Pain Management Nursing最新文献

{"title":"Aromatherapy for Anxiety and Pain in Radiologic and Interventional Procedures a Scoping Review.","authors":"Cidalia J Vital, Ellen Benjamin, John C Welch, Patricia Faron, Bridget Gunn, Jennifer R Majumdar","doi":"10.1016/j.pmn.2026.09.003","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.09.003","url":null,"abstract":"<p><strong>Objective: </strong>To describe the scope of evidence on the use and effects of aromatherapy for reducing anxiety and pain in adults undergoing radiologic and interventional procedures.</p><p><strong>Design: </strong>Scoping review guided by the Arksey and O'Malley framework and reported using PRISMA‑ScR guidelines.</p><p><strong>Data sources: </strong>A comprehensive search of PubMed, Scopus, CINAHL, and the Cochrane Library was conducted for studies published between 2013 and 2025. Eligible studies included randomized controlled trials (RCTs), cohort studies, case series, or pilot studies involving adults receiving an aromatherapy intervention during a diagnostic or interventional radiology procedure, with anxiety and/or pain as outcomes. Twenty-six RCTs met inclusion criteria. Data extraction captured essential oil (EO) type, delivery method, exposure duration, outcome measures, and main findings.</p><p><strong>Results: </strong>Lavender was the most frequently studied EO, followed by peppermint, rose-based oils, citrus oils, chamomile, clary sage, Osmanthus fragrans, and Cananga odorata. EO's were delivered using cotton balls, gauze, aromatherapy tabs, patches, masks, inhalers, and diffusers. Anxiety was more frequently evaluated than pain. Reductions in anxiety were commonly reported, particularly in studies using lavender-based interventions, while findings related to pain were more variable. Marked heterogeneity in EO composition, delivery approaches, procedures, and outcome measurement tools limit cross-study comparison and generalizability.</p><p><strong>Conclusions: </strong>Aromatherapy, particularly lavender, may reduce procedural anxiety, while evidence supporting pain reduction remains limited. Substantial methodological variability highlights the need for standardized protocols, transparent reporting of EO composition, and rigorous study designs to clarify clinical utility.</p><p><strong>Nursing practice implications: </strong>Consistent with the American Society for Pain Management Nursing's emphasis on integrative, evidence-based care, aromatherapy may serve as a safe, nonpharmacologic adjunct to support patient well-being, particularly for procedural anxiety. Safe implementation requires nursing competency in EO selection, delivery methods, contraindications, and patient screening. Continued nursing leadership and advocacy are essential to advance multimodal, patient-centered approaches to procedural pain and anxiety management across care settings.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149113548","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":"Bibliometric Mapping of Meta-Analyses in Surgical Pain Nursing: Trends and Conceptual Structure.","authors":"Gamze Ataman Yildiz, Betül Ilbey Koç, Seçil Taylan, Fatma Eti Aslan","doi":"10.1016/j.pmn.2026.09.007","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.09.007","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to provide a bibliometric analysis of publication trends, scientific productivity characteristics, and the conceptual structure of meta-analyses on surgical pain from a nursing perspective.</p><p><strong>Design: </strong>This study was conducted using a bibliometric analysis design.</p><p><strong>Methods: </strong>The Web of Science (WoS) Core Collection database was used, and publications up to 18 November 2025 were included. Analyses were performed using the Biblioshiny interface within the Bibliometrix R package. Publication trends, journal and author productivity, country-based distributions, collaboration networks, and the conceptual structure were evaluated using Bradford's, Lotka's, Price's, and Zipf's laws, as well as Keywords Plus, Trend Topics, and conceptual network analyses.</p><p><strong>Results: </strong>Between 1999 and 2025, a total of 160 meta-analyses published from a nursing perspective in the field of surgical pain were identified across 93 different scientific sources. Publication output increased markedly after 2020, with an annual growth rate exceeding 10%. Journal of Perianesthesia Nursing and Cochrane Database of Systematic Reviews were the most productive journals, and Bradford's Law demonstrated that publications were concentrated around a limited number of core journals. Author analyses indicated that productivity was distributed across a broad group of researchers, and the results of Price's and Lotka's Laws did not yet point to a strong core author structure. Publication output and international collaboration networks were predominantly centered in the United States, China, the United Kingdom, Canada, and Australia. Keywords Plus and Trend Topics analyses showed that the literature clustered around the themes of management, surgery, pain, and quality of life, with modern pain management strategies and ERAS approaches becoming increasingly prominent in recent years. Zipf's analysis revealed a dynamic literature characterized by high conceptual diversity alongside a small number of dominant concepts.</p><p><strong>Conclusions: </strong>The findings indicate that the literature is largely concentrated on clinical practice and patient outcomes, while also highlighting areas open to further development, particularly regarding specific populations and multicenter studies.</p><p><strong>Clinical implications: </strong>This bibliometric overview maps the existing evidence base in surgical pain nursing and identifies prominent and emerging areas of research. The findings may help nurses and researchers recognize evolving evidence in pain management and ERAS-related care, identify underexplored areas, and guide future evidence synthesis and research priorities in surgical pain nursing.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149113520","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 AI Feasibility for Pain Evaluation in Hospitalized Cognitively Impaired Older Adults.","authors":"Danielle Dunwoody, Dawn Prentice, Greg Thomson, Callie Loveday","doi":"10.1016/j.pmn.2026.09.013","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.09.013","url":null,"abstract":"<p><strong>Purpose: </strong>The objectives for this study were to examine the acceptability and feasibility of using the artificial intelligence-driven application PainChek^Ⓡ to identify pain within older adults with cognitive impairment in the inpatient setting within Ontario.</p><p><strong>Design: </strong>A prospective cohort design was used.</p><p><strong>Methods: </strong>Six nurses were recruited and completed standardized training. Following the recruitment and onboarding of nurse participants, 25 patient participants were enrolled and assessed using the application. Once patient data collection was complete, qualitative interviews with nursing participants were conducted. Descriptive statistics were used for patient and nurse participant data, and descriptive content analysis captured nurses' experiences using PainChek^Ⓡ during the study.</p><p><strong>Results: </strong>Participant demographics included 16% with delirium, 20% with cognitive impairment, and 64% with dementia. Average length of stay in the study was 7.8 days, with an average pain score while being assessed as mild pain. Thematic coding was conducted using the nursing metaparadigm as the guiding conceptual framework. Results were validated using member checking.</p><p><strong>Conclusions: </strong>Our study demonstrates that it is acceptable and feasible to use PainChek^Ⓡ within the older adult hospital setting; however, additional research is warranted to evaluate its feasibility and scalability in real-world environments.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149113523","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":"Cold and Vibration for Pain Relief During Pediatric Venipuncture: A Quasi-Randomized Trial.","authors":"Cânia Patrícia Martins Basto Torres, Sofia Tedim, Nazaré Rajão, Sara Neiva, Márcia Macias, Francisco José Madeira Mendes, Maria do Céu Barbieri Figueiredo, Luís Manuel da Cunha Batalha","doi":"10.1016/j.pmn.2026.09.004","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.09.004","url":null,"abstract":"<p><strong>Background: </strong>Pain from invasive procedures is common in hospitalized children and is associated with fear and anxiety. Nonpharmacological interventions, such as devices combining cold and vibration (DCV) are widely recommended in pediatric nursing because they are safe, low-cost, and help children feel more comfortable and engaged during procedures.</p><p><strong>Purpose: </strong>This study aimed to evaluate the effectiveness of a DCV for reducing pain during venipuncture in hospitalized children and to assess parental satisfaction.</p><p><strong>Methods: </strong>A quasi-randomized controlled trial was conducted with 120 children aged 1-17 years admitted to a pediatric inpatient unit. Participants were allocated to an experimental group using the DCV during venipuncture or to a control group receiving standard care. Pain intensity was measured immediately before and immediately after venipuncture using age-appropriate validated scales. Parental satisfaction and adverse events were also recorded.</p><p><strong>Results: </strong>Pain scores were similar between groups before venipuncture (Mann-Whitney U = 1771.5, p = .988; rank-biserial r = -0.001) and after venipuncture (U = 1799.5, p = .870; rank-biserial r = -.017). Pain increased significantly after venipuncture in both groups (Wilcoxon: control W = 696.5, p < .001; experimental W = 874.5, p < .001). No clinically significant adverse events occurred; two children in the experimental group reported mild cold-related discomfort. Parental satisfaction was high in both groups (p = .470).</p><p><strong>Conclusion: </strong>The DCV was safe, feasible, and well accepted in pediatric nursing practice. Although it did not significantly reduce pain scores during venipuncture, its safety profile and parental acceptance suggest that it may be used as a complementary comfort strategy rather than as a stand-alone analgesic intervention.</p><p><strong>Clinical implications: </strong>The DCV was safe, feasible, and well accepted, but did not demonstrate superior pain reduction compared with standard care. Further research is needed before its routine use for pain reduction during pediatric venipuncture can be recommended.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149113590","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 Clinical Nursing Bedside Test for Prediction of Postoperative Pain: Assessment of Pain Induced by Peripheral Venous Cannulation.","authors":"Cecilia Ögren, Emma Varkey, Eva Angelini, Tove Qualey, Axel Wolf, Mona Ringdal, Paulin Andréll","doi":"10.1016/j.pmn.2026.09.010","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.09.010","url":null,"abstract":"<p><strong>Purpose: </strong>Postoperative pain is common and difficult to predict. This study aimed to investigate whether peripheral venous cannulation pain (PVCP) scored as ≤2 or >2 on the Numerical Rating Scale (NRS) can be used to predict the risk of postoperative pain, opioid consumption, and length of stay in the post-anesthesia care unit (PACU).</p><p><strong>Design: </strong>Prospective observational study.</p><p><strong>Methods: </strong>Patients undergoing laparoscopic cholecystectomy at two county hospitals in Sweden reported PVCP preoperatively and pain intensity postoperatively in the PACU using the NRS. Opioid consumption in morphine milligram equivalents (MME) and length of stay in the PACU in minutes (min) were registered as additional proxy measures for the clinical impact of postoperative pain.</p><p><strong>Results: </strong>A total of 258 patients were included. PVCP reported as NRS > 2 was a significant predictor of postoperative maximum pain intensity reported as NRS ≥ 3 (OR 2.0, 95% confidence interval [CI] 1.15-3.51, p = .015). Patients reporting PVCP as NRS >2 had a significantly longer stay in the PACU (114 minutes vs. 144 minutes, p = .002). There were no differences between the groups concerning opioid consumption in the PACU (7.6 MME vs. 7.4 MME, p = .857).</p><p><strong>Conclusions: </strong>PVCP is an easily performed clinical bedside test for identifying individuals at risk of moderate-to-severe postoperative pain and a prolonged stay in the PACU.</p><p><strong>Clinical implications: </strong>PVCP can be used to identify patients who require an adjusted perioperative pain management regimen.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149113554","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 Management and Caring Behaviors in UAE Nursing Students: Structural Equation Modeling.","authors":"Loai AbuSharour, Mohammad Qutishat","doi":"10.1016/j.pmn.2026.09.012","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.09.012","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined the relationships between nursing students' demographics, pain management knowledge and attitudes, and caring behaviors using Structural Equation Modeling (SEM).</p><p><strong>Design: </strong>A cross-sectional correlational predictive design was conducted.</p><p><strong>Methods: </strong>A sample of 299 undergraduate nursing students (Years 2-4) across three campuses in the United Arab Emirates participated in this study. Data were collected using the Knowledge and Attitudes Survey Regarding Pain (KASRP), the Caring Behaviors Inventory-24 (CBI-24), and a demographic questionnaire. Descriptive statistics, ANOVA, Pearson correlation, and SEM analyses were performed.</p><p><strong>Results: </strong>Students demonstrated moderate pain management knowledge (mean = 23.87 ± 4.8; 58.2% correct), performing better on theoretical items than on case-based clinical scenarios. Caring behaviors were generally high. A strong positive correlation was observed between KASRP and caring behaviors (r = 0.72, p < .001). Significant differences in both KASRP and CBI-24 scores were found across academic level, grade point average (GPA), and clinical experience (p < .01). SEM revealed that academic level (β = 0.25), GPA (β = 0.21), and clinical experience (β = 0.23) significantly predicted pain knowledge, which in turn predicted caring behaviors (β = 0.45, p < .001). Pain knowledge fully mediated the relationship between demographic variables and caring behaviors. The model demonstrated excellent fit (Comparative Fit Index = 0.98; Root Mean Square Error of Approximation = 0.04).</p><p><strong>Conclusions: </strong>Enhancing applied pain education is essential to bridge the theory-practice gap and strengthen patient-centered nursing care.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149113665","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":"Exercise on Pain and Quality of Life in Fibromyalgia: Systematic Review.","authors":"Ana Lívia Ferreira de Freitas, Eduarda Cardoso de Camargo, Ana Maria Da Rosa Caldeira, Bruna Di Loreto Maiello, Leonardo Viana de Oliveira, Emmanuel Souza da Rocha","doi":"10.1016/j.pmn.2026.09.011","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.09.011","url":null,"abstract":"<p><strong>Objective: </strong>To compare the effects of aerobic and resistance exercise on pain and quality of life in individuals with fibromyalgia.</p><p><strong>Design: </strong>Systematic review.</p><p><strong>Data sources: </strong>Searches were conducted in PubMed, Cochrane, Scopus, Web of Science, CINAHL, PEDro, and SciELO, without restrictions on publication date or language.</p><p><strong>Review/analysis methods: </strong>We followed the PRISMA guidelines. Studies comparing aerobic and resistance exercise in individuals with fibromyalgia and reporting pain and/or quality of life outcomes were included. This review was registered in PROSPERO (CRD42024591421).</p><p><strong>Results: </strong>A total of 1,178 studies were identified, of which six met the eligibility criteria. The included studies suggest that both aerobic and RE are associated with improvements in pain and quality of life. However, no consistent differences between the exercise modalities were observed across the included studies.</p><p><strong>Conclusion: </strong>The available evidence suggests that both aerobic and RE may improve pain and quality of life in individuals with fibromyalgia, with no consistent evidence supporting the superiority of one modality over the other. These findings should be interpreted with caution due to the limited number of studies and methodological heterogeneity.</p><p><strong>Nursing practice implications: </strong>Nurses may support exercise participation in individuals with fibromyalgia by considering functional capacity, exercise tolerance, treatment adherence, available resources, and patient preferences when providing education and counseling on nonpharmacological management strategies.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149113560","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":"Perfectionism and Chronic Pain: A Scoping Review.","authors":"Ingrid Korbani, Laurie Valcin, Louise Reagan, Natalie J Shook","doi":"10.1016/j.pmn.2026.09.009","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.09.009","url":null,"abstract":"<p><strong>Objectives: </strong>Perfectionism has been implicated in psychological and health problems, but its role in chronic pain remains unclear. This scoping review aimed to map and summarize quantitative evidence of associations between perfectionism and pain-related outcomes.</p><p><strong>Design: </strong>Scoping review conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR).</p><p><strong>Data sources: </strong>PubMed, CINAHL, APA PsycINFO and Scopus.</p><p><strong>Review/analysis method: </strong>Peer-reviewed, quantitative English-language studies examining perfectionism and chronic or recurrent pain were eligible. Two reviewers independently screened records, extracted data, and completed Joanna Briggs Institute critical appraisal tools. Findings from 15 studies were summarized narratively.</p><p><strong>Results: </strong>Maladaptive perfectionism was generally associated with greater pain intensity, functional interference, and adverse cognitive-affective and somatic outcomes. A few studies reported inverse associations, such that greater maladaptive perfectionism was associated with lower pain intensity or less pain catastrophizing. Adaptive perfectionism was examined less often and showed mixed findings. Its unique effects were typically weaker, indirect, or no longer significant after accounting for maladaptive perfectionism or covariates.</p><p><strong>Conclusions: </strong>Perfectionism, particularly maladaptive facets, appears more often to function as a vulnerability than a resource in chronic pain. However, conclusions remain tentative because the evidence base is heterogeneous, predominantly cross-sectional, and inconsistent in some areas. Research has also focused disproportionately on maladaptive dimensions, limiting understanding of adaptive perfectionism.</p><p><strong>Nursing practice implications: </strong>Assessing perfectionism-related tendencies may help clinicians identify patients at risk for cognitive-affective distress, maladaptive activity patterns, and functional interference, supporting more individualized chronic pain assessment and intervention development.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081785","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":"Chronic Pain Profile After Total Knee Arthroplasty: A Prospective Cohort Study.","authors":"İlknur Tura, Sevilay Erden, Mustafa Tekin","doi":"10.1016/j.pmn.2026.08.019","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.08.019","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate the progression of pain after total knee arthroplasty (TKA), to examine temporal changes in the sensory and affective components of pain, and to identify factors predicting chronic pain.</p><p><strong>Design: </strong>A prospective cohort study.</p><p><strong>Methods: </strong>This prospective study included 62 patients who underwent TKA between May 2023 and May 2024. Data were collected using a Patient Information Form, the McGill Short Form Pain Scale (SF-MPQ), and the Visual Analog Scale (VAS). Pain assessments were performed every 4 hours during the first 72 hours postoperatively, and at 3 and 6 months. Data were analyzed using descriptive statistics, paired-sample t-test, marginal homogeneity test, and multiple linear regression analysis.</p><p><strong>Results: </strong>Pain scores were highest in the early postoperative period and decreased significantly at 3 and 6 months. The SF-MPQ sensory score decreased from 4.87 ± 3.32 at 3 months to 3.34 ± 2.20 at 6 months, and the total score decreased from 7.86 ± 5.50 to 5.40 ± 4.13 (p < .001). The VAS score also decreased from 1.77 ± 1.06 to 1.31 ± 0.82 (p = .001). A history of previous severe pain, previous surgical experience, and sensory and affective pain scores at 72 hours postoperatively were found to be significant predictors of pain level at 6 months.</p><p><strong>Conclusions: </strong>Postoperative pain management should not focus solely on the early period. Higher pain intensity and higher sensory and emotional pain scores in the early postoperative period were associated with higher pain levels in the following months. Systematic monitoring by nurses using multidimensional scales such as the SF-MPQ can contribute to the prevention of chronic pain.</p><p><strong>Clinical implications: </strong>Systematic monitoring by nurses using multidimensional scales such as the SF-MPQ can contribute to the prevention of chronic pain.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149075593","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 Self-Acupressure on Neuropathic Pain and HbA1c in Type 2 Diabetes.","authors":"Emir Avsar, Selda Celik","doi":"10.1016/j.pmn.2026.09.001","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.09.001","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to determine the effect of self-administered acupressure on peripheral neuropathic pain and glycated hemoglobin (HbA1c) levels in patients with type 2 diabetes.</p><p><strong>Design: </strong>This study was designed as a parallel-group randomized controlled trial with intervention (n = 30) and control (n = 30) groups.</p><p><strong>Methods: </strong>Participants in the intervention group performed self-administered acupressure on designated points three times per week for a duration of 3 months. No intervention was applied to the control group. In both groups, HbA1c levels and neuropathic pain levels (Douleur Neuropathique 4 [DN4]) were assessed at the beginning of the data collection process and after 3 months. Sample size calculation was based on an assumed effect size of Cohen's d = 0.50; statistical significance was set at p < .05, and the main outcomes were reported with 95% confidence intervals.</p><p><strong>Results: </strong>Following the intervention, the total DN4 score for neuropathic pain in the intervention group showed a statistically significant decrease compared to the control group (7.07 ± 1.46 → 3.73 ± 1.39) (p < .001). Similarly, postintervention HbA1c levels in the intervention group were significantly lower than those in the control group (8.60 ± 1.62 → 7.41 ± 1.21) (p < .001).</p><p><strong>Conclusions: </strong>Self-administered acupressure may be effective in lowering HbA1c and neuropathic pain levels in individuals with type 2 diabetes.</p><p><strong>Clinical implications: </strong>Self-administered acupressure may be considered a simple, non-pharmacological adjunct to standard diabetes care to support glycemic control and neuropathic pain management.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149040336","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}