Pain Management Nursing最新文献

{"title":"The Influence of Race on Pain Management Among Registered Nurses","authors":"Esther Chipps Ph.D., R.N.,N.E.A.-B.C., F.A.O.N.L. ,&nbsp;Todd E. Tussing D.N.P., R.N., C.E.N.P., N.E.A.-B.C., E.B.P.-C., F.N.A.P. ,&nbsp;Carolyn Huffman Ph.D., W.H.N.P. ,&nbsp;Lindsay Thompson Munn Ph.D., R.N. ,&nbsp;Loraine T. Sinnott Ph.D. ,&nbsp;Bevra Brinkman D.N.P., A.P.R.N.-C.N.S., A.C.N.S.-B.C., E.B.P.-C. ,&nbsp;Judy Jefferson-Gordon D.N.P., M.B.A., MedSurg-B.C., N.E.-B.C. ,&nbsp;Latasha Park M.S.N., R.N. ,&nbsp;Natalia Cineas D.N.P., R.N., N.E.A.-B.C., F.A.A.N.","doi":"10.1016/j.pmn.2025.06.009","DOIUrl":"10.1016/j.pmn.2025.06.009","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aims to determine the impact of racial bias on nurses' clinical decision-making related to pain management.</div></div><div><h3>Design</h3><div>A cross-sectional survey was conducted using clinical vignettes of registered nurses (RNs) working at four healthcare systems across the United States.</div></div><div><h3>Methods</h3><div>RNs working in adult inpatient settings and emergency departments were recruited to participate in an online survey. The survey included four clinical vignettes describing a patient in pain. Blinded to the research questions, participants randomly received one of two survey versions that were identical except for the patient's race (White/Black) in the four vignettes. Participants were asked to read and review each vignette and respond to the clinical questions about the clinical situation. Statistical analysis examined the main and interaction effects based on the nurses’ and patients’ race. Nurses were informed of the research question and deception after data collection.</div></div><div><h3>Results</h3><div>A total of 563 nurses responded to the survey. Only respondents identifying as White (n = 401) or Black (n = 44) were included in the analysis. Across vignettes, results were mixed, with some evidence of differences in pain treatment and perceptions of therapeutic relationships in racially discordant pairs.</div></div><div><h3>Conclusions</h3><div>Clinical decisions impacted by race were noted in nurses' assessments of pain, nurses' decisions to administer medication, stigma toward substance use, and perceptions of the ability to form therapeutic relationships.</div></div><div><h3>Clinical Implications</h3><div>Management of pain in the setting of diversity remains a complex challenge. Clinicians must recognize how bias can influence pain management. Pain assessment policies, procedures, and guidelines must explicitly address race and ethnicity in their development.</div></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"27 1","pages":"Pages 42-49"},"PeriodicalIF":2.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144591962","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":"Impact of Bundled Care: Optimizing Pain Management Outcomes in Acute Care","authors":"Mary Kelly D.N.P., M.S.N., M.H.A., N.E.A.-B.C. ,&nbsp;Denise Danna D.N.S., R.N., C.N.E., N.E.A.-B.C., F.A.C.H.E. ,&nbsp;Marsha Bennett D.N.S., R.N. ,&nbsp;Karen Rice D.N.S., A.P.R.N., A.C.N.S.-B.C., A.N.P. ,&nbsp;Helen Calmes PharmD, M.B.A. ,&nbsp;Paige Fisher ,&nbsp;Mary Dioise Ramos Ph.D., R.N., C.N.E., F.A.A.N.","doi":"10.1016/j.pmn.2025.05.003","DOIUrl":"10.1016/j.pmn.2025.05.003","url":null,"abstract":"<div><h3>Purpose</h3><div>Despite therapeutic advances, inadequate pain management in hospitalized patients often leads to chronic pain and opioid dependency. Nonpharmacologic strategies offer potential benefits, especially when integrated into a bundled care approach that enhances pain management and patient engagement. This research aimed to test the effect of a standardized bundle of evidence-based pain care strategies on medical-surgical patients' perceived pain quality outcomes.</div></div><div><h3>Design &amp; Methods</h3><div>This study employed a 2-group, quasi-experimental design to assess the impact of a unit-based intervention, PAIN-X Therapy, on pain care quality outcomes compared to usual pain care.</div></div><div><h3>Results</h3><div>There were 365 participants included in the study to determine the effects of pain care strategies. The Intervention group reported higher acetaminophen use (<em>p</em> = .0465), lower marijuana use (<em>p</em> = .0002), and greater use of alternative therapies (<em>p</em> = .0505). Those receiving comprehensive pain care reported better pain relief (OR=1.73, <em>p</em> &lt; .05) and coping ability (OR=1.61, <em>p</em> &lt; .05). Positive outcomes were observed for participants fully adhering to the therapy bundle.</div></div><div><h3>Conclusion</h3><div>Full PAIN-X Therapy improves patients' perceptions of pain care quality based on subsample analyses, emphasizing the need for further research to expand and refine these findings.</div></div><div><h3>Clinical Implications</h3><div>Implementing comprehensive pain care bundles enhances patient outcomes and fosters collaboration across healthcare teams, optimizing the delivery of evidece-based pain relief strategies.</div></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"27 1","pages":"Pages 31-41"},"PeriodicalIF":2.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144234779","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":"Cannabis Use for Chronic Pain in Sickle Cell Disease: A Scoping Review","authors":"Simone B. Jackson BSN, RN ,&nbsp;Isaac Payton MSN, MBA, APRN, PMHNP-BC ,&nbsp;Keesha Powell-Roach Ph.D., RN, FAAN ,&nbsp;Angela Starkweather Ph.D., ACNP-BC, FAANP, FAAN ,&nbsp;Robert L. Cook M.D., MPH ,&nbsp;Deepthi S. Varma Ph.D., MPhil, MSW ,&nbsp;Ellen L. Terry Ph.D. ,&nbsp;Staja Q. Booker Ph.D., RN, FAAN","doi":"10.1016/j.pmn.2025.06.010","DOIUrl":"10.1016/j.pmn.2025.06.010","url":null,"abstract":"<div><h3>Purpose</h3><div>The purposes of this scoping review were to: (1) systematically evaluate the literature on the types and effectiveness of cannabis and cannabinoids for pain management in adults with sickle cell disease (SCD), (2) assess the effect of cannabis and cannabinoids on pain outcomes, and (3) identify research gaps.</div></div><div><h3>Design</h3><div>Systematic scoping review.</div></div><div><h3>Methods</h3><div>Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) guidelines, relevant studies were identified across PubMed, CINAHL, and Cannakeys databases. Inclusion criteria were studies involving medical and recreational cannabis use in adult SCD patients addressing pain management. Exclusion criteria included studies on pediatric populations, non-English publications, or case reports.</div></div><div><h3>Results</h3><div>Of 369 articles, 12 met inclusion criteria (one clinical trial, two reviews, seven observational, one mixed-methods, and one qualitative study), revealing mixed but generally positive evidence on cannabinoid effectiveness. While some studies indicated reduced pain scores with inhaled cannabis, results varied for other pain outcomes, such as hospitalizations for vaso-occlusive crises, and raised safety concerns, particularly with synthetic cannabinoids.</div></div><div><h3>Conclusions</h3><div>Cannabinoids may help manage SCD pain, though evidence remains mixed. No studies showed exacerbation of SCD symptoms, but safety concerns warrant careful use.</div></div><div><h3>Clinical Implications</h3><div>The variability in outcomes underscores the need for personalized cannabis-based treatment plans and further research on standardized dosing and long-term safety.</div></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"27 1","pages":"Pages e17-e25"},"PeriodicalIF":2.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144718309","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":"A Systematic Review of Pain Catastrophizing and Chronic Musculoskeletal Pain","authors":"Sotaro Shimada M.H.S., R.N., P.H.N.,&nbsp;Ardith Z. Doorenbos Ph.D., R.N., F.A.A.N.,&nbsp;Ellen Goldstein Ph.D., M.F.T.,&nbsp;Dahee Wi Ph.D., R.N.","doi":"10.1016/j.pmn.2025.07.014","DOIUrl":"10.1016/j.pmn.2025.07.014","url":null,"abstract":"<div><h3>Objectives</h3><div>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.</div></div><div><h3>Design</h3><div>A systematic review was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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).</div></div><div><h3>Conclusion</h3><div>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.</div></div><div><h3>Funding</h3><div>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.</div></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"27 1","pages":"Pages e72-e84"},"PeriodicalIF":2.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144964726","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":"The Relationship Between Nurses’ Pain Beliefs and Ethical Attitudes to Pain","authors":"Nevin Doğan Ph.D., R.N. ,&nbsp;Meyreme Aksoy Ph.D., R.N. ,&nbsp;Nefise Cevriye Sucu Çakmak Ph.D., R.N.","doi":"10.1016/j.pmn.2025.06.003","DOIUrl":"10.1016/j.pmn.2025.06.003","url":null,"abstract":"<div><h3>Purpose</h3><div>Pain is a multifaceted phenomenon shaped by biological, psychological, and social factors, as emphasized by cognitive-behavioral and biopsychosocial models. Understanding whether nurses prioritize the biological or psychological dimensions of pain is crucial, as their pain beliefs can directly influence their ethical attitudes and the quality of patient-centered care. Therefore, this study aimed to examine the relationship between nurses' pain beliefs and their ethical attitudes in pain management.</div></div><div><h3>Design</h3><div>A descriptive and correlational research design was used.</div></div><div><h3>Methods</h3><div>The study included 194 nurses working at a state hospital in Türkiye between April and May 2024. Data collection tools consisted of the \"Introductory Information Form,\" the \"Pain Beliefs Scale,\" and the \"Ethical Attitudes in Pain Management Scale.\" Descriptive statistics and multivariate linear regression analysis were applied to evaluate the findings.</div></div><div><h3>Results</h3><div>The results showed that the nurses' average score for psychological pain beliefs was 4.75 ± 0.91, while the average score for organic pain beliefs was 3.62 ± 0.65. Additionally, the average score for nurses' ethical attitudes in pain management was 101.89 ± 11.56. It was found that organic pain beliefs negatively predicted nurses' ethical attitudes in pain management, whereas psychological pain beliefs positively predicted them (<em>p</em> &lt; .05). The regression model explained 11.6% of the variance in ethical attitudes (R² = 0.116), with a small to medium effect size (Cohen’s f² = 0.13), indicating practical significance alongside statistical significance.</div></div><div><h3>Conclusions</h3><div>This study highlights the influence of nurses' pain beliefs on their ethical decision-making. Given the differential effects of psychological and organic pain beliefs, tailored educational interventions emphasizing a holistic and ethical approach to pain management are recommended.</div></div><div><h3>Clinical Implications</h3><div>The findings highlight the significant impact of nurses' pain beliefs on their ethical attitudes in pain management. Given that psychological pain beliefs positively influence ethical attitudes and organic beliefs have a negative effect, in-service training programs should be designed to include modules on ethical dilemmas specific to pain care (e.g., balancing patient autonomy with clinical judgment), holistic pain assessment techniques (addressing both physical and psychological dimensions), and the application of ethical frameworks in clinical decision-making. These targeted trainings can help nurses adopt a more patient-centered and empathetic approach, ensuring that ethical principles such as autonomy and dignity are upheld in pain management.</div></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"27 1","pages":"Pages 68-75"},"PeriodicalIF":2.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565038","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":"Bridging Gaps in Pain Management: A Qualitative Study of Nurse Navigator Roles","authors":"Michael Coriasco MNE, RN, CNE, PhD ,&nbsp;Elizabeth Feustel BSN, MHP, RN ,&nbsp;Jennifer C. Anderson BA ,&nbsp;Fionnuala S. Brown DNP, MSN, FNP-C ,&nbsp;Evan Thomas BSN, RN ,&nbsp;Ross J. Bindler PharmD ,&nbsp;Marian Wilson PhD, MPH, RN, PMGT-BC","doi":"10.1016/j.pmn.2025.07.008","DOIUrl":"10.1016/j.pmn.2025.07.008","url":null,"abstract":"<div><h3>Purpose</h3><div>This study explores healthcare professionals' perspectives on how a Nurse Navigator (NN) role can be used to enhance pain management for adults with pain living in community settings.</div></div><div><h3>Design</h3><div>A qualitative descriptive design was employed using virtual focus groups to gather data from healthcare professionals experienced in nurse navigation, care coordination, or case management.</div></div><div><h3>Methods</h3><div>A convenience sample of seven U.S.-based participants was recruited, all of whom reported current or prior experience working as or with NNs, care coordinators, or case managers. Participants held roles in pain and oncology-focused navigation across diverse geographic regions. Focus groups were conducted via videoconferencing, recorded, and analyzed using qualitative content analysis to identify common themes.</div></div><div><h3>Results</h3><div>Four key themes emerged: Creative Problem Solving, Functional Roles of Care Navigation, Relational Roles of Care Navigation, and Emotional Support. These themes highlight the multifaceted ways NNs can support adults with pain through coordinating care, managing resources, fostering relationships, and providing empathetic support - key components of person-centered pain management.</div></div><div><h3>Conclusion and Clinical Implications</h3><div>The findings underscore the potential of NNs to improve pain management through personalized advocacy and care coordination. Integrating NNs into care teams may offer opportunities to enhance outcomes and address systemic barriers. Healthcare organizations should consider investing in formal training, role standardization, and supportive policies to develop NN roles and measure impacts on community-based pain management.</div></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"27 1","pages":"Pages 10-17"},"PeriodicalIF":2.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144964653","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":"Low Back Pain Prevalence in Indonesian Older Adults: Systematic Review and Meta-Analysis","authors":"Herry Susanto Ph.D., R.N. ,&nbsp;Loan Thi Dang Ph.D., R.N. ,&nbsp;Siriluk Winitchayothin Ph.D., R.N. ,&nbsp;Jufri Hidayat Ph.D., R.N. ,&nbsp;Anung Ahadi Pradana Ph.D., R.N.","doi":"10.1016/j.pmn.2025.07.004","DOIUrl":"10.1016/j.pmn.2025.07.004","url":null,"abstract":"<div><h3>Objectives</h3><div>Low back pain (LBP) in Indonesia has emerged as a significant health issue among older adults. Consequently, this systematic review and meta-analysis were conducted to evaluate the prevalence of LBP among older adults in Indonesia.</div></div><div><h3>Data Sources</h3><div>Five electronic databases (Cumulated Index in Nursing and Allied Health Literature [CINAHL], PubMed, EMBASE, OVID Medline, and GARUDA database) were systematically searched without restrictions on language or publication year for relevant articles from their inception through October 2024.</div></div><div><h3>Review/Analysis Methods</h3><div>This systematic review and meta-analysis adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. The qualitative synthesis was done regarding the pain severity, study settings, age groups, sex, and occupation of the older adults. All analyses were conducted using Comprehensive Meta-Analysis software, and results are presented as percentages with 95% confidence intervals (CIs).</div></div><div><h3>Results</h3><div>A total of 12 studies were included. These studies covered 8 of 34 provinces in Indonesia, and the overall pooled prevalence of LBP in older adults was estimated to be 32.2% (95% CI: 17.6%-51.5%). The trim-and-fill analysis showed that the adjusted pooled prevalence of LBP was 14.32% (95% CI: 6.2%-29.6%) after four studies were trimmed. Subgroup analyses were conducted across five variables: pain severity, study settings, age group, sex, and occupation among older adults.</div></div><div><h3>Conclusions</h3><div>This study is the first meta-analysis to report the pooled prevalence of LBP in older adults residing in Indonesia. The rising incidence of LBP among older adults necessitates greater attention from both government authorities and healthcare professionals.</div></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"27 1","pages":"Pages e92-e102"},"PeriodicalIF":2.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144859536","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(25)00368-6","DOIUrl":"10.1016/S1524-9042(25)00368-6","url":null,"abstract":"","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"27 1","pages":"Page A5"},"PeriodicalIF":2.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146071139","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":"Sex, Income, and Education as Determinants of Chronic Pain in Mainland China","authors":"Jiafan He Ph.D. ,&nbsp;Mimi MY Tse Ph.D. ,&nbsp;Tyrone Tai On Kwok Ph.D. ,&nbsp;Timothy Chung Ming Wu Ph.D. ,&nbsp;Tang Shuk Kwan M.D. ,&nbsp;Yujiang Fan M.D. ,&nbsp;Chenghuan Qi M.D. ,&nbsp;Tianhang Chen M.D. ,&nbsp;Li Huang M.D.","doi":"10.1016/j.pmn.2025.09.009","DOIUrl":"10.1016/j.pmn.2025.09.009","url":null,"abstract":"<div><h3>Background</h3><div>Chronic pain is a global health burden with significant impacts on daily functioning and quality of life. While previous studies have reported higher pain prevalence among females globally, emerging evidence from mainland China suggests a contrasting pattern.</div></div><div><h3>Purpose</h3><div>This study aimed to explore the sex differences, and interactions with socio-demographic factors, pain perception in predicting pain intensity among adults with chronic pain in mainland China.</div></div><div><h3>Design</h3><div>This study used a descriptive cross-sectional design.</div></div><div><h3>Methods</h3><div>A survey was conducted among 1,607 adults in mainland China. The Mann–Whitney U test was employed to compare mean pain intensity between sex groups. Generalized Linear Models and stepwise regression were employed to analyze associations with chronic pain.</div></div><div><h3>Results</h3><div>The findings revealed that males reported a higher prevalence and intensity of chronic pain compared to females. Lower income was associated with a higher likelihood of chronic pain, while higher income and lower education were significant predictors of greater pain intensity. Significant interaction effects between income, education, and sex on pain intensity were observed. Furthermore, males’ pain intensity was more strongly influenced by the perception that exercise exacerbates pain, while females were more likely to view pain as a natural consequence of aging.</div></div><div><h3>Conclusion</h3><div>These findings challenge traditional assumptions about sex differences in chronic pain and underscore the need for sex-sensitive interventions, such as online pain management programs tailored to address the distinct socio-demographic and perceptual factors influencing men and women.</div></div><div><h3>Clinical Implications</h3><div>Recognizing sex differences in chronic pain, particularly related to socio-demographics and pain perception, can help healthcare providers tailor pain assessment and management strategies to improve outcomes for both men and women.</div></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"27 1","pages":"Pages e63-e71"},"PeriodicalIF":2.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145275515","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":"Cognitive Intrusion, Pain Coping and Quality of Life in Hemodialysis Patients","authors":"Reyhan Doğan PhD,RN ,&nbsp;Neşe Mercan ,&nbsp;Burcu Bayrak Kahraman ,&nbsp;Ali Veysel Kara","doi":"10.1016/j.pmn.2025.07.003","DOIUrl":"10.1016/j.pmn.2025.07.003","url":null,"abstract":"<div><h3>Purpose</h3><div>Hemodialysis patients frequently experience pain-related symptoms for various reasons. Pain management requires evaluating cognitive processes, coping strategies, and quality of life. This study aimed to examine the effects of the cognitive intrusion of pain and pain coping strategies on the quality of life in hemodialysis patients.</div></div><div><h3>Design</h3><div>A multicenter, cross-sectional study.</div></div><div><h3>Methods</h3><div>The study included 108 hemodialysis patients from two dialysis centers. Data were collected using the Personal Information Form, Visual Analog Scale, Experience of Cognitive Intrusion of Pain Scale, Pain Coping Inventory, and Short-Form Health Survey. Statistical analyses included descriptive statistics, Mann-Whitney U test, independent sample t-test, Kruskal-Wallis test, one-way ANOVA, and hierarchical regression analysis to evaluate the relationship between variables.</div></div><div><h3>Results</h3><div>Cognitive intrusion significantly predicted the physical and mental components of quality of life, explaining 24% and 12% of the variance, respectively. Adding passive coping strategies increased the explained variance by 4% and 3%, and active coping strategies added 4% and 1%, respectively.</div></div><div><h3>Conclusions</h3><div>Cognitive intrusion of pain is a critical factor in improving the quality of life of hemodialysis patients. This study uniquely highlighted how active and passive pain coping strategies, combined with cognitive intrusion, influence quality of life. Nurses can enhance patients’ well-being by focusing on these aspects.</div></div><div><h3>Clinical Implications</h3><div>Nurses should evaluate cognitive pain intrusion and coping strategies, prioritizing the promotion of active coping approaches to improve the quality of life in hemodialysis patients.</div></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"27 1","pages":"Pages e56-e62"},"PeriodicalIF":2.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144964742","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}