Pub Date : 2025-02-01DOI: 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.
{"title":"Application of Integrated Medical Care “Cloud-Based Virtual Ward” Management Model on Postoperative Analgesia: Based on Zigbee Technology","authors":"Shaoru Chen Ph.D. , Hui Zhi B.Sc. , Hongmei Zhang B.Sc. , Jie Wang M.D. , Xin Li B.Sc.","doi":"10.1016/j.pmn.2024.07.011","DOIUrl":"10.1016/j.pmn.2024.07.011","url":null,"abstract":"<div><h3>Purpose</h3><div>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.</div></div><div><h3>Design</h3><div>Retrospective cohort study.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div><div><h3>Clinical Implications</h3><div>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.</div></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"26 1","pages":"Pages 23-29"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142056316","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}
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.
{"title":"NursPainPrevent: A Prospective Observational Study on Pain During a Bed Bath","authors":"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.","doi":"10.1016/j.pmn.2024.07.009","DOIUrl":"10.1016/j.pmn.2024.07.009","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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%.</div></div><div><h3>Conclusion</h3><div>Bed baths generate moderate-to-severe pain intensity. Evaluation and recourse to analgesia remain insufficient despite caregivers’ attention accorded to patient comfort and positioning.</div></div><div><h3>Clinical Implications</h3><div>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.</div></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"26 1","pages":"Pages e66-e73"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142293099","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}
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.
{"title":"Nurses’ Knowledge and Attitudes About Pain Management in Pediatric Surgical Wards: An Educational Intervention Study","authors":"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.","doi":"10.1016/j.pmn.2024.08.013","DOIUrl":"10.1016/j.pmn.2024.08.013","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Purpose</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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%).</div></div><div><h3>Conclusion</h3><div>The tailored educational intervention had a significant effect on nurses’ knowledge and attitudes about pediatric pain management.</div></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"26 1","pages":"Pages e42-e49"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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。
{"title":"The Frequency of Massage Use in Nursing Research: Bibliometric and Visualization Analysis of Hotspots and Global Trends","authors":"Amine Terzi Ph.D., R.N. , Yasemin Yildirim Ph.D., R.N. , Ipek Deveci Kocakoç Ph.D.","doi":"10.1016/j.pmn.2024.10.003","DOIUrl":"10.1016/j.pmn.2024.10.003","url":null,"abstract":"<div><h3>Purpose</h3><div>The aim of the study was to examine the hotspots and global trends of massage in nursing research.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"26 1","pages":"Pages 75-84"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142625501","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}
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.
{"title":"Transcutaneous Auricular Vagus Nerve Stimulation for Managing Pain: A Scoping Review","authors":"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","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}
Pub Date : 2025-02-01DOI: 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.
{"title":"Lifetime Pain Management Experiences of Female Breast Cancer Survivors Aged 65+ Years","authors":"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.","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}
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.
{"title":"The Effects of Self-Acupressure on Pain and Sleep Quality in Patients With Coronary Artery Disease: A Randomised Controlled Trial","authors":"Seda Başak Ph.D, RN , Gülcan Bahcecioglu Turan Ph.D, RN , Zülfünaz Özer Ph.D, RN","doi":"10.1016/j.pmn.2024.07.013","DOIUrl":"10.1016/j.pmn.2024.07.013","url":null,"abstract":"<div><h3>Purpose</h3><div>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.</div></div><div><h3>Design</h3><div>This is a randomised controlled trial.</div></div><div><h3>Methods</h3><div>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).</div></div><div><h3>Results</h3><div>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).</div></div><div><h3>Conclusion</h3><div>The results of this study showed that self-acupressure was effective in improving the pain and sleep quality of patients with coronary artery disease.</div></div><div><h3>Clinical Implications</h3><div>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.</div></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"26 1","pages":"Pages e10-e17"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142154823","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}
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.
{"title":"The Association Between Respiratory Functions, Pain Tolerance and Body Awareness in Obstructive Lung Diseases","authors":"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","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> < .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}
Pub Date : 2025-02-01DOI: 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.
{"title":"A Clinical Consult to Explain the Biofeedback Process","authors":"Richard A. Sherman Ph.D. , 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}