首页 > 最新文献

Pain Management Nursing最新文献

英文 中文
Relationships Between Function, Pain Severity and Psychological and Cognitive Levels in People With Chronic Neck Pain: Cross-Sectional Study. 慢性颈痛患者的功能、疼痛严重程度与心理和认知水平之间的关系:横断面研究。
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2024-12-01 Epub Date: 2024-07-12 DOI: 10.1016/j.pmn.2024.06.008
Faruk Tanik, Derya Ozer Kaya

Objective: This study aimed to investigate the relationship between pain and functional levels with pain catastrophizing, rumination, decision-making, and critical thinking in people with chronic neck pain.

Methods: The study included 62 patients with chronic neck pain who had presented to a physiotherapy center with pain complaints for at least 3 months. The visual analog scale for pain severity, the Neck Disability Index for functional level, the Pain Catastrophizing Scale, the Ruminative Thinking Scale, the Melbourne Decision-Making Scale I-II, and the Marmara Critical Thinking Inventory were used for assessments.

Results: Activity pain, night pain, and disability were positively correlated with rumination (rho: 0.368, p = .003; rho: 0.423, p = <.001; rho = 0.334, p = .008). There was a positive correlation between night pain, disability, and pain catastrophizing (rho = 0.298, p = .019; rho = .434 p < .001). A negative correlation was observed between patients' pain severity and disability with critical thinking scores (rho = -0.393, p = .002; rho = -0.377 p = .003, rho = -0.428 p < .001, rho = -0.441 p < .001).

Conclusions: The study suggested that there were positive correlations between pain severity and disability with rumination and pain catastrophizing. Additionally, chronic neck pain was found to have negative correlations with critical thinking scores, indicating potential impacts on cognitive processes. These findings may provide insights into the complex interplay between chronic pain and psychological factors, which can inform the development of interventions to enhance chronic pain management.

研究目的本研究旨在探讨慢性颈部疼痛患者的疼痛和功能水平与疼痛灾难化、反刍、决策和批判性思维之间的关系:研究对象包括 62 名慢性颈部疼痛患者,他们因疼痛主诉到物理治疗中心就诊至少 3 个月。采用视觉模拟量表评估疼痛严重程度、颈部残疾指数评估功能水平、疼痛灾难化量表、反刍思维量表、墨尔本决策量表 I-II 和马尔马拉批判性思维量表进行评估:结果:活动痛、夜间痛和残疾与反刍呈正相关(rho:0.368, p = .003; rho:0.423,p = 结论:研究表明,活动疼痛、夜间疼痛和残疾与反刍呈正相关:研究表明,疼痛严重程度和残疾程度与反刍和疼痛灾难化之间存在正相关。此外,研究还发现慢性颈部疼痛与批判性思维得分呈负相关,这表明慢性颈部疼痛可能会影响认知过程。这些研究结果可帮助人们深入了解慢性疼痛与心理因素之间复杂的相互作用,从而为制定干预措施以加强慢性疼痛管理提供参考。
{"title":"Relationships Between Function, Pain Severity and Psychological and Cognitive Levels in People With Chronic Neck Pain: Cross-Sectional Study.","authors":"Faruk Tanik, Derya Ozer Kaya","doi":"10.1016/j.pmn.2024.06.008","DOIUrl":"10.1016/j.pmn.2024.06.008","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the relationship between pain and functional levels with pain catastrophizing, rumination, decision-making, and critical thinking in people with chronic neck pain.</p><p><strong>Methods: </strong>The study included 62 patients with chronic neck pain who had presented to a physiotherapy center with pain complaints for at least 3 months. The visual analog scale for pain severity, the Neck Disability Index for functional level, the Pain Catastrophizing Scale, the Ruminative Thinking Scale, the Melbourne Decision-Making Scale I-II, and the Marmara Critical Thinking Inventory were used for assessments.</p><p><strong>Results: </strong>Activity pain, night pain, and disability were positively correlated with rumination (rho: 0.368, p = .003; rho: 0.423, p = <.001; rho = 0.334, p = .008). There was a positive correlation between night pain, disability, and pain catastrophizing (rho = 0.298, p = .019; rho = .434 p < .001). A negative correlation was observed between patients' pain severity and disability with critical thinking scores (rho = -0.393, p = .002; rho = -0.377 p = .003, rho = -0.428 p < .001, rho = -0.441 p < .001).</p><p><strong>Conclusions: </strong>The study suggested that there were positive correlations between pain severity and disability with rumination and pain catastrophizing. Additionally, chronic neck pain was found to have negative correlations with critical thinking scores, indicating potential impacts on cognitive processes. These findings may provide insights into the complex interplay between chronic pain and psychological factors, which can inform the development of interventions to enhance chronic pain management.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":"645-651"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141604010","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
Patient Evaluation of Patient-Controlled Analgesia for Pain Crises in Sickle Cell Disease. 镰状细胞病患者对患者自控镇痛治疗疼痛危象的评估。
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2024-12-01 Epub Date: 2024-07-15 DOI: 10.1016/j.pmn.2024.06.011
Şebnem Rumeli, Selin Azizoğlu, Mustafa Azizoğlu

Background: Vaso-occlusive crisis causing severe pain can be seen in patients with sickle cell anemia and potent opioids should be used in this process. Although sickle cell disease (SCD) patients use patient-controlled analgesia (PCA), we encountered no study evaluating this method from the participants' perspective.

Aim: This descriptive study aimed to evaluate the use and effectiveness of PCA administered using the Mersin Algology Protocol (MAP) during painful episodes of SCD based on participants reports.

Methods: After obtaining approval from the local ethics committee, 109 SCD participants using PCA as per the MAP between 2018 and 2020 were recruited for the study. The participants answered a 28-item questionnaire regarding their annual number of pain crises, sites of pain, knowledge about PCA, the number of times they used PCA, and the positive and negative aspects of the PCA method.

Results: The mean age of the participants was 28.80 ± 11.5 years. Ninety-nine (90.8%) of the participants considered PCA superior to other pain management methods they had used previously. The 53 participants (48.6%) who waited for their pain to worsen before administering the demand dose expressed fear of taking high doses of medication. As the number of times a participant used PCA increased, NRS scores for pain at the time of demand dosing decreased from 7-10 to 4-6 (p = .013). Eighty-five (78%) of the participants reported having no problems related to the device or drug while using PCA.

Conclusion: We found that PCA was used more correctly by participants with more experience using the device. Participants who delay demand dosing do so because of anxiety about developing dependence and to avoid high doses.

背景:镰状细胞性贫血患者会出现导致剧烈疼痛的血管闭塞危象,在此过程中应使用强效阿片类药物。尽管镰状细胞病(SCD)患者使用患者自控镇痛(PCA),但我们没有发现从参与者的角度对这种方法进行评估的研究。目的:这项描述性研究旨在根据参与者的报告,评估在镰状细胞病疼痛发作时使用梅尔辛藻类学方案(MAP)进行 PCA 的使用情况和效果:在获得当地伦理委员会批准后,本研究招募了109名在2018年至2020年间按照MAP使用PCA的SCD参与者。参与者回答了一份包含 28 个项目的调查问卷,内容涉及他们每年的疼痛危机次数、疼痛部位、对 PCA 的了解、使用 PCA 的次数以及 PCA 方法的积极和消极方面:参与者的平均年龄为 28.80±11.5 岁。99名参与者(90.8%)认为PCA优于他们之前使用过的其他疼痛治疗方法。53 名参与者(48.6%)表示害怕服用大剂量药物,他们等待疼痛加剧后才按需给药。随着参与者使用 PCA 的次数增加,按需给药时的疼痛 NRS 评分从 7-10 分降至 4-6 分(p = .013)。85%(78%)的参与者表示在使用 PCA 时没有遇到与设备或药物相关的问题:我们发现,使用设备经验丰富的参与者使用 PCA 的正确率更高。延迟按需给药的参与者是因为担心产生依赖性和避免高剂量。
{"title":"Patient Evaluation of Patient-Controlled Analgesia for Pain Crises in Sickle Cell Disease.","authors":"Şebnem Rumeli, Selin Azizoğlu, Mustafa Azizoğlu","doi":"10.1016/j.pmn.2024.06.011","DOIUrl":"10.1016/j.pmn.2024.06.011","url":null,"abstract":"<p><strong>Background: </strong>Vaso-occlusive crisis causing severe pain can be seen in patients with sickle cell anemia and potent opioids should be used in this process. Although sickle cell disease (SCD) patients use patient-controlled analgesia (PCA), we encountered no study evaluating this method from the participants' perspective.</p><p><strong>Aim: </strong>This descriptive study aimed to evaluate the use and effectiveness of PCA administered using the Mersin Algology Protocol (MAP) during painful episodes of SCD based on participants reports.</p><p><strong>Methods: </strong>After obtaining approval from the local ethics committee, 109 SCD participants using PCA as per the MAP between 2018 and 2020 were recruited for the study. The participants answered a 28-item questionnaire regarding their annual number of pain crises, sites of pain, knowledge about PCA, the number of times they used PCA, and the positive and negative aspects of the PCA method.</p><p><strong>Results: </strong>The mean age of the participants was 28.80 ± 11.5 years. Ninety-nine (90.8%) of the participants considered PCA superior to other pain management methods they had used previously. The 53 participants (48.6%) who waited for their pain to worsen before administering the demand dose expressed fear of taking high doses of medication. As the number of times a participant used PCA increased, NRS scores for pain at the time of demand dosing decreased from 7-10 to 4-6 (p = .013). Eighty-five (78%) of the participants reported having no problems related to the device or drug while using PCA.</p><p><strong>Conclusion: </strong>We found that PCA was used more correctly by participants with more experience using the device. Participants who delay demand dosing do so because of anxiety about developing dependence and to avoid high doses.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":"576-583"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141627342","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
Opioid-Induced Constipation and Associated Symptoms After Orthopedic Trauma. 骨科创伤后阿片类药物引起的便秘及相关症状。
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2024-12-01 Epub Date: 2024-08-02 DOI: 10.1016/j.pmn.2024.06.012
Gabriela Ortega, Alexa Lisenby, Tatiana Getz, Wenhui Zhang, Kenneth Mueller, Mara L Schenker, Sydney A Axson, Nicholas A Giordano

Purpose: Opioid-induced constipation is an adverse effect often experienced among patients taking prescription opioid medication. Despite frequent opioid prescribing after orthopedic injury, there is a dearth of research examining opioid-induced constipation presentations in this population. This analysis examines the frequency of opioid-induced constipation manifestations and association with patient-reported outcomes among participants prescribed opioid medication following orthopedic injury.

Design: Secondary analysis of 86 clinical trial participants following orthopedic trauma.

Methods: Participants were assessed 2-weeks postoperatively with the following measures: Patient-Reported Outcome Measurement Information System (PROMIS) Pain Interference, PROMIS Physical Function, past 24-hour average pain intensity captured on the numeric pain rating scale, and the Patient Assessment of Constipation Symptoms (PAC-SYM) questionnaire. Linear regressions examined the association between PAC-SYM scores and both pain intensity and PROMIS T-scores while accounting for injury severity and opioid medication dosage.

Results: Most participants (69%) reported experiencing opioid-induced constipation symptoms and 7% reported moderate to severe symptoms. Compared to those without symptoms, participants reporting opioid-induced constipation symptoms were found to have a 3-point increase in PROMIS Pain Interference (95% Confidence Interval [CI]: 0.28-5.90; p = .032), a 3-point decline in PROMIS Physical Function (95% CI: -6.57 to -0.02; p = .049), and a 1.7-point increase in average pain scores (95% CI: 0.50-3.01; p = .007) at 2-weeks following surgery.

Conclusions: Opioid-induced constipation symptoms are common after orthopedic trauma and linked to increased pain interference and pain intensity as well as reduced physical function.

Clinical implications: Nurse-led assessments of opioid-induced constipation can support the timely delivery of interventions to alleviate symptoms and potentially improve patient-reported outcomes after injury.

目的:阿片类药物引起的便秘是服用阿片类处方药的患者经常遇到的不良反应。尽管骨科损伤后经常会开具阿片类药物处方,但对这一人群中阿片类药物引起的便秘表现的研究却很少。本分析研究了骨科损伤后开具阿片类药物的参与者中阿片类药物诱发便秘表现的频率以及与患者报告结果的关联:设计:对86名骨科创伤后临床试验参与者进行二次分析:参与者在术后 2 周接受了以下评估:患者报告结果测量信息系统(PROMIS)疼痛干扰、PROMIS 身体功能、数字疼痛评分量表记录的过去 24 小时平均疼痛强度以及患者便秘症状评估(PAC-SYM)问卷。线性回归研究了 PAC-SYM 评分与疼痛强度和 PROMIS T 评分之间的关系,同时考虑了受伤严重程度和阿片类药物剂量:大多数参与者(69%)报告了阿片类药物引起的便秘症状,7%报告了中度至重度便秘症状。与无症状者相比,发现报告阿片类药物引起的便秘症状的参与者在术后2周的PROMIS疼痛干扰度增加了3分(95% 置信区间[CI]:0.28-5.90;p = .032),PROMIS身体功能下降了3分(95% CI:-6.57至-0.02;p = .049),平均疼痛评分增加了1.7分(95% CI:0.50-3.01;p = .007):结论:阿片类药物引起的便秘症状在骨科创伤后很常见,与疼痛干扰和疼痛强度增加以及身体功能下降有关:临床意义:由护士主导的阿片类药物引起的便秘评估有助于及时采取干预措施以缓解症状,并有可能改善患者报告的伤后结果。
{"title":"Opioid-Induced Constipation and Associated Symptoms After Orthopedic Trauma.","authors":"Gabriela Ortega, Alexa Lisenby, Tatiana Getz, Wenhui Zhang, Kenneth Mueller, Mara L Schenker, Sydney A Axson, Nicholas A Giordano","doi":"10.1016/j.pmn.2024.06.012","DOIUrl":"10.1016/j.pmn.2024.06.012","url":null,"abstract":"<p><strong>Purpose: </strong>Opioid-induced constipation is an adverse effect often experienced among patients taking prescription opioid medication. Despite frequent opioid prescribing after orthopedic injury, there is a dearth of research examining opioid-induced constipation presentations in this population. This analysis examines the frequency of opioid-induced constipation manifestations and association with patient-reported outcomes among participants prescribed opioid medication following orthopedic injury.</p><p><strong>Design: </strong>Secondary analysis of 86 clinical trial participants following orthopedic trauma.</p><p><strong>Methods: </strong>Participants were assessed 2-weeks postoperatively with the following measures: Patient-Reported Outcome Measurement Information System (PROMIS) Pain Interference, PROMIS Physical Function, past 24-hour average pain intensity captured on the numeric pain rating scale, and the Patient Assessment of Constipation Symptoms (PAC-SYM) questionnaire. Linear regressions examined the association between PAC-SYM scores and both pain intensity and PROMIS T-scores while accounting for injury severity and opioid medication dosage.</p><p><strong>Results: </strong>Most participants (69%) reported experiencing opioid-induced constipation symptoms and 7% reported moderate to severe symptoms. Compared to those without symptoms, participants reporting opioid-induced constipation symptoms were found to have a 3-point increase in PROMIS Pain Interference (95% Confidence Interval [CI]: 0.28-5.90; p = .032), a 3-point decline in PROMIS Physical Function (95% CI: -6.57 to -0.02; p = .049), and a 1.7-point increase in average pain scores (95% CI: 0.50-3.01; p = .007) at 2-weeks following surgery.</p><p><strong>Conclusions: </strong>Opioid-induced constipation symptoms are common after orthopedic trauma and linked to increased pain interference and pain intensity as well as reduced physical function.</p><p><strong>Clinical implications: </strong>Nurse-led assessments of opioid-induced constipation can support the timely delivery of interventions to alleviate symptoms and potentially improve patient-reported outcomes after injury.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":"615-621"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141889933","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
Clinical Predictors of Medication Compliance in Patients With Acute Herpetic Neuralgia. 急性带状疱疹神经痛患者遵医嘱用药的临床预测因素
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2024-12-01 Epub Date: 2024-08-16 DOI: 10.1016/j.pmn.2024.07.002
Hui Lyu, Ling-Yan Wang, Rui-Xia Wang, Han Sheng, Jian-Mei Xia, Jun-Ya Cheng

Purpose: Pain is one of the most common and harmful symptoms experienced by individuals with acute herpetic neuralgia (AHN). In this population, studies to determine the causes that affect patients taking medications compliance are rare. This study aimed to construct a predictive model for medication compliance of patients with AHN and to verify its performance.

Design and methods: In this prospective study of 398 patients with AHN who were discharged from a tertiary hospital with medications from July 2020 to October 2022, we used logistic regression analysis to explore the predictive factors of medication compliance of patients with AHN and to construct a nomogram. The area under the curve was used to evaluate the predictive effect of the model.

Results: A predictive model of drug compliance of patients with AHN was constructed based on the following four factors: disease duration, pain severity before treatment, medication beliefs, and comorbidity of chronic diseases. The area under the curve of the model was 0.766 (95% confidence interval [0.713, 0.819]), with a maximum Youden's index of 0.431, sensitivity of 0.776, and specificity of 0.655. A linear calibration curve was found with a slope close to 1.

Conclusions: The prediction model constructed in this study had good predictive performance and provided a reference for early clinical screening of independent factors that affected the medication compliance of patients with AHN.

目的:疼痛是急性疱疹性神经痛(AHN)患者最常见、最有害的症状之一。在这一人群中,确定影响患者服药依从性的原因的研究并不多见。本研究旨在构建急性带状疱疹性神经痛患者服药依从性的预测模型,并验证其性能:在这项前瞻性研究中,我们采用逻辑回归分析法探讨了 AHN 患者服药依从性的预测因素,并构建了一个提名图。曲线下面积用于评估模型的预测效果:结果:根据病程、治疗前疼痛严重程度、用药信念和慢性病合并症这四个因素,构建了阿赫纳患者服药依从性的预测模型。该模型的曲线下面积为 0.766(95% 置信区间 [0.713,0.819]),最大尤登指数为 0.431,灵敏度为 0.776,特异度为 0.655。校准曲线呈线性,斜率接近 1.结论:本研究构建的预测模型具有良好的预测性能,为临床早期筛查影响 AHN 患者服药依从性的独立因素提供了参考。
{"title":"Clinical Predictors of Medication Compliance in Patients With Acute Herpetic Neuralgia.","authors":"Hui Lyu, Ling-Yan Wang, Rui-Xia Wang, Han Sheng, Jian-Mei Xia, Jun-Ya Cheng","doi":"10.1016/j.pmn.2024.07.002","DOIUrl":"10.1016/j.pmn.2024.07.002","url":null,"abstract":"<p><strong>Purpose: </strong>Pain is one of the most common and harmful symptoms experienced by individuals with acute herpetic neuralgia (AHN). In this population, studies to determine the causes that affect patients taking medications compliance are rare. This study aimed to construct a predictive model for medication compliance of patients with AHN and to verify its performance.</p><p><strong>Design and methods: </strong>In this prospective study of 398 patients with AHN who were discharged from a tertiary hospital with medications from July 2020 to October 2022, we used logistic regression analysis to explore the predictive factors of medication compliance of patients with AHN and to construct a nomogram. The area under the curve was used to evaluate the predictive effect of the model.</p><p><strong>Results: </strong>A predictive model of drug compliance of patients with AHN was constructed based on the following four factors: disease duration, pain severity before treatment, medication beliefs, and comorbidity of chronic diseases. The area under the curve of the model was 0.766 (95% confidence interval [0.713, 0.819]), with a maximum Youden's index of 0.431, sensitivity of 0.776, and specificity of 0.655. A linear calibration curve was found with a slope close to 1.</p><p><strong>Conclusions: </strong>The prediction model constructed in this study had good predictive performance and provided a reference for early clinical screening of independent factors that affected the medication compliance of patients with AHN.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":"e479-e486"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141996263","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
Integrating Complementary Therapies in Managing Phantom Limb Pain: A Case Review. 综合辅助疗法治疗幻肢痛:病例回顾。
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2024-12-01 Epub Date: 2024-08-14 DOI: 10.1016/j.pmn.2024.07.007
Njood Y ALfaifi, Elizabeth J Winokur

Objectives: This paper describes phantom limb pain (PLP), its impact on patients, and the various treatment options, including pharmacologic and complementary therapies. It investigates the efficacy of incorporating complementary and alternative therapies, both invasive and noninvasive, for amputees who have not achieved satisfactory results with pharmacologic treatments and suffer from adverse drug events. Furthermore, with the predicted increase in limb amputations, it is crucial for nurses, as frontline providers, to understand PLP, be prepared to manage persistent pain and associated psychological and functional issues and educate patients and families about alternative treatment options.

Approach: The review includes recent studies on pharmacologic interventions for PLP, case reports, and randomized clinical trials on non-pharmacologic complementary therapies, covering both invasive and noninvasive modalities. Studies from 2013 to 2022 were identified using the PubMed search engine with terms such as "Amputation," "phantom limb pain," "invasive therapies," and "non-invasive therapies."

Results and conclusion: The pathogenesis of PLP remains unclear, complicating the identification of causes and the selection of targeted therapies for each patient. Uncontrolled PLP can severely impact the quality of life, causing psychological distress and loss of productivity. Traditional pharmacologic therapy often requires supplementation with other options due to PLP's refractory nature. A comprehensive, multimodal treatment plan, including non-pharmacologic therapies, can enhance rehabilitation and reduce complications. Incorporating these therapies can decrease reliance on medications, particularly opioids, and mitigate side effects. Although many potential PLP treatments exist, further clinical studies are needed to determine their effectiveness and establish protocols for optimizing patient outcomes.

目的:本文介绍了幻肢痛(PLP)、其对患者的影响以及各种治疗方案,包括药物疗法和辅助疗法。对于药物治疗效果不理想且出现药物不良反应的截肢者,本文探讨了采用侵入性和非侵入性辅助疗法和替代疗法的疗效。此外,随着肢体截肢的预测性增加,护士作为一线医疗服务提供者,必须了解截肢治疗方案,为处理持续性疼痛及相关的心理和功能问题做好准备,并向患者和家属宣传替代性治疗方案:该综述包括有关PLP药物干预的最新研究、病例报告以及非药物补充疗法的随机临床试验,涵盖了侵入性和非侵入性疗法。研究人员使用 PubMed 搜索引擎,以 "截肢"、"幻肢痛"、"侵入性疗法 "和 "非侵入性疗法 "等术语,对 2013 年至 2022 年的研究进行了识别:幻肢痛的发病机制仍不清楚,这使得确定病因和为每位患者选择针对性疗法变得更加复杂。不受控制的 PLP 会严重影响生活质量,造成心理困扰和生产力损失。由于 PLP 的难治性,传统的药物治疗通常需要辅以其他方法。包括非药物疗法在内的综合、多模式治疗计划可以提高康复效果并减少并发症。采用这些疗法可以减少对药物的依赖,尤其是阿片类药物,并减轻副作用。尽管存在许多潜在的 PLP 治疗方法,但仍需要进一步的临床研究来确定其有效性,并制定优化患者预后的方案。
{"title":"Integrating Complementary Therapies in Managing Phantom Limb Pain: A Case Review.","authors":"Njood Y ALfaifi, Elizabeth J Winokur","doi":"10.1016/j.pmn.2024.07.007","DOIUrl":"10.1016/j.pmn.2024.07.007","url":null,"abstract":"<p><strong>Objectives: </strong>This paper describes phantom limb pain (PLP), its impact on patients, and the various treatment options, including pharmacologic and complementary therapies. It investigates the efficacy of incorporating complementary and alternative therapies, both invasive and noninvasive, for amputees who have not achieved satisfactory results with pharmacologic treatments and suffer from adverse drug events. Furthermore, with the predicted increase in limb amputations, it is crucial for nurses, as frontline providers, to understand PLP, be prepared to manage persistent pain and associated psychological and functional issues and educate patients and families about alternative treatment options.</p><p><strong>Approach: </strong>The review includes recent studies on pharmacologic interventions for PLP, case reports, and randomized clinical trials on non-pharmacologic complementary therapies, covering both invasive and noninvasive modalities. Studies from 2013 to 2022 were identified using the PubMed search engine with terms such as \"Amputation,\" \"phantom limb pain,\" \"invasive therapies,\" and \"non-invasive therapies.\"</p><p><strong>Results and conclusion: </strong>The pathogenesis of PLP remains unclear, complicating the identification of causes and the selection of targeted therapies for each patient. Uncontrolled PLP can severely impact the quality of life, causing psychological distress and loss of productivity. Traditional pharmacologic therapy often requires supplementation with other options due to PLP's refractory nature. A comprehensive, multimodal treatment plan, including non-pharmacologic therapies, can enhance rehabilitation and reduce complications. Incorporating these therapies can decrease reliance on medications, particularly opioids, and mitigate side effects. Although many potential PLP treatments exist, further clinical studies are needed to determine their effectiveness and establish protocols for optimizing patient outcomes.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":"659-665"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141988529","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
Improving Pain Management in the Intensive Care Unit by Assessment. 通过评估改善重症监护室的疼痛管理。
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2024-12-01 Epub Date: 2024-09-07 DOI: 10.1016/j.pmn.2024.06.013
Reidun K N M Sandvik, Maida Mujakic, Ingvild Haarklau, Gosselin Emilie, Asgjerd L Moi

Purpose: Patients in the intensive care unit suffer from pain caused by life-threatening illness or injury but also treatments such as surgery and nursing procedures such as venipuncture. Unconsciousness following head trauma or sedation stage complicates self-report, and both under- and over-management of pain can occur. Inadequate assessment and treatment might follow from unsuitable pain assessment practices. The aim of this study was to evaluate the effect of the implementation of a pain assessment tool on nurses` documentation of pain and the administration of analgesia and sedation.

Design: Quantitative pre-post design.

Methods: The study was conducted at one intensive care unit at a university hospital and involved 60 patient records and 30 pre-implementations and 30 post-implementations of the Critical-Care Pain Observation Tool (CPOT).

Results: After implementation, a 38% adherence rate was found. The frequency of nurses' pain evaluations increased significantly from 1.3 to 2.3 per nursing shift. The implementation of CPOT also improved how often nurses identified pain by use of facial expressions, muscle tension, and cooperation with the mechanical ventilator, whereas focus on vital signs dropped (p = .014). A larger proportion of patients (17%) received paracetamol after the CPOT implementation compared with before (8%). Findings were statistically significant at p < .01.

Conclusions: Implementation of CPOT increased the frequency of pain evaluations, and the observable patient behavior was more often interpreted as pain-related. Nurses' adherence rate to sustained patient behavior focus being modest highlights the essential need for ongoing improvements in practice. Implementation of a new tool must be followed by non-pharmacological and pharmacological pain management steps.

Clinical implications: Implementing the CPOT as a pain assessment tool has the potential to enhance assessment practices. However, it is important to note that simply increasing assessment frequency does not guarantee nursing interventions to alleviate pain. This indicates the need for additional steps to be taken in order for nurses to complete the pain assessment cycle and effectively address interventions and reassessments.

目的:重症监护室的病人会因危及生命的疾病或受伤而感到疼痛,也会因手术等治疗和静脉穿刺等护理程序而感到疼痛。头部外伤或镇静阶段后的昏迷使自我报告变得复杂,疼痛管理不足和过度都有可能发生。不适当的疼痛评估方法可能会导致不适当的评估和治疗。本研究旨在评估疼痛评估工具的实施对护士记录疼痛及实施镇痛和镇静的影响:设计:定量前-后设计:研究在一所大学医院的重症监护病房进行,涉及 60 份病历和 30 份重症监护疼痛观察工具(CPOT)实施前和实施后的病历:结果发现,实施后的依从率为 38%。护士进行疼痛评估的频率从每班 1.3 次大幅增加到 2.3 次。CPOT 的实施还提高了护士通过面部表情、肌肉紧张度和与机械呼吸机的配合来识别疼痛的频率,而对生命体征的关注则有所下降(p = .014)。与实施 CPOT 之前(8%)相比,实施 CPOT 之后有更大比例的患者(17%)服用了扑热息痛。研究结果具有统计学意义,P < .01:结论:CPOT 的实施增加了疼痛评估的频率,可观察到的患者行为更多地被解释为与疼痛有关。护士对持续关注患者行为的坚持率不高,这凸显了在实践中不断改进的必要性。新工具的实施必须遵循非药物和药物疼痛管理步骤:临床意义:采用 CPOT 作为疼痛评估工具有可能改进评估实践。然而,需要注意的是,仅仅增加评估频率并不能保证护理干预措施能缓解疼痛。这表明护士需要采取更多的步骤来完成疼痛评估周期,并有效地进行干预和重新评估。
{"title":"Improving Pain Management in the Intensive Care Unit by Assessment.","authors":"Reidun K N M Sandvik, Maida Mujakic, Ingvild Haarklau, Gosselin Emilie, Asgjerd L Moi","doi":"10.1016/j.pmn.2024.06.013","DOIUrl":"10.1016/j.pmn.2024.06.013","url":null,"abstract":"<p><strong>Purpose: </strong>Patients in the intensive care unit suffer from pain caused by life-threatening illness or injury but also treatments such as surgery and nursing procedures such as venipuncture. Unconsciousness following head trauma or sedation stage complicates self-report, and both under- and over-management of pain can occur. Inadequate assessment and treatment might follow from unsuitable pain assessment practices. The aim of this study was to evaluate the effect of the implementation of a pain assessment tool on nurses` documentation of pain and the administration of analgesia and sedation.</p><p><strong>Design: </strong>Quantitative pre-post design.</p><p><strong>Methods: </strong>The study was conducted at one intensive care unit at a university hospital and involved 60 patient records and 30 pre-implementations and 30 post-implementations of the Critical-Care Pain Observation Tool (CPOT).</p><p><strong>Results: </strong>After implementation, a 38% adherence rate was found. The frequency of nurses' pain evaluations increased significantly from 1.3 to 2.3 per nursing shift. The implementation of CPOT also improved how often nurses identified pain by use of facial expressions, muscle tension, and cooperation with the mechanical ventilator, whereas focus on vital signs dropped (p = .014). A larger proportion of patients (17%) received paracetamol after the CPOT implementation compared with before (8%). Findings were statistically significant at p < .01.</p><p><strong>Conclusions: </strong>Implementation of CPOT increased the frequency of pain evaluations, and the observable patient behavior was more often interpreted as pain-related. Nurses' adherence rate to sustained patient behavior focus being modest highlights the essential need for ongoing improvements in practice. Implementation of a new tool must be followed by non-pharmacological and pharmacological pain management steps.</p><p><strong>Clinical implications: </strong>Implementing the CPOT as a pain assessment tool has the potential to enhance assessment practices. However, it is important to note that simply increasing assessment frequency does not guarantee nursing interventions to alleviate pain. This indicates the need for additional steps to be taken in order for nurses to complete the pain assessment cycle and effectively address interventions and reassessments.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":"606-614"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146141","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
Effects of a Preoperative Patient-Controlled Analgesia Education Program Using Smart Learning in Laparoscopic Cholecystectomy Patients. 腹腔镜胆囊切除术患者术前患者自控镇痛教育计划(Smart Learning)的效果。
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2024-12-01 Epub Date: 2024-07-05 DOI: 10.1016/j.pmn.2024.06.003
HwiKyung Kim, Hanna Lee

Background: Patients undergoing laparoscopic cholecystectomy develop severe postoperative pain, and this acute pain often becomes chronic.

Objectives: This study determines the effects of preoperative education on patient-controlled analgesia (PCA) through smart learning in patients using PCA after undergoing laparoscopic cholecystectomies.

Design: We conducted a quasi-experimental study with a nonequivalent control group pretest-posttest design.

Participants: A total of 60 adult patients aged 20-65 years, admitted for laparoscopic cholecystectomy at a hospital in Korea, participated in a smart learning training program.

Methods: The concept of smart learning, which integrates learning content and solutions with the fourth industrial revolution using mobile devices such as smartphones and media tablets was applied in this study. This smart learning training program comprised three phases: (1) prebriefing, where patients accessed PCA knowledge via a program created by researchers and accessible using a mobile web device (e.g., smartphone or an iPad), with training covering pain characteristics, PCA effects, precautions, and usage methods; (2) simulation, where patients learned using PCA with a machine; (3) debriefing, where patients reviewed their knowledge and skills.

Results: Comparing the pain between the experimental and control groups, the pain decreased significantly in both the experimental (Z = -4.40, p < .001) and control groups (Z = -4.41, p < .001), with no significant difference between groups (Z = -1.00, p = .319). Preoperative knowledge significantly increased in both the experimental (Z = -4.74, p < .001) and control groups (Z = -3.55, p < .001), with a significant difference between groups (Z = -6.05, p < .001). Total satisfaction with pain control was higher in the experimental group than in the control group.

Conclusions: A structured educational program on PCA use is an effective nursing intervention. PCA educational programs using smart learning could help patients undergoing laparoscopic cholecystectomy understand postoperative pain, promote efficient PCA use, and enhance their satisfaction with pain control.

背景:接受腹腔镜胆囊切除术的患者会出现严重的术后疼痛,而且这种急性疼痛往往会转变为慢性疼痛:本研究通过对腹腔镜胆囊切除术后使用患者自控镇痛(PCA)的患者进行智能学习,确定术前教育对患者自控镇痛(PCA)的影响:我们进行了一项采用非等效对照组前测-后测设计的准实验研究:韩国一家医院共收治了60名20-65岁的腹腔镜胆囊切除术成年患者,他们参加了智能学习培训项目:本研究采用了智能学习的概念,即利用智能手机和媒体平板电脑等移动设备将学习内容和解决方案与第四次工业革命相结合。该智能学习培训计划包括三个阶段:(1)汇报前,患者通过研究人员创建的程序获取PCA知识,并可使用移动网络设备(如智能手机或iPad)访问,培训内容包括疼痛特征、PCA效果、注意事项和使用方法;(2)模拟,患者学习使用机器进行PCA;(3)汇报,患者回顾自己的知识和技能:比较实验组和对照组的疼痛情况,实验组(Z = -4.40,p < .001)和对照组(Z = -4.41,p < .001)的疼痛均明显减轻,组间无显著差异(Z = -1.00,p = .319)。实验组(Z = -4.74,p < .001)和对照组(Z = -3.55,p < .001)的术前知识都有明显增加,组间差异显著(Z = -6.05,p < .001)。实验组对疼痛控制的总满意度高于对照组:结论:关于 PCA 使用的结构化教育计划是一种有效的护理干预措施。采用智能学习的PCA教育项目可帮助接受腹腔镜胆囊切除术的患者了解术后疼痛,促进PCA的有效使用,并提高他们对疼痛控制的满意度。
{"title":"Effects of a Preoperative Patient-Controlled Analgesia Education Program Using Smart Learning in Laparoscopic Cholecystectomy Patients.","authors":"HwiKyung Kim, Hanna Lee","doi":"10.1016/j.pmn.2024.06.003","DOIUrl":"10.1016/j.pmn.2024.06.003","url":null,"abstract":"<p><strong>Background: </strong>Patients undergoing laparoscopic cholecystectomy develop severe postoperative pain, and this acute pain often becomes chronic.</p><p><strong>Objectives: </strong>This study determines the effects of preoperative education on patient-controlled analgesia (PCA) through smart learning in patients using PCA after undergoing laparoscopic cholecystectomies.</p><p><strong>Design: </strong>We conducted a quasi-experimental study with a nonequivalent control group pretest-posttest design.</p><p><strong>Participants: </strong>A total of 60 adult patients aged 20-65 years, admitted for laparoscopic cholecystectomy at a hospital in Korea, participated in a smart learning training program.</p><p><strong>Methods: </strong>The concept of smart learning, which integrates learning content and solutions with the fourth industrial revolution using mobile devices such as smartphones and media tablets was applied in this study. This smart learning training program comprised three phases: (1) prebriefing, where patients accessed PCA knowledge via a program created by researchers and accessible using a mobile web device (e.g., smartphone or an iPad), with training covering pain characteristics, PCA effects, precautions, and usage methods; (2) simulation, where patients learned using PCA with a machine; (3) debriefing, where patients reviewed their knowledge and skills.</p><p><strong>Results: </strong>Comparing the pain between the experimental and control groups, the pain decreased significantly in both the experimental (Z = -4.40, p < .001) and control groups (Z = -4.41, p < .001), with no significant difference between groups (Z = -1.00, p = .319). Preoperative knowledge significantly increased in both the experimental (Z = -4.74, p < .001) and control groups (Z = -3.55, p < .001), with a significant difference between groups (Z = -6.05, p < .001). Total satisfaction with pain control was higher in the experimental group than in the control group.</p><p><strong>Conclusions: </strong>A structured educational program on PCA use is an effective nursing intervention. PCA educational programs using smart learning could help patients undergoing laparoscopic cholecystectomy understand postoperative pain, promote efficient PCA use, and enhance their satisfaction with pain control.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":"e428-e435"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141538356","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
Implementation of a Quality Improvement Learning Collaborative to Support Implementation of the 2016 CDC Guideline for Prescribing Opioids for Chronic Pain: Case Study from Nurse-Led Clinics. 实施质量改进学习合作以支持 2016 年美国疾病预防控制中心《慢性疼痛阿片类药物处方指南》的实施:来自护士领导的诊所的案例研究。
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2024-12-01 Epub Date: 2024-09-27 DOI: 10.1016/j.pmn.2024.08.011
Angela Harless, Patricia M Vanhook, Sarah Shoemaker-Hunt, Nicole Keane, Ellen Childs

Purpose: The authors describe a case study of a quality improvement initiative to implement the 2016 CDC Guideline for Prescribing Opioids for Chronic Pain2 ("2016 CDC Guideline") into nurse-led primary care practices in central Appalachia.

Design: In this controlled pre-post quality improvement study, a policy change, an electronic health record form, and supporting education were implemented. Knowledge change and quality improvement metrics were measured before and after implementation.

Data sources: The data comprised pre- and post-knowledge survey and quality improvement metrics from the electronic health record.

Results: After the implementation of the chronic pain intake form and supporting training and education, marked improvements in documentation and completion of the 2016 CDC Guideline and Tennessee Clinical Practice Guideline-concordant activities were observed, suggesting an increase in compliance with guidelines.

Conclusions: Quality improvement efforts that focus on opioid management best practices may be effective at enhancing 2016 CDC Guideline-concordant care in clinics, including nurse-led ones. Similar strategies could be trialed to ensure the 2022 CDC Clinical Practice Guideline recommendations for opioid and pain management are adopted effectively.

Practice implications: Interventions to improve opioid and pain management through quality improvement efforts require policy changes, clinician and patient education, and electronic record tools.

目的:作者描述了在阿巴拉契亚中部地区护士主导的初级保健实践中实施《2016 年美国疾病预防控制中心慢性疼痛阿片类药物处方指南》2 ("2016 年美国疾病预防控制中心指南")的质量改进措施的案例研究:设计:在这项前后对照的质量改进研究中,实施了政策变更、电子健康记录表和辅助教育。数据来源:数据包括实施前和实施后的知识变化和质量改进指标:数据包括实施前后的知识调查和电子健康记录中的质量改进指标:结果:在实施慢性疼痛摄入表和支持性培训与教育后,2016 年疾病预防控制中心指南和田纳西州临床实践指南一致性活动的记录和完成情况有了明显改善,这表明指南的合规性有所提高:结论:以阿片类药物管理最佳实践为重点的质量改进工作可有效加强诊所(包括护士主导的诊所)中与 2016 年疾病预防控制中心指南一致的护理。类似的策略也可试用,以确保有效采纳 2022 年疾病预防控制中心临床实践指南中关于阿片类药物和疼痛管理的建议:实践意义:通过提高质量来改善阿片类药物和疼痛管理的干预措施需要政策改变、临床医生和患者教育以及电子记录工具。
{"title":"Implementation of a Quality Improvement Learning Collaborative to Support Implementation of the 2016 CDC Guideline for Prescribing Opioids for Chronic Pain: Case Study from Nurse-Led Clinics.","authors":"Angela Harless, Patricia M Vanhook, Sarah Shoemaker-Hunt, Nicole Keane, Ellen Childs","doi":"10.1016/j.pmn.2024.08.011","DOIUrl":"10.1016/j.pmn.2024.08.011","url":null,"abstract":"<p><strong>Purpose: </strong>The authors describe a case study of a quality improvement initiative to implement the 2016 CDC Guideline for Prescribing Opioids for Chronic Pain<sup>2</sup> (\"2016 CDC Guideline\") into nurse-led primary care practices in central Appalachia.</p><p><strong>Design: </strong>In this controlled pre-post quality improvement study, a policy change, an electronic health record form, and supporting education were implemented. Knowledge change and quality improvement metrics were measured before and after implementation.</p><p><strong>Data sources: </strong>The data comprised pre- and post-knowledge survey and quality improvement metrics from the electronic health record.</p><p><strong>Results: </strong>After the implementation of the chronic pain intake form and supporting training and education, marked improvements in documentation and completion of the 2016 CDC Guideline and Tennessee Clinical Practice Guideline-concordant activities were observed, suggesting an increase in compliance with guidelines.</p><p><strong>Conclusions: </strong>Quality improvement efforts that focus on opioid management best practices may be effective at enhancing 2016 CDC Guideline-concordant care in clinics, including nurse-led ones. Similar strategies could be trialed to ensure the 2022 CDC Clinical Practice Guideline recommendations for opioid and pain management are adopted effectively.</p><p><strong>Practice implications: </strong>Interventions to improve opioid and pain management through quality improvement efforts require policy changes, clinician and patient education, and electronic record tools.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":"638-644"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142351806","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 Effect of Video Streaming With Virtual Reality Glasses on on Pain Anxiety and Satisfaction Applied in Peripheral Intravenous Catheter Process. 虚拟现实眼镜视频流对外周静脉置管过程中疼痛焦虑和满意度的影响
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2024-12-01 Epub Date: 2024-07-01 DOI: 10.1016/j.pmn.2024.05.009
Sevil Güler, Seda Şahan, Selçuk Öztürk

Background: Peripheral intravenous catheter (PIC) implementation is among the most frequent and highly invasive nursing initiatives. PIC leads to anxiety with procedural pain, causing individuals to reject these procedures or negatively affecting the process's success.

Aim: The study was conducted to determine the effect of virtual reality glasses (VRG) on pain, anxiety, and patient satisfaction during the peripheral intravenous catheter (PIC) process in adults.

Design: An experimental study.

Settings: An emergency department of a university hospital.

Methods: Individuals who were admitted to the emergency unit of the university hospital were recruited between the data collection dates. Data from individuals' "Patient Information Form," "Visual Pain Scale," "Visual Anxiety Scale," and "Visual Satisfaction Scale" were collected. "VR-Box 3D Glasses" was used as virtual reality glasses.

Results: In our study, when the pain point averages with VAS were compared during the PIC process, the pain score average of the patients in the control group was 5.78 ± 1.23 visual anxiety scale 5.89 ± 1.23 and patient satisfaction scale 3.86 ± 2.48, The visual pain score average of patients in the VRG group is 4.12 ± 2.16, visual anxiety scale 3.14 ± 1.76 and visual patient satisfaction scale 7.64 ± 3.26. In short, it has been detected that the pain, anxiety, and patient satisfaction score averages of patients in the VRG group are statistically significant compared to the pain score averages of patients in the control group (p < .005). Our study unearthed a statistically significant relationship at an average level of negative direction between PIC post-treatment pain, anxiety, and patient satisfaction (r = - 0.476).

Conclusion: Utilization of VRG has been detected to reduce pain and anxiety felt during the PIC process in adult patients and increase process satisfaction. VRG, a non-pharmacological, non-invasive, inexpensive, and feasible nursing initiative, may be recommended for use in pain and anxiety control in patients undergoing PIC treatment.

背景:外周静脉导管(PIC)的实施是最常见的高侵入性护理措施之一。目的:本研究旨在确定虚拟现实眼镜(VRG)对成人外周静脉置管(PIC)过程中疼痛、焦虑和患者满意度的影响:设计:实验研究:环境:一所大学医院的急诊科:方法:在数据收集日期之间招募大学医院急诊科的住院患者。收集 "患者信息表"、"视觉疼痛量表"、"视觉焦虑量表 "和 "视觉满意度量表 "中的数据。使用 "VR-Box 3D眼镜 "作为虚拟现实眼镜:在我们的研究中,当比较 PIC 过程中的疼痛点平均值与 VAS 时,对照组患者的疼痛评分平均值为 5.78 ± 1.23,视觉焦虑评分为 5.89 ± 1.23,患者满意度评分为 3.86 ± 2.48;VRG 组患者的视觉疼痛评分平均值为 4.12 ± 2.16,视觉焦虑评分为 3.14 ± 1.76,视觉患者满意度评分为 7.64 ± 3.26。总之,与对照组患者的疼痛评分平均值相比,VRG 组患者的疼痛、焦虑和患者满意度评分平均值具有显著的统计学意义(P < .005)。我们的研究发现,PIC 治疗后疼痛、焦虑和患者满意度之间存在统计学意义上的显著负相关关系(r = - 0.476):结论:研究发现,使用 VRG 可以减轻成年患者在 PIC 过程中的疼痛和焦虑感,并提高过程满意度。VRG是一种非药物、非侵入性、廉价且可行的护理措施,可推荐用于控制接受PIC治疗的患者的疼痛和焦虑。
{"title":"The Effect of Video Streaming With Virtual Reality Glasses on on Pain Anxiety and Satisfaction Applied in Peripheral Intravenous Catheter Process.","authors":"Sevil Güler, Seda Şahan, Selçuk Öztürk","doi":"10.1016/j.pmn.2024.05.009","DOIUrl":"10.1016/j.pmn.2024.05.009","url":null,"abstract":"<p><strong>Background: </strong>Peripheral intravenous catheter (PIC) implementation is among the most frequent and highly invasive nursing initiatives. PIC leads to anxiety with procedural pain, causing individuals to reject these procedures or negatively affecting the process's success.</p><p><strong>Aim: </strong>The study was conducted to determine the effect of virtual reality glasses (VRG) on pain, anxiety, and patient satisfaction during the peripheral intravenous catheter (PIC) process in adults.</p><p><strong>Design: </strong>An experimental study.</p><p><strong>Settings: </strong>An emergency department of a university hospital.</p><p><strong>Methods: </strong>Individuals who were admitted to the emergency unit of the university hospital were recruited between the data collection dates. Data from individuals' \"Patient Information Form,\" \"Visual Pain Scale,\" \"Visual Anxiety Scale,\" and \"Visual Satisfaction Scale\" were collected. \"VR-Box 3D Glasses\" was used as virtual reality glasses.</p><p><strong>Results: </strong>In our study, when the pain point averages with VAS were compared during the PIC process, the pain score average of the patients in the control group was 5.78 ± 1.23 visual anxiety scale 5.89 ± 1.23 and patient satisfaction scale 3.86 ± 2.48, The visual pain score average of patients in the VRG group is 4.12 ± 2.16, visual anxiety scale 3.14 ± 1.76 and visual patient satisfaction scale 7.64 ± 3.26. In short, it has been detected that the pain, anxiety, and patient satisfaction score averages of patients in the VRG group are statistically significant compared to the pain score averages of patients in the control group (p < .005). Our study unearthed a statistically significant relationship at an average level of negative direction between PIC post-treatment pain, anxiety, and patient satisfaction (r = - 0.476).</p><p><strong>Conclusion: </strong>Utilization of VRG has been detected to reduce pain and anxiety felt during the PIC process in adult patients and increase process satisfaction. VRG, a non-pharmacological, non-invasive, inexpensive, and feasible nursing initiative, may be recommended for use in pain and anxiety control in patients undergoing PIC treatment.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":"e472-e478"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141492984","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
Infiltrative Treatment of Morton's Neuroma: A Systematic Review. 莫顿神经瘤的浸润治疗:系统性综述。
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2024-12-01 Epub Date: 2024-07-01 DOI: 10.1016/j.pmn.2024.06.005
María Oliva Millán-Silva, Pedro V Munuera-Martínez, Priscila Távara-Vidalón

Background: Morton's neuroma (MN) is one of the most frequent neurological pathologies in feet, affecting approximately 4% of the general population. The treatment of MN can be surgical, conservative, and infiltrative, with different substances used in the injections for MN, as steroids, sclerosing solutions, and others. This review aims to evaluate the efficacy of current infiltrative therapy for Morton's neuroma and, additionally, to define adverse effects of this therapy.

Material and methods: A literature search was performed in PubMed, Embase, CINHAL, Epistemonikos, Web of Science (WOS), SPORTSDiscus and Cochrane Library. This search involved the application of all types of infiltrative treatment applicable to MN. The search was limited to original data describing clinical outcomes and pain using the Visual Analogue pain Scale (VAS) or the Johnson Satisfaction Scale, between February and June 2023.

Results: Twelve manuscripts were selected (six randomized controlled trials and six longitudinal observational studies) involving 1,438 patients. Capsaicin was reported to produce a VAS score reduction of 51.8%. Corticosteroids also reported a high level of efficacy. Alcohol and Hyaluronic Acid injections are well tolerated, but the effects of their application need further research. There were no serious adverse events.

Conclusions: Corticosteroids, sclerosant injections, hyaluronic acid and capsaicin have been shown to be effective in reducing the pain related to MN.

背景:莫顿神经瘤(MN)是足部最常见的神经系统病变之一,约占总人口的 4%。治疗莫顿神经瘤的方法有外科手术、保守治疗和浸润治疗,在注射莫顿神经瘤时使用的物质也各不相同,如类固醇、硬化剂溶液等。本综述旨在评估目前针对莫顿神经瘤的浸润疗法的疗效,并确定该疗法的不良反应:在 PubMed、Embase、CINHAL、Epistemonikos、Web of Science (WOS)、SPORTSDiscus 和 Cochrane Library 中进行了文献检索。该搜索涉及适用于 MN 的所有类型的浸润治疗。搜索仅限于 2023 年 2 月至 6 月期间使用视觉模拟疼痛量表(VAS)或约翰逊满意度量表描述临床结果和疼痛的原始数据:结果:共选取了 12 篇手稿(6 项随机对照试验和 6 项纵向观察研究),涉及 1438 名患者。据报道,辣椒素可使 VAS 评分降低 51.8%。皮质类固醇也有很高的疗效。酒精和透明质酸注射的耐受性良好,但其应用效果还需进一步研究。没有出现严重的不良反应:皮质类固醇、硬化剂注射、透明质酸和辣椒素已被证明能有效减轻与 MN 相关的疼痛。
{"title":"Infiltrative Treatment of Morton's Neuroma: A Systematic Review.","authors":"María Oliva Millán-Silva, Pedro V Munuera-Martínez, Priscila Távara-Vidalón","doi":"10.1016/j.pmn.2024.06.005","DOIUrl":"10.1016/j.pmn.2024.06.005","url":null,"abstract":"<p><strong>Background: </strong>Morton's neuroma (MN) is one of the most frequent neurological pathologies in feet, affecting approximately 4% of the general population. The treatment of MN can be surgical, conservative, and infiltrative, with different substances used in the injections for MN, as steroids, sclerosing solutions, and others. This review aims to evaluate the efficacy of current infiltrative therapy for Morton's neuroma and, additionally, to define adverse effects of this therapy.</p><p><strong>Material and methods: </strong>A literature search was performed in PubMed, Embase, CINHAL, Epistemonikos, Web of Science (WOS), SPORTSDiscus and Cochrane Library. This search involved the application of all types of infiltrative treatment applicable to MN. The search was limited to original data describing clinical outcomes and pain using the Visual Analogue pain Scale (VAS) or the Johnson Satisfaction Scale, between February and June 2023.</p><p><strong>Results: </strong>Twelve manuscripts were selected (six randomized controlled trials and six longitudinal observational studies) involving 1,438 patients. Capsaicin was reported to produce a VAS score reduction of 51.8%. Corticosteroids also reported a high level of efficacy. Alcohol and Hyaluronic Acid injections are well tolerated, but the effects of their application need further research. There were no serious adverse events.</p><p><strong>Conclusions: </strong>Corticosteroids, sclerosant injections, hyaluronic acid and capsaicin have been shown to be effective in reducing the pain related to MN.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":"628-637"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141492981","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
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1