Pain Management Nursing最新文献

Aim: This study was conducted to compare the predictive effect of spiritual well-being and pain intensity on pain catastrophizing of individuals with acute and chronic pain.

Design: This research is a cross-sectional and comparative study.

Methods: The study included 116 individuals with chronic pain and 111 individuals with acute pain. The study data were collected using the Descriptive Characteristics Questionnaire, Pain Catastrophizing Scale, Three-Factor Spiritual Well-Being Scale, Turkish Graded Chronic Pain Scale-Revised (TurGCPS-R) and Numerical Rating Scale.

Results: The pain catastrophizing levels of individuals with chronic pain were significantly higher than individuals with acute pain. There was a statistically significant negative correlation between spiritual well-being and pain catastrophizing levels in both groups. The strength of this relationship was stronger in individuals with chronic pain. Spiritual well-being and pain intensity explained 53% of the total variance in pain catastrophizing in the chronic pain group, while they explained 34% in the acute pain group.

Conclusions: As a result of the study, it was determined that as the level of spiritual well-being increased, the pain catastrophizing and pain intensity decreased in acute and chronic pain patients. In addition, spiritual well-being was an important predictor of pain catastrophizing in both acute and chronic pain patients.

Clinical implications: Because pain has a multidimensional structure, evaluating all dimensions of pain and providing holistic care for all dimensions will increase the effectiveness of optimal treatment. If nurses understand all dimensions of pain, they can create a pain management plan specific to the patient's needs. In this way, more effective, personalized and comprehensive care is provided and significant contributions are made to the patient and the healthcare system. In addition, the patient's autonomy whose spiritual practices are allowed will be supported.

Background: The efficacy of establishing an intensification outpatient center for diagnostic and treatment endoscope services has been documented, but its practical implementation remains limited. Presently, there are two models for outpatient endoscope care services: the clinical specialty-based model and the solitary outpatient model. However, each model has its limitations.

Aims: In this study, we introduce a nurse-led service model that offers comprehensive care throughout the entire journey for patients undergoing painless endoscopic treatment procedures outside the operating room overseen by anesthesiologist and report its implementation in an university-affiliated hospital.

Design: A single-center observational study.

Methods: Data was collected all of 2013 and 2022 at a tertiary medical hospital center. A total of 168,100 patients undergoing endoscopic anesthesia were included in the analysis. Patients receiving endoscopic diagnosis and treatment were divided into two groups: the Model-2013 (clinical specialty endoscopy service model, from January to December 2013) and the Model-2022 (nurse-led service model under the supervision of anesthesiologists, from January to December 2022). We conducted a retrospective analysis of workload data and compared the nursing quality management index of endoscopy center between Model-2013 and Model-2022.

Results: In 2013, the workload for digestive endoscopy was 28,864 procedures, while in 2022, it had significantly increased to 139,236 procedures. Patient satisfaction had risen from 93.99% to 95.25%, and the satisfaction of the collaborative team increased from 91.77% to 98.10%. The endoscopic cancellation rate dropped from 13.56% to 8.75%. The quality indicators for anesthesia nursing and endoscopy nursing had improved significantly without an increase in equipment and nursing costs (p < .05).

Conclusion: The nurse-led service model for patients undergoing painless endoscopic procedures outside the operating room can enhance service efficiency and patient safety and satisfaction, and can serve as a viable alternative to the traditional models based on clinical specialty and independent single endoscopy department.

Objectives: Pain is a major public health issue in the United States. The ability to communicate the severity of pain with healthcare providers is crucial to receiving appropriate pain management. Many factors can limit this ability, including limited proficiency in the language spoken by providers. This body of research suggests gaps in the multidimensional approach to pain management for older adults with limited English proficiency (LEP). In this study, we describe the lived experiences of pain management of older adults with LEP living with chronic pain in the United States.

Methods: We used a qualitative interpretive approach with semi-structured interviews from nineteen Farsi and Azeri-speaking older adults with LEP and chronic pain to describe the lived experiences of older adults with LEP.

Results: Participants relied on alternative medicine to manage their pain and reported fears of becoming dependent on prescription pain medications. Some reported poor physician-patient rapport and felt unseen by healthcare providers, and all reported language barriers even with the use of translators.

Conclusions: Farsi and Azeri-speaking older adults with LEP and chronic pain felt the US healthcare system ignored their social, cultural, and linguistic needs. Pain management training for healthcare providers should address language barriers and include cultural competency.

Purpose: This study aimed to investigate pain characteristics, opioid misuse prevalence, and the relationship between healthliteracy and pain catastrophising in patients with Sickle Cell Disease (SCD).

Design: This was a cross-sectional study.

Methods: Data were collected from patients with SCD in Oman. Validated tools were used to assess pain (Brief Pain Inventory), healthliteracy (HLS-Q12), opioid misuse (Current Opioid Misuse Measure [COMM]), and pain catastrophising (Pain Catastrophising Scale).

Results: The study included 169 patients with SCD, with an average age of 34.4 (SD = 12.9) years, of whom 51.5% werefemale. A total of 79.3% of the participants reported experiencing pain, with an average total pain score of 3.8 (SD = 2.6).Additionally, 74% of the patients were identified as being at risk of opioid misuse. The risk of opioid misuse was positivelyassociated with pain catastrophising (r = 0.302, p < 0.001) and negatively associated with health literacy (r = -0.220, p = 0.005). Pain severity and interference are also linked to the risk of opioid misuse. Sociodemographic factors, such as age, sex, and education, showed no significant association with the risk of opioid misuse.

Conclusions: Patients with SCD face high rates of chronic pain and considerable risk of opioid misuse. Psychological factors, particularly pain catastrophising and lower healthliteracy, were strongly associated with misuse risk, while sociodemographic factors had less impact.

Clinical implications: These findings highlight the need for targeted interventions addressing psychological support and health literacy to reduce opioidmisuse in SCD patients. Healthcare providers should integrate pain management strategies with educational programs to enhancehealth literacy and mitigate the psychological burden of pain.

Background: The effects of nurses' attitudes toward complementary and alternative medicine (CAM) in pain management in terms of safety and quality of life are important. Nurses turn to a CAM approach to deal with pain problems.

Aim: This study aimed to investigate nurses' attitudes toward CAM and to determine their sociodemographic and pain-related characteristics.

Design: This study is a cross-sectional descriptive study.

Methods: This study was carried out with 150 nurses between March 31 and April 30, 2023. Data were collected with the "Data Collection Form," "Pain Numerical Rating Scale," and "Attitudes toward Holistic and Complementary Medicine Scale" developed by the researchers.

Results: The mean age of the nurses who participated in the study was 33.24 ± 8.69. It was determined that 55.3% of the nurses frequently used pharmacological and CAM treatments together in their pain management, and 71.3% of them used these treatments for less than 1 week. It was found that 65.3% of the nurses used massage, 60% used spa/hot-cold applications, 54.0% used acupuncture, 42.6% used art/color/music/dance therapy, and 12.6% used prayer or meditation in pain management.

Conclusions: It was determined that nurses used pharmacological and CAM methods together in pain management. Nurses can be offered CAM therapy options in addition to pharmacological treatments to manage their pain, and information can be given.

Purpose: To translate the Central Sensitization Inventory from English into simplified Chinese (CSI-sC) and test the psychometric properties of the CSI-sC in patients with chronic pain.

Design: A cross-sectional design was used.

Methods: Cross-cultural adaptation of the CSI-sC was performed following Beaton's guidelines. Using a convenient sampling method, 172 patients with chronic spinal pain and 74 healthy individuals were enrolled. The Visual Analog Scale (VAS), Insomnia Severity Index (ISI), EuroQol Five Dimensions Questionnaire (EQ-5D), and Neck Disability Index (NDI) or Oswestry Disability Index (ODI) were used to measure insomnia, pain, quality of life, and functional status. Associations between CSI-sC with these measures were examined for concurrent and convergent validity assessment. Discriminant validity was confirmed by comparing CSI-sC scores between different groups. Exploratory factor analysis was used for the structural validity assessment. Reliability was assessed by internal consistency and test-retest reliability.

Results: The Cronbach's alpha of the CSI-sC was 0.886. The intra-class correlation coefficient was 0.757. The CSI-sC showed a five-factor structure (57.2% of variances). The CSI-sC was significantly correlated with the ISI (r = 0.625), EQ-5D index (r = -0.363), EQ-5D health score (r = -0.355), VAS (r = 0.290), NDI (r = 0.432) and ODI (r = 0.333). CSI-sC scores were statistically higher in females compared to males (p = .006) and in the patient population compared to healthy controls (p < .001).

Conclusions: The CSI-sC demonstrated good reliability and validity in chronic spinal pain patients.

Clinical implications: This study offers a good tool for the assessment and identification of central sensitization symptomology in clinical nursing practice, which may help optimize the treatment for patients with chronic pain.

Managing labor pain effectively is crucial for ensuring positive maternal health outcomes. In Tanzania, cultural barriers often hinder the acceptance and utilization of non-pharmacological pain management interventions. This clinical consultation explored strategies for overcoming these cultural barriers to improve labor pain management among Tanzanian women using non-pharmacological interventions. A comprehensive literature review of existing research on non-pharmacological pain management techniques and cultural influences on pain perception and management was conducted, and an observed case study regarding the need to utilize nonpharmacological pain management interventions was also added. Studies indicated that non-pharmacological interventions such as massage, breathing techniques, and relaxation methods are effective and can be culturally adapted to fit Tanzanian women's beliefs and practices. Key barriers to use using these interventions include lack of awareness, limited access to training for healthcare providers, and cultural stigmas associated with pain expression. Successful strategies to overcome these barriers involve community education, involvement of traditional birth attendants, training healthcare providers in cultural competence, and engaging community leaders and family members. Future research should further explore the cultural adaptation and effectiveness of these interventions to ensure their sustainable integration into maternal care practices in countries with limited resources.

Purpose: To examine the feasibility of a social networking site-based self-management intervention involving pain neuroscience education (PNE) for temporomandibular joint disorders (TMD) among young adults and its initial efficacy in exploratory outcomes, including pain and somatization.

Design: Pilot randomized controlled trial.

Methods: Korean-speaking adults aged 20-29 with temporomandibular joint pain having smartphone Internet access. The one-week intervention included two animated videos on pain neuroscience and self-management instructions addressing poor habits limiting jaw movement and exercises to alleviate TMD symptoms. The control group received self-management guidance only. Besides pain, the Research Diagnostic Criteria for Temporomandibular Disorders Axis II assessed oral health and psychological aspects. The Generalized Anxiety Disorder 7 Scale and Central Sensitization Inventory (CSI) Part A measured anxiety and central sensitization, respectively. Besides feasibility benchmarks, a t-test and Mann-Whitney U test were used to examine the initial efficacy of PNE plus self-management on self-management alone.

Results: Sixty-six participants were included in the study, with 33 participants in each group. Most participants expressed satisfaction with both interventions, with retention rates exceeding 87%. Differences in pain somatization were reported (t = 2.03, p = .046) in the intervention group compared to the control group. Differences in pain (t = 1.80, p = .077) and depression (t = 1.88, p = .061) did not reach statistical significance.

Conclusions: The feasibility of the PNE and self-management education was favorable. PNE, when combined with self-management, significantly reduced pain somatization compared with self-management alone.

Clinical implications: A social networking site-assisted self-management intervention for TMD can help nurses provide education in primary care settings and communities.