Gisèle Pickering, Marion Voute, Elise Sortais, Nicolas Macian, Leslie Goumy, Fatiha Giron, Bruno Pereira
{"title":"疗养院中的神经性疼痛","authors":"Gisèle Pickering, Marion Voute, Elise Sortais, Nicolas Macian, Leslie Goumy, Fatiha Giron, Bruno Pereira","doi":"10.1002/ejp.70035","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>In older persons, pain prevalence is estimated to range between 22% and 80%. In nursing home residents, underevaluated pain is common despite pain management quality indicators. This study aims to assess neuropathic pain (NP) prevalence, NP evaluation and treatment, and healthcare professionals’ practices and needs to optimise NP management.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>This study received ethical approval [IRB number 2023-CF230]. In order to obtain data from healthcare professionals working in nursing homes, an online survey was conducted on REDCap software between 4 March 2024 and 28 June 2024. The survey was divided into 3 sections: (1) prevalence of NP, (2) assessment of the four steps of the NP management algorithm (detection, evaluation, treatment and re-evaluation), (3) awareness and needs.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Responses to the survey came from nine nursing homes, for a total of 841 residents, half of them aged between 75 and 85 years The prevalence of NP was 8.5% [4.2; 12.7]. The clinical pertinence of each step of the algorithm showed good satisfaction (mean ± SD, 7.9 ± 1.5). A large majority of participants (96.8%) expressed the need to receive a specific training on NP management in their care setting.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>The prevalence of NP is close to that described in the literature, but appears to be underestimated by the participants because of diagnostic issues. The decision-making algorithm proposed to the teams has shown good results in terms of its usefulness in current practice. The survey also highlighted the need for training in this field to optimise NP management.</p>\n </section>\n \n <section>\n \n <h3> Significance</h3>\n \n <p>This survey highlights the underestimated prevalence of neuropathic pain because of lack of diagnosis issues. A 4-step algorithm (detection, evaluation, treatment and re-evaluation) was proposed and validated by healthcare professionals for neuropathic pain management with good results in terms of its usefulness for current practice. Results unveils the still unmet needs for information and training of nursing homes healthcare professionals and medical/nursing students as regards neuropathic pain assessment and treatment.</p>\n </section>\n </div>","PeriodicalId":12021,"journal":{"name":"European Journal of Pain","volume":"29 6","pages":""},"PeriodicalIF":3.5000,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ejp.70035","citationCount":"0","resultStr":"{\"title\":\"Neuropathic Pain in Nursing Homes\",\"authors\":\"Gisèle Pickering, Marion Voute, Elise Sortais, Nicolas Macian, Leslie Goumy, Fatiha Giron, Bruno Pereira\",\"doi\":\"10.1002/ejp.70035\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>In older persons, pain prevalence is estimated to range between 22% and 80%. In nursing home residents, underevaluated pain is common despite pain management quality indicators. This study aims to assess neuropathic pain (NP) prevalence, NP evaluation and treatment, and healthcare professionals’ practices and needs to optimise NP management.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>This study received ethical approval [IRB number 2023-CF230]. In order to obtain data from healthcare professionals working in nursing homes, an online survey was conducted on REDCap software between 4 March 2024 and 28 June 2024. The survey was divided into 3 sections: (1) prevalence of NP, (2) assessment of the four steps of the NP management algorithm (detection, evaluation, treatment and re-evaluation), (3) awareness and needs.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Responses to the survey came from nine nursing homes, for a total of 841 residents, half of them aged between 75 and 85 years The prevalence of NP was 8.5% [4.2; 12.7]. The clinical pertinence of each step of the algorithm showed good satisfaction (mean ± SD, 7.9 ± 1.5). A large majority of participants (96.8%) expressed the need to receive a specific training on NP management in their care setting.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>The prevalence of NP is close to that described in the literature, but appears to be underestimated by the participants because of diagnostic issues. The decision-making algorithm proposed to the teams has shown good results in terms of its usefulness in current practice. The survey also highlighted the need for training in this field to optimise NP management.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Significance</h3>\\n \\n <p>This survey highlights the underestimated prevalence of neuropathic pain because of lack of diagnosis issues. A 4-step algorithm (detection, evaluation, treatment and re-evaluation) was proposed and validated by healthcare professionals for neuropathic pain management with good results in terms of its usefulness for current practice. 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In older persons, pain prevalence is estimated to range between 22% and 80%. In nursing home residents, underevaluated pain is common despite pain management quality indicators. This study aims to assess neuropathic pain (NP) prevalence, NP evaluation and treatment, and healthcare professionals’ practices and needs to optimise NP management.
Methods
This study received ethical approval [IRB number 2023-CF230]. In order to obtain data from healthcare professionals working in nursing homes, an online survey was conducted on REDCap software between 4 March 2024 and 28 June 2024. The survey was divided into 3 sections: (1) prevalence of NP, (2) assessment of the four steps of the NP management algorithm (detection, evaluation, treatment and re-evaluation), (3) awareness and needs.
Results
Responses to the survey came from nine nursing homes, for a total of 841 residents, half of them aged between 75 and 85 years The prevalence of NP was 8.5% [4.2; 12.7]. The clinical pertinence of each step of the algorithm showed good satisfaction (mean ± SD, 7.9 ± 1.5). A large majority of participants (96.8%) expressed the need to receive a specific training on NP management in their care setting.
Conclusion
The prevalence of NP is close to that described in the literature, but appears to be underestimated by the participants because of diagnostic issues. The decision-making algorithm proposed to the teams has shown good results in terms of its usefulness in current practice. The survey also highlighted the need for training in this field to optimise NP management.
Significance
This survey highlights the underestimated prevalence of neuropathic pain because of lack of diagnosis issues. A 4-step algorithm (detection, evaluation, treatment and re-evaluation) was proposed and validated by healthcare professionals for neuropathic pain management with good results in terms of its usefulness for current practice. Results unveils the still unmet needs for information and training of nursing homes healthcare professionals and medical/nursing students as regards neuropathic pain assessment and treatment.
期刊介绍：
European Journal of Pain (EJP) publishes clinical and basic science research papers relevant to all aspects of pain and its management, including specialties such as anaesthesia, dentistry, neurology and neurosurgery, orthopaedics, palliative care, pharmacology, physiology, psychiatry, psychology and rehabilitation; socio-economic aspects of pain are also covered.
Regular sections in the journal are as follows:
• Editorials and Commentaries
• Position Papers and Guidelines
• Reviews
• Original Articles
• Letters
• Bookshelf
The journal particularly welcomes clinical trials, which are published on an occasional basis.
Research articles are published under the following subject headings:
• Neurobiology
• Neurology
• Experimental Pharmacology
• Clinical Pharmacology
• Psychology
• Behavioural Therapy
• Epidemiology
• Cancer Pain
• Acute Pain
• Clinical Trials.
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