Pain Management Nursing最新文献

{"title":"Influencing Factors and Stability of Self-reported and Observational Pain Scales in Poststroke Patients: A Cross-sectional Study.","authors":"Wan-Jung Wu, Man-Hua Yang, Kuan-Chia Lin, Tzu-Fang Wang, Shu-Fen Chen","doi":"10.1016/j.pmn.2026.07.006","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.07.006","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to identify factors influencing poststroke pain and evaluate the stability of self-reported and observational pain scales to support nurses in selecting and using pain assessment tools more accurately.</p><p><strong>Design: </strong>A cross-sectional study.</p><p><strong>Methods: </strong>A total of 122 patients with stroke were recruited from a hospital in northern Taiwan. Pain was assessed using the Numeric Rating Scale (NRS), Faces Pain Scale (FPS), and Pain Assessment in Advanced Dementia (PAINAD). Multiple regression analyses were performed to identify demographic and clinical factors associated with pain scores. Item response theory (IRT) was used to evaluate the stability and measurement performance of the three scales across different levels of pain severity.</p><p><strong>Results: </strong>Participants with diabetes or cognitive impairment had significantly higher PAINAD scores, whereas those with a history of stroke had higher NRS scores. Depressive symptoms were associated with higher scores on all three pain scales. The scales demonstrated moderate correlations with one another. IRT analysis showed that the FPS had the highest discrimination across pain levels. In contrast, the PAINAD had the greatest difficulty and may underestimate pain in patients experiencing higher levels of pain.</p><p><strong>Conclusion: </strong>Diabetes, prior stroke, cognitive impairment, and depressive symptoms significantly influenced poststroke pain assessment. All three scales were suitable for assessing pain in patients with stroke. The NRS was most appropriate for mild to moderate pain, the FPS for moderate to severe pain, and the PAINAD for a broad range of pain levels.</p><p><strong>Clinical implications: </strong>Nurses should consider patients' clinical characteristics, cognitive function, communication ability, and pain severity when selecting a pain scale. The FPS may be prioritized because of its high discrimination, whereas PAINAD scores should be interpreted cautiously because this scale may underestimate severe pain.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148620969","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":"Relationship Between Ethical Sensitivity and Pain Management Self-Efficacy Among Intensive Care Nurses.","authors":"Sevda Korkut, Büşra Nur Özel Akyürek","doi":"10.1016/j.pmn.2026.07.014","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.07.014","url":null,"abstract":"<p><strong>Purpose: </strong>Pain management in patients in the intensive care units (ICUs) is highly complex. Pain management is a fundamental human right and an ethical duty. This study examined the relationship between ethical sensitivity and pain management self-efficacy among ICU nurses.</p><p><strong>Design: </strong>This is a cross-sectional and correlational study.</p><p><strong>Methods: </strong>This study sample consisted of 416 ICU nurses (292 women, 124 men). The \"Descriptive Characteristics Form\", \"Moral Sensitivity Questionnaire (MSQ)\" and \"Pain Management Self-Efficacy Questionnaire (PMSEQ)\" were used to collect the data.</p><p><strong>Results: </strong>There was a weak, statistically significant correlation between MSQ and PMSEQ total scores (r = -0.156, p = .001). In the regression analysis conducted to determine the predictive effects of ethical sensitivity, age, ethics and pain training factors on pain management self-efficacy, the model was found to be statistically significant (F = 73.337, p < .001) and explained 41% of the variance in pain management self-efficacy (Adjusted R² = 0.411).</p><p><strong>Conclusion: </strong>This study emphasizes the importance of developing and maintaining the knowledge and sensitivity of ICU nurses about pain management and ethical approaches and the importance of continuing training on the subject throughout their professional lives.</p><p><strong>Clinical implications: </strong>The ethical sensitivity and pain management self-efficacy of nurses working in ICUs were at a moderate level. The pain management self-efficacy was significantly affected by ethical sensitivity, age, and training on ethics and pain. Higher ethical sensitivity is associated with higher levels of pain management self-efficacy. These results reveal that both personal and professional factors play a role in shaping nurses' self-efficacy in pain management.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148620986","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":"Global Research Landscape on Nonpharmacological Methods for Labor Pain Management: Insights From a Bibliometric Analysis.","authors":"Meserret Aslan, Sehma Sen, Ece Nilufer","doi":"10.1016/j.pmn.2026.07.005","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.07.005","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to conduct a bibliometric analysis to explore the significance of nonpharmacological methods in managing labor pain.</p><p><strong>Methods: </strong>A bibliometric design was adopted, analyzing 246 eligible articles published between 1997 and 2025 from the Scopus database. The Bibliometrix R package and VOSviewer software were used to analyze and visualize annual output, country productivity, institutional contributions, collaboration networks, keyword co-occurrence, thematic mapping, and thematic evolution.</p><p><strong>Results: </strong>Research has expanded steadily since 2008, peaking in 2024. Iran emerged as the most productive country, followed by Brazil, the United States, China, and the United Kingdom. The most frequent keywords were \"labor pain,\" \"labor,\" \"pain,\" \"anxiety,\" and \"childbirth.\" Acupressure, aromatherapy, hydrotherapy, and massage remain the most central techniques. Thematic map and thematic evolution analyses showed that complementary pain management constitutes a central motor theme, while recent research has shifted toward anxiety, knowledge, and integrative care.</p><p><strong>Discussion: </strong>The analysis reveals a clear thematic evolution. Early research (2000-2010) focused on physiological pain control mechanisms like \"acupuncture\" and \"massage,\" whereas psychosocial concepts such as \"anxiety management\" and \"knowledge\" have become prominent in the post-2018 period.</p><p><strong>Conclusion: </strong>The research focus has distinctly evolved from examining the purely physiological effects of methods such as \"massage\" or \"acupuncture\" toward a holistic bio-psychosocial model that incorporates elements like \"anxiety management\" and \"patient empowerment.\"</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148606242","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 Phenotypes and Falls in Older Adults: Cross-Sectional Associations by Social Engagement.","authors":"Rui Zhao, Qiang Feng, Peimin Yu, Wenlong Li, Yaodong Gu","doi":"10.1016/j.pmn.2026.07.003","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.07.003","url":null,"abstract":"<p><strong>Background: </strong>Pain is commonly associated with falls in older adults, but the associations between different pain phenotypes and falls remain unclear. It is also uncertain whether social engagement is associated with modification of these associations. This study examined the cross-sectional associations between pain phenotypes and falls in older adults and assessed whether these associations varied by social engagement.</p><p><strong>Methods: </strong>We used data from the 2018 wave of the China Health and Retirement Longitudinal Study (CHARLS) to categorize participants into four pain phenotypes with a rule-based algorithm. Multivariable logistic regression was used to examine associations between pain phenotypes and falls, and interaction with social engagement was assessed on both multiplicative and additive scales. Subgroup and sensitivity analyses were conducted to test robustness.</p><p><strong>Results: </strong>Among participants, 19.6% reported falling in the past year. Fall risk was higher in women, rural residents, and those with limited social engagement. Compared with no pain, the adjusted odds ratios for falls were 1.26 for mild localized pain, 1.40 for moderate localized pain, and 2.12 for widespread multi-site pain. Social engagement was associated with differences in the association between pain phenotypes and falls, with a significant multiplicative interaction (p = .001) and a negative additive interaction for widespread multi-site pain.</p><p><strong>Conclusions: </strong>Widespread multi-site pain was associated with higher odds of falls in older adults, and the association between widespread multi-site pain and falls differed by level of social engagement. These findings support the importance of incorporating both pain phenotype assessment and social factors into fall-prevention strategies, while longitudinal studies are needed to clarify the temporal and causal relationships among pain, social engagement, and falls.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148606236","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":"Cross-Cultural Reliability of the Chinese Version of the West Haven Yale Multidimensional Pain Inventory (MPI) in Head and Neck Cancer Pain Patients.","authors":"Xiuyu Huang, Jiarou Zhang, Zijun Li, Rongna Wang, Xiaoyan Zheng, Ji Gao","doi":"10.1016/j.pmn.2026.07.004","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.07.004","url":null,"abstract":"<p><strong>Background: </strong>The West Haven Yale Multidimensional Pain Inventory (MPI) has been widely used to assess cognitive, behavioral, and psychosocial dimensions of chronic pain. However, the Chinese version of this instrument has not yet undergone comprehensive psychometric validation.</p><p><strong>Purpose: </strong>To examine the psychometric properties of the Chinese version of the MPI in patients with head and neck cancer.</p><p><strong>Methods: </strong>The MPI was translated according to Brislin's translation model and culturally adapted through cognitive interviews. Psychometric evaluation, including item analysis, content validity, criterion-related validity, construct validity, and internal consistency, was conducted among 430 patients with head and neck cancer.</p><p><strong>Results: </strong>The Chinese version of the MPI comprises 45 items across 11 subscales and was divided into 3 sections (Parts A, B, and C). The Cronbach's α coefficients for Parts A, B, and C were 0.829, 0.732, and 0.845, respectively. The scale-level content validity indices (S-CVI/Ave) for Parts A, B, and C were 0.991, 0.976, and 0.954, respectively. Exploratory factor analysis demonstrated that all item factor loadings exceeded 0.450. Except for the Support subscale, all subscales were significantly correlated with the total score and dimensions of the Brief Pain Inventory (BPI), yielding absolute correlation coefficients ranging from 0.131-0.862.</p><p><strong>Conclusion: </strong>The Chinese version of the MPI demonstrated good cross-cultural adaptability, as well as robust reliability and validity. This instrument may serve as a comprehensive tool for assessing the psychological, behavioral, and social dimensions of pain.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148606266","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 Characteristics, Analgesic Use Patterns, and Reliability of the Short-Form McGill Pain Questionnaire in Community-Dwelling Older Adults: A Cross-Sectional Study.","authors":"Furkan Güney, Yasemin Saglan","doi":"10.1016/j.pmn.2026.07.009","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.07.009","url":null,"abstract":"<p><strong>Purpose: </strong>Pain is frequently underrecognized and undertreated in older adults. This study described pain characteristics and analgesic use patterns in cognitively intact older adults using analgesics. It also examined internal consistency reliability of the Short-Form McGill Pain Questionnaire (SF-MPQ) and its convergent correlation with the Geriatric Pain Measure (GPM).</p><p><strong>Design: </strong>Cross-sectional study of 385 cognitively intact adults aged ≥65 years recruited from analgesic users attending Family Health Centers.</p><p><strong>Methods: </strong>Data were collected using sociodemographic and analgesic-use questionnaires, the GPM, and the SF-MPQ. Analyses included nonparametric tests, correlations, multivariate linear regression, and internal consistency.</p><p><strong>Results: </strong>Participants were mostly women (51.4%), and 72.2% had at least one chronic disease. Analgesics were primarily used for musculoskeletal pain, most commonly knee/joint pain (81.3%). Paracetamol was the most frequently used analgesic (71.7%), followed by diclofenac (29.1%) and dexketoprofen (13%); 60.3% of nonprescribed medications were analgesics. Older age, female gender, and higher frequency of analgesic use were associated with higher pain scores. Diclofenac and etodolac use were also associated with higher pain scores. SF-MPQ and GPM scores were strongly correlated (r = 0.857), and the SF-MPQ showed acceptable-to-good internal consistency (Cronbach's α = 0.78) for a clinical instrument.</p><p><strong>Conclusions: </strong>Findings suggest that pain severity varies by age, gender, and analgesic use frequency, supporting individualized assessment approaches, although generalizability is limited to cognitively intact analgesic users.</p><p><strong>Clinical implications: </strong>Routine pain assessment and nurse involvement may contribute to more informed analgesic use in older adults. The SF-MPQ may serve as a practical assessment tool in older adults.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148606288","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":"Clinician Perspectives of Managing Opioid Related Transitions.","authors":"Lisa Carnago, Mitchell Knisely, Paula Tanabe, Judith Paice, Tolu O Oyesanya","doi":"10.1016/j.pmn.2026.06.019","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.06.019","url":null,"abstract":"<p><strong>Purpose: </strong>Opioid-related transitions (OrTs) are critical periods requiring focused support and tailored pain management, yet remain poorly understood. This study aimed to examine clinician perspectives on and approaches to managing recurring opioid prescriptions during OrTs for patients with chronic pain.</p><p><strong>Design: </strong>This study used a qualitative descriptive design.</p><p><strong>Methods: </strong>Semi-structured individual interviews were conducted with 21 interdisciplinary clinicians, including prescribers and nonprescribers, within a large health system in the southeastern United States. Data were analyzed using rapid qualitative analysis.</p><p><strong>Results: </strong>We identified three themes related to our objective. The first theme, \"multiple and varied transitions in opioid management,\" included the following subthemes: (1) care setting transitions, (2) clinician transitions, and (3) medication prescribing transitions. The second theme, \"clinician approaches to opioid management,\" included the following three clinician approaches: (1) accept the patient, (2) accept the patient with guardrails, and (3) defer responsibility to other clinicians. The last theme, \"influencing factors to OrT,\" included: (1) opioid prescribing policies, (2) power dynamics, and (3) system-level barriers and facilitators.</p><p><strong>Conclusion: </strong>OrTs often occur amid clinician-reported barriers, limited support, and discomfort with opioid prescribing and management, particularly during changes in care settings, clinicians, and opioid regimens.</p><p><strong>Clinical implications: </strong>These findings underscore the need for improved care coordination and enhanced systems-level support for clinicians who provide care to patients during OrTs. Best practices that support optimal patient pain management are urgently needed to guide clinician decision-making regarding opioid prescribing and management during transitions of care.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148579311","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 System-Wide Multimodal Pain Management: A Quality Improvement Initiative to Reduce Opioid Use.","authors":"Michael Dubilet, Muhammad Abu Tailakh, Mali Maman, Carolina Tannenbaum-Baruchi, Raya Tashlizky Madar","doi":"10.1016/j.pmn.2026.06.018","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.06.018","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate whether significant changes in postoperative outcomes and opioid consumption could be detected following the implementation of a comprehensive hospital-wide pain management model centered on multimodal analgesia (MMA) among adults undergoing appendectomy or cholecystectomy.</p><p><strong>Design: </strong>Retrospective cohort study comparing two distinct periods at a single tertiary hospital: an Initial Phase (2016-2018), representing baseline and assimilation of the model; and a Subsequent Phase (2019-2022), reflecting the full operation of the MMA protocols.</p><p><strong>Methods: </strong>The study included 3,658 adult patients (≥18 years) who underwent appendectomy or cholecystectomy. Data extracted from hospital records included demographics, VAS pain scores, inflammatory markers (CRP, WBC), medication use, surgical details, complications, and hospital length of stay (HLoS). Statistical analysis compared outcomes between the two phases.</p><p><strong>Results: </strong>Following full implementation, nonopioid analgesic use increased significantly from 40.1% to 73.6% (p < .001), while opioid use decreased from 80.2% to 74.5% (p < .001). Mean VAS scores increased modestly from 5.69 ± 1.4 to 5.98 ± 1.6 (p < .001), likely due to improved pain reporting. Mean C-Reactive Protein (CRP) levels dropped substantially from 70.3 ± 81.6 to 14.1 ± 7.4 (p < .001). Average hospital stays shortened modestly from 2.19 ± 3.4 to 1.9 ± 2.9 days (p = .5). Complication rates remained unchanged.</p><p><strong>Conclusions: </strong>Following the implementation of a systematic, hospital-wide MMA pain management model, a significant increase in nonopioid consumption and a reduction in opioid use were observed. Furthermore, decreased CRP levels and a trend toward shortened HLoS postsurgery were detected during this subsequent period.</p><p><strong>Clinical implications: </strong>These findings document the expected changes that occurred after implementing a system-wide MMA initiative. Future replication studies using more rigorous designs are needed to confirm these effects before supporting broader adoption across diverse surgical procedures.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148579252","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 Nurse-Led Multicomponent Self-Management Intervention for Patients With Cancer-Related Pain: A Randomized Controlled Trial.","authors":"Junfeng Zhang, Xing Wu, Wenru Yu, Shuzhen Zhang, Xinjie Xiang, Jiawen Chen, Yingying Cai, Laurie L K Ho, Dorothy N S Chan","doi":"10.1016/j.pmn.2026.06.016","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.06.016","url":null,"abstract":"<p><strong>Purpose: </strong>Pain remains a major challenge for advanced-stage patients with cancer despite management advances. The transition to outpatient care complicates self-management. Research on multicomponent mHealth-supported interventions for cancer pain self-management in China is limited. This study aims to evaluate a nurse-led multicomponent self-management intervention (MSMI) based on the Information-Motivation-Behavioral Skills model-a framework positing that health behavior change requires information, motivation, and behavioral skills-for reducing pain intensity and improving self-efficacy, quality of life (QoL), pain-related knowledge, and medication adherence in cancer pain patients.</p><p><strong>Design: </strong>A prospective, single-blinded, parallel-group randomized controlled trial was carried out.</p><p><strong>Methods: </strong>The trial was carried out at an oncology center in southern mainland China. 88 adults with cancer-related pain were recruited and randomly allocated to the MSMI or control group. The MSMI was given to the intervention group, and usual care was given to the control group. The primary outcome was pain intensity; secondary outcomes were self-efficacy, QoL, pain-related knowledge, and medication adherence. Measures were assessed at baseline, immediately postintervention, and 4 weeks postintervention.</p><p><strong>Results: </strong>Compared with the control group, the intervention (MSMI) showed significantly greater reductions in pain intensity at T2, significantly greater improvements in self-efficacy at T1 and T2, and significantly greater improvements in pain-related knowledge at T2. No significant between-group differences were found for QoL or medication adherence.</p><p><strong>Conclusions: </strong>The nurse-led, digitally enhanced, Information-Motivation-Behavioral Skills-based MSMI effectively improves pain intensity, self-efficacy, and pain-related knowledge for Chinese patients with cancer and moderate-to-severe pain.</p><p><strong>Clinical implications: </strong>Implementing proactive nurse-led MSMI significantly enhances self-efficacy, pain knowledge, and pain reduction. It supports high treatment continuity through structured hospital-to-home transitions. Integration into standard care is recommended for managing cancer pain in outpatient settings.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148579259","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":"Diclofenac Patches Promote Early Mobilization in Fragility Fractures: A Retrospective Cohort Study.","authors":"Mikino Saito, Takashi Higuchi","doi":"10.1016/j.pmn.2026.06.014","DOIUrl":"https://doi.org/10.1016/j.pmn.2026.06.014","url":null,"abstract":"<p><strong>Purpose: </strong>Effective pain management is crucial for the early mobilization and functional recovery of elderly patients with fragility fractures. This study aimed to evaluate the efficacy of transdermal diclofenac patches (DPs) for pain control and their impact on functional recovery, with the primary hypothesis that DPs are superior in shortening the time to mobilization in elderly patients with fragility fractures.</p><p><strong>Design: </strong>Retrospective historical control.</p><p><strong>Methods: </strong>This retrospective cohort study with historical controls included patients aged ≥70 years hospitalized with proximal femoral fractures or vertebral fractures. Thirty patients treated with DPs (group D) were compared with 30 patients not treated with DPs (group N). Primary outcomes included time to mobilization, recovery of activities of daily living, and ambulatory ability at discharge.</p><p><strong>Results: </strong>The time to initiating walking practice (mean difference 2.76 days, 95% confidence interval [0.28, 5.23], p = .03) and using the toilet (mean difference 2.37 days, 95% confidence interval [0.00, 4.73], p = .049) was significantly shorter in group D. In the vertebral fracture subgroup, significantly fewer patients in group D showed a decline in walking ability at discharge (p < .05). No drug-related adverse events were observed.</p><p><strong>Conclusions: </strong>DP use was associated with earlier mobilization and better preservation of walking ability. It appears to be a well-tolerated and potentially useful analgesic option for improving the functional outcomes in this high-risk population. However, these findings should be interpreted with caution because of the limitations of unadjusted, nonrandomized historical comparisons.</p><p><strong>Clinical implications: </strong>© 20XX by the American Society for Pain Management Nursing.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148579269","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}