Pain Management Nursing最新文献

{"title":"Effectiveness of Digital Counseling for Parents' Use of Nonpharmacological Pain-Relieving Methods in Pediatric Day Surgery.","authors":"Heli Kerimaa, Tarja Pölkki","doi":"10.1016/j.pmn.2025.04.011","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.04.011","url":null,"abstract":"<p><strong>Purpose: </strong>This study evaluated the effectiveness of digital counseling for parents in using nonpharmacological pain-relieving methods on pediatric day surgery patients.</p><p><strong>Design: </strong>A secondary outcome study of the randomized controlled trial.</p><p><strong>Methods: </strong>The participants included 70 children (aged 2-6 years) and their parents in a Pediatric Day Surgical Department at a university hospital. Parents were randomly assigned to an intervention group (n = 36) using a mobile application to guide nonpharmacological pain management or a control group (n = 34) receiving standard care. Effectiveness was measured by the frequency with which parents prepared their children for day surgery and used various pain-relieving methods, including (1) cognitive-behavioral and (2) physical techniques, (3) emotional support, (4) assistance with daily activities, and (5) creating a comfortable environment. Group differences were analyzed using Fisher's Exact Test.</p><p><strong>Results: </strong>Parents in both groups prepared their children for day surgery but provided limited details about the procedure, including its duration and postoperative care. Those who used the mobile app were more effective in using nonpharmacological pain-relieving methods to alleviate their children's pain. They more frequently employed cognitive-behavioral techniques, such as distraction and positive reinforcement, and physical techniques, like massage and positioning. However, statistically significant differences were found only in the timing of information given about the procedure and the use of distraction by parents. Both groups used well emotional support, assistance with daily activities, and creating a comfortable environment following the surgery.</p><p><strong>Conclusions: </strong>The study shows that digital counseling can increase parents' use of nonpharmacological pain-relieving methods in pediatric day surgery. However, it is important that mobile apps promote communication between parents and children rather than replace it.</p><p><strong>Nursing practice implications: </strong>Nurses should ensure digital tools promote interactive communication between parents and children, improving the use of pain relief methods. Training and regular feedback are essential to integrate these tools into nursing practice effectively.</p><p><strong>Clinical trial registration: </strong>This study was registered at ClinicalTrials.gov (NCT03774303).</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144132784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Information for Readers","authors":"","doi":"10.1016/S1524-9042(25)00181-X","DOIUrl":"10.1016/S1524-9042(25)00181-X","url":null,"abstract":"","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"26 3","pages":"Page A5"},"PeriodicalIF":1.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144098325","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 Rehabilitation on The Productivity Among University Professors With Chronic Musculoskeletal Pain: A Cross-Sectional Study.","authors":"Mônica Jordão de Souza Pinto, Vivian Aline Mininel, Tatiana de Oliveira Sato, Lilian Varanda Pereira, Anamaria Alves Napoleão, Priscilla Hortense","doi":"10.1016/j.pmn.2025.04.013","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.04.013","url":null,"abstract":"<p><strong>Purpose: </strong>To examine how rehabilitation influences work productivity in university professors from Brazilian federal universities with chronic musculoskeletal pain, specifically by investigating its moderating effect on the relationship between pain intensity and productivity loss at work, as well as its mediating role in the association between self-efficacy for chronic pain and productivity loss at work.</p><p><strong>Design and methods: </strong>A cross-sectional study with 974 university professors experiencing chronic musculoskeletal pain conducted via virtual structured questionnaire including Numeric Pain Rating Scale, Work Limitations Questionnaire (WLQ-25), and Chronic Pain Self-Efficacy Scale (CPSS).</p><p><strong>Results: </strong>Total 82.65% of faculty reported moderate to severe pain, and 50.62% were undergoing rehabilitation. The mean total self-efficacy score was 190.13, and mean productivity loss was 7.83%. Moderation analysis showed faculty undergoing rehabilitation had 2.62% productivity loss versus 3.07% for those not undergoing. Mediation analysis indicated a ß correlation coefficient of -0.000 for indirect effect and -0.029 for direct effect.</p><p><strong>Conclusions: </strong>Rehabilitation does not decrease productivity loss as pain intensity increases; however, faculty undergoing rehabilitation exhibit lower productivity loss compared to those who do not. Higher levels of self-efficacy reduce productivity loss, and rehabilitation does not mediate this relationship.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effects of Stress Ball Practice on Patient Anxiety, Pain and Vital Signs During Cataract Surgery: A Randomized Controlled Trial.","authors":"Seda Cansu Yeniğün, Fatma Demir Korkmaz","doi":"10.1016/j.pmn.2025.04.009","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.04.009","url":null,"abstract":"<p><strong>Background: </strong>Although cataract surgery is considered a daily surgical procedure, patients may experience pain and anxiety during surgery, which can affect their vital signs.</p><p><strong>Aims: </strong>This study sought to examine the effects of the use of stress balls on anxiety levels, pain perception, and vital signs in patients during cataract surgery.</p><p><strong>Methods: </strong>The research was conducted between 22.09.2022 and 24.04.2023. The sample comprised 66 patients who underwent cataract surgery under topical anaesthesia at the General Surgery Clinic of Antalya Kumluca State Hospital. The samples were divided into stress ball (n = 33) and control (n = 33) groups. Data were collected via a personal information form, the Visual Analog Scale-Anxiety (VAS-A), the Spielberger Trait Anxiety Inventory (STAI), the Visual Analog Scale (VAS), and a vital signs follow-up form. The stress ball group participants played with stress balls for 15 minutes during cataract surgery, whereas the control group participants received only routine care.</p><p><strong>Results: </strong>Both groups had similar sociodemographic and descriptive characteristics (p > 0.05). The stress ball group had a significantly lower mean postoperative VAS pain score than the control group did (p < 0.05). Compared with the control group, the stress ball group had a significantly lower mean VAS anxiety score, systolic and diastolic blood pressure, and heart rate (p < 0.001). The stress ball group had a significantly lower mean postoperative respiratory rate than the control group did (p < 0.05). The stress ball group had a higher mean postoperative oxygen saturation rate than the control group did (p > 0.05).</p><p><strong>Conclusion: </strong>The results of this study demonstrated that using a stress ball during cataract surgery decreased pain and anxiety levels in patients but also improved vital signs; however, it had no effect on oxygen saturation.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144120515","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 Mindfulness on Postoperative Pain, Anxiety, and Opioid Use: An Integrative Review.","authors":"Michael A Miller, Lichuan Ye, Maria Van Pelt, Kara J Pavone","doi":"10.1016/j.pmn.2025.04.004","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.04.004","url":null,"abstract":"<p><strong>Objectives: </strong>This integrative review describes using mindfulness to reduce pain and anxiety during the perioperative period in surgical patients. As an exploratory aim, the relationship between mindfulness and opioid use after surgery was also explored.</p><p><strong>Methods: </strong>CINAHL, PubMed and EMBASE databases were queried to identify articles examining the relationship between mindfulness, postoperative pain and opioid consumption, and preoperative anxiety in patients undergoing surgery. Seventeen studies were included in the review, encompassing 1,454 patients.</p><p><strong>Results: </strong>Twelve articles focused on postoperative pain as the primary outcome and 11 of these reported that mindfulness decreased pain scores, mainly after postoperative day seven. Of these 12, seven studies measured opioid consumption and two reported an association between mindfulness and reduction in the use of opioid pain medications. Five articles focused on preoperative anxiety as the primary outcome, and two demonstrated that mindfulness was associated with a statistically significant reduction in anxiety.</p><p><strong>Conclusions: </strong>Evidence suggests that mindfulness has a significant impact on postoperative pain, particularly pain more than one week after surgery. There was limited evidence supporting the use of mindfulness to reduce opioid consumption postoperatively. Similarly, mixed effects were reported describing the use of mindfulness to reduce anxiety before surgery. More research is needed to investigate the impact of mindfulness on pain after surgery and opioid consumption, as well as its impact on anxiety before surgery.</p><p><strong>Nursing practice implications: </strong>Integrating mindfulness into surgical pathways could have positive effects on pain and anxiety for patients during the perioperative and postoperative phases of care.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144079429","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":"Pain Assessment and Management Among Nursing Home Residents Living With Dementia.","authors":"Barbara Resnick, Elizabeth Galik, Rachel McPherson, Nayeon Kim, Sorah Levy, Shijun Zhu","doi":"10.1016/j.pmn.2025.04.005","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.04.005","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to describe adherence to survey guidance for the assessment, diagnosis and management of pain across four nursing home communities.</p><p><strong>Design: </strong>This was a descriptive study using baseline data from the study, Testing the Implementation of the Pain Clinical Practice Guideline Using the Evidence Integration Triangle (Pain-CPG-EIT).</p><p><strong>Methods: </strong>Community level data were obtained from Care Compare. Resident data were obtained from the electronic medical record and direct assessments of cognitive status based on the Brief Interview for Mental Status (BIMS) and the Pain Assessment in Advanced Dementia scales.</p><p><strong>Results: </strong>The study included 88 residents with a mean age of 81(SD = 9) and mean BIMS score of 5(SD = 5). The majority was female (72%), white (70%), and non-Hispanic (90%). For 74% of participants, the appropriate assessment tool was not used based on the individual's cognitive status. The majority (93%) of residents had pain addressed in their care plans although these were generic and not person-centered. Overall, 35% of the residents were exposed to nonpharmacologic interventions for pain, 59% were exposed to pharmacologic interventions, and only 2.9(SD = 3.6) out of 10 items were completed for appropriate use of opioids.</p><p><strong>Conclusions: </strong>Pain assessment for residents living with dementia did not meet survey guidance and continues to be a challenge for nursing home staff.</p><p><strong>Clinical implications: </strong>Ongoing work is needed to monitor that interventions are appropriate, effective and safe and that care plans are individualized. Increased adherence to survey guidance for the assessment and management of pain in residents living with dementia will decrease risk to the communities and improve pain assessment and management for residents.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047833","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 Qualitative Descriptive Study of Nurses' Self-Care Strategies for Pain Management.","authors":"Sharon A Boyd, Laura T Gantt, Regan T Vellan","doi":"10.1016/j.pmn.2025.04.006","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.04.006","url":null,"abstract":"<p><strong>Background: </strong>The nursing profession has one of the highest rates of musculoskeletal injuries, causing nurses to seek out self-care strategies for long-term pain management.</p><p><strong>Purpose: </strong>This study explored nurses' perspectives on the use of self-care strategies for pain management.</p><p><strong>Design: </strong>This study is a secondary analysis using qualitative descriptive design.</p><p><strong>Methods: </strong>A sample of six nurses from eastern North Carolina were interviewed in 2022. Analysis included in-vivo coding, creation of a codebook, key word in context analysis, and thematic analysis.</p><p><strong>Results: </strong>Two themes were identified: \"toll on the body\" and \"maintain to retain.\" Toll on the body was represented by the myriad painful body parts and functional restrictions caused by the physical demands of bedside nursing. Maintain to retain was represented by nurses having an epiphany that a lapse in using self-care strategies contributed to a recurrence of pain.</p><p><strong>Implications for nursing practice: </strong>Employers and nurses must develop a comprehensive approach to injury prevention. Nurses should incorporate weekly exercise and monthly self-care strategies into their routine. Employers should advocate for self-care strategy services to be included in employee benefits.</p><p><strong>Conclusion: </strong>A retention and recruitment strategy for nurses should include attention to maintenance therapies to decrease the incidence of or eliminate chronic musculoskeletal problems.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026545","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":"Assessing and Managing Pain in Dementias: Insights From Interdisciplinary Text Message Communications.","authors":"Ashley Woods, Matthew Farmer, Mihail Popescu, Kimberly Powell","doi":"10.1016/j.pmn.2025.04.001","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.04.001","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to explore the difference between the representation of pain assessment and management among older adults with and without Alzheimer's Disease and Related Dementias (ADRD) residing in nursing homes (NH) using interdisciplinary text messages (TMs) exchanged prior to hospital transfer.</p><p><strong>Design: </strong>A retrospective cohort study and secondary data analysis of (n = 21,000) TMs exchanged among interdisciplinary healthcare team members and survey data about NH residents who transferred to the hospital from 2016 to 2020.</p><p><strong>Methods: </strong>The study analyzed TMs using natural language processing tools to identify mentions of pain assessment, management, and pain medications. We used a two-sample independent t-test and a negative binomial generalized linear model to assess the association between pain mentions and various resident characteristics, including ADRD status.</p><p><strong>Results: </strong>The analysis included 694 transfer events involving 414 residents, 39% of whom had ADRD. Significant differences were found in pain mentions, with ADRD residents having fewer mentions (t = 2.38, p = .02) than those without ADRD. The generalized linear model identified statistically significant predictors (age, race, and specific comorbidities) of the number of TMs exchanged with pain mentions about NH residents. Dementia stage and avoidable transfers were not significant.</p><p><strong>Conclusions: </strong>Our findings indicate pain is underrepresented in communications about Black residents and those with ADRD, potentially contributing to disparities in pain assessment and management in these populations.</p><p><strong>Clinical implications: </strong>This study indicates a need for more equitable pain practices with improved pain assessment tools and pain assessment and management, particularly with TM communication in healthcare settings.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143977369","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":"Interactive AI Routines for Pain Symptoms and Loneliness in Older Adults.","authors":"Marcia Y Shade, Changmin Yan, Valerie K Jones, Julie Blaskewicz Boron","doi":"10.1016/j.pmn.2025.04.003","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.04.003","url":null,"abstract":"<p><strong>Purpose: </strong>Pain consists of biological, psychological, and sociological elements that are influenced by the aging process. Pain management in older adults may be improved by multimodal strategies that impact the biopsychosocial model. Chronic musculoskeletal pain in older adults is often linked with social isolation which limits the use of in-person nonpharmacologic therapies. The purpose of this study was to compare two interactive routines delivered with artificial intelligence (AI) on pain severity, pain interference, and other outcomes in older adults with chronic musculoskeletal pain that live alone.</p><p><strong>Methods: </strong>Adults 60 years of age and older were recruited, enrolled, and randomly assigned to the conversational voice assistant-standard or the conversational voice assistant-enhanced (CVA-E) group. Participants interacted with routines twice a day and as needed for 12 weeks in their homes. Self-reported pain and pain-related outcome data were collected at baseline and postintervention.</p><p><strong>Results: </strong>A sample of N = 50 participants engaged with the interactive voice assistant routines twice daily. After 12 weeks, the participants self-reported decreased scores in pain interference, loneliness, and depression. Self-reported depression scores were significantly reduced in both intervention groups. There was a statistically significant decrease in self-reported loneliness reported by older adults in the CVA-E group.</p><p><strong>Conclusions and implications: </strong>The experience of pain can be detrimental to older adults, especially when they live alone or are socially isolated. The preliminary findings from this study suggest that prescribed routines delivered with an AI voice assistant may encourage older adults' engagement with nonpharmacologic biopsychosocial strategies, and influence pain interference in older adults. There is a need to continue exploring personalized and biopsychosocial tailored routines delivered with technology and their impact on pain and other pain-related outcomes.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020610","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 Expressive Touch on Pain and Anxiety Levels of Pediatric Patients Hospitalized in an Intensive Care Unit.","authors":"Serap Yegin, Hasret Yağmur Sevinç Akın","doi":"10.1016/j.pmn.2025.04.002","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.04.002","url":null,"abstract":"<p><strong>Purpose: </strong>The study was conducted to investigate the effect of expressive touch, on the pain and anxiety levels of children who were hospitalized in an intensive care unit.</p><p><strong>Methods: </strong>This study was an interventional design with pretest-posttest, study and control group. The sample consisted of 45 children in the expressive touch group and 45 children in the control group who were hospitalized in an intensive care unit. The study's data was collected using the the Personal Information Form, Visual Analogue Scale-Pain and State-Trait Anxiety Scale for Children.</p><p><strong>Results: </strong>The mean score the children in the expressive touch group obtained from the Visual Analogue Scale-Pain was 6.20 ± 0.89 before the intervention and 5.26 ± 0.65 after the intervention (p < .05). In the expressive touch group, the mean state anxiety score was 48.73 ± 3.56 before the procedure and 46.37 ± 2.19 after the procedure; the mean trait anxiety score was 48.51 ± 5.01 before the procedure and 38.37 ± 3.28 after the procedure (p < .05). As for the mean scores obtained from the Visual Analogue Scale-Pain and state-trait anxiety inventory by the children in the control group, there were no statistically significant differences between their pre- and postintervention mean scores. There was a significant difference between the participants' pre- and postintervention State Anxiety Inventory scores in terms of the variable regarding their previous hospitalization status (p < .05).</p><p><strong>Conclusions: </strong>The study revealed that the pain and anxiety levels of pediatric patients staying in an intensive care unit decreased after the implementation of the expressive touch technique.</p><p><strong>Clinical implications: </strong>The treatment of children in the intensive care unit increases their pain and anxiety. Expressive touch, which is an easy practice, can be used as a method to reduce pain and anxiety.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143975941","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}