Pain Management Nursing最新文献_第10页

Effects of Progressive Muscle Relaxation on Pain and Sleep: Randomized Controlled Study. 渐进式肌肉放松对疼痛和睡眠的影响：随机对照研究。

IF 2.1 4区医学 Q2 NURSING

Pain Management Nursing

Pub Date : 2025-09-06 DOI: 10.1016/j.pmn.2025.08.006

Gamze Bolattürk, Emine Kol

Purpose: This study aimed to evaluate the effectiveness of Progressive Muscle Relaxation (PMR) on postoperative pain level and sleep quality in patients undergoing open heart surgery.

Design: A single center, two-group, single-blind randomized controlled trial.

Methods: This study comprised 60 patients who were admitted to the cardiovascular surgery department and undergoing open heart surgery between January 2023 and April 2024. Patients were randomized into 30 in the experimental group and 30 in the control group. Data were collected using Patient Identification Form, Short-form of McGill's Pain Questionnaire (SF-MPQ) and Richard-Campbell Sleep Questionnaire (RCSQ). PMR were applied twice a day, morning and evening, on the post-operative days 1st, 2nd, and 3rd days to experimental group. Before and after PMR, the patients' pain level and sleep quality were evaluated. The control group received usual care and treatment.

Results: In the experimental group, pain level decreased significantly from 9.36 points on the 1st day to 1.50 points on the 3rd day in the post-operative service (p0.001). In the control group, pain level decreased only to 6.13 points on the 3rd day. It was determined that sleep quality gradually increased in the experimental group and reached 545.83 points on the 3rd day in the post-operative service. In the control group, it increased only to 330.16 points. A significant difference was found pain level and sleep quality in all measurements between the experimental and control groups.

Conclusions: In this study, it was suggested that progressive muscle relaxation reduces pain and improves sleep quality in patients undergoing open heart surgery. It is recommended that nurses include progressive muscle relaxation in postoperative pain control and sleep management in usual care.

目的：本研究旨在评价渐进式肌肉放松（PMR）对心脏直视手术患者术后疼痛水平和睡眠质量的影响。设计：单中心、两组、单盲随机对照试验。方法：本研究纳入了2023年1月至2024年4月期间在心血管外科接受心内直视手术的60例患者。将患者随机分为实验组30例，对照组30例。采用患者识别表、McGill疼痛问卷简表（SF-MPQ）和Richard-Campbell睡眠问卷（RCSQ）收集数据。实验组于术后第1、2、3天每天早晚两次应用PMR。评估PMR前后患者的疼痛程度和睡眠质量。对照组接受常规护理和治疗。结果：实验组患者术后疼痛水平由第1天的9.36分降至第3天的1.50分，差异有统计学意义（p0.001）。在对照组中，疼痛水平在第3天仅下降到6.13分。确定实验组睡眠质量逐渐提高，术后第3天达到545.83分。在对照组中，它只增加到330.16分。在实验组和对照组之间的所有测量中，疼痛程度和睡眠质量都有显著差异。结论：在本研究中，提示渐进式肌肉放松可减轻心内直视手术患者的疼痛并改善睡眠质量。建议护士在术后疼痛控制和睡眠管理中加入渐进式肌肉放松。

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引用次数: 0

A Randomized Trial of Cervical Stabilization Exercise Training Via Telerehabilitation for Migraine. 通过远程康复治疗偏头痛的颈椎稳定运动训练的随机试验。

IF 2.1 4区医学 Q2 NURSING

Pain Management Nursing

Pub Date : 2025-09-05 DOI: 10.1016/j.pmn.2025.08.001

Elif Sena Dusgun, Nesrin Karahan, Seyda Toprak Celenay

Purpose: To compare the effects of cervical stabilization exercise training via telerehabilitation (CSET-T) in addition to standard treatment on pain, forward head posture, cervical mobility, muscle performance, functional status, sleep quality, and quality of life in individuals with migraine in comparison to the standard treatment alone.

Methods: The control group (n = 20) received standard treatment alone (medication+recommendations). The stabilization group (n = 20) was given CSET-T in addition to standard treatment 3 days a week for 8 weeks. Pain characteristics were assessed by using a pain diary, whereas forward head posture and cervical mobility were measured using a goniometer, cervical muscle performance (CMP) by using a pressure biofeedback unit, functional status by using the Migraine Disability Assessment Scale (MIDAS), sleep quality by using the Jenkins Sleep Scale (JSS), and quality of life by using the Headache Impact Test-6 (HIT-6).

Results: Given the group-time interaction, it was found that pain frequency, intensity, duration, MIDAS, JSS, and HIT-6 scores decreased more significantly in the stabilization group when compared to the control group (p < .05). Moreover, the craniovertebral angle, cervical range of motions, and CMP values increased significantly more in the stabilization group (p < .05). It was found that there was no statistically significant difference between the groups in terms of compliance with standard treatment (p = .665).

Conclusions: The study revealed that CSET-T in addition to standard treatment is superior to standard treatment alone in reducing pain, improving forward head posture, cervical mobility, muscle performance, functional status, and quality of life in individuals with migraine.

目的：比较通过远程康复进行颈椎稳定运动训练（CSET-T）和标准治疗对偏头痛患者疼痛、头部前向姿势、颈椎活动度、肌肉表现、功能状态、睡眠质量和生活质量的影响，并与标准治疗进行比较。方法：对照组（n = 20）单独接受标准治疗（药物治疗+推荐治疗）。稳定组（n = 20）在标准治疗的基础上给予CSET-T治疗，每周3天，持续8周。使用疼痛日记评估疼痛特征，使用测角仪测量前向头部姿势和颈椎活动度，使用压力生物反馈装置测量颈椎肌肉表现（CMP），使用偏头痛残疾评估量表（MIDAS）测量功能状态，使用詹金斯睡眠量表（JSS）测量睡眠质量，使用头痛影响测试6 （HIT-6）测量生活质量。结果：考虑组间相互作用，稳定组疼痛频率、强度、持续时间、MIDAS、JSS、HIT-6评分较对照组显著降低（p < 0.05）。此外，稳定组颅椎角、颈椎活动度和CMP值明显增加（p < 0.05）。两组患者对标准治疗的依从性差异无统计学意义（p = .665）。结论：研究显示，CSET-T加标准治疗在减轻偏头痛患者疼痛、改善前头姿势、颈椎活动度、肌肉表现、功能状态和生活质量方面优于单独标准治疗。

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引用次数: 0

The Effect of Positive Psychotherapy on Pain Perception, Daily Functioning, and Mental Health in Patients With Fibromyalgia 积极心理治疗对纤维肌痛患者疼痛感知、日常功能和心理健康的影响。

IF 2.1 4区医学 Q2 NURSING

Pain Management Nursing

Pub Date : 2025-09-04 DOI: 10.1016/j.pmn.2025.07.007

Hamide Erol Ph.D , Aysel Karaca Ph.D.

Background

Fibromyalgia syndrome (FMS) is a complex Chronic pain disorder characterized by several symptoms, including widespread pain, fatigue, sleep disturbance, cognitive dysfunction, and mood disorders, with an unknown etiology, and unclear pathophysiology.

Purpose

In this study, a Positive Psychotherapy Program for Patients with Fibromyalgia Syndrome was developed to change the pain perception of patients with fibromyalgia syndrome, optimize their activities of daily living, and improve their mental state, and the effectiveness of the program was confirmed.

Design

We employed a randomized controlled design in this investigation, utilizing a pretest (at baseline), posttest (at the end of the ten-week intervention), and follow-up (in the third month) approach.

Methods

The study was conducted from July 2023 to May 2024 with 72 outpatients diagnosed with fibromyalgia syndrome (experimental group=36, control group=36) who agreed to participate in the study. Data were collected using the Descriptive Information Form, Visual Analog Scale (VAS), Fibromyalgia Impact Questionnaire (FIQ) and General Health Questionnaire-28 (GHQ-28). The data were analyzed using SPSS for mac version 26 software. The 36 patients in the experimental group participated in a program consisting of 10 sessions of 90 minutes each based on positive psychotherapy theory for 10 weeks.

Results

The analysis revealed that there were significant differences between the experimental and control groups in terms of pain, FIQ scores, depression sub-dimension, anxiety sub-dimension, social functioning sub-dimension and somatic symptoms sub-dimensions (VAS: p=0.001, η²=0.438; FIQ: p=0.001, η²=0.517; GHQ-28 total p=0.001, η²=0.522).

Conclusions Clinical Implications

In line with these results, it is recommended that the Positive Psychotherapy Program for Patients with Fibromyalgia Syndrome be used to help fibromyalgia patients improve their symptoms. The research was registered in the Clinical Trials Number protocol registration system with the number NCT06147882.

背景：纤维肌痛综合征（FMS）是一种复杂的慢性疼痛综合征，以广泛疼痛、疲劳、睡眠障碍、认知功能障碍和情绪障碍等症状为特征，病因不明，病理生理不清楚。目的：制定纤维肌痛综合征患者积极心理治疗方案，以改变纤维肌痛综合征患者的疼痛感知，优化其日常生活活动，改善其精神状态，并验证方案的有效性。设计：本研究采用随机对照设计，采用前测（基线时）、后测（十周干预结束时）和随访（第三个月）方法。方法：研究于2023年7月至2024年5月对72例确诊为纤维肌痛综合征的门诊患者（实验组36例，对照组36例）进行研究。采用描述性信息表、视觉模拟量表（VAS）、纤维肌痛影响问卷（FIQ）和一般健康问卷-28 （GHQ-28）收集数据。采用SPSS for mac version 26软件对数据进行分析。实验组的36名患者参加了一个为期10周的项目，该项目由10个疗程组成，每次90分钟，以积极心理治疗理论为基础。结果：实验组与对照组在疼痛、FIQ评分、抑郁子维度、焦虑子维度、社会功能子维度和躯体症状子维度上存在显著差异（VAS: p=0.001, η²=0.438;FIQ: p=0.001, η²=0.517；GHQ-28总分p=0.001, η²=0.522）。结论临床意义：根据这些结果，建议使用纤维肌痛综合征患者积极心理治疗方案来帮助纤维肌痛患者改善症状。本研究已在临床试验编号方案注册系统中注册，编号为NCT06147882。

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引用次数: 0

Managing Allodynia in Complex Regional Pain Syndrome: An Integrated Rehabilitation Approach. 复杂局部疼痛综合征的异常性疼痛管理：一种综合康复方法。

IF 2.1 4区医学 Q2 NURSING

Pain Management Nursing

Pub Date : 2025-08-30 DOI: 10.1016/j.pmn.2025.08.004

Roberto Tedeschi

引用次数: 0

Registered Nurses’ Association of Ontario’s (RNAO) Best Practice Guideline on Pain 安大略省注册护士协会（RNAO）疼痛最佳实践指南。

IF 2.1 4区医学 Q2 NURSING

Pain Management Nursing

Pub Date : 2025-08-28 DOI: 10.1016/j.pmn.2025.07.017

Courtney Braun MSc, Lauren Bailey MPH, Deborah Flores MN, Christine Buchanan MN, Nafsin Nizum MN

Aim

A fourth edition best practice guideline (BPG), Pain: Prevention, Assessment, and Management, was published in February 2025. This updated guideline offers three evidence-based recommendations for nurses and other health providers to effectively prevent, assess and manage pain for individuals across the lifespan. A summary of the guideline is presented.

Methods

The BPG team in collaboration with a panel of experts developed five good practice statements and conducted two systematic reviews to address three recommendation questions. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach was used to evaluate the quality of evidence, ensuring the guideline aligns with international reporting standards. This article summarizes the guideline development process and provides a high-level overview of the guideline content.

Results

The BPG features three recommendations and five good practice statements. Summaries of the systematic review findings and supporting literature for the good practice statements are provided.

Conclusions

The guideline highlights implementation and evaluation strategies, health equity considerations and future research priorities with respect to the recommendations and good practice statements. This BPG serves as a valuable resource for academic institutions, health service organizations and health providers to support effective pain prevention, assessment and management for individuals experiencing pain.

目标：第四版最佳实践指南（BPG）《疼痛：预防、评估和管理》于2025年2月出版。这一更新的指南为护士和其他卫生服务提供者提供了三项基于证据的建议，以有效地预防、评估和管理个人一生中的疼痛。本文对该指南进行了总结。方法：BPG团队与专家小组合作制定了五项良好实践声明，并进行了两次系统评价，以解决三个推荐问题。采用建议、评估、发展和评价分级（GRADE）方法来评估证据的质量，确保指南与国际报告标准保持一致。本文总结了指南的开发过程，并提供了指南内容的高级概述。结果：BPG有三条建议和五条良好实践声明。提供了系统审查结果的摘要和良好做法声明的支持文献。结论：该指南强调了关于建议和良好做法声明的实施和评价战略、卫生公平考虑和未来研究重点。该BPG为学术机构、卫生服务组织和卫生服务提供者提供了宝贵的资源，以支持对经历疼痛的个人进行有效的疼痛预防、评估和管理。

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引用次数: 0

25 Years of Pain Management Nursing Celebrating Our History 疼痛管理护理25周年纪念

IF 2.1 4区医学 Q2 NURSING

Pain Management Nursing

Pub Date : 2025-08-27 DOI: 10.1016/j.pmn.2025.08.007

Elaine L. Miller PhD, RN, CRRN, FAAN, FAHA (editor)

引用次数: 0

Letter to the Editor: “Hand and Foot Massage on Pain Management After Cesarean Section: A Meta-Analysis” 致编辑的信：“手和脚按摩对剖宫产术后疼痛管理：荟萃分析”。

IF 2.1 4区医学 Q2 NURSING

Pain Management Nursing

Pub Date : 2025-08-27 DOI: 10.1016/j.pmn.2025.07.011

Sari Luthfiyah MSc , Triwiyanto Triwiyanto PhD , Enung Mardiyana Hidayat MN

引用次数: 0

Effects of Yoga on Pain and Functional Disabilities in Nurses Experiencing Low Back Pain 瑜伽对护士腰痛疼痛和功能障碍的影响。

IF 2.1 4区医学 Q2 NURSING

Pain Management Nursing

Pub Date : 2025-08-27 DOI: 10.1016/j.pmn.2025.07.012

Raziye Nur Kutlay R.N., M.Sc. , Gamze Muz R.N., Ph.D. , Hanife Özçelik R.N., Ph.D.

Purpose

This study was conducted to evaluate the effects of yoga on pain levels and functional disabilities in nurses.

Design

Randomized controlled trial.

Methods

The sample of the study consisted of 91 nurses (Intervention group: 44, control group: 47). Ethics committee and institutional approvals were obtained for the study to be conducted. Data of the study were collected using a questionnaire form, Mcgill Melzack Pain Questionnaire (MASF), Oswestry Functional Disability Scale. Descriptive statistics, t-test in independent groups, Paired t-test and chi-square tests were used in the evaluation of the data.

Results

A statistically significant decrease was found in all sub-dimensions of the MASF scale after the application of the nurses in the intervention group compared to before the application (p < .001). A significant decrease was found in the post-application mean scores of the Oswestry Functional Disability Scale of the nurses in the intervention group (p < .001).

Conclusions

Four weeks of regular yoga practice reduced pain and functional disability in nurses

Clinical Implications

Yoga-based interventions may help nurses maintain physical health and achieve successful pain management.

目的：本研究旨在评估瑜伽对护士疼痛水平和功能障碍的影响。设计：随机对照试验。方法：研究对象为91名护士（干预组44名，对照组47名）。该研究已获得伦理委员会和机构的批准。采用Mcgill Melzack疼痛问卷（MASF）、Oswestry功能障碍量表收集研究数据。资料评价采用描述性统计、独立组t检验、配对t检验和卡方检验。结果：干预组护士应用后MASF量表各子维度较应用前均有显著降低（p < 0.001）。干预组护士申请后Oswestry功能障碍量表平均得分显著降低（p < 0.001）。结论：四个星期的常规瑜伽练习可以减少护士的疼痛和功能障碍。临床意义：瑜伽干预可以帮助护士保持身体健康，实现成功的疼痛管理。

{"title":"Effects of Yoga on Pain and Functional Disabilities in Nurses Experiencing Low Back Pain","authors":"Raziye Nur Kutlay R.N., M.Sc. , Gamze Muz R.N., Ph.D. , Hanife Özçelik R.N., Ph.D.","doi":"10.1016/j.pmn.2025.07.012","DOIUrl":"10.1016/j.pmn.2025.07.012","url":null,"abstract":"<div><h3>Purpose</h3><div>This study was conducted to evaluate the effects of yoga on pain levels and functional disabilities in nurses.</div></div><div><h3>Design</h3><div>Randomized controlled trial.</div></div><div><h3>Methods</h3><div>The sample of the study consisted of 91 nurses (Intervention group: 44, control group: 47). Ethics committee and institutional approvals were obtained for the study to be conducted. Data of the study were collected using a questionnaire form, Mcgill Melzack Pain Questionnaire (MASF), Oswestry Functional Disability Scale. Descriptive statistics, <em>t</em>-test in independent groups, Paired <em>t</em>-test and chi-square tests were used in the evaluation of the data.</div></div><div><h3>Results</h3><div>A statistically significant decrease was found in all sub-dimensions of the MASF scale after the application of the nurses in the intervention group compared to before the application (<em>p</em> < .001). A significant decrease was found in the post-application mean scores of the Oswestry Functional Disability Scale of the nurses in the intervention group (<em>p</em> < .001).</div></div><div><h3>Conclusions</h3><div>Four weeks of regular yoga practice reduced pain and functional disability in nurses</div></div><div><h3>Clinical Implications</h3><div>Yoga-based interventions may help nurses maintain physical health and achieve successful pain management.</div></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"26 6","pages":"Pages 663-674"},"PeriodicalIF":2.1,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144964662","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}

引用次数: 0

A Systematic Review of Pain Catastrophizing and Chronic Musculoskeletal Pain 疼痛灾难和慢性肌肉骨骼疼痛的系统综述。

IF 2.1 4区医学 Q2 NURSING

Pain Management Nursing

Pub Date : 2025-08-25 DOI: 10.1016/j.pmn.2025.07.014

Sotaro Shimada M.H.S., R.N., P.H.N., Ardith Z. Doorenbos Ph.D., R.N., F.A.A.N., Ellen Goldstein Ph.D., M.F.T., Dahee Wi Ph.D., R.N.

Objectives

This study was designed to synthesize recent randomized controlled trials examining the associations between pain catastrophizing and four key pain-related outcomes (i.e., pain intensity, disability, pain interference, and physical function) among adults with chronic musculoskeletal pain. This review clarifies the role of pain catastrophizing in pain outcomes to inform targeted interventions.

Design

A systematic review was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.

Methods

The Cumulative Index of Nursing and Allied Health Literature, PubMed, Excerpta Medica Database, PsycINFO, Scopus, and Web of Science were searched. The key search terms “pain catastrophizing,” “chronic musculoskeletal pain,” and “pain-related outcomes” were combined to find randomized controlled trials published in English from October 2018 to 2024 and study quality was assessed using the revised Cochrane Risk-of-Bias tool for randomized trials. The data were descriptively synthesized.

Results

After screening, 20 studies were included in the review. The major pain type was chronic back pain. Among the studies, 13 reported a significant association between pain catastrophizing and pain-related outcomes, with some studies identifying multiple significant outcomes, including pain intensity (n = 8), disability (n = 7), and pain interference (n = 3).

Conclusion

This review highlights the associations between pain catastrophizing and pain-related outcomes in adults with chronic musculoskeletal pain. The findings emphasize the importance of addressing pain catastrophizing in interventions to improve pain-related outcomes.

Funding

This work was supported by Grant K24 AT011995 from the National Center for Complementary and Integrative Health and the National Institute of Neurological Disorders and Stroke.

目的：本研究旨在综合近期的随机对照试验，研究慢性肌肉骨骼疼痛成人患者疼痛灾变与四个关键疼痛相关结局（即疼痛强度、残疾、疼痛干扰和身体功能）之间的关系。这篇综述阐明了疼痛灾难在疼痛结果中的作用，为有针对性的干预提供信息。设计：按照系统评价和荟萃分析指南的首选报告项目进行系统评价。方法：检索Nursing and Allied Health Literature Cumulative Index、PubMed、abstrpta Medica Database、PsycINFO、Scopus、Web of Science。将关键词“疼痛灾难化”、“慢性肌肉骨骼疼痛”和“疼痛相关结果”结合起来，找到2018年10月至2024年发表的英文随机对照试验，并使用修订后的Cochrane随机试验风险偏倚工具评估研究质量。数据是描述性合成的。结果：经筛选，纳入20项研究。主要疼痛类型为慢性背痛。在这些研究中，13项研究报告了疼痛灾难化与疼痛相关结局之间的显著关联，一些研究确定了多个显著结局，包括疼痛强度（n = 8）、残疾（n = 7）和疼痛干扰（n = 3）。结论：这篇综述强调了成人慢性肌肉骨骼疼痛的疼痛灾难和疼痛相关结果之间的联系。研究结果强调了在干预中解决疼痛灾难的重要性，以改善疼痛相关的结果。资助：这项工作由国家补充和综合健康中心和国家神经疾病和中风研究所的Grant K24 AT011995支持。

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引用次数: 0

Implementation of Music Intervention for Acute Postoperative Pain Management 音乐干预在急性术后疼痛管理中的应用。

IF 2.1 4区医学 Q2 NURSING

Pain Management Nursing

Pub Date : 2025-08-25 DOI: 10.1016/j.pmn.2025.07.010

Sabitha Purayil D.N.P., R.N., C.M.S.R.N., R.N.-B.C. , Christi Nguyen D.N.P., R.N.,. N.E.A.-B.C., C.E.N.P., F.A.C.H.E., F.A.A.N. , Joanna Carrega Ph.D., R.N.

Background

Pain is expected as an aftermath of any kind of surgery, irrespective of the site or duration. A comprehensive pain management strategy is required to ensure a positive outcome in the postoperative period.

Purpose

The purpose of the project was to evaluate the effectiveness of the music intervention as an adjuvant to the pharmacological measures for postoperative pain management measured by the pain scoring on the numerical rating scale tool and the amount of opioids measured by morphine milligram equivalent (MME) scores during postoperative days 1 and 2.

Method

The project used two nonequivalent groups, and the data on the pre-implementation group was obtained by retrospective chart review. The postimplementation group was allowed to listen to music of their choice thrice a day for at least 30 minutes each time, and data was collected prospectively. The pain scores were analyzed using the t-test: two-sample assuming equal variances and MME score by Mann–Whitney U test.

Results

The result demonstrated that music is statistically and clinically significant in reducing the postoperative pain score and opioids administered.

Conclusion

Music being safe and easily accessible should be advocated as an adjuvant with pharmacological measures for safer recovery after surgery. It is a nurse-driven intervention requiring no physician order and allows patients to control their plan of care better. Advocating for patient-chosen music allows healthcare team members to provide culturally competent care.

背景：任何类型的手术，无论部位或持续时间，疼痛都是预期的后果。需要一个全面的疼痛管理策略来确保术后的积极结果。目的：该项目的目的是评估音乐干预作为术后疼痛管理药物措施的辅助措施的有效性，这些药物措施是通过数字评定量表工具上的疼痛评分和术后第1天和第2天吗啡毫克当量（MME）评分来衡量的阿片类药物的数量。方法：采用非等效两组，实施前组资料采用回顾性图表复习法。研究人员允许实施后的一组每天听三次自己选择的音乐，每次至少30分钟，并前瞻性地收集数据。疼痛评分采用t检验，两样本假设方差相等，MME评分采用Mann-Whitney U检验。结果：结果表明音乐在降低术后疼痛评分和阿片类药物使用方面具有统计学和临床意义。结论：应提倡安全、方便的音乐作为辅助手段，配合药物治疗，使术后恢复更安全。这是一种护士驱动的干预，不需要医生的命令，并允许患者更好地控制他们的护理计划。提倡病人选择的音乐可以让医疗团队成员提供符合文化的护理。

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引用次数: 0