interval (CI). Egger's test and the funnel plot were used to evaluate the publication bias. All data analysis was conducted utilizing STATA software version 18.0.</p><p><strong>Results: </strong>Sixteen randomized controlled trials (RCTs) involving 1449 participants were included. In this meta-analysis, VR reduced the severity of pain (SMD = -0.82; 95% CI: -1.11 to -0.53; p < .001), anxiety (SMD = -1.13; 95% CI: -1.74 to -0.52; p < .001), and fear (SMD = -0.82: 95% CI: -1.51 to -0.12; p = .022).</p><p><strong>Conclusions: </strong>The results of this meta-analysis indicate that VR can effectively reduce pain, anxiety, and fear in ED patients. Therefore, VR shows promise as a valuable complementary pain, anxiety, and fear management intervention for ED patients.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483777","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}
引用次数: 0
The Effect of Music Therapy on Pain, Anxiety, Agitation and Sedation in Cardiac Intensive Care Patients: Randomized Controlled Study.
IF 1.6 4区 医学
Pain Management Nursing Pub Date : 2025-02-22 DOI: 10.1016/j.pmn.2025.01.017
Fatih Büdüş, Kübra Gökalp
{"title":"The Effect of Music Therapy on Pain, Anxiety, Agitation and Sedation in Cardiac Intensive Care Patients: Randomized Controlled Study.","authors":"Fatih Büdüş, Kübra Gökalp","doi":"10.1016/j.pmn.2025.01.017","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.01.017","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to determine the effect of music therapy on pain, anxiety, agitation, and sedation levels in patients hospitalized in the cardiac intensive care unit following coronary angiography.</p><p><strong>Method: </strong>The study was conducted in a parallel randomized controlled experimental model with patients treated in the Cardiac Intensive Care Unit of a hospital in Eastern Turkey. Sixty patients with coronary angiography were randomly assigned to the experimental (n = 30) and control (n = 30) groups. \"Personal Data Form,\" \"Pain Visual Analog Scale (Pain-VAS),\" \"Anxiety Visual Analog Scale (Anxiety-VAS)\" and \"Richmond Agitation and Sedation Scale (RASS)\" were used for data collection. Chi-square, independent/dependent samples t-test, and repeated measures ANOVA were used to analyze the data.</p><p><strong>Results: </strong>It was determined that the decrease in pain, anxiety, agitation and sedation levels of the patients in the experimental group was statistically significant (p ≤ .001). The changes in the control group were insignificant. It was determined that music therapy application had a significant, and large effect of 70.4% on pain, 64.6% on anxiety, and 72.2% on agitation and sedation.</p><p><strong>Conclusion: </strong>Music therapy has been found to reduce pain, anxiety, agitation, and sedation in patients after coronary angiography, demonstrating a broad effect. It is recommended that music therapy be used as a nursing practice in the intensive care unit.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483792","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}
引用次数: 0
Exploring Internurse Variation in Documentation of the Clinically Aligned Pain Assessment (CAPA) Tool.
IF 1.6 4区 医学
Pain Management Nursing Pub Date : 2025-02-18 DOI: 10.1016/j.pmn.2025.01.015
Sandra Hagstrom, Susan O'Conner-Von, Michelle A Mathiason, Mary Fran Tracy
{"title":"Exploring Internurse Variation in Documentation of the Clinically Aligned Pain Assessment (CAPA) Tool.","authors":"Sandra Hagstrom, Susan O'Conner-Von, Michelle A Mathiason, Mary Fran Tracy","doi":"10.1016/j.pmn.2025.01.015","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.01.015","url":null,"abstract":"<p><strong>Purpose: </strong>The Clinically Aligned Pain Assessment (CAPA) tool was developed to facilitate dialogue between clinicians and patients regarding pain, providing more comprehensive information than intensity ratings. However, inconsistency in its administration and documentation may limit its utility. The purpose of this study was to describe variation in nurses' CAPA documentation.</p><p><strong>Design and methods: </strong>In this descriptive study, electronic health record data documented by 103 registered nurses caring for 1,123 patients hospitalized on an adult medical unit and intermediate care unit were analyzed. Data from a small sample (n = 10) were analyzed initially to refine the research questions. Descriptive and inferential statistics were used to compare documentation patterns between units and individual nurses.</p><p><strong>Results: </strong>Both low and high documentation frequency were observed: frequency of charting all five CAPA domains ranged from 0%-100% when analyzed by nurse; frequency and timing of each domain's documentation varied widely. Inconsistent use of the tool also included CAPA documentation in sleeping patients and variability in options most frequently selected by individual nurses within each domain.</p><p><strong>Conclusions: </strong>While significant differences were found between units, comparison of individual nurses within each unit showed similar variability. This suggests that the differences cannot be explained by unit-specific norms, orientation, staffing ratios, or patient characteristics but likely reflects the CAPA tool's inherent ambiguity.</p><p><strong>Clinical implications: </strong>Inconsistencies in individual nurses' use of the CAPA limit the ability to trend pain over time and monitor effectiveness of the treatment plan, compromising the tool's intended benefit of providing a more comprehensive picture of each patient's pain.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143458923","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}
引用次数: 0
Pharmacological Treatment of Chemotherapy-Induced Neuropathy: A Systematic Review of Randomized Clinical Trials.
IF 1.6 4区 医学
Pain Management Nursing Pub Date : 2025-02-13 DOI: 10.1016/j.pmn.2025.01.007
Ana Carolina de Jesus Palma, César Romero Antunes Júnior, Eduardo Silva Reis Barreto, Vinicius Borges Alencar, Anna Karla do Nascimento Souza, Clarissa Maria de Cerqueira Mathias, Liliane Elze Falcão Lins-Kusterer, Liana Maria Torres de Araujo Azi, Durval Campos Kraychete
{"title":"Pharmacological Treatment of Chemotherapy-Induced Neuropathy: A Systematic Review of Randomized Clinical Trials.","authors":"Ana Carolina de Jesus Palma, César Romero Antunes Júnior, Eduardo Silva Reis Barreto, Vinicius Borges Alencar, Anna Karla do Nascimento Souza, Clarissa Maria de Cerqueira Mathias, Liliane Elze Falcão Lins-Kusterer, Liana Maria Torres de Araujo Azi, Durval Campos Kraychete","doi":"10.1016/j.pmn.2025.01.007","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.01.007","url":null,"abstract":"<p><strong>Purpose: </strong>Chemotherapy-induced peripheral neuropathy (CIPN) affects up to 80% of patients undergoing cytotoxic chemotherapy. This painful condition significantly impairs quality of life and often necessitates dose reduction or discontinuation of chemotherapy, negatively impacting overall survival. Currently, duloxetine is the only pharmacological treatment recommended by the American Society of Clinical Oncology (ASCO). This systematic review aims to evaluate the efficacy of various pharmacological interventions in CIPN treatment, providing substantial evidence for clinical practice and future research.</p><p><strong>Design: </strong>This systematic review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to assess the effectiveness of pharmacological treatments for CIPN.</p><p><strong>Methods: </strong>Only randomized controlled trials (RCTs) were included. Herbal and phytotherapeutic treatments were excluded. Two independent reviewers performed the study selection, with a third reviewer resolving disagreements. Risk of bias assessment was conducted using the COCHRANE's RoB 2 tool.</p><p><strong>Results: </strong>Out of 860 screened articles, 17 RCTs met the inclusion criteria, encompassing 15 different pharmacological agents. Duloxetine, pregabalin, and amitriptyline were the most studied. Thirteen studies utilized a placebo as a control. Investigated medications exhibited varied outcomes, with some showing significant benefits in reducing neuropathic pain while others did not demonstrate statistically significant efficacy.</p><p><strong>Conclusion: </strong>Duloxetine is an effective and well-tolerated option, while pregabalin shows promising results but requires further investigation. Other agents, such as venlafaxine and tapentadol, lack strong supporting evidence. Treatments like acetyl-l-carnitine, monosialotetrahexo-sylganglioside 1, and tetrodoxine yield inconsistent results, highlighting the need for additional research. Larger RCTs are recommended for comprehensive evaluation. Nurses are essential in CIPN care by monitoring symptoms, educating patients, and collaborating with the team.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426053","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}
引用次数: 0
The Frequency of Back Pain, Lumbar Pain, And Pelvic Girdle Pain During Pregnancy.
IF 1.6 4区 医学
Pain Management Nursing Pub Date : 2025-02-11 DOI: 10.1016/j.pmn.2025.01.005
Resmiye Ozdilek, Meltem Yıldırım, Sena Dilek Aksoy, Derya Kanza Gul
{"title":"The Frequency of Back Pain, Lumbar Pain, And Pelvic Girdle Pain During Pregnancy.","authors":"Resmiye Ozdilek, Meltem Yıldırım, Sena Dilek Aksoy, Derya Kanza Gul","doi":"10.1016/j.pmn.2025.01.005","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.01.005","url":null,"abstract":"<p><strong>Background: </strong>Upper back pain, lower back pain, and pelvic girdle pain are common problems during pregnancy. There is limited research in Turkey on their prevalence and associated factors.</p><p><strong>Aim: </strong>This study aims to determine the frequency of upper back, lower back, and pelvic girdle pain occurring in the second half of pregnancy and its associated factors.</p><p><strong>Methods: </strong>A descriptive, cross-sectional, and correlational study was conducted on 515 pregnant women between December 2019 and May 2020. Data were collected using a questionnaire. The questionnaire included sociodemographic characteristics and the pelvic girdle questionnaire.</p><p><strong>Findings: </strong>The study included 515 pregnant women. The mean age was 28.31 ± 3.86 years, and the mean gestational age was 32.78 ± 5.41 weeks. Of the participants, 2.7% reported upper back pain, 22.3% reported lower back pain, and 59% reported pelvic girdle pain. The mean pain score for those with upper back pain was 56.66 ± 30.11; for lower back pain, it was 48.19 ± 18.44; and for pelvic girdle pain was 10.60 ± 7.69. Maternal characteristics, including age, education level, employment status, smoking status, regular exercise, parity, gravidity, and gestational age, were significantly important determinants of pelvic girdle pain (PGP) during pregnancy.</p><p><strong>Conclusion: </strong>More than half of pregnant women reported PGP. The prevalence of PGP was higher than that of upper and lower back pain. Specific maternal sociodemographic characteristics influenced PGP during pregnancy.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143410006","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}
引用次数: 0
A Descriptive Study Nursing Students' Knowledge and Attitudes Pediatric Pain: Where Are We Now?
IF 1.6 4区 医学
Pain Management Nursing Pub Date : 2025-02-10 DOI: 10.1016/j.pmn.2025.01.004
Jo Ann F Cummings, JoChena Dort
{"title":"A Descriptive Study Nursing Students' Knowledge and Attitudes Pediatric Pain: Where Are We Now?","authors":"Jo Ann F Cummings, JoChena Dort","doi":"10.1016/j.pmn.2025.01.004","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.01.004","url":null,"abstract":"<p><p>Pain management is an ethical responsibility of all professional nurses. Pain is a common symptom experienced in clients across the lifespan.</p><p><strong>Purpose: </strong>The purpose of this study was to examine nursing students' knowledge and attitudes regarding pediatric pain management.</p><p><strong>Design: </strong>A retrospective descriptive design.</p><p><strong>Methods: </strong>Use of the Pediatric Nurses Knowledge and Attitudes Survey Regarding Pain Management (PNKAS Shriners Version 2002). The sample comprised of scores from 320 students enrolled in a pediatric course at a private school of nursing in the Northeastern United States.</p><p><strong>Results: </strong>Findings identified that the rate of correct answers ranged from 21.95% to 97.56%. Results showed a low level of student nurses' knowledge and attitudes regarding pediatric pain management.</p><p><strong>Conclusions: </strong>The results highlight that regardless of the curricular changes that have been made, students continue to struggle with pediatric pain management with emphasis on pain management pharmacology.</p><p><strong>Clinical implications: </strong>Pediatric pain education needs to be improved in the undergraduate educational curricula. It is important for nursing schools to consider the possibility of integrating pain education in a systematic manner to better prepare students.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399719","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}
引用次数: 0
Efficacy of Multidisciplinary Pain Management for Advanced Cancer Patients.
IF 1.6 4区 医学
Pain Management Nursing Pub Date : 2025-02-08 DOI: 10.1016/j.pmn.2025.01.003
Dongjie Chen, Dianjun Chen, Haitao Sun, Danhui You, Haochun Tang, Shupei Li, Peng Song, Songfeng Xu, Lihong Guo, Li Sun, Boyan Yang, Jun Liang
{"title":"Efficacy of Multidisciplinary Pain Management for Advanced Cancer Patients.","authors":"Dongjie Chen, Dianjun Chen, Haitao Sun, Danhui You, Haochun Tang, Shupei Li, Peng Song, Songfeng Xu, Lihong Guo, Li Sun, Boyan Yang, Jun Liang","doi":"10.1016/j.pmn.2025.01.003","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.01.003","url":null,"abstract":"<p><strong>Objectives: </strong>The objective of this study is to assess the efficacy and affecting factors of a multidisciplinary team (MDT) on cancer-related pain in patients with advanced cancer.</p><p><strong>Methods: </strong>A retrospective analysis was performed on patients receiving pain management from November 2018 to December 2023 by the MDT. Pain intensity, pain management index (PMI), pain response, and Barthel index of activities of daily living (BADL) were assessed at baseline and/or after 2 weeks of MDT interventions. Univariate and multiple logistic analyses were conducted to identify risk indicators for pain response.</p><p><strong>Results: </strong>After interventions, pain intensity, numerical rating scale (NRS) scores, and PMI significantly improved in all patients (p < .001). Subgroup analyses revealed that pain intensity and NRS scores were notably reduced, while PMI increased after the interventions in the responders (p < .001). Conversely, no significant changes were observed in pain intensity, NRS scores, or PMI for the nonresponders following MDT intervention. MDT interventions did not lead to improvements in BADL for either group. Patients who underwent radiotherapy exhibited a significantly higher overall response rate (ORR) compared to those without radiotherapy (100% vs 60.8%, p = .033). In univariate analysis, lower KPS scores and visceral pain showed negative associations with pain response. However, in multivariate analysis, neither maintained significance.</p><p><strong>Conclusions: </strong>The pain MDT demonstrated remarkable improvements in clinical management and pain control. Further prospective studies are warranted to investigate predictive factors associated with pain treatment.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143382987","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}
引用次数: 0
Assessing Undergraduate Nursing Pediatric Pain Education in Turkey: A Content Analysis Study.
IF 1.6 4区 医学
Pain Management Nursing Pub Date : 2025-02-06 DOI: 10.1016/j.pmn.2025.01.002
Ebru Bakir
{"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}
引用次数: 0
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