Douleurs最新文献

{"title":"Synthèse des travaux nationaux menés sur les structures douleur chronique (SDC)","authors":"Caroline Bizet,&nbsp;Anne Vitoux","doi":"10.1016/j.douler.2023.12.006","DOIUrl":"https://doi.org/10.1016/j.douler.2023.12.006","url":null,"abstract":"<div><p>La douleur chronique représente un enjeu majeur de santé publique, mobilisant des efforts continus pour améliorer les structures dédiées à cette prise en charge. Cet article offre une synthèse complète des travaux nationaux récents sur les structures douleur chronique (SDC), révélant des avancées significatives dans la prise en charge de la douleur chronique en France. De la labellisation à la réforme du modèle de financement des SDC, ces travaux mettent en lumière l’évolution du paysage des SDC et soulignent l’engagement continu envers l’innovation et l’efficacité de ces structures. Les actions menées reflètent une volonté collective de mieux répondre aux besoins des patients souffrant de douleur chronique, marquant ainsi une étape importante dans l’amélioration de la qualité des soins dans ce domaine.</p></div><div><p>Chronic pain represents a major public health challenge, prompting continuous efforts to enhance dedicated structures for its management. This article provides a comprehensive synthesis of recent national efforts on chronic pain units (SDCs), revealing significant advancements in chronic pain care in France. From accreditation to the reform of the SDC financing model, these works illuminate the evolving landscape of SDCs and underscore the ongoing commitment to innovation and efficiency in these structures. The undertaken initiatives reflect a collective determination to better address the needs of patients experiencing chronic pain, marking a crucial milestone in improving the quality of care in this domain.</p></div>","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":"25 2","pages":"Pages 57-59"},"PeriodicalIF":0.0,"publicationDate":"2024-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140328174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parcours de santé des patients souffrants de douleurs chroniques : place aux soins primaires ! Oui… mais comment ?","authors":"Raphaël Kempler ,&nbsp;Alexandre Cauchie ,&nbsp;Magali Roubaub ,&nbsp;Antoine Elyn","doi":"10.1016/j.douler.2024.01.001","DOIUrl":"https://doi.org/10.1016/j.douler.2024.01.001","url":null,"abstract":"","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":"25 2","pages":"Pages 81-84"},"PeriodicalIF":0.0,"publicationDate":"2024-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140328290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Agenda","authors":"","doi":"10.1016/S1624-5687(24)00018-0","DOIUrl":"https://doi.org/10.1016/S1624-5687(24)00018-0","url":null,"abstract":"","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":"25 1","pages":"Page 55"},"PeriodicalIF":0.0,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1624568724000180/pdfft?md5=5e2e8050d089797ddc4bf1c3c86115e8&pid=1-s2.0-S1624568724000180-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139548397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Issue Contents","authors":"","doi":"10.1016/S1624-5687(24)00007-6","DOIUrl":"https://doi.org/10.1016/S1624-5687(24)00007-6","url":null,"abstract":"","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":"25 1","pages":"Pages e1-e2"},"PeriodicalIF":0.0,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1624568724000076/pdfft?md5=dd155fb0f40fa03cf475458691e0e9d3&pid=1-s2.0-S1624568724000076-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139549254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pharmacological management of invasive procedural pain in children: Facilitators and barriers","authors":"Oboshie Anim-Boamah,&nbsp;Mary Ani-Amponsah,&nbsp;Luke Laari,&nbsp;Lydia Aziato","doi":"10.1016/j.douler.2023.11.005","DOIUrl":"10.1016/j.douler.2023.11.005","url":null,"abstract":"<div><h3>Introduction</h3><p>Pediatric patients undergo various painful, invasive procedures in paediatric settings, which are not managed effectively. Pharmacological management of painful, invasive procedures is rarely managed in Ghanaian hospital. The factors for this issue may be multi-faceted. This study explored nurses’ account of factors that enhance or mitigates pharmacological management of invasive procedural pain for paediatric patients.</p></div><div><h3>Sample and analysis</h3><p>A qualitative exploratory, descriptive design was used in the study. Nurses were recruited from the paediatric units at the Regional Hospital, Koforidua in Ghana and a semi-structured interview guide were used for the data collection. Saturation was achieved at the 16th participant. Data were analyzed using conventional content analysis.</p></div><div><h3>Results</h3><p>Two themes and nine sub-themes emerged from the data. Perceived facilitators included nurses’ initiative, advocacy by nurses, desire to use pain medication and expectations from team members, while perceived barriers identified were lack of knowledge, shortage of staff and time constraints, doctor's prescription pattern, lack of policies and facilities and Cost implications of medications.</p></div><div><h3>Conclusion</h3><p>Incorporation of pharmacological management of invasive procedural pain management of children will improve the care of children. However, there is the need for collaboration of health managers and staff to make pain management during painful procedures in children a priority.</p></div><div><h3>Introduction</h3><p>Les patients pédiatriques subissent diverses procédures douloureuses et invasives en milieu pédiatrique qui ne sont pas prises en charge efficacement. La prise en charge pharmacologique des procédures douloureuses et invasives est rarement gérée dans les hôpitaux ghanéens. Les facteurs à l’origine de ce problème peuvent avoir de multiples facettes. Cette étude a exploré le compte rendu des infirmières sur les facteurs qui améliorent ou atténuent la prise en charge pharmacologique de la douleur procédurale invasive chez les patients pédiatriques.</p></div><div><h3>Échantillon et analyse</h3><p>Un plan qualitatif, exploratoire et descriptif a été utilisé dans l’étude. Des infirmières ont été recrutées dans les unités pédiatriques de l’hôpital régional de Koforidua au Ghana et un guide d’entretien semi-structuré a été utilisé pour la collecte des données. La saturation a été atteinte au 16^e participant. Les données ont été analysées à l’aide d’une analyse de contenu conventionnelle.</p></div><div><h3>Résultats</h3><p>Deux thèmes et neuf sous-thèmes ont émergé des données. Parmi les facilitateurs perçus, mentionnons l’initiative des infirmières, la défense des intérêts des infirmières, le désir d’utiliser des analgésiques et les attentes des membres de l’équipe, tandis que les obstacles perçus étaient le manque de connaissances, le manque de personnel et ","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":"25 1","pages":"Pages 1-10"},"PeriodicalIF":0.0,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139393152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acupuncture and moxibustion treatment of a child with primary trigeminal neuralgia: A case report","authors":"Bifang Chai ,&nbsp;Ying Wei ,&nbsp;Cui Miao ,&nbsp;Lu Bai ,&nbsp;Tiantian Cao ,&nbsp;Xiao Luo ,&nbsp;Rui Hou","doi":"10.1016/j.douler.2023.12.004","DOIUrl":"10.1016/j.douler.2023.12.004","url":null,"abstract":"<div><p><span>Primary Trigeminal Neuralgia (PTN) is a paroxysmal severe pain that occurs in the distribution area of the trigeminal nerve in the head, face, and oral cavity, which is more common in middle-aged and elderly people. Acumoxi is a traditional Chinese medical practice in which “treating internal diseases externally” is employed, and it refers to the use of both acupuncture and </span>moxibustion. It has been reported in many literatures that acupuncture is effective in treating primary trigeminal neuralgia with few adverse reactions. This article reports on the case of a 9-year-old child with primary trigeminal neuralgia who, after experiencing some effectiveness but significant adverse reactions while using carbamazepine, was treated with acupuncture and moxibustion, resulting in a complete cure.</p></div><div><p>La névralgie trigéminale primaire (NPT) est une douleur paroxystique sévère qui survient dans la zone de distribution du nerf trijumeau au niveau de la tête, du visage et de la cavité buccale, et qui est plus fréquente chez les personnes d’âge moyen et les personnes âgées. L’acumoxi est une pratique médicale traditionnelle chinoise qui consiste à « traiter les maladies internes par des moyens externes » et qui fait référence à l’utilisation de l’acupuncture et de la moxibustion. De nombreuses publications font état de l’efficacité de l’acupuncture dans le traitement de la névralgie primaire du trijumeau, avec peu d’effets indésirables. Cet article rapporte le cas d’un enfant de 9 ans souffrant de névralgie trigéminale primaire qui, après avoir connu une certaine efficacité mais des effets indésirables importants sous carbamazépine, a été traité par acupuncture et moxibustion, ce qui a abouti à une guérison complète.</p></div>","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":"25 1","pages":"Pages 34-38"},"PeriodicalIF":0.0,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139393360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parcours de soins du patient douloureux chronique : analyse des courriers d’adressages des médecins vers les CETD","authors":"Raphaël Kempler","doi":"10.1016/j.douler.2023.12.003","DOIUrl":"10.1016/j.douler.2023.12.003","url":null,"abstract":"<div><h3>Objectif</h3><p>Analyse du parcours de soins des patients douloureux chroniques.</p></div><div><h3>Matériel et méthodes</h3><p>Comparaison de l’exhaustivité des courriers d’adressage.</p></div><div><h3>Résultats</h3><p>On retrouve 4,56/9 items pertinents dans les courriers. Les courriers des médecins généralistes 4,29/9 sont moins complets que ceux des autres spécialistes 4,82. L’exhaustivité ne varie pas selon les hypothèses diagnostiques, l’âge et le sexe des patients. Elle s’améliore lorsque le contexte socioprofessionnel est mentionné.</p></div><div><h3>Conclusion</h3><p>Intérêt d’une standardisation des courriers d’adressage et d’une cotation CPAM consultation douleur chronique en médecine générale.</p></div><div><h3>Objective</h3><p>Care pathway analysis for patients with chronic pain.</p></div><div><h3>Material and methods</h3><p>Comparison of the completeness of addressing letters.</p></div><div><h3>Results</h3><p>There are 4,56/9 relevant items in the letters. The letters of general practitioners 4,29/9 are less complete than those of other specialists 4,82. Completeness does not vary according to the diagnostic hypotheses, the age and sex of the patients. It improves when the socio-professional context is mentioned.</p></div><div><h3>Conclusion</h3><p>Interest in standardising addressing letters and a CPAM rating for chronic pain consultation in general medicine.</p></div>","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":"25 1","pages":"Pages 26-33"},"PeriodicalIF":0.0,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139395742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pain management in patients with multiple myeloma","authors":"Fatma Kammoun ,&nbsp;Faten Kallel ,&nbsp;Maha Charfi ,&nbsp;Moez Medhaffar ,&nbsp;Moez Elloumi","doi":"10.1016/j.douler.2023.11.006","DOIUrl":"10.1016/j.douler.2023.11.006","url":null,"abstract":"<div><h3>Introduction</h3><p>Multiple myeloma (MM) is an incurable hematological malignancy disabling by pain. This study aims to identify the frequency of pain in patients with this disease, its characteristics, and to report the modalities of its management.</p></div><div><h3>Methods</h3><p>Our study is retrospective about 115 newly diagnosed adult patients (&lt;<!--> <!-->65 years old) with multiple myeloma in the hematology department at the university hospital of Sfax, Tunisia.</p></div><div><h3>Results</h3><p>Nociceptive pain and neuropathic pain were recorded in 76.5% and 20% of cases respectively. Treated by thalidomide<span>, 30 patients (16%) developed chemotherapy-induced peripheral neuropathy. Psychological pain was not estimated in our study. The management of pain differs according to the mechanism and must involve specific treatment of MM. For our patients, a global response and control of the disease was noted in 69% of cases.</span></p></div><div><h3>Conclusion</h3><p>Pain in myeloma is often complex and multifactorial. Adequate pain management requires supporting treatment and the control of the disease, which is a predictive adverse factor for pain control.</p></div><div><h3>Introduction</h3><p>Le myélome multiple (MM) est une hémopathie maligne incurable mais aussi invalidante par les douleurs. Le but de cette étude est d’identifier la fréquence de la douleur, ses caractéristiques chez les patients atteints de MM, et de rapporter les modalités de sa prise en charge.</p></div><div><h3>Méthodes</h3><p>C’est une étude rétrospective de 115 adultes jeunes âgés de moins de 65 ans atteints de MM nouvellement diagnostiqués au sein du service d’hématologie du CHU Hédi Chaker de Sfax.</p></div><div><h3>Résultats</h3><p>Les douleurs nociceptives et les douleurs neuropathiques étaient présentes chez 76,5 % et 20 % de nos malades respectivement. Sous traitement par thalidomide, 30 patients (16 %) ont développé des neuropathies<span> toxiques. La douleur psychogène n’était pas estimée dans notre étude. La prise en charge des douleurs diffère selon le mécanisme et doit associer le traitement spécifique. Chez nos patients une réponse globale et un contrôle de la maladie ont été noté dans 69 % des cas.</span></p></div><div><h3>Conclusion</h3><p>La douleur chez les patients ayant un myélome est souvent complexe et multifactorielle. Un traitement adéquat de la douleur nécessite des traitements de supports et un contrôle de la maladie pour un contrôle indirect de ces douleurs.</p></div>","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":"25 1","pages":"Pages 11-16"},"PeriodicalIF":0.0,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139192498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Addendum à : Parcours de soins du patient douloureux chronique : analyse des courriers d’adressages des médecins vers les CETD","authors":"Raphaël Kempler","doi":"10.1016/j.douler.2023.12.005","DOIUrl":"https://doi.org/10.1016/j.douler.2023.12.005","url":null,"abstract":"","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":"25 1","pages":"Page 54"},"PeriodicalIF":0.0,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139548396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sport et douleurs : questions posées à Monsieur Philippe Richet, athlète français spécialisé dans les courses extrêmes","authors":"","doi":"10.1016/j.douler.2023.12.002","DOIUrl":"10.1016/j.douler.2023.12.002","url":null,"abstract":"","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":"25 1","pages":"Pages 47-49"},"PeriodicalIF":0.0,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139189630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}