Pain Management Nursing最新文献

{"title":"A Systematic Review of Chronic Pain Management Interventions Among Veterans of Recent Wars and Armed Conflicts","authors":"Rital Lakshman MNP, BSN, RN ,&nbsp;Emily Tomlinson PhD, RN ,&nbsp;Tracey Bucknall PhD, RN, FAAN, GAICD","doi":"10.1016/j.pmn.2024.03.008","DOIUrl":"10.1016/j.pmn.2024.03.008","url":null,"abstract":"<div><h3>Objectives</h3><p>To identify chronic pain management strategies aimed to reduce pain intensity and enhance functional outcomes in veterans of wars and armed conflict.</p></div><div><h3>Design</h3><p>Systematic review without meta-analysis.</p></div><div><h3>Data Sources</h3><p>Key words “chronic pain,” “veterans,” and “injuries” were used to search for articles in the MEDLINE, CINAHL, APA PsycInfo, and Embase databases. Articles published in English between 2000 and 2023 were included.</p></div><div><h3>Review/analysis methods</h3><p>A systematic literature search was conducted in June 2020, updated in April 2023, and managed using Covidence review software. Inclusion criteria focused on combat-injured veterans with chronic pain, excluding nonveterans and civilians treated for acute or chronic pain. Data from included studies were extracted, summarized, and critically appraised using the 2018 Mixed Methods Appraisal Tool. This review is registered with PROSPERO (CRD42020207435).</p></div><div><h3>Results</h3><p>Fourteen studies met the inclusion criteria, with 10 of them supporting nonpharmacological approaches for managing chronic pain among veterans of armed conflicts and wars. Interventions included psychological/behavioral therapies, peer support, biofeedback training via telephone-based therapy, manual therapy, yoga, cognitive processing therapy, cognitive-behavioral therapy, and social and community integration to reduce pain intensity and enhance functional outcomes.</p></div><div><h3>Conclusion</h3><p>Nonpharmacological treatments for chronic pain have increased in recent years, a shift from earlier reliance on pharmacological treatments. More evidence from randomized controlled trials on the benefits of combined pain interventions could improve pain management of veterans with complex care needs.</p></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1524904224001073/pdfft?md5=0aff11aa52315e040f43a8d6a5992a04&pid=1-s2.0-S1524904224001073-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140849787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Systemic Review of the Psychosocial Aspects of Chronic Pain in Youth With Sickle Cell Disease","authors":"Megan Coco PhD., A.P.R.N., CPNP-PC ,&nbsp;Angela R. Starkweather Ph.D., ACNP-BC ,&nbsp;Crystal L. Park Ph.D. ,&nbsp;Wendy Henderson Ph.D., CRNP","doi":"10.1016/j.pmn.2024.03.009","DOIUrl":"10.1016/j.pmn.2024.03.009","url":null,"abstract":"<div><h3>Objectives</h3><p>The psychosocial aspects of chronic pain among youth with sickle cell are poorly described and may be better understood within a biopsychosocial model of chronic pain as applied to youth living with sickle cell disease.</p></div><div><h3>Design</h3><p>A systematic literature review was performed to synthesize the psychosocial factors contributing to chronic pain in this population. Criteria for study inclusion were primary quantitative research studies focused on psychosocial aspects of chronic pain among youth with sickle cell disease.</p></div><div><h3>Data sources</h3><p>PubMed, CINAHL, PsychINFO, and Scopus were searched for relevant articles.</p></div><div><h3>Review/Analysis methods</h3><p>Articles selected for full-text review were appraised for quality using the Joanna Briggs Institute Quality Appraisal Tools. Thirteen articles were included.</p></div><div><h3>Results</h3><p>Depression, anxiety, pain catastrophizing, pain coping, executive functioning, and functional impairment were prevalent in youth living with sickle cell disease and chronic pain. Research gaps included the influence of stigma, injustice, peer interactions, and school and work on chronic pain.</p></div><div><h3>Conclusions</h3><p>The biopsychosocial model of chronic sickle cell disease-related pain for youth was developed and modified based on the results of this systematic review to remind clinicians of the various factors to consider in clinical practice and spur additional research in this field.</p></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866968","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":"Neuropathic Pain Affects Quality of Life in Breast Cancer Survivors with Chemotherapy-Induced Peripheral Neuropathy","authors":"You-Wun Jheng R.N., M.S.N. ,&nbsp;Ya-Ning Chan R.N., Ph.D. ,&nbsp;Chih-Jung Wu R.N., Ph.D. ,&nbsp;Ming-Wei Lin Ph.D. ,&nbsp;Ling-Ming Tseng M.D. ,&nbsp;Ya-Jung Wang R.N., Ph.D.","doi":"10.1016/j.pmn.2023.12.013","DOIUrl":"10.1016/j.pmn.2023.12.013","url":null,"abstract":"<div><h3>Background</h3><p>Despite the significant impact of chemotherapy-induced peripheral neuropathy on the quality of life for breast cancer survivors, there is a notable lack of comprehensive research. Therefore, a crucial need exists for further systematic investigation and inquiry into this matter.</p></div><div><h3>Aims</h3><p>This study examined predictors of quality of life in breast cancer survivors with chemotherapy-induced peripheral neuropathy.</p></div><div><h3>Design</h3><p>A cross-sectional, correlational design.</p></div><div><h3>Settings</h3><p>This study was conducted at a medical center in northern Taiwan and a teaching hospital in northeastern Taiwan.</p></div><div><h3>Participants/Subjects</h3><p>One hundred and thirty adult women with breast cancer, who have undergone chemotherapy and obtained a Total Neuropathy Scale-Clinical Version score&gt;0, were enrolled.</p></div><div><h3>Methods</h3><p>Neuropathic pain, sleep disturbances, depression, and quality of life were evaluated using multiple regression analysis to identify quality of life predictors. Clinical importance was established using the minimally important difference of Functional Assessment of Cancer Therapy-Breast.</p></div><div><h3>Results</h3><p>The study indicated that improving depression (B = –10.87, <em>p</em> &lt; .001) and neuropathic pain (B = –8.33, <em>p</em><span> = .004) may enhance the quality of life of breast cancer survivors with chemotherapy-induced peripheral neuropathy. Moreover, the individual's marital status and family history of breast cancer were identified as predictive factors.</span></p></div><div><h3>Conclusions</h3><p>This study illuminates quality of life determinants for breast cancer survivors with chemotherapy-induced peripheral neuropathy, advocating comprehensive care and addressing depression and neuropathic pain for better outcomes.</p></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139552811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perspectives and Practice in Eastern and Western Medicine for Pain Management in Rehabilitation Training after Orthopedic Trauma Surgery: A Qualitative Study","authors":"Ziyang Wang M.D., R.N. ,&nbsp;Fei Wang M.D., Ph.D. ,&nbsp;Xiaochen Jiang M.D., R.N. ,&nbsp;Weifeng Wang M.D., R.N. ,&nbsp;Yihui Xing M.D., R.N. ,&nbsp;Xueling Qiu M.D., R.N. ,&nbsp;Lukun Sun M.D. ,&nbsp;Cui Li S.D., R.N. ,&nbsp;Lu Tang Ph.D., R.N.","doi":"10.1016/j.pmn.2023.12.015","DOIUrl":"10.1016/j.pmn.2023.12.015","url":null,"abstract":"<div><h3>Background</h3><p>Despite the increasing emphasis on rehabilitation training after orthopedic surgery<span>, little is known about the pain caused by the procedure itself. Clinical practice is driven by beliefs in pain management.</span></p></div><div><h3>Aims</h3><p><span>This study aimed to explore the perspective of pain management during rehabilitation training after orthopedic trauma in China and its influencing factors from different perspectives in </span>traditional Chinese medicine and Western medicine, respectively.</p></div><div><h3>Design</h3><p>A phenomenological qualitative study involving semi-structured interviews.</p></div><div><h3>Settings</h3><p></p></div><div><h3>Methods</h3><p>A qualitative study was conducted with 16 medical workers working in the Rehabilitation Medicine Department in eastern China from July 2022-February 2023. A directed method to thematic analysis was used to code the transcribed data and identify themes.</p></div><div><h3>Results</h3><p><span>Four main themes emerged. (1) Inconsistent perspectives and practice: Chinese doctors majoring in Western medicine felt sympathy, helpless, and had a lack of knowledge and misconception about pain. Traditional Chinese medicine deemed that pain is a protective mechanism and attached importance to holism and unique means. (2) Consistent outcome: Insufficient pain management will have a series of negative consequences for patients’ recovery, forming a vicious cycle. (3) Expectations: Though they are not optimistic about traditional analgesics, enhancement, cooperation and ideal analgesic methods still be expressed, and (4) Concept transformation: Conducting </span>nitrous oxide is a process not only to promote analgesic technology but also to promote the awareness and concept of pain management.</p></div><div><h3>Conclusions</h3><p>Our study emphasized that medical workers should be aware of the importance of pain management at the same time while treating the disability. The study provides insight into pain management experiences within different educational backgrounds. The findings enable professionals to recognize the importance of pain management and its influencing factors to provide feasible and effective pain management strategies.</p></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139552553","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":"Determination of Pain-Related Knowledge and Behaviors of Adult Intensive Care Nurses","authors":"Hamide Şişman RN ,&nbsp;Refiye Akpolat RN ,&nbsp;Dudu Alptekin RN","doi":"10.1016/j.pmn.2024.02.008","DOIUrl":"10.1016/j.pmn.2024.02.008","url":null,"abstract":"<div><h3>Aim</h3><p>To determine the knowledge and attitudes of adult intensive care nurses regarding pain.</p></div><div><h3>Method</h3><p>This descriptive and cross-sectional study was conducted with 196 nurses working in the intensive care units of a tertiary university hospital between June 2022 and September 2022. Data were collected by face-to-face interview method, and the “Personal Information Form” and “Nurses’ Knowledge and Attitude Scale Regarding Pain” were used as data collection tools.</p></div><div><h3>Results</h3><p>About 71.8% of the nurses were between the ages of 18 and 30, 58.5% were women, 54.9% had a bachelor’s degree, and 55.1% had been working in intensive care for 0-5 years. The nurses' total knowledge and attitude score levels were 11.8% inadequate, 64.1% moderate, and 24.1% good. A statistically significant relationship was found between age, gender, receiving training on pain in the institution, satisfaction level with the unit in which one works, frequency of pain assessment and indicators taken into consideration when evaluating pain severity, and the total scale score average (<em>p</em> &lt; 0.05).</p></div><div><h3>Conclusions</h3><p>The average pain knowledge and attitude scores of intensive care nurses are at a good level. Results can be further improved with planned training on pain.</p></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140065635","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":"Factors Affecting Postoperative Pain Beliefs Among Surgical Patients in Türkiye: A Cross-Sectional Study","authors":"Pinar Tunc Tuna PhD (Assistant Professor),&nbsp;Halil Ibrahim Tuna PhD, RN (Lecturer),&nbsp;Birsel Molu PhD (Assistant Professor),&nbsp;Alev Yildirim Keskin (Assistant Professor)","doi":"10.1016/j.pmn.2024.02.010","DOIUrl":"10.1016/j.pmn.2024.02.010","url":null,"abstract":"<div><h3>Background</h3><p>Frequency, ability to cope, and severity of pain; the genetic structure of the individual affects their emotional and cultural characteristics, beliefs, and personal characteristics. It is stated that pain beliefs are one of the factors affecting emotional pain control and approach to pain.</p></div><div><h3>Aims</h3><p>This study, it is aimed to determine the pain beliefs of individuals experiencing postoperative pain.</p></div><div><h3>Methods</h3><p>Cross-sectional descriptive study. Surgical services of a single secondary care hospital. 170 patients who were in the first week after surgery, experienced acute pain, were between the ages of 18–65, and did not have a psychiatric disorder were evaluated. Collection Tools: Postoperative pain levels of the patients were evaluated with a Visual Analog Scale. As the VAS score increases, the pain level increases. Pain beliefs were evaluated with the Pain Beliefs Scale. Pain Beliefs Scale increases in the score obtained from the sub-score of the scale indicate that the pain beliefs related to that test are high. A student <em>T</em>-Test was used for bivariate comparisons between groups. One-way ANOVA was used to compare trivariate groups. In addition, Spearman's Correlation analysis was performed. Statistically, a confidence interval of &gt;95% was used. The statistical significance level was set as <em>p</em> &lt; 0.05.</p></div><div><h3>Results</h3><p>It was found that the pain levels of the patients participating in the study were low and the scores they received from the Pain Beliefs Scale subscales were moderate. It was determined that those with lower education levels had higher scale scores in the psychological beliefs sub-dimension of the Pain Beliefs Scale. In the organic beliefs sub-dimension, it was determined that those with lower income levels had higher organic beliefs. It was determined that the postoperative pain experienced did not affect pain beliefs (<em>p</em> &gt; 0.05).</p></div><div><h3>Conclusion</h3><p>It was concluded that there was no relationship between the pain level and pain beliefs of patients with low pain in the postoperative period. Individuals experiencing postoperative pain believe that pain occurs due to the influence of both organic and psychological factors. For this reason, it is recommended factors that nurses who care for individuals experiencing postoperative pain provide care for both organic and psychological sources of pain.</p></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140068619","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(24)00173-5","DOIUrl":"https://doi.org/10.1016/S1524-9042(24)00173-5","url":null,"abstract":"","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1524904224001735/pdfft?md5=aba7355affbc5a0e0f3c426ffd53dc2d&pid=1-s2.0-S1524904224001735-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141243614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Virtual Reality on Pain, Anxiety, Patient Satisfaction in Coronary Angiography: A Randomized Trial","authors":"Gülcan Bahçecioğlu Turan PhD., R.N. ,&nbsp;Fatma Gür MSN.,RN ,&nbsp;Zülfünaz Özer PhD., RN ,&nbsp;Çağlar Tarkan MD","doi":"10.1016/j.pmn.2023.11.009","DOIUrl":"10.1016/j.pmn.2023.11.009","url":null,"abstract":"<div><h3>Background</h3><p>Since patients are conscious during the coronary angiography procedure, they may experience pain and anxiety regarding possible complications and an uncertain outcome.</p></div><div><h3>Aim</h3><p><span>This study was conducted to determine the effects of virtual reality application on pain severity, anxiety level, and patient satisfaction </span>in patients<span> who undergo coronary angiography.</span></p></div><div><h3>Method</h3><p><span>This randomized controlled study was conducted with a total of 70 patients, including 35 patients in the intervention and 35 patients in the control group. Apart from their routine treatment, virtual reality glasses application was used in the intervention group patients during the procedure. The patients in the control group were given only routine treatment. Data were collected by using “Descriptive Information Form”, “Visual Analogue Scale (VAS)”, Anxiety Assessment Scale (AAS), “Physiological </span>Symptoms of Anxiety Follow-up Form”, and “Virtual Reality Glass Application Satisfaction Form”.</p></div><div><h3>Results</h3><p><span>Mean post-intervention scores of VAS, AAS, heart rate, diastolic and systolic blood pressure, respiratory rate of the intervention group decreased significantly compared with the control group, while O</span>₂ saturation value was found to increase significantly.</p></div><div><h3>Conclusions</h3><p>In this study, it was found that virtual reality application was effective in reducing pain and anxiety, increasing patient satisfaction, and normative regulation of vital signs in patients who undergo coronary angiography.</p></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138685408","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":"Craniocervical Pain, Sleep Quality, Depressive Symptoms, and Physical Activity in Healthcare Workers During COVID-19 Pandemic","authors":"Jade Padilha Silva PT ,&nbsp;Anita Almeida Gonzaga M.Sc. ,&nbsp;Rafaella Silva dos Santos Aguiar Gonçalves Ph.D. ,&nbsp;Luiz Felipe Tavares M.Sc. ,&nbsp;Álvaro Campos Cavalcanti Maciel Ph.D. ,&nbsp;Karyna Myrelly Oliveira Bezerra Figueiredo-Ribeiro Ph.D.","doi":"10.1016/j.pmn.2024.01.004","DOIUrl":"10.1016/j.pmn.2024.01.004","url":null,"abstract":"<div><h3>Background</h3><p>An increase in the workload and use of personal protective equipment by healthcare workers was observed during the COVID-19 pandemic. Due to the connections between craniocervical structures, symptoms such as neck pain and temporomandibular symptoms could be influenced by the use of PPE.</p></div><div><h3>Aims</h3><p>To assess the prevalence of craniocervical pain, sleep quality, physical activity, and depressive symptoms and relationship among craniocervical symptoms in healthcare workers before and during the COVID-19 pandemic in Brazil.</p></div><div><h3>Design</h3><p>Cross-sectional study.</p></div><div><h3>Participants</h3><p>Healthcare workers.</p></div><div><h3>Settings</h3><p>An online questionnaire included a self-report of craniocervical pain intensity [orofacial pain, neck pain, and headache (Numerical Rating Scale)], sleep quality (Pittsburgh Sleep Quality Index), depressive symptoms (Patient Health Questionnaire two items) and physical activity (self-report).</p></div><div><h3>Methods</h3><p>The sample analysis was performed by descriptive statistics, the paired t-test was used to compare symptoms intensity before and during the pandemic. The relationship between dependent and independent samples was assessed through McNemar test, Pearson's chi-squared test, and Student's independent t-test. A value of <em>p</em> &lt; .05 was adopted as statistical significance.</p></div><div><h3>Results</h3><p>Overall, 147 participants replied the questionnaires. Headache, neck pain, and orofacial pain complaints increased during the pandemic in healthcare workers (<em>p</em> &lt; 0.001). Craniocervical pain was correlated with poor sleep quality, probable depression, and physical activity during the pandemic (<em>p</em> &lt; 0.05).</p></div><div><h3>Conclusion</h3><p>Healthcare workers self-reported more craniocervical pain during the COVID-19 pandemic compared to before the pandemic. In addition, poor sleep quality, depressive symptoms, and physical inactivity were associated with craniocervical symptoms during this period.</p></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140013072","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":"Implementation of a Clinic-Based Yoga Program for Chronic Pain","authors":"Sara Hall M.S., A.P.R.N., C.N.S., P.M.G.T.-B.C. ,&nbsp;Lauren R. O'Keefe M.S. ,&nbsp;Madisen K. Janssen D.O., M.B.A. ,&nbsp;Amanda A. Herrmann Ph.D. ,&nbsp;Leah R. Hanson Ph.D.","doi":"10.1016/j.pmn.2024.01.002","DOIUrl":"10.1016/j.pmn.2024.01.002","url":null,"abstract":"<div><h3>Purpose</h3><p>Although many integrative therapies exist, studies increasingly demonstrate yoga can help change the negative neuroplastic effects experienced by people living with chronic pain. Despite encouraging findings, a gap exists in accessible yoga programs designed to meet the individual needs of those experiencing limitations from chronic pain. This study evaluated a yoga program designed for people living with chronic pain delivered in a health care setting. Although yoga began as a spiritual practice thousands of years ago, it is now widely practiced for its physical and mental well-being aspects achieved through movement and breathing techniques.</p></div><div><h3>Design</h3><p>This was a piolt study that did not include a control group.</p></div><div><h3>Methods</h3><p>Twenty-one people with chronic pain participated in an in-person group yoga program for 8 weeks that included an educational program and yoga practice. A prepost design was used to measure effectiveness of the program on pain interference (Brief Pain Inventory), physical function, opioid medication use, overall impression of change in pain, satisfaction with the program, and likelihood of continuation of yoga practice.</p></div><div><h3>Results</h3><p>Data collected from participants demonstrated a decrease in pain interference as measured by the Brief Pain Inventory subscale between pre- and postintervention (5.6 ± 2.2 to 4.0 ± 2.3). In addition, the proportion of respondents with a pain interference rating of severe decreased by 15.4% (38.1% to 22.7%) between the pre- and postintervention time point. On follow-up from a survey 3 months after the completion of the study, more than 25% (N = 5) of participants were still practicing yoga daily.</p></div><div><h3>Conclusions</h3><p>Despite yoga being practiced for thousands of years, studies evaluating the neural effects of yoga show possible reversal of persistent patterns leading to chronic pain, leading to new interest in an ancient practice. This study helps fill the gap in research findings addressing the benefits of yoga programs designed to meet the needs of people living in chronic pain and provides an accessible option. This program provides pain management nurses an innovative nonpharmacological intervention to consider for people living with chronic pain.</p></div><div><h3>Clinical Implications</h3><p>Evidence supporting the use of yoga in the treatment of chronic pain is growing, yet it remains an underutilized approach in a comprehensive treatment plan. Yoga can not only improve self-agency, but also reduces social isolation. Pain management nurses can play an important role in promoting the application of yoga for chronic pain and advocating for yoga programs that are focused on accessibility for people living with pain.</p></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140065636","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}