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Application of Integrated Medical Care “Cloud-Based Virtual Ward” Management Model on Postoperative Analgesia: Based on Zigbee Technology 基于 Zigbee 技术的医护一体化 "云虚拟病房 "管理模式在术后镇痛中的应用。
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2025-02-01 DOI: 10.1016/j.pmn.2024.07.011
Shaoru Chen Ph.D. , Hui Zhi B.Sc. , Hongmei Zhang B.Sc. , Jie Wang M.D. , Xin Li B.Sc.

Purpose

This study aimed to compare acute care postoperative patients monitored by standard care to those monitored through virtual ward technology by pain team to evaluate status in real-time.

Design

Retrospective cohort study.

Methods

We included 72,240 and 68,424 postoperative patients who underwent the acute pain service model between January 2021 and April 2022 and the “cloud-based virtual ward” management model between May 2022 and September 2023, respectively. Patients were administered patient-controlled intravenous analgesia after surgery, and we collected perioperative data regarding the general condition, operation type, postoperative moderate-to-severe pain, nausea and vomiting, dizziness, hoarseness, and drowsiness of the patients.

Results

The incidences of moderate-to-severe postoperative pain, postoperative nausea and vomiting, dizziness, drowsiness, hoarseness, resting pain, and activity pain were significantly reduced in the “cloud-based virtual ward” management model when compared with the acute pain service model.

Conclusions

Compared to the acute pain service model, the “cloud-based virtual ward” management model can enhance pain management satisfaction and lower the frequency of moderate-to-severe postoperative pain and adverse effects.

Clinical Implications

The “cloud-based virtual ward” management model proposed in this study may improve the care of patients with acute postoperative pain. By reviewing the two pain management models for postoperative patients, we were able to compare the incidence of postoperative adverse reactions and use the standard process of the integrated medical care “cloud-based virtual ward” management model to optimize the management of postoperative patients and promote their health outcomes.
目的:本研究旨在比较采用标准护理方法监测的急症护理术后患者与通过虚拟病房技术由疼痛小组监测以实时评估状态的患者:设计:回顾性队列研究:我们纳入了 72240 名和 68424 名术后患者,他们分别在 2021 年 1 月至 2022 年 4 月期间接受了急性疼痛服务模式,以及在 2022 年 5 月至 2023 年 9 月期间接受了 "基于云的虚拟病房 "管理模式。患者术后均接受了患者自控静脉镇痛,我们收集了患者的一般情况、手术类型、术后中重度疼痛、恶心呕吐、头晕、声音嘶哑和嗜睡等围术期数据:结果:与急性疼痛服务模式相比,"云虚拟病房 "管理模式下术后中重度疼痛、术后恶心呕吐、头晕、嗜睡、声音嘶哑、静息痛和活动痛的发生率明显降低:结论:与急性疼痛服务模式相比,"云虚拟病房 "管理模式可提高疼痛管理满意度,降低术后中重度疼痛和不良反应的发生频率:临床意义:本研究提出的 "云虚拟病房 "管理模式可改善急性术后疼痛患者的护理。通过回顾两种术后患者疼痛管理模式,我们能够比较术后不良反应的发生率,并利用医护一体化 "云虚拟病房 "管理模式的标准流程优化术后患者的管理,促进其健康预后。
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引用次数: 0
NursPainPrevent: A Prospective Observational Study on Pain During a Bed Bath 护理预防疼痛:床上沐浴时疼痛的前瞻性观察研究
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2025-02-01 DOI: 10.1016/j.pmn.2024.07.009
Bénédicte Lombart Ph.D., R.N. , Patricia Cimerman R.N. , Céline Guiot R.N. , Valérie Gayet R.N. , I. Sabelle Sanglier , Muriel Sansac R.N. , Sandrine Avignon R.N. , Emilie Boulet R.N. , Florence Lay R.N. , Louise Geoffroy R.N. , Stéphanie Mauboussin-Carlos R.N. , Christian Guy-Coichard M.D. , Etienne Guilly R.N. , Céline Bouchart M.Sc., R.N.

Background

Although bed baths are known to cause pain, the engendered pain frequency and intensity remain poorly studied. This prospective, observational study was undertaken to examine prospectively, on a given day, patients’ bed bath-associated pain in the general in-hospital population.

Methods

Eight external investigators observed 166 bed baths given in 23 units in 5 hospitals. Using validated assessment scales specific to the patients’ clinical situations, they established pain scores.

Results

Expert observers rated bed bath-induced pain as moderate-to-severe for 48% of the patients, among whom 51.9% had not received prophylactic analgesia prior to the procedure. Only 7.2% benefited from evaluation with a validated pain scale. Astute attention-distraction techniques were applied to shift attention during 16.8% of the bed baths. Caregivers used verbal guidance for 85% of the procedures, and adapted touch and rhythm of the gestures for 84.3%.

Conclusion

Bed baths generate moderate-to-severe pain intensity. Evaluation and recourse to analgesia remain insufficient despite caregivers’ attention accorded to patient comfort and positioning.

Clinical Implications

The results of this study could contribute to sensitizing professionals to preventing pain linked with routine nursing care. Four axes for improvement were highlighted: evaluation improvement, analgesia, nonpharmacological approaches, and adapted mobilization techniques.
背景:尽管众所周知床浴会引起疼痛,但对引起疼痛的频率和强度的研究仍然很少。这项前瞻性观察研究旨在前瞻性地检查特定日期内普通住院患者因床浴引起的疼痛:八名外部调查人员观察了 5 家医院 23 个科室的 166 次床浴。他们根据患者的临床情况使用经过验证的评估量表对疼痛进行评分:结果:专家观察员将 48% 的患者因床浴引起的疼痛评为中度至重度,其中 51.9% 的患者在手术前未接受预防性镇痛。只有 7.2% 的患者接受了有效疼痛量表的评估。在 16.8% 的床浴过程中,护理人员采用了敏锐的注意力分散技术来转移患者的注意力。护理人员在85%的程序中使用了口头指导,在84.3%的程序中调整了触摸和手势的节奏:结论:床浴会产生中度至重度疼痛。结论:床浴会产生中度至重度疼痛,尽管护理人员会关注患者的舒适度和体位,但对疼痛的评估和镇痛措施仍然不足:这项研究的结果有助于提高专业人员对预防与日常护理相关的疼痛的敏感性。研究强调了四个需要改进的方面:改进评估、镇痛、非药物治疗方法和调整移动技术。
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引用次数: 0
Nurses’ Knowledge and Attitudes About Pain Management in Pediatric Surgical Wards: An Educational Intervention Study 护士对儿科手术病房疼痛管理的认识和态度:教育干预研究。
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2025-02-01 DOI: 10.1016/j.pmn.2024.08.013
Anne-Lise Seipajærvi M.Sc., R.N. , Guro Reyes Simonsen M.Sc., R.N. , Frank Börner R.N. , Anja Hetland Smeland Ph.D., R.N.

Background

Pediatric pain management is a constantly developing field. Despite extensive research, several studies have concluded that children's pain is still underestimated and undertreated. Nurses working with children have an important professional and ethical responsibility to possess up-to-date knowledge of pediatric pain management.

Purpose

The purpose of this study was to identify nurses’ knowledge and attitudes regarding pain management in pediatric surgical wards and to investigate the short- and long-term effects of a tailored educational intervention.

Methods

This study has a quasi-experimental design without a control group and uses a previously validated questionnaire, the Pediatric Nurses’ Knowledge and Attitudes Survey Regarding Pain-Norwegian version (PNKAS-N). Nurses in four pediatric surgical wards in one university hospital in Norway answered the survey once before and three times after a tailored educational intervention.

Results

Eighty-three nurses answered the PNKAS-N at baseline (response rate of 75%). The nurse's total PNKAS-N mean score was 27.8 (77.3%) at baseline. We identified knowledge and attitude deficits regarding items related to opioid doses, the risk of drug addiction, the risk of respiratory depression, and the choice of pain medication for children. The total PNKAS-N mean score was statistically significantly increased after the intervention, at T2 (85.2%), as compared to baseline, and this improvement was sustained at T3 (83.8%) and T4 (81.4%).

Conclusion

The tailored educational intervention had a significant effect on nurses’ knowledge and attitudes about pediatric pain management.
背景:儿科疼痛治疗是一个不断发展的领域。尽管进行了广泛的研究,但一些研究得出结论认为,儿童疼痛仍然被低估和治疗不足。目的:本研究旨在确定护士对儿科手术病房疼痛管理的认识和态度,并调查量身定制的教育干预措施的短期和长期效果:本研究采用准实验设计,不设对照组,并使用了之前经过验证的调查问卷--儿科护士疼痛知识和态度调查挪威版(PNKAS-N)。挪威一所大学医院四个小儿外科病房的护士在接受量身定制的教育干预之前和之后各回答了一次和三次调查问卷:83名护士在基线时回答了PNKAS-N(回答率为75%)。基线时护士的 PNKAS-N 总平均分为 27.8 分(77.3%)。我们发现在阿片类药物剂量、药物成瘾风险、呼吸抑制风险以及儿童止痛药物选择等相关项目上存在知识和态度缺陷。干预后,PNKAS-N 平均总分在 T2(85.2%)与基线相比有显著提高,这种提高在 T3(83.8%)和 T4(81.4%)时得以持续:结论:量身定制的教育干预对护士的儿科疼痛管理知识和态度产生了重大影响。
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引用次数: 0
The Frequency of Massage Use in Nursing Research: Bibliometric and Visualization Analysis of Hotspots and Global Trends 护理研究中使用按摩的频率:对热点和全球趋势的文献计量和可视化分析。
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2025-02-01 DOI: 10.1016/j.pmn.2024.10.003
Amine Terzi Ph.D., R.N. , Yasemin Yildirim Ph.D., R.N. , Ipek Deveci Kocakoç Ph.D.

Purpose

The aim of the study was to examine the hotspots and global trends of massage in nursing research.

Methods

Based on 241 articles published between 1993 and 2023 obtained from the Web of Science database, methods such as trend analysis and keyword frequency analysis were employed to analyze the evolution of research over time and identify key topics. Additionally, topic clustering of abstracts was conducted to examine thematic areas and connections within massage research.

Results

The analysis shows that the use of massage is prominent in specific fields such as oncology, pediatrics, gynecology, and obstetrics. An analysis of the most cited articles revealed that topics such as the effects of massage on cancer pain and anxiety and the use of complementary therapies in newborns were important. It was determined that the leading authors of massage research generally work in the fields of “massage,” “nursing,” “pain,” “aromatherapy,” “anxiety” and “complementary therapies.” Collaboration between authors and countries, which is important in terms of global knowledge sharing, is almost nonexistent.

Conclusions

The results of the study show that massage research is particularly prominent in certain medical fields such as cancer and that studies on the effects of massage in these fields are important. Furthermore, the fact that the leading authors of massage research are often specialized in specific fields and that there is limited collaboration between authors plays an important role in determining the future directions of massage research and highlights the need to encourage interdisciplinary collaboration.
目的:本研究旨在探讨护理研究中的按摩热点和全球趋势:方法:基于从 Web of Science 数据库中获取的 1993 年至 2023 年间发表的 241 篇文章,采用趋势分析和关键词频率分析等方法,分析研究随时间的演变,并确定关键主题。此外,还对摘要进行了主题聚类,以研究按摩研究中的主题领域和联系:分析结果表明,按摩在肿瘤学、儿科学、妇科学和产科学等特定领域的应用十分突出。对被引用次数最多的文章进行分析后发现,按摩对癌症疼痛和焦虑的影响以及在新生儿中使用辅助疗法等主题非常重要。研究结果表明,按摩研究的主要作者一般从事 "按摩"、"护理"、"疼痛"、"芳香疗法"、"焦虑 "和 "辅助疗法 "领域的工作。作者和国家之间的合作对于全球知识共享非常重要,但这种合作几乎不存在:研究结果表明,按摩研究在某些医学领域(如癌症)尤为突出,对按摩在这些领域的效果的研究非常重要。此外,按摩研究的主要作者往往是特定领域的专家,而作者之间的合作有限,这对确定按摩研究的未来方向起着重要作用,并强调了鼓励跨学科合作的必要性。
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引用次数: 0
Transcutaneous Auricular Vagus Nerve Stimulation for Managing Pain: A Scoping Review 经皮耳迷走神经刺激治疗疼痛:范围回顾。
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2025-02-01 DOI: 10.1016/j.pmn.2024.11.006
Jie Chen Ph.D., R.N. , Huan Kuang Ph.D. , Aokun Chen Ph.D. , Jennifer Dungan Ph.D., M.S.N., R.N. , Lakeshia Cousin Ph.D., AGPCNP-BC , Xiaomei Cong Ph.D., R.N., FAAN , Param Patel BS , Angela Starkweather Ph.D., ACNP-BC, FAANP, FAAN

Objectives

To examine the pain conditions that have been studied using transcutaneous auricular vagus nerve stimulation (taVNS), the various methods and dosage configurations used, as well as identify current gaps in the literature.

Design

Scoping review with the literature search and reporting guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement—extension for scoping reviews.

Review Methods

A systematic search was conducted across four databases—Pubmed/Medline (n = 24), PsycInfo (n = 218), CINAHL (n = 114), and Scopus (n = 52)—comprising a total of 408 publications from peer-reviewed journals. The MeSH terms used for the search were: “transcutaneous nerve stimulation AND vagus nerve stimulation” along with “transcutaneous vagus nerve stimulation OR taVNS AND pain” with filters placed for clinical trials published between 2014 to March 2024.

Results

A total of 26 publications met eligibility for inclusion in this scoping review. The most common types of pain that have been used to evaluate the efficacy of taVNS include episodic migraine without aura, rheumatoid arthritis, fibromyalgia, irritable bowel syndrome, and chronic low back pain. The device type and settings, dosage, and placement of electrodes varied across studies. Identified research gaps include the need to determine optimal dosage for the pain condition under study, inclusion of measures to evaluate intervention fidelity, long-term outcomes and symptoms that co-occur with pain, and subanalyses to examine outcomes among various sociodemographic variables.

Conclusions

There is increasing evidence supporting the potential of taVNS in pain management. Further research is necessary to comprehensively evaluate its efficacy, underlying mechanisms, and to optimize its clinical application.

Nursing Practice Implications

The findings indicate a growing body of evidence for effective use of taVNS for pain management, along with reducing co-occurring symptoms, such as depression. Nurses should be knowledgeable about this treatment option and collaborate with other healthcare professionals to develop best practices for the use of this technology in practice.
目标:研究使用经皮耳迷走神经刺激(taVNS)治疗的疼痛病症、使用的各种方法和剂量配置,并找出目前文献中的空白:设计:范围界定综述,文献检索和报告以范围界定综述的系统综述和元分析首选报告项目(PRISMA)声明扩展为指导:在四个数据库中进行了系统检索--Pubmed/Medline (n = 24)、PsycInfo (n = 218)、CINAHL (n = 114) 和 Scopus (n = 52),共检索到 408 篇来自同行评审期刊的出版物。搜索使用的 MeSH 术语包括"经皮神经刺激和迷走神经刺激 "以及 "经皮迷走神经刺激 OR taVNS 和疼痛",并筛选了 2014 年至 2024 年 3 月间发表的临床试验:共有 26 篇文献符合纳入本次范围界定综述的资格。用于评估 taVNS 疗效的最常见疼痛类型包括无先兆发作性偏头痛、类风湿性关节炎、纤维肌痛、肠易激综合征和慢性腰背痛。不同研究中的设备类型和设置、剂量以及电极位置各不相同。已发现的研究空白包括:需要确定所研究疼痛病症的最佳剂量、纳入评估干预忠实性的措施、长期结果和与疼痛并发的症状,以及进行子分析以检查各种社会人口变量的结果:越来越多的证据支持 taVNS 在疼痛治疗中的潜力。结论:越来越多的证据支持 taVNS 在疼痛治疗中的潜力,但有必要开展进一步研究,以全面评估其疗效、潜在机制并优化其临床应用:研究结果表明,越来越多的证据表明,taVNS 可有效用于疼痛治疗,同时还能减轻抑郁等并发症状。护士应该了解这种治疗方法,并与其他医疗保健专业人员合作,制定在实践中使用这种技术的最佳方法。
{"title":"Transcutaneous Auricular Vagus Nerve Stimulation for Managing Pain: A Scoping Review","authors":"Jie Chen Ph.D., R.N. ,&nbsp;Huan Kuang Ph.D. ,&nbsp;Aokun Chen Ph.D. ,&nbsp;Jennifer Dungan Ph.D., M.S.N., R.N. ,&nbsp;Lakeshia Cousin Ph.D., AGPCNP-BC ,&nbsp;Xiaomei Cong Ph.D., R.N., FAAN ,&nbsp;Param Patel BS ,&nbsp;Angela Starkweather Ph.D., ACNP-BC, FAANP, FAAN","doi":"10.1016/j.pmn.2024.11.006","DOIUrl":"10.1016/j.pmn.2024.11.006","url":null,"abstract":"<div><h3>Objectives</h3><div>To examine the pain conditions that have been studied using transcutaneous auricular vagus nerve stimulation (taVNS), the various methods and dosage configurations used, as well as identify current gaps in the literature.</div></div><div><h3>Design</h3><div>Scoping review with the literature search and reporting guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement—extension for scoping reviews.</div></div><div><h3>Review Methods</h3><div>A systematic search was conducted across four databases—Pubmed/Medline (n = 24), PsycInfo (n = 218), CINAHL (n = 114), and Scopus (n = 52)—comprising a total of 408 publications from peer-reviewed journals. The MeSH terms used for the search were: “<em>transcutaneous nerve stimulation</em> AND <em>vagus nerve stimulation”</em> along with <em>“transcutaneous vagus nerve stimulation</em> OR <em>taVNS</em> AND <em>pain”</em> with filters placed for clinical trials published between 2014 to March 2024.</div></div><div><h3>Results</h3><div>A total of 26 publications met eligibility for inclusion in this scoping review. The most common types of pain that have been used to evaluate the efficacy of taVNS include episodic migraine without aura, rheumatoid arthritis, fibromyalgia, irritable bowel syndrome, and chronic low back pain. The device type and settings, dosage, and placement of electrodes varied across studies. Identified research gaps include the need to determine optimal dosage for the pain condition under study, inclusion of measures to evaluate intervention fidelity, long-term outcomes and symptoms that co-occur with pain, and subanalyses to examine outcomes among various sociodemographic variables.</div></div><div><h3>Conclusions</h3><div>There is increasing evidence supporting the potential of taVNS in pain management. Further research is necessary to comprehensively evaluate its efficacy, underlying mechanisms, and to optimize its clinical application.</div></div><div><h3>Nursing Practice Implications</h3><div>The findings indicate a growing body of evidence for effective use of taVNS for pain management, along with reducing co-occurring symptoms, such as depression. Nurses should be knowledgeable about this treatment option and collaborate with other healthcare professionals to develop best practices for the use of this technology in practice.</div></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"26 1","pages":"Pages 33-39"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847147","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
Acknowledgements to Reviewers
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2025-02-01 DOI: 10.1016/S1524-9042(25)00022-0
{"title":"Acknowledgements to Reviewers","authors":"","doi":"10.1016/S1524-9042(25)00022-0","DOIUrl":"10.1016/S1524-9042(25)00022-0","url":null,"abstract":"","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"26 1","pages":"Pages 125-126"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143269770","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
Lifetime Pain Management Experiences of Female Breast Cancer Survivors Aged 65+ Years 65 岁以上乳腺癌女性幸存者的终生疼痛治疗经历。
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2025-02-01 DOI: 10.1016/j.pmn.2024.08.004
Karen E. Alsbrook Ph.D., R.N., O.C.N. , Susan W. Wesmiller Ph.D., R.N., F.A.A.N. , Emilia J. Diego M.D., F.A.C.S. , Paul W. Scott Ph.D. , Caroline K. Harpel M.P.H. , Erin V. Keelan B.S. , Sofie A. Patzak B.S. , Yuchen U. Zhang B.S.N., R.N. , Teresa Hagan Thomas Ph.D., R.N.

Purpose

Explore factors influencing pain management among female breast cancer survivors aged 65+ years with moderate to severe pain based on a score of 4 or greater on the 0-10 numeric rating scale.

Design

Qualitative descriptive study.

Methods

We interviewed 21 purposefully sampled women aged 65+ years who experienced moderate to severe pain. Researchers coded interview transcripts for factors affecting study participants’ pain management experiences.

Results

Pain management facilitators included patient-centered interactions with care teams and reliance on psychosocial assets. Challenges included ineffective care team interactions and participants’ negative perceptions of opioid analgesia. Other factors included pain attributed to cancer treatment, pain management plan adherence, and psychosocial influencers.

Conclusions

With regard to this sample, patient-centered communication and pain management education help female breast cancer survivors aged 65+ years manage their pain. Mitigation of opioid stigma and undermanaged painful comorbid conditions could further optimize pain management. Further research on the effects of breast cancer treatment, level of adherence to pain management recommendations, and psychosocial influences on pain management is needed.

Clinical Implications

Providing contact information for care team members during and after clinic hours facilitates open communication, including timely reporting of new and undertreated pain. Collaborating with the patient and care team on a clear pain management plan and establishing parameters for when to notify the care team empower patients to optimize management of their pain. Verifying patients’ understanding of prescribed analgesia and management of side effects and providing education as needed may reduce negative perceptions of opioid analgesia.
目的:探讨影响 65 岁以上患有中度至重度疼痛的女性乳腺癌幸存者进行疼痛管理的因素:定性描述研究:我们有目的地抽取了 21 名 65 岁以上、经历过中度至重度疼痛的女性进行访谈。研究人员对访谈记录进行编码,以寻找影响研究参与者疼痛管理经验的因素:疼痛管理的促进因素包括以患者为中心与护理团队的互动以及对社会心理资产的依赖。挑战包括护理团队的无效互动以及参与者对阿片类镇痛的负面看法。其他因素包括癌症治疗引起的疼痛、疼痛管理计划的坚持以及社会心理影响因素:就该样本而言,以患者为中心的沟通和疼痛管理教育有助于 65 岁以上的女性乳腺癌幸存者控制疼痛。减轻阿片类药物的耻辱感和未得到充分管理的疼痛合并症可进一步优化疼痛管理。还需要进一步研究乳腺癌治疗的影响、疼痛管理建议的遵从程度以及疼痛管理的社会心理影响因素:临床启示:在门诊时间内外为护理团队成员提供联系信息有助于开放式交流,包括及时报告新的疼痛和治疗不足的疼痛。与患者和护理团队合作制定明确的疼痛管理计划,并确定何时通知护理团队的参数,使患者有能力优化疼痛管理。核实患者对处方镇痛和副作用管理的理解,并根据需要提供教育,可减少患者对阿片类镇痛的负面看法。
{"title":"Lifetime Pain Management Experiences of Female Breast Cancer Survivors Aged 65+ Years","authors":"Karen E. Alsbrook Ph.D., R.N., O.C.N. ,&nbsp;Susan W. Wesmiller Ph.D., R.N., F.A.A.N. ,&nbsp;Emilia J. Diego M.D., F.A.C.S. ,&nbsp;Paul W. Scott Ph.D. ,&nbsp;Caroline K. Harpel M.P.H. ,&nbsp;Erin V. Keelan B.S. ,&nbsp;Sofie A. Patzak B.S. ,&nbsp;Yuchen U. Zhang B.S.N., R.N. ,&nbsp;Teresa Hagan Thomas Ph.D., R.N.","doi":"10.1016/j.pmn.2024.08.004","DOIUrl":"10.1016/j.pmn.2024.08.004","url":null,"abstract":"<div><h3>Purpose</h3><div>Explore factors influencing pain management among female breast cancer survivors aged 65+ years with moderate to severe pain based on a score of 4 or greater on the 0-10 numeric rating scale.</div></div><div><h3>Design</h3><div>Qualitative descriptive study.</div></div><div><h3>Methods</h3><div>We interviewed 21 purposefully sampled women aged 65+ years who experienced moderate to severe pain. Researchers coded interview transcripts for factors affecting study participants’ pain management experiences.</div></div><div><h3>Results</h3><div>Pain management facilitators included patient-centered interactions with care teams and reliance on psychosocial assets. Challenges included ineffective care team interactions and participants’ negative perceptions of opioid analgesia. Other factors included pain attributed to cancer treatment, pain management plan adherence, and psychosocial influencers.</div></div><div><h3>Conclusions</h3><div>With regard to this sample, patient-centered communication and pain management education help female breast cancer survivors aged 65+ years manage their pain. Mitigation of opioid stigma and undermanaged painful comorbid conditions could further optimize pain management. Further research on the effects of breast cancer treatment, level of adherence to pain management recommendations, and psychosocial influences on pain management is needed.</div></div><div><h3>Clinical Implications</h3><div>Providing contact information for care team members during and after clinic hours facilitates open communication, including timely reporting of new and undertreated pain. Collaborating with the patient and care team on a clear pain management plan and establishing parameters for when to notify the care team empower patients to optimize management of their pain. Verifying patients’ understanding of prescribed analgesia and management of side effects and providing education as needed may reduce negative perceptions of opioid analgesia.</div></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"26 1","pages":"Pages e97-e106"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146142","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
The Effects of Self-Acupressure on Pain and Sleep Quality in Patients With Coronary Artery Disease: A Randomised Controlled Trial 自我穴位按摩对冠心病患者疼痛和睡眠质量的影响:随机对照试验
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2025-02-01 DOI: 10.1016/j.pmn.2024.07.013
Seda Başak Ph.D, RN , Gülcan Bahcecioglu Turan Ph.D, RN , Zülfünaz Özer Ph.D, RN

Purpose

The most important cause of death among cardiovascular diseases is coronary artery disease (CAD). Pain and insomnia symptoms are the most common symptoms in CAD patients. Acupressure is used in patients with CAD as one of the energy-based complementary and alternative methods. This study was conducted to investigate the effects of self-acupressure on pain and sleep quality in patients with coronary artery disease.

Design

This is a randomised controlled trial.

Methods

This study was conducted between June and August 2021 with a total of 80 participants, 40 in the intervention and 40 in the control group. The participants in the intervention group were asked to perform a total of 16 sessions for 4 weeks, 2 days a week in the morning and afternoon, for a total of 23 minutes, depending on the preparation and compression time to be performed on 5 points. The control group did not receive any intervention during the study. Data were collected by using Descriptive Information Form, Visual Analogue Scale (VAS) and Pittsburgh Sleep Quality Index (PSQI).

Results

After self-acupressure, the VAS total score of the intervention group decreased significantly compared to the control group (t=-11.861; p<.05). After intervention PSQI total and subscale mean scores of the intervention group decreased significantly compared to the control group (t=-7.767; p<.05). It can be seen that self-acupressure application has a negative and significant effect on PSQI total mean scores and VAS total mean score of patients (p<.05).

Conclusion

The results of this study showed that self-acupressure was effective in improving the pain and sleep quality of patients with coronary artery disease.

Clinical Implications

Self-acupressure is an accessible and inexpensive method, it is recommended to be supported and maintained in the management of coronary artery disease in nursing practice.
目的:心血管疾病中最重要的死因是冠状动脉疾病(CAD)。疼痛和失眠症状是冠心病患者最常见的症状。穴位按摩作为以能量为基础的补充和替代方法之一,被用于治疗 CAD 患者。本研究旨在探讨自我指压对冠心病患者疼痛和睡眠质量的影响:设计:这是一项随机对照试验:本研究于 2021 年 6 月至 8 月间进行,共有 80 人参加,其中干预组和对照组各 40 人。干预组的参与者被要求在 4 周内共进行 16 次训练,每周 2 天,分别在上午和下午进行,总时间为 23 分钟,具体取决于 5 个点的准备和压缩时间。对照组在研究期间不接受任何干预。数据收集采用描述性信息表、视觉模拟量表(VAS)和匹兹堡睡眠质量指数(PSQI):结果:自我按压后,干预组的 VAS 总分与对照组相比明显下降(t=-11.861;p 结论:自我按压是一种有效的治疗方法:本研究结果表明,自我按摩能有效改善冠心病患者的疼痛和睡眠质量:临床意义:自我按压是一种简便易行且成本低廉的方法,建议在护理实践中支持并坚持用于冠心病的治疗。
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引用次数: 0
The Association Between Respiratory Functions, Pain Tolerance and Body Awareness in Obstructive Lung Diseases 阻塞性肺病患者的呼吸功能、疼痛耐受性和身体意识之间的关联。
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2025-02-01 DOI: 10.1016/j.pmn.2024.08.010
Naciye Vardar-Yagli PhD , Melda Saglam PhD , Merve Firat PhD , Deniz Inal-Ince PhD , Ebru Calik-Kutukcu PhD , Kubra Kilic PhD , Hulya Arikan PhD , Lutfi Coplu MD

Purpose

There are only a limited number of studies in the literature evaluating body awareness, pain perception, and the relationship between clinical parameters and respiratory functions in patients with obstructive lung disease (OLD) and compared with healthy individuals. Therefore, this study aimed to evaluate respiratory functions, pain tolerance, and body awareness in patients with OLD and compare these findings with those of healthy individuals.

Methods

The study included 33 patients and 30 healthy individuals. The respiratory function (spirometer), respiratory muscle strength (mouth pressure device), endurance (threshold loading device), pain level and tolerance (short-form McGill Pain Questionnaire and algometer), posture, and body awareness (Body Awareness Questionnaire-BAQ) were evaluated.

Results

The pain threshold and tolerance of the biceps, triceps, trapezius, and quadriceps muscles were significantly lower and BAQ scores were higher in patients with OLD compared with healthy individuals (p < .05). There was a significant relationship between FEV1 (%) and pain tolerance of the triceps (r = 0.371, p = .047) and gastrocnemius muscles (r = 0.419, p = .024); FVC (%) and pain threshold of the gastrocnemius (r = 0.413, p = .023), triceps muscles (r = 0.394, p = .034), and pain tolerance of the gastrocnemius muscle (r = 0.549, p = .002).

Conclusions

Patients with OLD have a marked increase in pain perception and body awareness levels and a decrease in pain threshold and tolerance compared with healthy controls. Future studies should assess the effectiveness of pain management interventions as a part of pulmonary rehabilitation for patients with chronic respiratory diseases.

Clinical Implications

Pain management is important for planning pulmonary rehabilitation programmes.
目的:目前仅有少数文献对阻塞性肺疾病(OLD)患者的身体意识、疼痛感以及临床参数与呼吸功能之间的关系进行了评估,并与健康人进行了比较。因此,本研究旨在评估阻塞性肺疾病患者的呼吸功能、疼痛耐受性和身体知觉,并将这些结果与健康人进行比较:研究对象包括 33 名患者和 30 名健康人。方法:研究纳入了 33 名患者和 30 名健康人,对他们的呼吸功能(肺活量计)、呼吸肌力量(口腔压力装置)、耐力(阈值负荷装置)、疼痛程度和耐受性(短式麦吉尔疼痛问卷和艾氏仪)、姿势和身体意识(身体意识问卷-BAQ)进行了评估:结果:与健康人相比,OLD 患者的肱二头肌、肱三头肌、斜方肌和股四头肌的疼痛阈值和耐受性明显更低,BAQ 评分更高(P < .05)。FEV1(%)与肱三头肌(r = 0.371,p = .047)和腓肠肌(r = 0.419,p = .024);FVC(%)与腓肠肌痛阈值(r = 0.413,p = .023)、肱三头肌痛阈值(r = 0.394,p = .034)和腓肠肌耐痛性(r = 0.549,p = .002):结论:与健康对照组相比,OLD 患者的痛觉和身体知觉水平明显提高,痛阈和耐受性降低。未来的研究应评估疼痛管理干预作为慢性呼吸系统疾病患者肺康复的一部分的有效性:临床意义:疼痛管理对于规划肺康复计划非常重要。
{"title":"The Association Between Respiratory Functions, Pain Tolerance and Body Awareness in Obstructive Lung Diseases","authors":"Naciye Vardar-Yagli PhD ,&nbsp;Melda Saglam PhD ,&nbsp;Merve Firat PhD ,&nbsp;Deniz Inal-Ince PhD ,&nbsp;Ebru Calik-Kutukcu PhD ,&nbsp;Kubra Kilic PhD ,&nbsp;Hulya Arikan PhD ,&nbsp;Lutfi Coplu MD","doi":"10.1016/j.pmn.2024.08.010","DOIUrl":"10.1016/j.pmn.2024.08.010","url":null,"abstract":"<div><h3>Purpose</h3><div>There are only a limited number of studies in the literature evaluating body awareness, pain perception, and the relationship between clinical parameters and respiratory functions in patients with obstructive lung disease (OLD) and compared with healthy individuals. Therefore, this study aimed to evaluate respiratory functions, pain tolerance, and body awareness in patients with OLD and compare these findings with those of healthy individuals.</div></div><div><h3>Methods</h3><div>The study included 33 patients and 30 healthy individuals. The respiratory function (spirometer), respiratory muscle strength (mouth pressure device), endurance (threshold loading device), pain level and tolerance (short-form McGill Pain Questionnaire and algometer), posture, and body awareness (Body Awareness Questionnaire-BAQ) were evaluated.</div></div><div><h3>Results</h3><div>The pain threshold and tolerance of the biceps, triceps, trapezius, and quadriceps muscles were significantly lower and BAQ scores were higher in patients with OLD compared with healthy individuals (<em>p</em> &lt; .05). There was a significant relationship between FEV<sub>1</sub> (%) and pain tolerance of the triceps (<em>r</em> = 0.371, <em>p</em> = .047) and gastrocnemius muscles (<em>r</em> = 0.419, <em>p</em> = .024); FVC (%) and pain threshold of the gastrocnemius (<em>r</em> = 0.413, <em>p</em> = .023), triceps muscles (<em>r</em> = 0.394, <em>p</em> = .034), and pain tolerance of the gastrocnemius muscle (<em>r</em> = 0.549, <em>p</em> = .002).</div></div><div><h3>Conclusions</h3><div>Patients with OLD have a marked increase in pain perception and body awareness levels and a decrease in pain threshold and tolerance compared with healthy controls. Future studies should assess the effectiveness of pain management interventions as a part of pulmonary rehabilitation for patients with chronic respiratory diseases.</div></div><div><h3>Clinical Implications</h3><div>Pain management is important for planning pulmonary rehabilitation programmes.</div></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"26 1","pages":"Pages e36-e41"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142351807","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 Clinical Consult to Explain the Biofeedback Process 解释生物反馈过程的临床咨询。
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2025-02-01 DOI: 10.1016/j.pmn.2024.10.006
Richard A. Sherman Ph.D. , Cecile B. Evans Ph.D., R.N.

Clinical Issue

Psychophysiological assessments and biofeedback-based interventions for chronic for chronic pain can be highly effective. The purpose of this clinical consultation was to provide an overview of the psychophysiological assessment process and present a primer on biofeedback for chronic pain. The biofeedback process was presented by a biofeedback content expert, with photos and diagrams.

Practice Recommendations

Nurses advocate for non-pharmacological pain interventions. However, biofeedback is a practice that has been overlooked and underutilized in nursing. This clinical consultation is meant to educate clinical nurses on psychophysiological assessment and biofeedback for chronic pain.
临床问题:心理生理评估和基于生物反馈的慢性疼痛干预是非常有效的。本次临床会诊的目的是提供心理生理评估过程的概述,并介绍慢性疼痛的生物反馈入门。生物反馈过程由生物反馈内容专家介绍,并附有照片和图表。实践建议:护士提倡非药物疼痛干预。然而,生物反馈是一种在护理中被忽视和未充分利用的实践。本临床会诊旨在教育临床护士对慢性疼痛的心理生理评估和生物反馈。
{"title":"A Clinical Consult to Explain the Biofeedback Process","authors":"Richard A. Sherman Ph.D. ,&nbsp;Cecile B. Evans Ph.D., R.N.","doi":"10.1016/j.pmn.2024.10.006","DOIUrl":"10.1016/j.pmn.2024.10.006","url":null,"abstract":"<div><h3>Clinical Issue</h3><div>Psychophysiological assessments and biofeedback-based interventions for chronic for chronic pain can be highly effective. The purpose of this clinical consultation was to provide an overview of the psychophysiological assessment process and present a primer on biofeedback for chronic pain. The biofeedback process was presented by a biofeedback content expert, with photos and diagrams.</div></div><div><h3>Practice Recommendations</h3><div>Nurses advocate for non-pharmacological pain interventions. However, biofeedback is a practice that has been overlooked and underutilized in nursing. This clinical consultation is meant to educate clinical nurses on psychophysiological assessment and biofeedback for chronic pain.</div></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"26 1","pages":"Pages 40-44"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142751377","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
期刊
Pain Management Nursing
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