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Ajouter le résultat dans votre panierRelaxation Therapy with Guided Imagery for Postoperative Pain Management / Márcia Marques dos Santos Felix in Pain Management Nursing, Vol. 20, n° 1 (February 2019)
Titre : Relaxation Therapy with Guided Imagery for Postoperative Pain Management : An Integrative Review Type de document : Article Auteurs : Márcia Marques dos Santos Felix ; Maria Beatriz Guimarães Ferreira ; Luciana Falcão da Cruz ; Maria Helena Barbosa Année de publication : 2019 Article en page(s) : p. 3-9 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur postopératoire ; Relaxation ; VisualisationRésumé : Objective : To identify the evidence in the literature about relaxation therapy with guided imagery for postoperative pain management. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=197974
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Titre : Music Therapy and Pain Management in Patients with End-Stage Liver Disease : An Evidence-Based Practice Quality Improvement Project Type de document : Article Auteurs : Sonia Pathania ; Larry Z. Slater ; Courtney Vose ; Ann-Margaret Navarra Année de publication : 2019 Article en page(s) : p. 10-16 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur ; Insuffisance hépatique ; Musicothérapie ; Pratique factuelle (EBP)Résumé : Background : Pain can negatively affect the inpatient hospitalization experience; however, in patients with compromised metabolic pathways who are more vulnerable to medication side effects, pain control becomes even more challenging.
Aims : This evidence-based practice quality improvement project explored the feasibility of implementing a music therapy intervention for improved pain management (pain intensity, analgesic volume) and patient satisfaction among patients with a diagnosis of cirrhotic end-stage liver disease in the acute care setting.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=197978
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Titre : Effects of Auricular Acupressure on Pain Management : A Systematic Review Type de document : Article Auteurs : Eunhea You ; David Kim ; Ryan Harris ; Karen D'Alonzo Année de publication : 2019 Article en page(s) : p. 17-24 Langues : Anglais (eng) Descripteurs : HE Vinci
Acupression ; Acupuncture ; DouleurRésumé : Objective : Nearly half of hospitalized patients in the United States have reported experiencing pain even while undergoing treatment for pain. Analgesic use is the most common type of treatment for pain management. Many patients who experience pain seek nonpharmacologic interventions to manage their pain, including forms of complementary or alternative medicine such as auricular acupressure (AA). Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=197979
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Titre : The Use of Comfort Kits to Optimize Adult Cancer Pain Management Type de document : Article Auteurs : Lisa M. Blackburn ; Stephanie Abel ; Lori Green ; Kirsten Johnson ; Shannon Panda Année de publication : 2019 Article en page(s) : p. 25-31 Langues : Anglais (eng) Descripteurs : HE Vinci
Aromathérapie ; Douleur ; Huile essentielle ; Massage ; Thérapies complémentaires ; Tumeurs ; VisualisationRésumé : Background : Pain is one of the most feared of all symptoms for the cancer patient. Some studies estimate that up to 90% of all cancer patients experience pain. Advances in pharmaceuticals and expert provider knowledge have improved pain management overall for the patient with cancer; however, complementary therapies can synergize medications to provide optimal pain relief while decreasing the side effect profile. Despite this, nurses may have limited access to such resources. Many therapies can be administered directly by the bedside/chairside nurse with minimal training and the nurse can then teach the patient and family how to use the selected complementary therapy after leaving the hospital or clinic.
Objectives : The oncology nurse will be able to identify several easy-to-implement complementary therapies that can supplement pharmacologic pain management for cancer patients.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=197984
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Titre : Effectiveness of a Mindfulness-Based Intervention in the Management of Musculoskeletal Pain in Nursing Workers Type de document : Article Auteurs : Shirlene Aparecida Lopes ; Bruna Pesce Vannucchi ; Marcelo Demarzo ; Ângelo Geraldo José Cunha ; Maria do Patrocínio Tenório Nunes Année de publication : 2019 Article en page(s) : p. 32-38 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur ; Infirmières et infirmiers ; Maladies ostéomusculaires ; Pleine conscience (Mindfulness)Résumé : Background : Chronic pain is a prevalent disorder in nursing workers worldwide. Several studies have proposed measures to mitigate this critical scenario. Mindfulness-based interventions (MBI) have been found to have promising results in the treatment of this disorder.
Aims : To quantify the effectiveness of an adapted mindfulness program (AMP) in the management of musculoskeletal pain (MSP) in nursing technicians of a Brazilian university hospital.
Design : This study was a clinical, prospective, open, repeated measures trial, with data collection between January and July 2015.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=197986
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Titre : Using Yoga Nidra Recordings for Pain Management in Patients Undergoing Colonoscopy Type de document : Article Auteurs : Lijun Li ; Wen Shu ; Zhen Li ; Quanyan Liu ; Haitao Wang ; Bilong Feng ; Yan-Qiong Ouyang Année de publication : 2019 Article en page(s) : p. 39-46 Langues : Anglais (eng) Descripteurs : HE Vinci
Coloscopie ; Douleur ; Enregistrement ; Musique ; Relaxation ; YogaRésumé : Objective : The objective of this study was to compare the effects produced by yoga nidra and relaxation music for pain management in patients undergoing colonoscopy. A quasiexperimental design was used. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=198014
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Titre : Effects of Reflexology and Progressive Muscle Relaxation on Pain, Fatigue, and Quality of Life during Chemotherapy in Gynecologic Cancer Patients Type de document : Article Auteurs : Hacer Alan Dikmen ; Fusun Terzioglu Année de publication : 2019 Article en page(s) : p. 47-53 Langues : Anglais (eng) Descripteurs : HE Vinci
Chimiothérapie ; Douleur ; Fatigue ; Gynécologie ; Qualité de vie ; Reflexologie ; Relaxation musculaire ; TumeursRésumé : Purpose : Our aim was to investigate the effect of reflexology and progressive muscle relaxation (PMR) exercises on pain, fatigue, and quality of life (QoL) of gynecologic cancer patients during chemotherapy. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=198022
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Titre : Oral Glucose and Listening to Lullaby to Decrease Pain in Preterm Infants Supported with NCPAP : A Randomized Controlled Trial Type de document : Article Auteurs : Kadir Şerafettin Tekgündüz ; Sevinç Polat ; Ayse Gürol ; Serap Ejder Apay Année de publication : 2019 Article en page(s) : p. 54-61 Langues : Anglais (eng) Descripteurs : HE Vinci
Berceuse ; Douleur ; Glucose ; Musique ; Nouveau-né ; Prématuré ; Ventilation en pression positive continueRésumé : Background : Preterm infants spend the early days of their lives in neonatal intensive care units, where they undergo many minor painful procedures. There are many nonpharmacologic methods that can effectively reduce the pain response of neonates who undergo routine procedures.
Aims : This study aimed to investigate whether oral glucose and listening to lullabies could bring pain relief during the removal and reinsertion of the tracheal tube and also oronasopharyngeal suctioning in premature infants to whom nasal continuous positive airway pressure was applied.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=198025
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Titre : The Effect of Aromatherapy Massage on Knee Pain and Functional Status in Participants with Osteoarthritis Type de document : Article Auteurs : Dilek Efe Arslan ; Sevinc Kutlutürkan ; Murat Korkmaz Année de publication : 2019 Article en page(s) : p. 62-69 Langues : Anglais (eng) Descripteurs : HE Vinci
Aromathérapie ; Arthrose ; Douleur ; Genou ; MassageRésumé : This study was conducted to evaluate the effect of aromatherapy massage on knee pain and functional status in subjects with osteoarthritis. The study was designed as a non-randomized interventional study. The study was carried out on patients who referred to the outpatient clinics of the Department of Orthopedics, Physiotherapy and Rehabilitation at Bozok University Research and Application Hospital, and were diagnosed with osteoarthritis. A total number of 95 patients were included in the study, and of those, 33 were allocated to aromatherapy massage group, 30 were allocated to conventional massage group, and 32 were allocated to the control group. The study data were collected using the Patient Identification Form, visual analogue scale, the Western Ontario and McMaster University Osteoarthritis Index. Repeated measures analysis of variance test was used to analyze the outcomes in the aromatherapy, conventional massage and control groups, according to the weeks of follow-up. Bonferroni test was used for further analysis. Baseline mean visual analogue scale score and the Western Ontario and McMaster University Osteoarthritis Index were not significantly different between the groups (p > .05). Visual analogue scale (rest-activity) scores and the scores in the Western Ontario and McMaster University Osteoarthritis Index in the aromatherapy massage group were lower, and the difference compared to the control group was statistically significant (p Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=198027
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Titre : The Relaxation Response Resiliency Program (3RP) in Patients with Headache and Musculoskeletal Pain : A Retrospective Analysis of Clinical Data Type de document : Article Auteurs : Adam Gonzalez ; Minjung Shim ; Brittain Mehaffey ; Ana-Maria Vranceanu ; Anthony Reffi ; Elyse R. Park Année de publication : 2019 Article en page(s) : p. 70-74 Langues : Anglais (eng) Descripteurs : HE Vinci
Céphalées ; Douleur ; Maladies ostéomusculaires ; Psychologie ; RelaxationRésumé : Background : Headache and musculoskeletal pain are associated with both physical and mental health symptoms, which together are mutually reinforcing. Addressing mental and physical health symptoms (including pain) concomitantly may provide an effective and efficient way to improve outcomes in this population. We tested an evidence-based, eight-session multimodal group program, the Relaxation Response Resiliency Program (3RP), in patients with headache and musculoskeletal pain. A total of 109 adults (30 with headaches, 79 with musculoskeletal pain). Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=198028
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Titre : The effect of Therapeutic Touch on Back Pain in Adults on a Neurological Unit : An Experimental Pilot Study Type de document : Article Auteurs : Gerhard Mueller ; Christoph Palli ; Petra Schumacher Année de publication : 2019 Article en page(s) : p. 75-81 Langues : Anglais (eng) Descripteurs : HE Vinci
Dos ; Douleur chronique ; Thérapies complémentaires ; Toucher thérapeutiqueRésumé : Background : Chronic back pain affects many aspects of everyday life and is a common reason for medical visits, leading to high direct and indirect health care costs. Innovative and cost-effective nonpharmacologic pain management methods should be promoted to ensure adequate treatment.
Aims : The aim of this pilot study was to investigate the pain-relieving effect of Therapeutic Touch in adult neurologic patients with back pain.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=198029
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Titre : The Effect of Classical Turkish Music on Pain Severity and Anxiety Levels in Patients Undergoing Bone Marrow Aspiration and Biopsy Type de document : Article Auteurs : Ülkü Özdemir ; Sultan Tasçi ; Esra Yildizhan ; Süheyla Aslan Année de publication : 2019 Article en page(s) : p. 82-87 Langues : Anglais (eng) Descripteurs : HE Vinci
Aspiration (technique) ; Biopsie ; Douleur ; Moelle osseuse ; Musicothérapie ; MusiqueRésumé : Background : Bone marrow aspiration is a painful procedure. In addition, the anxiety experienced during the procedure can affect the pain felt during the procedure. This study was conducted as a randomized controlled study to determine the effect of classical Turkish music on pain severity and anxiety levels in patients undergoing bone marrow aspiration and biopsy. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=198030
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Paru le : 01/12/2018
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Titre : Pain Management Issues as Part of the Comprehensive Care of Patients with Sickle Cell Disease Type de document : Article Auteurs : Bhaskar V.K.S. Lakkakula ; Radharani Sahoo ; Henu Verma ; Saikrishma Lakkakula Année de publication : 2018 Article en page(s) : p. 558-572 Note générale : DOI: https://doi.org/10.1016/j.pmn.2018.06.004 Langues : Anglais (eng) Descripteurs : HE Vinci
Complications ; Drépanocytose ; Gestion de la douleurRésumé : Background
Vaso-occlusive pain crisis is one of the primary complications of sickle cell disease (SCD) and is responsible for the majority of hospital visits in patients with SCD. Stints of severe pain can last for hours to days and are difficult to treat and manage, often resulting in drastically reduced quality of life.
Purpose
Our purpose is to provide an overview of pain management issues in SCD populations.
Methods
We explored literature using PubMed and Embase for the etiology and management of pain in SCD. Databases were searched employing the following terms: sickle cell, pain pathways, pain perception, pharmacological therapies, psychological therapies, physical therapies and genetics.
Results
Pain in SCD can vary from acute to chronic (persistent) or mixed and understanding of the underlying mechanisms is important for proper pain management. Currently, there are many means of managing pain in children with SCD, which involve pharmacological and non-pharmacological approaches. A combination of psychotherapy and pain medications can be used for treatment of pain and other psychosocial co-morbidities in complex persistent pain.
Conclusions
Providing more appropriate medication and optimal dosage based on individual's genomic variations is the future of medicine, and this will allow the physicians to hone in on optimal pain management in patients with SCD.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87053
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Titre : Nurses’ Knowledge, Attitudes and Clinical Practice in Pediatric Postoperative Pain Management Type de document : Article Auteurs : Anja Hetland Smeland ; Alison Twycross ; Stefan Lundeberg ; Tone Rustoen Année de publication : 2018 Article en page(s) : p. 585-598 Note générale : DOI: https://doi.org/10.1016/j.pmn.2018.04.006 Langues : Anglais (eng) Descripteurs : HE Vinci
Connaissances, attitudes et pratiques en santé ; Douleur postopératoire ; Enfant (6-12 ans) ; Gestion de la douleur ; Infirmières et infirmiers ; PédiatrieRésumé : Background: Despite readily available evidence to guide practice, children continue to experience moderate to severe pain in hospital postoperatively. Reasons for this may include attitudes of nurses toward pain management and their lack of knowledge in key areas. Aims: To identify nurses' knowledge and clinical practice of pediatric postoperative pain management and whether there is a link between knowledge and practice. Design and setting: A descriptive cross-sectional study including a questionnaire and observations was conducted in postanesthesia care (recovery) units in six university hospitals in Norway. Methods: Nurses completed the Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain Questionnaire–Norwegian Version (PNKAS-N). We observed their clinical practices using a structured observational tool and field notes. Results: Nurses completed the PNKAS-N (n = 193) and were observed (n = 138) giving postoperative care to 266 children (70 hours per unit, 416 hours in total). The mean PNKAS-N score was 29 (standard deviation 4.2) of 40. We identified knowledge deficits, mainly in pharmacologic management, such as in risk of addiction and respiratory depression. We found that, overall, pain was assessed using validated tools in 19% of the children; this fell to 9% in children aged Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87054
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Titre : Exploring the Role of Cortical Reorganization in Postamputation Phantom Phenomena, Including Phantom Limb Pain in Lower Limb Amputees : A Cross-Sectional Study of the Patterns of Referral of Sensations into the Phantom Type de document : Article Année de publication : 2018 Note générale : DOI: https://doi.org/10.1016/j.pmn.2018.04.004 Langues : Anglais (eng) Descripteurs : HE Vinci
Amputation ; Douleur postopératoire ; Membre fantôme ; Membre inférieurMots-clés : Réorganisation corticale Résumé : Background: Cortical reorganization and pain memory are theories to explain phantom limb pain and other postamputation phantom phenomena. This study was undertaken to identify evidence of cortical reorganization in lower limb amputees and to find evidence for the pain memory theory. Methods: This was a qualitative interview study using structured questionnaires with lower limb amputees. Participants were asked to identify body areas and activities that stimulate postamputation phantom phenomena to confirm the cortical reorganization theory. We tested the pain memory theory by comparing traumatic amputees with surgical amputees. Results: A total of 122 participants (response rate 42%) were recruited. Prevalence of postamputation phantom phenomena was similar to previous studies with phantom pain reported as 84%. Twenty (16.3%) identified body regions that could stimulate postamputation phantom phenomena and 32 (26%) identified activities that could stimulate postamputation phantom phenomena. Not all body areas or activities were related to somatotopic regions adjacent to the leg on the sensory homunculus. Overall, 47 (38.2%) exhibited attributes suggestive of cortical reorganization into areas adjacent to the leg. No associations were found between presence of pain or length of time in pain before amputation and the presence of phantom pain (p = .1-1.0). No statistical difference was found between surgical and traumatic amputees for any postamputation phantom phenomena (p = .3-1.0). Conclusions: The cortical reorganization and pain memory theories for the development and maintenance of postamputation phantom phenomena have only limited support from our data. Taking this into account, it may be worth reopening the debate on the mechanism for postamputation phantom phenomena, including phantom limb pain. The cortical reorganization theory and memory theory for the mechanism of phantom limb pain are questioned by these results. Both may play a role, but neither can explain the presence of postamputation phantom phenomena on their own. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87055
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Titre : Postoperative Pain Management: A Bedside Perspective Type de document : Article Auteurs : Anne Mette Bach ; Axel Forman ; Lene Seibaek Année de publication : 2018 Article en page(s) : p. 608-618 Note générale : DOI: https://doi.org/10.1016/j.pmn.2018.05.005 Langues : Anglais (eng) Descripteurs : HE Vinci
Complications ; Douleur postopératoire ; Endométriose ; Gestion de la douleur ; Prise en charge ; Soins chirurgicauxRésumé : Purpose: Postoperative pain management is an ongoing challenge in surgical care, during which inadequate relief can contribute to postoperative complications, and nurses are key figures in this process. The aim of the present study was to gain knowledge of how nurses provide postoperative pain management for women undergoing major surgery for endometriosis. Design: An ethnographic field study, consisting of semi-structured interviews and participant observations, was conducted in a setting of 2 gynecological units within a large Scandinavian university hospital. Method: The participants were mainly nurses and patients. The overall focus for the field observations and interviews was on how the participants interacted and made care decisions concerning pain. The analysis focused on nurse-patient interaction in postoperative bedside care. A principal theme, pain-related nursing practice emerged, together with the sub-themes nurse-patient interaction, interpretation and assessment of pain and pain management, which represented a circular process, identified in bedside practice. Conclusions: To some extend the postoperative pain management was influenced by unexpressed health beliefs and routine actions, and patient involvement was not prominent. Furthermore, the existing guidelines for pain management did not seem useful to the nurses. Clinical implications: There is a need to develop a new and more practice-oriented postoperative pain management, in ways that also integrate the patient experience. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87056
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Titre : Self-Perceived Pain Assessment Knowledge and Confidence (Self-PAC) Scale for Cancer and Palliative Care Nurses : A Preliminary Validation Study Type de document : Article Auteurs : Jane L. Phillips ; Nicole Heneka ; Louise D. Hickman ; et al. Année de publication : 2018 Article en page(s) : p. 619-626 Note générale : DOI: https://doi.org/10.1016/j.pmn.2018.07.008 Langues : Anglais (eng) Descripteurs : HE Vinci
Dépistage systématique ; Douleur ; Echelle d'évaluation ; Etudes de validation ; Evaluation ; Gestion de la douleur ; Oncologie médicale ; Personnel de santé ; Soins palliatifsRésumé : Pain is highly prevalent in all health care settings, and frequently poorly managed. Effective pain management is predicated on a continuous cycle of screening, assessing, intervening and evaluating. Identifying gaps in nurses’ self-perceived pain assessment competencies is an essential first step in the design of tailored interventions to embed effective pain assessment into routine clinical practice, and improve patient reported pain outcomes. Yet, few validated instruments focus on the competencies required for undertaking a comprehensive pain assessment, with most focusing on clinician’s pain management competencies.
Aim
To examine the validity of the ‘Self-Perceived Pain Assessment Knowledge and Confidence’ (Self-PAC) Scale.
Design
Preliminary instrument validation.
Setting
Two Australian cancer and palliative care services.
Participants/Subjects
186 cancer and palliative care nurses.
Methods
The Self-PAC Scale was administered to participants online. Factor Analyses, including Exploratory and Confirmatory, were applied to examine the structural validity, Cronbach’s alpha was calculated for internal consistency. Criterion validity was investigated by comparing responses from experienced and non-experienced nurses.
Results
Two components resulted with a single factor structure for pain assessment confidence and a two-factor structure for the knowledge of pain assessment. The factor loading for the subscales ranged from 0.653 to 0.969, with large proportions of the variances explained by the factors. Cronbach’s alpha of the subscales ranged from 0.87-0.92 and significant difference in responses were found between experienced and non-experienced nurses.
Conclusion
Preliminary validation of the Self-PAC Scale suggests that it is a helpful instrument for assessing cancer and palliative care nurse’ pain assessment competencies.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87057
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Titre : The Effect of the Pain Symptom Cluster on Performance in Women Diagnosed with Advanced Breast Cancer : The Mediating Role of the Psychoneurological Symptom Cluster Type de document : Article Auteurs : Kawther Ismail Hamash ; Wendy A. Umberger ; Aynur Aktas ; et al. Année de publication : 2018 Article en page(s) : p. 627-636 Note générale : DOI: https://doi.org/10.1016/j.pmn.2018.05.002 Langues : Anglais (eng) Descripteurs : HE Vinci
Femmes ; Performance ; Psychologie ; Syndrome ; Tumeurs du seinMots-clés : Gestion du syndrome Résumé : Background: Pain, depression, anxiety, sleep disturbances, and constipation were reported in different symptom clusters at different stages of breast cancer. Managing symptom clusters rather than individual symptoms can improve performance status. Aim: The study examined the effect of pain symptom cluster (pain and constipation) on performance when mediated by the psychoneurological symptom cluster (depression, anxiety, and sleep disturbances) using age as a moderator. Design: A secondary analysis. Settings: Palliative care center at a tertiary medical center in northeast Ohio. Participants: Eighty-six women diagnosed with advanced breast cancer. Method: A quantitative cross-sectional approach. Results: Ordinal logistic regression showed that pain symptom cluster did not have a significant mediation effect on performance. Odds ratio indicated that subjects with pain symptom cluster were 63% more likely to be bedridden (odds ratio = 1.63, confidence interval = .69-3.84). Women who reported pain symptom cluster were 5% more likely to have psychoneurological symptom cluster (odds ratio = 1.05, confidence interval = .400-2.774). Stratified analysis of age showed no differences in performance. Post-hoc analysis showed that the components of pain symptom cluster had a significant effect on psychoneurological symptom cluster (odds ratio: 3 [1.18-7.62]). Conclusions: Pain, constipation, depression, anxiety, and sleep disturbances were highly prevalent in women with advanced breast cancer. However, they tended to cluster in different symptom clusters. Although some findings were not significant, they all supported the direction of the tested hypotheses. Variations in symptom clusters research, including methodology, instruments, statistical tests, and chosen symptom cluster correlation coefficient, should be addressed. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87058
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Titre : Relations among Pain, Pain Beliefs, and Psychological Well-Being in Patients with Chronic Pain Type de document : Article Auteurs : Sacide Yildizeli Topcu Année de publication : 2018 Article en page(s) : p. 627-644 Note générale : DOI: https://doi.org/10.1016/j.pmn.2018.07.007 Langues : Anglais (eng) Descripteurs : HE Vinci
Bien-être ; Culture (sociologie) ; Douleur chronique ; Gestion de la douleur ; Qualité de vieMots-clés : Bien-être psychologique du patient Résumé : Background
Chronic pain influencing the quality of life and well-being of the patients are also affected by pain beliefs. Psychological well-being could make a person have positive pain beliefs and these could facilitate patients’ coping skills. In the care of the patients with chronic pain, nursing interventions can improve patients’ well-being.
Aims
This study aimed to determine the relationship between pain, pain beliefs and psychological well-being in patients with chronic pain.
Design
A cross-sectional and relational study.
Subjects
This study was conducted with 86 patients with chronic joint pain.
Methods
A convenience sample method was used in the research. Data were gathered using a Personel Information Form, The Pain Beliefs Questionnaire and Psychological Well-being Scale. Frequency, percentage, mean, standard deviation and correlation analysis were used for data assessment.
Results
It was found that there was a statistically significant correlation between pain severity and organic pain beliefs, statistically significant negative correlation between frequency and severity of pain and psychological well-being, and statistically significant relationship between organic pain beliefs and the psychological well-being.
Conclusions
Organic pain beliefs and pain intensity affect the psychological well-being of the patients with chronic pain. To increase the psychological well-being level of patients with chronic pain, patients’ informations, attitudes and beliefs about pain and pain control should be changed positively. Also, nursing care focused on improving well-being should be provided by nurses. Further studies should be carried out on other factors affecting the well-being of patients as well as pain and pain beliefs on larger samples.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87059
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Titre : Effect of the Buzzy Application on Pain and Injection Satisfaction in Adult Patients Receiving Intramuscular Injections Type de document : Article Auteurs : Melek Sahin ; Ismet Eser Année de publication : 2018 Article en page(s) : p. 645-651 Note générale : DOI: https://doi.org/10.1016/j.pmn.2018.07.009 Langues : Anglais (eng) Descripteurs : HE Vinci
Adulte (19-44 ans) ; Applications mobiles ; Essai clinique ; Gestion de la douleur ; Injection intramusculaire ; Peur ; Satisfaction des patients ; TechnologieRésumé : Aim
The aim of this study was to investigate the effect of the Buzzy application on pain and satisfaction during injections.
Background
Intramuscular injections usually cause some degree of pain at the injection site. Patients are often afraid of receiving injections because they perceive that it will be painful.
Design
The study was a single-blind, randomized controlled trial.
Method
Patients (n = 65) who receive diclofenac sodium intramuscularly at a state hospital in a city in the western region of Turkey were included in the study. The study data were collected by The Patient Information Form and Visual Analog Scale (VAS). Pain intensity and injection satisfaction scores were evaluated using the VAS.
Results
According to the findings of this research, the post-injection pain intensity and injection satisfaction scores of patients in the application group were found to be higher than in the control group.
Conclusion
In conclusion, the Buzzy device has the potential to reduce injection related pain in adult patients who may be fearful of receiving such injections.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87060
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Titre : Seeking Chronic Pain Relief: A Hermeneutic Exploration Type de document : Article Auteurs : Crystal Lederbos Smith ; Billie Severtsen ; Roxanne Vandermause ; et al. Année de publication : 2018 Article en page(s) : p. 652-662 Note générale : DOI: https://doi.org/10.1016/j.pmn.2018.05.001 Langues : Anglais (eng) Descripteurs : HE Vinci
Analgésie autocontrôlée ; Analgésiques morphiniques ; Douleur chronique ; HerméneutiqueMots-clés : Soulagement de la douleur Résumé : Background: In the United States, chronic pain is experienced by over 39.4 million adults, many of whom are treated with opioid pain medications. Aim: This research presents an interpretation of the experience of seeking pain relief for a group of people taking opioid pain medications whose pain is not adequately controlled. Methods: A concurrent embedded mixed-methods design was used, including a Heideggerian hermeneutic qualitative approach that focuses on the participants’ perceptions as a vehicle for understanding the phenomenon of seeking pain relief with descriptive quantitative data in a supporting role. Thirteen interviews and 15 surveys were analyzed, all of which met the following criteria: (1) self-reported chronic pain (persistent pain lasting a minimum of six months), (2) current use of prescription opioid medications, (3) pain not successfully controlled. Results: The analysis revealed a paradox, which we describe as being lost/finding myself in the health care system. This paradox became the overarching pattern of experience that subsumed several dynamic, overlapping practices described in the patterns: (1) seeking relief as suffering; (2) being classified as an addict but not an addict; (3) living with pain as remembering; and (4) experiencing treatment modalities as fickle possibilities. Conclusion: Explication of and interpretive commentary on these patterns shift the focus from drug seeking to pain relief seeking behaviors in chronic pain sufferers. Such a shift could change the manner in which providers work with chronic pain sufferers to find appropriate treatment modalities. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87061
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Titre : The Effect of Exaggerated Lithotomy Position on Shoulder Pain after Laparoscopic Cholecystectomy Type de document : Article Auteurs : Özgul Aydemir ; Fatma Eti Aslan ; Karabacak Ukke ; Özlem Akdas Année de publication : 2018 Article en page(s) : p. 663-670 Note générale : DOI: https://doi.org/10.1016/j.pmn.2018.04.012 Langues : Anglais (eng) Descripteurs : HE Vinci
Cholécystectomie laparoscopique ; Douleur postopératoire ; Epaule ; Néphrolithotomie percutanéeRésumé : Background: The exaggerated lithotomy position with the expertise of nurses can be successful solution for the patients who have the postoperative shoulder pain after laparoscopic cholecystectomy. Aims: This study aimed to determine the effect of applying an exaggerated lithotomy positions to patients who had laparoscopic cholecystectomy to relieve shoulder pain. The study was conducted on nonrandomized groups and made as a semiexperimental study with a pretest/post-test control group design. Design, Settings, and Subjects/Participants: The study was conducted on 102 patients who had elective laparoscopic cholecystectomy and agreed to participate in this study after they met the inclusion-exclusion criteria in the general surgery clinic of a training and research hospital in Istanbul between December 12, 2012, and June 30, 2013. Methods: The pain levels (10 minutes before and after positioning) and peripheral oxygen saturation (SPO2) levels (1 minute, 5 minutes, and 10 minutes before and after positioning—total 6 times) of the patients were measured using a visual analog scale and pulse oximetry, respectively. The pain levels and the analgesic (pethidine hydrochloride and diclofenac sodium) usage of the patients in both the experimental and the control group were compared. Results: The exaggerated lithotomy position appreciably lowered the shoulder pain of the patients in the experimental group (t = 12.663; p = .000 Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87146
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Titre : Development and Acceptability Assessment of a Self-Management Intervention to Prevent Acute to Chronic Pain Transition after Major Lower Extremity Trauma Type de document : Article Auteurs : Mélanie Bérubé ; Céline Gélinas ; Géraldine Martorella ; et al. Année de publication : 2018 Article en page(s) : p. 671-692 Note générale : DOI: https://doi.org/10.1016/j.pmn.2018.04.010 Langues : Anglais (eng) Descripteurs : HE Vinci
Autosoins ; Douleur aigüe ; Douleur chronique ; Gestion de la douleur ; Membre inférieur ; Qualité de vie ; TraumatismeRésumé : Purpose: Transition from acute to chronic pain often occurs after major lower extremity trauma. Chronic pain has been found to negatively affect daily functioning, including the capacity to work and quality of life. Empirical data and an acceptability assessment were used to develop a self-management intervention aimed at preventing acute to chronic pain transition after major lower extremity trauma (i.e., iPACT-E-Trauma). Methods: Evidence from previous studies on preventive self-management interventions, combined with a biopsychosocial conceptual framework and clinical knowledge, helped define the key features of the preliminary version. Then a mixed-methods design was used to assess the acceptability of iPACT-E-Trauma by clinicians and patients. Results: The key features of the preliminary version of iPACT-E-Trauma were assessed as acceptable to very acceptable by clinicians and patients. After clinician assessment, intervention activities were simplified and session duration was reduced. Patient acceptability assessment of iPACT-E-Trauma led to the tailoring of key intervention features, based on determinants such as pain intensity and the implementation of self-management behaviors between intervention sessions. Web-based sessions were also developed to facilitate iPACT-E-Trauma delivery. Conclusion: This study outlines the process involved in the development of an intervention to prevent chronic pain in patients with lower extremity trauma. Relevant information is provided to nurses and interdisciplinary teams on a self-management intervention to prevent the transition from acute to chronic pain in the trauma population. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87147
in Pain Management Nursing > Vol. 19, n° 6 (December 2018) . - p. 671-692[article]Exemplaires (1)
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Titre : A Randomized, Single-Blind Study Evaluating the Effect of a Bone Pain Education Video on Reported Bone Pain in Patients with Breast Cancer Receiving Chemotherapy and Pegfilgrastim Type de document : Article Auteurs : Andrew S. Guinigundo ; Cathy L. Maxwell ; Linda Vanni ; et al. Année de publication : 2018 Article en page(s) : p. 693-706 Note générale : DOI: https://doi.org/10.1016/j.pmn.2018.04.002 Langues : Anglais (eng) Descripteurs : HE Vinci
Chimiothérapie ; Compression medullaire ; Education ; Essai clinique ; Tumeurs du sein ; Video assistanceMots-clés : DVD Résumé : Background: Mild-to-moderate bone pain is the most commonly reported adverse event associated with pegfilgrastim. Aims: To investigate the effect of bone pain education on pegfilgrastim-related bone pain in patients with breast cancer receiving chemotherapy and pegfilgrastim. Design: Randomized, single-blind study. Settings: Forty-eight community oncology clinics throughout the United States. Participants: Three hundred women ≥18 years of age with newly diagnosed stage I -III breast cancer, who were planning ≥4 cycles of neoadjuvant or adjuvant chemotherapy with pegfilgrastim support starting in cycle 1. Methods: Patients were randomized 1:1 to view a general education DVD on chemotherapy side effects (GE-DVD) or a DVD on bone pain following chemotherapy and pegfilgrastim (BP-DVD). Patients recorded severity of bone pain on a scale of 0-10, location of pain, and use of bone pain medications (i.e., analgesics, antihistamines, and nonsteroidal anti-inflammatory drugs) for 5 days, beginning on the day of pegfilgrastim administration, in each of the first four chemotherapy cycles. Results: Patient-reported maximum bone pain was similar in the two groups (GE-DVD vs BP-DVD: cycle 1, 3.2 vs. 3.5, p = .3479; across all cycles, 4.1 vs. 4.6, p = .2196). Other measures of bone pain were also similar between the groups. Bone pain was highest in cycle 1 but decreased and then remained stable in subsequent cycles. Bone pain medication use was similar in both groups and was highest in cycle 1. Conclusions: The bone pain-specific education evaluated here did not improve perceptions of bone pain reported in this patient population. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87148
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Titre : Pain Assessment and Management by Nurses in a Geriatric Setting: Discrepancies between Guidelines and Documented Practice Type de document : Article Auteurs : Irit Shahar ; Gad Mendelson ; Shlomit Gerbi ; Merav Ben Natan Année de publication : 2018 Article en page(s) : p. 456-463 Note générale : DOI: https://doi.org/10.1016/j.pmn.2018.04.001 Langues : Anglais (eng) Descripteurs : HE Vinci
Documentation ; Dossier médical ; Gestion de la douleur ; Infirmière en gériatrie ; Qualité de vie ; RecommandationsRésumé : Background: Pain is a common subjective symptom among older adults in general and among older adult residents in long-term geriatric facilities in particular. Pain diminishes older adults’ quality of life and may impair their ability to recover from various illnesses. Therefore, the Israeli Ministry of Health has issued guidelines on effectively assessing and treating pain in this population. Aims: To examine discrepancies between the Ministry of Health's pain assessment guidelines and documented practice by nursing staff at a long-term geriatric care facility and whether these discrepancies correlate to characteristics of the nurses, the wards, and the patients' characteristics. Design and Settings: A descriptive cross-sectional design study conducted at a large geriatric facility in central Israel. Participants: A random sample of 200 computerized patient records of pain assessment and management performed by 69 individual nurses. Methods: The study used an original checklist based on Israeli Ministry of Health guidelines to assess nursing documentation regarding 19 aspects of pain assessment and management. Results and Conclusions: There were discrepancies found between the Ministry of Health's pain assessment guidelines and documented practice by the nursing staff. An average of 13.8 out of 19 aspects of pain assessment and management were documented. As nurses' knowledge about pain assessment and management increased and as staffing ratios improved, the greater was the adherence to Ministry of Health guidelines, resulting in fewer discrepancies between the guidelines and documented practice. There was less pain assessment and management documentation for mechanically ventilated patients and for male patients. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=86289
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Titre : Patients' Experiences of Pain Have an Impact on Their Pain Management Attitudes and Strategies Type de document : Article Auteurs : Eva Angelini ; Helle Wijk ; Helena Brisby ; Adad Baranto Année de publication : 2018 Article en page(s) : p. 464-473 Note générale : DOI: https://doi.org/10.1016/j.pmn.2018.02.067 Langues : Anglais (eng) Descripteurs : HE Vinci
Connaissances, attitudes et pratiques en santé ; Expérience ; Gestion de la douleur ; Patients ; Perception de la douleurRésumé : Objectives: Postoperative pain remains undermanaged in orthopedic surgery. To identify areas of improvement for future structural changes in pain management, patients’ experiences of pain and pain management when undergoing elective lumbar spine surgery were explored, using a qualitative method with focus group interviews. Setting: The study setting was an orthopedic spine surgery department at a University Hospital in Sweden. Methods: This study consisted of two focus group interviews with patients (n = 6/group, a total of 12 patients) who had undergone lumbar spine surgery 4 days to 5 weeks prior to the focus group interviews. The interviews were semi-structured, and the analysis was performed using qualitative content analysis. Results: The main result of this study revealed that patients’ experiences of pain influenced their attitudes and strategies for pain management. Three main categories emerged from the focus group interviews: I. Coping with pain while waiting for surgery; II. Using different pain-relieving strategies after surgery; and III. How organizational structures influence the pain experiences. Conclusions: In conclusion the results from this study acknowledge that postoperative pain experiences and coping strategies after spine surgery are highly diverse and individual. This calls for staff having a more personalized approach to pain management in order to optimize pain relief, which was stressed as highly valued by the patients. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=86290
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Titre : Longitudinal Analysis of Parent Communication Behaviors and Child Distress during Cancer Port Start Procedures Type de document : Article Auteurs : Jinbing Bai ; Kristen M. Swanson ; Felicity W. K. Harper ; et al. Année de publication : 2018 Article en page(s) : p. 487-496 Note générale : DOI: https://doi.org/10.1016/j.pmn.2018.01.002 Langues : Anglais (eng) Descripteurs : HE Vinci
Analyse ; Communication non verbale (CNV) ; Enfant (6-12 ans) ; Famille ; TumeursMots-clés : Soutient de l'enfant par les parents Résumé : Background: The roles parents play in supporting their child during painful cancer procedures have been studied as communication strategies versus a broader caring framework and from a cross-sectional versus longitudinal perspective. Objectives: To examine the longitudinal change in parent communication behaviors over repeated cancer port start procedures experienced by their children. Methods: This study used a longitudinal design. Two trained raters coded 104 recorded videos of port starts from 43 children being treated for cancer. This included 25 children with two video-recorded port starts and 18 children with three (T1, T2, T3). The Parent Caring Response Scoring System derived from Swanson's Caring Theory was used to code parent communication behaviors as caring responses during their children's port starts. Three 3- to 5-minute slices (pre–port start, during, and post–port start) were coded for each video. Mixed modeling with generalized estimating equations and Friedman test were used to analyze longitudinal change in parent behaviors. Results: Significant differences were found between T1 versus T3 in eye contact (β = −1.05, p = .02), distance-close-enough-to-touch (β = −0.81, p = .03), nonverbal comforting (β = −1.34, p = .04), and availability (β = −0.92, p = .036), suggesting that more parents used communication behaviors at T3 compared with T1. Parent burdensome or intrusive questions (e.g., Why do you cry? β = −1.11, p = .03) and nonverbal comforting (β = −1.52, p = .047) increased from T2 to T3. The median values of parent communication behaviors overall had no significant changes from T1 to T3. Conclusion: Parents adjusted to use more nonverbal caring behaviors as their child experienced additional port starts. Experimental studies should be designed to help parents use caring behaviors to better support their children during cancer procedures. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=86291
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Titre : Depression and Coping Behaviors Are Key Factors in Understanding Pain in Interstitial Cystitis/Bladder Pain Syndrome Type de document : Article Auteurs : Abi Muere ; Dean A. Tripp ; Curtis J. Nickel ; et al. Année de publication : 2018 Article en page(s) : p. 497-505 Note générale : DOI: https://doi.org/10.1016/j.pmn.2017.11.001 Langues : Anglais (eng) Descripteurs : HE Vinci
Adaptation psychologique ; Cystite interstitielle ; Dépistage systématique ; Dépression ; Gestion de la douleur ; Vessie urinaireRésumé : Background: Interstitial Cystitis/Bladder Pain Syndrome (IC/BPS) is a urologic chronic pelvic pain syndrome with suboptimal treatment outcomes. Catastrophizing is an empirically supported risk factor for greater IC/BPS pain. Aims: In this study, a moderated multiple mediation model is tested in which several additional psychosocial risk factors (depression, illness and wellness-focused behavioral coping strategies) are proposed as mediators or moderators in the existing relationship between catastrophizing and IC/BPS pain. Design: The present questionnaire study employed a cross-sectional design. Settings and Participants: Female patients with an IC/BPS diagnosis (n = 341) were recruited at tertiary care sites. Methods: Participants completed questionnaires assessing pain, catastrophizing, behavioral coping strategies, and depressive symptoms. Aggregate factor scores were calculated following exploratory factor analyses. Results: It was found that patients with a greater tendency to catastrophize were more likely to engage in illness-focused coping strategies, which contributed to the reporting of greater sensory and affective pain. Furthermore, this mediating effect of illness-focused coping on affective pain was more likely to occur in those patients reporting greater depressive symptoms. Conclusions: Illness-focused behavioral coping is an important mechanism between maladaptive pain cognition and aspects of patient pain, with patients reporting greater depressive symptoms at increased risk for elevated pain. Patient management techniques, including screening for catastrophizing, coping, and depression, are recommended to enrich IC/BPS management. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=86292
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Titre : Predictors of Weeks to Opioid Cessation after Lumbar Fusion: A Prospective Cohort Study Type de document : Article Auteurs : Maureen Lall ; Elizabeth Restrepo Année de publication : 2018 Article en page(s) : p. 525-534 Note générale : DOI: https://doi.org/10.1016/j.pmn.2018.04.007 Langues : Anglais (eng) Descripteurs : HE Vinci
Études de cohortes ; Gestion de la douleur ; PsychotropeMots-clés : Fusion lombaire Résumé : Background: Although the use of prescription opioid analgesics to treat acute, postoperative pain is a well-established practice, the role of opioids in the management of persistent, postoperative pain remains ill-defined. Nevertheless, high rates of long-term opioid use following lumbar fusion have been reported. Aim: The goal of this prospective, longitudinal study was to identify predictors of weeks to opioid cessation in a cohort of patients undergoing elective lumbar fusion. Methods: Prior to surgery, participants self-reported demographic and clinical data and completed a validated measure of pain catastrophizing. Three months following surgery, participants self-reported prescription opioid use. Results: Forty-four percent (n = 22) of participants reported opioid use 12 weeks following lumbar fusion. Bivariate analysis identified a strong correlation between weeks to opioid cessation and preoperative opioid use, r = .46, and a moderate correlation between weeks to opioid cessation and disability, r = .29. The multiple regression model predicting weeks to opioid cessation from age, sex, employment status, educational level, preoperative pain intensity, preoperative opioid use, disability status, and pain catastrophizing was significant, F(8, 38) = 2.254, p = .044, and accounted for 18% of the variance. Among preoperative patient characteristics, only preoperative opioid use significantly predicted weeks to opioid cessation, β = .466; p = .005. Conclusion: Thus, nurses and nurse practitioners may be able to identify patients at risk for long-term opioid use following lumbar fusion by screening patients for preoperative opioid use. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=86293
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Titre : The Impact of Patient Characteristics and Postoperative Opioid Exposure on Prolonged Postoperative Opioid Use: An Integrative Review Type de document : Article Auteurs : Jennifer A. Lanzillotta ; Angela Clark ; Edith Starbuck ; et al. Année de publication : 2018 Article en page(s) : p. 535-548 Note générale : DOI: https://doi.org/10.1016/j.pmn.2018.07.003 Langues : Anglais (eng) Descripteurs : HE Vinci
Examen ; Psychotrope ; Soins postopératoiresMots-clés : Exposition aux opioïdes Résumé : Objectives
The United States is experiencing an opioid overdose crisis. Research suggests prolonged postoperative opioid use, a common complication following surgery, is associated with opioid misuse, which, in turn, is the greatest risk factor of heroin misuse. The objective of this review is to evaluate how postoperative opioid exposure relates to prolonged use and to identify factors that predict prolonged postoperative opioid use.
Design
An integrative review of the literature.
Data Sources
Electronic and hand searching methods were used in PubMed, Embase, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, CINAHL, and SCOPUS. Search terms included opioid, opiate, postoperative pain, drug administration, prescribing pattern, prescription, inappropriate prescribing, self-medication, patient-controlled analgesia, opioid-naïve patients, and prolonged opioid use.
Review/Analysis Methods
Data were synthesized by identifying themes reflecting the results of the review. A quality assessment of the articles was also conducted.
Results
Fourteen articles were included and two main themes emerged: (1) Surgery places opioid naïve patients at risk for prolonged opioid use and (2) Certain patient characteristics may be predictive of prolonged postoperative opioid use.
Conclusions
Prolonged postoperative opioid use is related to factors in addition to prescribing practices. Researchers consistently found that patients who are already on opioids, benzodiazepines, or addicted to alcohol; who have mental health disorders, depressive symptoms, or a self-perceived risk of addiction; and patients with multiple co-morbidities are at greater risk of prolonged use; demographics were inconsistent.
Nursing Implications
Studies are needed to determine the predicting characteristics of prolonged postoperative opioid use, the type of surgeries that place patients at most risk, and the effect postoperative exposure to opioids has on prolonged use. This information can be used to develop and implement protocols to prevent misuse among high-risk patients.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=86294
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Titre : Examining Risk for Persistent Pain among Adults with Overweight Status Type de document : Article Auteurs : Teresa Bigand ; Marian Wilson ; Ruth C. Bindler ; Kenn Daratha Année de publication : 2018 Article en page(s) : p. 549-556 Note générale : DOI: https://doi.org/10.1016/j.pmn.2018.02.066 Langues : Anglais (eng) Descripteurs : HE Vinci
Adulte (19-44 ans) ; Douleur ; Facteurs de risque ; Recommandations ; SurpoidsMots-clés : Douleur persistante Résumé : Aims of Investigation: Obesity and persistent pain are public health concerns with associated high costs. Evidence supports an increased risk for reports of persistent pain among adults who are above the recommended body mass index level. However, data have not been clearly synthesized to report the risk for the two co-occurring conditions. Even less is known about how overweight status that does not reach the level of obesity is related to pain. Thus, the aim driving this review was to calculate the risk and odds ratios of chronic pain among adults with an overweight body mass index. Methods: A literature review was completed using CINAHL and PubMed databases. Key words were entered using combinations of several MeSH headers. Results: Risk and odds ratios were calculated to determine overweight status among adults with chronic pain. Risk and odds ratios were calculated from nine studies. Overweight adults were between 14% and 71% more likely to report chronic pain than normal-weight adults. Implications for Practice: Pain management nurses should educate adults about the importance of weight management to reduce risk for persistent pain. Nurses need to be informed about current national physical activity and diet recommendations to ensure proper health information is relayed to patients. Conclusions: There is an elevated risk for persistent pain among adults who are overweight compared with those who are recommended weight status. Future longitudinal research focused on causality can help determine which condition contributes to the other. Weight management may be implied for clinical risk reduction of pain conditions among adults who are above recommended body mass index levels. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=86295
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Titre : Differences in Sensory Pain, Expectation, and Satisfaction Reported by Outpatients with Cancer or Sickle Cell Disease Type de document : Article Auteurs : Miriam O. Ezenwa ; Robert E. Molokie ; Zaijie Jim Wang ; et al. Année de publication : 2018 Article en page(s) : p. 322-332 Note générale : DOI: https://doi.org/10.1016/j.pmn.2017.11.010 Langues : Anglais (eng) Descripteurs : HE Vinci
Drépanocytose ; Mesures des résultats rapportés par les patients (PROM) ; Observance par le patient ; Satisfaction des patients ; TumeursRésumé : Background: Patients with sickle cell disease (SCD) report pain scores that appear greater than those reported in a meta-analysis for patients with cancer, but statistical comparisons of the pain scores from both populations have not been published. Aims: The goal of the study described here was to compare pain outcomes reported by outpatients with cancer or SCD. Design: Descriptive comparative study. Setting: Outpatient oncology or sickle cell clinics. Subjects: The participants were outpatients (N = 415) from three studies: (1) 106 patients with SCD, 93% African-American (referent group); (2) 140 patients with cancer, 90% Caucasian (race discordant); (3) 169 patients with cancer, 20% Caucasian, 65% African-American (race concordant). Methods: Patients completed the PAINReportIt including pain location, quality, pattern, intensity, expectation, satisfaction, and demographic questions. Analyses included the χ2 test, analysis of variance, and regression. Results: Outpatients with SCD reported more pain location sites than the race-discordant (p Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=86244
in Pain Management Nursing > Vol. 19, n°4 (August 2018) . - p. 322-332[article]Exemplaires (1)
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Titre : Older Adults' Response to Analgesic Adverse Drug Reactions: A Pilot Study Type de document : Article Auteurs : Deborah Dillon mcdonald Année de publication : 2018 Article en page(s) : p. 333-339 Note générale : DOI: https://doi.org/10.1016/j.pmn.2018.01.008 Langues : Anglais (eng) Descripteurs : HE Vinci
Analgésiques ; Douleur chronique ; Effets indésirables ; Projets pilotes ; Sujet âgéRésumé : Background: Older adults who take analgesics for chronic pain are at increased risk for adverse drug events (ADEs). Aims/Design: The purpose of this descriptive pilot survey was to examine how older adults self-identify analgesic ADEs, and actions they take in response to analgesic ADEs. Setting/Participants/Methods: Twenty-two community dwelling older adults with chronic pain who reported an analgesic ADE associated with their chronic pain management were interviewed and asked to describe their analgesic related ADE. Written responses were content analyzed. Results: Nineteen opioids were reported by 15, 11 NSAIDs were reported by 8, and acetaminophen was reported by 2 older adults as associated with an ADE. Gastrointestinal ADEs were most common with upset stomach (31.8%) most frequent. Neurological ADEs were also common but more varied with dizziness (27.3%) and headache (13.6%) reported most frequently. A total of 54.5% responded to their ADE by contacting their physician. Three (13.6%) went to the emergency department. A total of 36.4% stopped taking their ADE associated analgesic, 22.7% started taking a different analgesic, and 22.7% started prophylaxis. Three (13.6%) continued their ADE related analgesic. A total of 54.5% reported their symptoms subsided, but 13.6% reported their symptoms remained. Conclusions: A significant number of older adults with chronic pain self-manage their analgesic related ADE without contacting their primary care provider. Analgesic related ADE prevention and management should be discussed during primary care visits to reduce ADEs and enhance pain management outcomes for older adults with chronic pain. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=86245
in Pain Management Nursing > Vol. 19, n°4 (August 2018) . - p. 333-339[article]Exemplaires (1)
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Titre : Descriptions of the Pain Experience in Adults and Adolescents with Cystic Fibrosis Type de document : Article Auteurs : Sarah J. Allgood ; Sharon Kozachik ; Kamila A. Alexander ; et al. Année de publication : 2018 Article en page(s) : p. 340-347 Note générale : DOI: https://doi.org/10.1016/j.pmn.2017.11.011 Langues : Anglais (eng) Descripteurs : HE Vinci
Adolescent ; Adulte (19-44 ans) ; Fibrose ; Mortalité ; Qualité de vieRésumé : Background: People living with cystic fibrosis experience pain that is associated with decreased quality of life, poorer health outcomes, and increased mortality. Though pain is highly prevalent as a symptom, it is currently unknown how persons with CF describe their pain experiences or the ways those experiences impact their lives. Aims: To explore and describe ways adolescents and adults with CF experience pain. Design/Setting/Subjects/Methods: An exploratory descriptive design was implemented to perform interviews with 10 individuals with CF and self-reported moderate to severe pain. The interviews explored their pain experiences within five domains: Pain Characteristics, Activities, Relationships, Work/School Life, and Health Care Team. Transcribed interviews underwent a content analysis with team-based constant comparisons. Results: Individuals with CF identify the disease as being painful; express how pain negatively affects all aspects of their lives, including loss of functionality and productivity; and are able to disclose their pain to those with whom they have relationships. Adolescents feel an emotional toll from the loss of socialization as a result of pain and feel their health care team adequately supports their pain. Adults express a unique emotional pain component to CF and feel stigmatized and unsupported by their health care team when asking for pain management solutions. Conclusion: There are differences in how pain is perceived by adolescents and adults with CF that have otherwise not been reported in the current literature. Further explorations of pain across the lifespan and health care provider attitudes toward pain management are needed to guide the development of effective pain management interventions for those with CF. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=86246
in Pain Management Nursing > Vol. 19, n°4 (August 2018) . - p. 340-347[article]Exemplaires (1)
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Titre : The Relationship of Age and Postoperative Pain in Women after Surgery for Breast Cancer Type de document : Article Auteurs : Christina Kudach ; Colleen Dunwoody ; Susan Wesmiller Année de publication : 2018 Article en page(s) : p. 348-353 Note générale : DOI: https://doi.org/10.1016/j.pmn.2017.12.002 Langues : Anglais (eng) Descripteurs : HE Vinci
Chirurgie ; Comorbidité ; Complications ; Douleur postopératoire ; Femmes ; Tumeurs du seinRésumé : Background: In the past, elderly women with breast cancer were not offered surgery because of beliefs that they would experience serious complications from comorbidities and increased chronological age. Today the decision to offer surgery is based on a woman's fitness rather than her age. Objective: The purpose of this study is to compare the experience of postoperative nausea and vomiting (PONV), anxiety, and reported pain levels in women who represent four different age groups after breast cancer surgery. This study employed a prospective comparative design. A large women's hospital which houses a Comprehensive Breast Care Program. Women diagnosed with early stage breast cancer and scheduled for surgical resection. Methods: Postoperative pain was measured in the postanesthesia care unit using an 11-point verbal pain scale, PONV was measured categorically, and if present, severity of nausea was assessed. Anxiety was measured preoperatively by the short-form Profile of Mood States. Findings: A total of 97 women aged 37-78 participated in this study. Overall, 35% of all women experienced PONV; only two women (18%) in the highest age range (70-79) experienced PONV, yet they reported significantly more pain than women in the other age groups. Understanding the difference in postoperative symptoms experienced by older woman after surgery for breast cancer will support the development of age-specific strategies. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=86247
in Pain Management Nursing > Vol. 19, n°4 (August 2018) . - p. 348-353[article]Exemplaires (1)
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Titre : Estimating the Frequency, Severity, and Clustering of SPADE Symptoms in Chronic Painful Chemotherapy-Induced Peripheral Neuropathy Type de document : Article Auteurs : Robert Knoerl ; Zach Chornoby ; Ellen M. Lavoie Smith Année de publication : 2018 Article en page(s) : p. 354-365 Note générale : DOI: https://doi.org/10.1016/j.pmn.2018.01.001 Langues : Anglais (eng) Descripteurs : HE Vinci
Analyse de regroupements ; Anxiété ; Chimiothérapie ; Dépression ; Douleur chronique ; Maladies du système nerveux ; Signes et symptômes ; Syndrome de fatigue chronique ; Troubles de la veille et du sommeilRésumé : Background: Patients undergoing treatment for cancer commonly experience symptoms such as sleep disturbance, pain, anxiety, depression, and low energy/fatigue (SPADE), subsequently altering physical function and complicating effective symptom management. However, little is known about the frequency, severity, and clustering of SPADE symptoms in individuals with chronic painful chemotherapy-induced peripheral neuropathy (CIPN). Aims/Design: The purpose of this cross-sectional, secondary analysis was to describe the frequency, severity, and clustering of SPADE symptoms and their association with physical function in individuals with chronic painful CIPN. Participants/Subjects: Sixty individuals with chronic painful CIPN were recruited from five academic and community oncology outpatient center to participate in a randomized controlled pilot trial designed to test the efficacy of a cognitive behavioral therapy-based pain management program. Methods: Participants completed the 0-10 Average CIPN Pain Numerical Rating Scale and Patient-Reported Outcome Measurement Information System measures for sleep-related impairment, anxiety, depression, fatigue, and pain interference via tablet before being randomly assigned to a study arm. The frequency, severity, and clustering of SPADE symptoms were calculated via descriptive statistics and Partitioning Around Medoids cluster analysis. Spearman rank correlation was performed to determine the association between number of SPADE symptoms and pain interference severity. Results and Conclusions: Results revealed that participants (n = 59) experienced at least two symptoms concurrently. The cluster analysis revealed high (n = 36) and low (n = 23) severity subgroups. There was a moderate correlation (r = 0.48) between the number of SPADE symptoms and pain interference severity. Determining the clustering of SPADE symptoms in individuals with chronic painful CIPN may lead to targeted multifaceted interventions to improve physical function. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=86248
in Pain Management Nursing > Vol. 19, n°4 (August 2018) . - p. 354-365[article]Exemplaires (1)
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Titre : Prevalence, Location, and Characteristics of Chronic Pain in Intensive Care Survivors Type de document : Article Auteurs : Langerud Anne Kathrine ; Tone Rustoen ; Cathrine Brunborg ; et al. Année de publication : 2018 Article en page(s) : p. 366-376 Note générale : DOI: https://doi.org/10.1016/j.pmn.2017.11.005 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur chronique ; Prévalence ; Survivants ; Unités de soins intensifsRésumé : Background: A growing number of studies have addressed the long-term consequences of intensive care unit (ICU) treatment, but few have studied the prevalence of chronic pain and pain characteristics longitudinally. Aims: The goal of the work described here was to investigate the prevalence and characteristics of chronic pain in ICU survivors 3 months and 1 year after ICU discharge and to identify risk factors for chronic pain 1 year after ICU discharge. Design: The design used was an explorative and longitudinal study. Setting/Patients: The patients in this work had stayed >48 hours in two mixed ICUs in Oslo University Hospital, a tertiary referral hospital. Methods: Patients completed a survey questionnaire 3 months and 1 year after ICU discharge. Pain was assessed using the Brief Pain Inventory–Short Form. Results: At 3 months after discharge, 58 of 118 ICU survivors (49.2%) reported pain, and at 1 year after discharge, 34 of 89 survivors (38.2%) reported pain. The most common sites of pain at 3 months were the shoulder and abdomen; the shoulder remained the second most common site at 1 year. There was an increase in the interference of pain with daily life at 1 year. Possible risk factors for chronic pain at 1 year were increased severity of illness, organ failure, ventilator time >12 days, and ICU length of stay >15 days. The most common sites of pain were not linked to the admission diagnosis. Conclusions: These findings may enable health care providers to improve care and rehabilitation for this patient group. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=86249
in Pain Management Nursing > Vol. 19, n°4 (August 2018) . - p. 366-376[article]Exemplaires (1)
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Titre : Couples' Relationship Satisfaction and Its Association with Depression and Spouse Responses Within the Context of Chronic Pain Adjustment Type de document : Article Auteurs : Michelle T. Leonard ; David K. Chatkoff ; Karl J. Maier Année de publication : 2018 Article en page(s) : p. 400-407 Note générale : DOI: https://doi.org/10.1016/j.pmn.2017.10.008 Langues : Anglais (eng) Descripteurs : HE Vinci
Besoin ; Conjoints ; Dépression ; Douleur chroniqueMots-clés : Qualité de la relation entre conjoints Résumé : Background: Chronic pain is one specific health condition where couple relationships have been directly linked to physical and psychological outcomes. Understanding how relationship satisfaction, couple dynamics, and pain adjustment interrelate is crucial for nurses who provide patient-centered care for patients with pain. Aims: The current study was aimed at examining the associations of depressive symptoms and spouse response styles with relationship satisfaction in the context of West Haven-Yale Multidimensional Pain Inventory classifications. Methods: Seventy-eight middle-aged outpatients with chronic pain (average pain duration of 8.98 years (SD = 9.51)) were recruited from a pain clinic in southeastern Michigan. Participants completed the Multidimensional Pain Inventory, from which pain adjustment classifications (adaptive, dysfunctional, interpersonally distressed) and spouse response styles were derived, the Dyadic Adjustment Scale to assess relationship satisfaction, and the Mood and Anxiety Symptom Questionnaire to assess depressive symptoms. Results: Interpersonally distressed patients scored lower on relationship satisfaction than those classified as either adaptive or dysfunctional, F(2,66) = 6.38, p Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=86250
in Pain Management Nursing > Vol. 19, n°4 (August 2018) . - p. 400-407[article]Exemplaires (1)
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Titre : Effect of TENS on Postoperative Pain and Pulmonary Function in Patients Undergoing Coronary Artery Bypass Surgery Type de document : Article Auteurs : Alireza Jahangirifard ; Mohammadreza Razavi ; Zargham Hosein Ahmadi ; Mohammad Forozeshfard Année de publication : 2018 Article en page(s) : p. 408-414 Note générale : DOI: https://doi.org/10.1016/j.pmn.2017.10.018 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur postopératoire ; Poumon ; Procédures de chirurgie cardiaque ; Stimulation transcrânienne par courant continuMots-clés : Chirurgie bypass de l'artère coronaire Résumé : Background: The aim of this study was to determine the effect of electrical nerve stimulation on pain intensity and pulmonary function in patients undergoing coronary artery bypass surgery. Materials and Methods: In a randomized clinical trial, a total of 100 patients undergoing coronary artery bypass surgery at Masih Daneshvari Hospital, Tehran, Iran, from February to May 2014, were divided into two groups. In the intervention group (n = 50), patients received routine care along with transcutaneous electrical nerve stimulation (TENS) immediately after admission to the intensive care unit (ICU). In the placebo group (n = 50), patients only received routine care. The pain intensity was measured using a visual analog scale (VAS) every 6 hours for 72 hours after surgery in two conditions of rest and coughing. Pulmonary function was assessed through forced expiratory volume in 1 second (FEV1) and forced volume capacity (FVC) at 24, 48, and 72 hours after surgery. Age, gender, body mass index, narcotic consumption, ICU length of stay, and requests for chest radiographs were recorded. The statistical level of significance was set at p .05). Pain intensity was significantly lower in the TENS group than the placebo group in both resting and coughing condition (p Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=86251
in Pain Management Nursing > Vol. 19, n°4 (August 2018) . - p. 408-414[article]Exemplaires (1)
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Titre : Back Pain and Body Posture Evaluation Instrument for Adults: Expansion and Reproducibility Type de document : Article Auteurs : Claudia Tarrago Candotti ; Emanuelle Francine Detogni Schmit ; Luiza Rampi Pivotto ; et al. Année de publication : 2018 Article en page(s) : p. 415-423 Note générale : DOI: https://doi.org/10.1016/j.pmn.2017.10.005 Langues : Anglais (eng) Descripteurs : HE Vinci
Adulte (19-44 ans) ; Dorsalgie ; PostureMots-clés : Instrument d'évaluation Résumé : Background: The BackPEI questionnaire was developed and validated just exclusively to evaluate children. Aims: To propose, validate, and test the reproducibility of an expanded version of the Back Pain and Body Posture Evaluation Instrument (BackPEI), originally designed to assess back pain in school-aged children, for use with adults. Design: Validation Study. Methods: Five questions from the original BackPEI were replaced, resulting in the revised instrument (BackPEI-A) containing 20 questions. Three experts checked the content validity of the revised instrument, and the reproducibility was tested by trialing the questionnaire with 154 adults. Results: The reproducibility data for the questions regarding pain intensity, analyzed using the Wilcoxon test and intraclass correlation coefficient (ICC), indicated that (a) there was no difference between the medians and (b) the answers were highly correlated, both for lower back (p = .574) (ICC = 0.908) and cervical (p = .968) (ICC = 0.865) pain. The reproducibility data for the remaining questions analyzed using the κ coefficient were classified as moderate (0.4 0.8). Conclusion: The BackPEI-A is a reproducible, valid, and reliable instrument for use in the evaluation of back and neck pain and their associated risk factors. The instrument also facilitates the evaluation of postural habits in activities of daily living in adults. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=86252
in Pain Management Nursing > Vol. 19, n°4 (August 2018) . - p. 415-423[article]Exemplaires (1)
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Titre : Nurse Practitioner-Administered Chloroprocaine in Children with Postoperative Pain Type de document : Article Auteurs : Erin Sweet ; Christine S. Shusterman ; Martina S. Nedeljkovic ; Jean C. Solodiuk Année de publication : 2018 Article en page(s) : p. 424-429 Note générale : DOI: https://doi.org/10.1016/j.pmn.2017.11.003 Langues : Anglais (eng) Descripteurs : HE Vinci
Anesthesique local ; Chloroprocaïne ; Douleur postopératoire ; Enfant (6-12 ans) ; Infirmières praticiennesRésumé : Background: Pain is a complex physical and emotional experience. Therefore, assessment of acute pain requires self-report when possible, observations of emotional and behavioral responses and changes in vital signs. Peripheral nerve and epidural catheters often provide postoperative analgesia in children. Administration of chloroprocaine (a short acting local anesthetic) via a peripheral nerve or epidural catheter allows for a comparison of pain scores, observations of emotional and behavioral responses and changes in vital signs to determine catheter function. Aims: The aims of this study are to describe the use chloroprocaine injections for testing catheters; patient response; and how changes to pain management are guided by the patient response. Methods: This study describes the use of chloroprocaine injections to manage pain and assess the function of peripheral nerve or epidural catheters in a pediatric population. We examined 128 surgical patients, (0-25 years old), who received chloroprocaine injections for testing peripheral nerve or epidural catheters. Patient outcomes included: blood pressure, respiratory rate, heart rate and pain intensity scores. Results: There were no significant adverse events. The injection guided intervention by determining the function of regional analgesia in the majority (98.5%) of patients. Discussion: Chloroprocaine injections appear to be useful to evaluate functionality of peripheral nerve and epidural catheters after surgery in a pediatric population. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=86253
in Pain Management Nursing > Vol. 19, n°4 (August 2018) . - p. 424-429[article]Exemplaires (1)
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Titre : Cognitive Dissonance and Pediatric Procedural Pain Management : A Concept Clarification Type de document : Article Auteurs : April A. Bice Année de publication : 2018 Article en page(s) : p. 230-237 Note générale : DOI: https://doi.org/10.1016/j.pmn.2017.07.005 Langues : Anglais (eng) Descripteurs : HE Vinci
Dissonance cognitive ; Douleur physique ; Gestion de la douleur ; Infirmières et infirmiersMots-clés : Douleur procédurale pédiatrique Résumé : Background: Pediatric nurses have often reported that pain management is a vital part of patient care. Evidence, however, suggests pediatric procedural pain treatments are often underused. Cognitive dissonance, the mental conflict leading to unpleasant thoughts and or feelings, may be related to this evidence-based gap found between what pediatric nurses claim about procedural pain management (that it is important) and what they actually do (underutilize pain treatments). Objective: The purpose of this manuscript is to clarify and further develop the concept of cognitive dissonance in terms of its relationship to nurses' mental struggles with underutilization of pediatric procedural pain treatments. A more relevant and extended definition of cognitive dissonance is presented. Design: The concept of cognitive dissonance was examined using Rodgers' evolutionary concept analysis approach/framework. Analysis Methods: Through a six-step process of concept identification, setting and sample identification, data collection, data analysis, and future implication discussion, a more accurate and representative definition of cognitive dissonance is described. Databases used included CINAHL, Google Scholar, PsycINFO, ERIC, and PubMed. Seminal, recent, and relevant works were included in the review to adequately develop and clarify the concept. Conclusions: Procedural pain management breech among pediatric nurses is proposed to occur before the mental conflict produced. The unpleasant mental conflict created after the breech is followed by the nurse's determination to reduce mental conflict through attitude change followed by cognition change, which more closely reflects his or her behavior. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=85370
in Pain Management Nursing > Vol. 19, n°3 (June 2018) . - p. 230-237[article]Exemplaires (2)
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Titre : The Influence of Race and Gender on Nursing Care Decisions: A Pain Management Intervention Type de document : Article Auteurs : James Cavalier Jr ; Sharon B. Hampton ; Rae Langford ; et al. Année de publication : 2018 Article en page(s) : p. 238-245 Note générale : DOI: https://doi.org/10.1016/j.pmn.2017.10.015 Langues : Anglais (eng) Descripteurs : HE Vinci
Gestion de la douleur ; Préjugé ; Prise de décision ; SoinsMots-clés : Inégalité de genre Résumé : Background: Understanding whether a patient's race or gender and/or the nurse's race or gender influence how nurses form care decisions can contribute to exploration of methods that can positively affect disparate treatment. Aims: This research examined how the variables of race and gender of both the nurse and the patient influence nurses' decision making about pain management. Design: A randomized four-group post-test–only experimental design was used to examine the variables and variable interactions. Settings: An investigator-developed case vignette tool hosted online was used to obtain data about nursing pain management decisions. The vignette intervention was developed to simulate four exact patient scenarios that differed only by patient race and gender. Participants/Subjects: A quota sample of 400 nurses was recruited using a self-selected face-to-face recruitment technique. Methods: A four-way between-groups analysis of variance assessed whether the gender of the nurse, race of the nurse, gender of the patient, or race of the patient made any differences in the dose intensity of pain medications selected by the nurse sample. Results: No significant interactions were noted between any combinations of the four independent variables. A significant main effect was noted in medication intensity for nurse gender (F [1,384] = 9.75, p = .002). Conclusions: Data trends suggested that gender stereotypes about how patients managed pain played a role in dose intensity decisions because female patients on average were given higher doses of pain medication than male patients were by all the nurses in the study. Further research is needed in this complex area of study. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=85371
in Pain Management Nursing > Vol. 19, n°3 (June 2018) . - p. 238-245[article]Exemplaires (2)
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Titre : Using Simulation to Enhance Education Regarding Epidural Analgesia for Registered Nurses Type de document : Article Auteurs : Monakshi Sawbney ; Michelle Wong ; Marian Luctkar-Flude ; et al. Année de publication : 2018 Article en page(s) : p. 246-255 Note générale : DOI: https://doi.org/10.1016/j.pmn.2017.10.011 Langues : Anglais (eng) Descripteurs : HE Vinci
Analgésie péridurale ; Education ; Infirmières et infirmiers ; SimulationRésumé : Background: Registered nurses (RNs) receive didactic training regarding caring for patients receiving epidural analgesia. Although RNs are tested on their knowledge after this training, their ability to critically think through adverse events has not been assessed at our institution. Aim: The aim of this study was to examine the feasibility and effectiveness of simulation education for RNs regarding the assessment and management of patients receiving epidural analgesia. Method: The study included an education intervention, which consisted of a 4-hour workshop. After obtaining informed consent, RNs completed a preworkshop evaluation of skill performance where they completed an Objective Structured Clinical Examination (OSCE) in which they demonstrated an epidural assessment of a standardized patient. RNs then completed a demographic and knowledge questionnaire followed by a lecture regarding care, management, and assessment of patients who are receiving epidural analgesia. After the lecture, RNs practiced epidural assessments within small groups. A postworkshop OSCE, questionnaire, and debriefing were completed before the end of the workshop. Results: Thirty-seven RNs completed the workshop. The mean age of participants was 43 years. For the pre- and postworkshop knowledge questionnaire, there was significant improvement in answers related to epidural pharmacology and assessment of blockade questions. For the pre- and postworkshop OSCE, there was a significant increase in the number of correct procedures performed in all categories, with the exception of assessment of equipment. There was also a significant change in the proportion of RNs who stated that they felt confident in their assessment of a patient receiving epidural analgesia. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=85372
in Pain Management Nursing > Vol. 19, n°3 (June 2018) . - p. 246-255[article]Exemplaires (2)
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Titre : Impact of a Clinical Therapeutic Intervention on Pain Assessment, Management, and Nursing Practices in an Intensive Care Unit: A before-and-after Study Type de document : Article Auteurs : Vincenzo Damico ; Flavio Cazzaniga ; Rita Ciceri ; et al. Année de publication : 2018 Article en page(s) : p. 256-266 Note générale : DOI: https://doi.org/10.1016/j.pmn.2018.01.007 Langues : Anglais (eng) Descripteurs : HE Vinci
Gestion de la douleur ; Pratique professionnelle ; Psychothérapie ; Unités de soins intensifsRésumé : Background: Accurate pain assessment and management constitute a major challenge for medical and nursing staff in intensive care units (ICUs). A distinct recollection of pain is reported by high proportions of ICU patients. Purpose: A clinical therapeutic intervention directed at improving pain assessment and management in critically ill patients who are unable to communicate was implemented at an Italian ICU. Methods: In this before-and-after study, data were collected before (T0) and after (T1) the adoption of a protocol involving pain assessment with an ad hoc behavioral pain scale and the administration of analgesics, rather than sedatives, to patients with intermediate to high pain scores. Results: The main outcome measure was pain recollection a year after discharge; secondary outcome measures were the use and doses of sedatives and analgesics. A significantly (p = .037) smaller proportion of patients treated after protocol adoption recollected feeling severe pain compared with patients treated before the protocol was introduced. This group also received significantly (p Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=85373
in Pain Management Nursing > Vol. 19, n°3 (June 2018) . - p. 256-266[article]Exemplaires (2)
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Titre : Effect of Change in Position and Back Massage on Pain Perception during First Stage of Labor Type de document : Article Auteurs : Suad Abdul-Sattar Khudhur ; Hamdia Mirkkan Ahmed Année de publication : 2018 Article en page(s) : p. 288-294 Note générale : DOI: https://doi.org/10.1016/j.pmn.2018.01.006 Langues : Anglais (eng) Descripteurs : HE Vinci
Dos ; Massage ; Perception de la douleur ; Travail obstétricalMots-clés : Changement de position Résumé : Background: Labor is one of the most painful events in a women's life. Frequent change in positions and back massage may be effective in reducing pain during the first stage of labor. Aim: The focus of this study was to identify the impact of either change in position or back massage on pain perception during first stage of labor. Design: A quasi-experimental study. Setting: Teaching hospital, Kurdistan Region, Iraq, November 2014 to October 2015. Subjects: Eighty women were interviewed as a study sample when admitted to the labor and delivery area and divided into three groups: 20 women received frequent changes in position (group A), 20 women received back massage (Group B), and 40 women constituted the control group (group C). Methods: A structured interview questionnaire to collect background data was completed by the researcher in personal interviews with the mothers. The intervention was performed at three points in each group, and pain perception was measured after each intervention using the Face Pain Scale. Results: The mean rank of the difference in pain scores among the study groups was as follows after the first, second, and third interventions, respectively: group A—52.33, 47.00, 49.2; group B—32.8, 30.28, 30.38; group C—38.44, 42.36, 41.21. There were significant differences between groups A, B, and C after the first, second, and third interventions (p1 = .011, p2 = .042, p3 = .024). Conclusions: Back massage may be a more effective pain management approach than change in position during the first stage of labor. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=85374
in Pain Management Nursing > Vol. 19, n°3 (June 2018) . - p. 288-294[article]Exemplaires (2)
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Titre : Comparison of Two Different Distraction Methods Affecting the Level of Pain and Anxiety during Extracorporeal Shock Wave Lithotripsy: A Randomized Controlled Trial Type de document : Article Auteurs : Elif Gezginci ; Emine Iyigun ; S. Yalcin ; et al. Année de publication : 2018 Article en page(s) : p. 295-302 Note générale : DOI: https://doi.org/10.1016/j.pmn.2017.09.005 Langues : Anglais (eng) Descripteurs : HE Vinci
Anxiété ; Douleur ; Essai clinique ; Lithotritie ; Mesure de la douleurMots-clés : Méthode de distraction Résumé : Background: Extracorporeal shock wave lithotripsy can cause pain and anxiety for patients. Despite the use of many distraction methods to reduce pain and anxiety, there is no study on the use of stress balls during lithotripsy. Aim: The aim of the study was to investigate the efficacy of use of stress balls and music therapy to reduce pain and anxiety during lithotripsy. Design: This was a single-center, parallel randomized controlled trial. Settings: The study involved the lithotripsy unit in a training and research hospital in Turkey. Participants: The study included 120 patients who had kidney or ureter stones. Methods: The patients were randomly divided into three groups. The control group (group 1) received no interference, whereas experimental groups received stress ball (group 2) and music (group 3) interventions during lithotripsy, respectively. Data were collected using the Patient Information Form, visual analog scale, and State-Trait Anxiety Inventory. Results: There was no statistically significant difference among the three groups in regard to anxiety and pain mean scores (p > .05). No statistically significant difference was found between anxiety scores before and after lithotripsy in each group (p > .05), whereas there was a statistically significant difference between pain scores during and after lithotripsy (p Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=85375
in Pain Management Nursing > Vol. 19, n°3 (June 2018) . - p. 295-302[article]Exemplaires (2)
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Titre : Forming Focus Groups for Pediatric Pain Research in Nursing: A Review of Methods Type de document : Article Auteurs : Brenna L. Quinn ; Heidi Collins Fantasia Année de publication : 2018 Article en page(s) : 303-312 Note générale : DOI: https://doi.org/10.1016/j.pmn.2017.07.002 Langues : Anglais (eng) Descripteurs : HE Vinci
Groupes focalisés ; Méthodologie ; Recherche ; Soins de l'enfantRésumé : Background: Within current priorities for pain research set by the American Society for Pain Management Nursing, there is a paucity of pediatric pain research. Qualitative approaches are helpful when researching topics about which little is known. Focus groups are one method of qualitative data collection and have been successfully implemented with children and parents. Aims: The purpose of this paper was to identify ideal conditions for nurse researchers to employ when using focus groups as a data collection method for studies aiming to investigate pain in children. The aims of this paper are to identify focus group conditions (1) facilitating adequate scientific rigor and trustworthiness and (2) eliciting the richest data from participants. Methods: A critique of research studies that used focus groups with children, parents/caregivers, or nurses in hospital or community settings was performed to achieve the stated aims. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines directed the process of selecting studies for inclusion in this review. Results: The final sample for critique included four studies. Methods such as transcription processes and approaches to analysis used in the four publications were appraised for scientific rigor and usefulness in pediatric pain research. Conclusions: Researchers investigating priority areas must consider trustworthiness and strategies to eliciting quality data when planning to employ focus groups as a data collection method. Nurses in the clinical setting can use findings of this report to strengthen pain assessment practices as well as evaluate qualitative work for inclusion in evidence-based policies. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=85376
in Pain Management Nursing > Vol. 19, n°3 (June 2018) . - 303-312[article]Exemplaires (2)
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Titre : Impact of Family History of Substance Abuse on Admission Opioid Dose, Depressive Symptoms, and Pain Catastrophizing in Patients with Chronic Pain Type de document : Article Auteurs : Elizabeth L. Pestka ; Julia Craner ; Michele Evans ; et al. Année de publication : 2018 Article en page(s) : p. 115-124 Note générale : DOI: https://doi.org/10.1016/j.pmn.2017.09.007 Langues : Anglais (eng) Descripteurs : HE Vinci
Analgésiques morphiniques ; Dépression ; Douleur chronique ; Famille ; Signes et symptômes ; Troubles liés à une substanceRésumé : The objectives of this study were to examine association between a family history of substance abuse and admission morphine equivalent dose, depression and pain catastrophizing screening scores, as well as reported personal history of substance use. The retrospective research was completed in an interdisciplinary three-week pain rehabilitation center. The subject cohort included admissions from January through December 2014 with 351 datasets for family history of substance abuse and oral morphine equivalency and 341 for depression, pain catastrophizing and use of substances. Outcome measures included admission self-reported data on family history of substance abuse and past and current substance use, admission morphine equivalency dose, and scores on the Center for Epidemiologic Studies-Depression Scale and the Pain Catastrophizing Scale. One hundred forty-seven patients were using opioid medications on admission and those with a positive family history of substance abuse had an oral morphine equivalency (M = 92.12, SD = 95.32) compared to a negative history (M = 80.34, SD = 64.86); the difference was not statistically significant, t (120.01) =.87, p = .39. Patients with a positive family history reported higher levels of both depression, t (327.40) = 3.15, p = .002 and pain catastrophizing, t (338) = 2.76, p = .01. Those with a positive family history endorsed greater frequency of past alcohol use χ2 (1, N = 326) = 6.67, p = 0.1 and marijuana use χ2 (1, N = 341) = 4.23, p = .04 and past χ2 (1, N = 329) = 9.90, p = .002 and current tobacco use χ2 (1, N = 327) = 8.81, p = .003. Use of family history of substance abuse information may help provide data for multimodal treatments of chronic non-cancer-pain. The findings from this study can be used to guide future research. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=84599
in Pain Management Nursing > Vol. 19, n°2 (April 2018) . - p. 115-124[article]Exemplaires (1)
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Titre : Factors Associated with Inadequate Pain Control among Postoperative Patients with Cancer Type de document : Article Auteurs : Aqel El-Aqoul ; Abdullah Obaid ; Eman Yacoub ; et al. Année de publication : 2018 Article en page(s) : p. 130-138 Note générale : DOI: https://doi.org/10.1016/j.pmn.2017.10.004 Langues : Anglais (eng) Descripteurs : HE Vinci
Complications postopératoires ; Douleur ; Gestion de la douleur ; Jordanie ; TumeursRésumé : Postoperative pain is considered a major, complex and multidimensional problem that affects the clinical and functional outcomes of patients and may contribute to increased postoperative complications. The goal of this study was to determine the prevalence of inadequate pain control and to investigate the factors associated with inadequate pain control among postoperative cancer patients. A descriptive correlational, cross-sectional design was used. The study was conducted at four adult inpatient oncology departments at King Hussein Cancer Center, a nongovernmental, nonprofit, comprehensive hospital for treating cancer patients in Amman, Jordan. The convenience sample of 800 cancer patients selected comprised postoperative patients diagnosed with cancer and aged ≥18 years who were willing to participate and able to use the numeric rating scale. About 32.9% of patients had pain scores higher than 4/10 at rest, and 56.4% of patients had pain scores higher than 4/10 on movement. Data revealed that patients aged between 18 and 63 years (odds ratio [OR] = 0.196, p Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=84601
in Pain Management Nursing > Vol. 19, n°2 (April 2018) . - p. 130-138[article]Exemplaires (1)
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Titre : An Integrative Review of Interventions to Support Parents When Managing Their Child's Pain at Home Type de document : Article Auteurs : Roses Parker ; Stephen McKeever ; Theresa Wiseman ; et al. Année de publication : 2018 Article en page(s) : p. 139-156 Note générale : DOI: https://doi.org/10.1016/j.pmn.2017.10.006 Langues : Anglais (eng) Descripteurs : HE Vinci
Analgésiques ; Efficacité ; Enfant (6-12 ans) ; Gestion de la douleur ; Interaction parent-enfant ; Parents ; Relation d'aideRésumé : To identify interventions aimed at helping parents manage their child's pain at home and to establish which aspects of interventions were effective. Integrative narrative review. MEDLINE, CINAHL Plus, PsychINFO, PsychArticles, AMED, PubMed, Scopus and Web of Knowledge databases were searched in 2016. This narrative synthesis followed Centre for Reviews and Dissemination and Economic and Social Research Council guidance. Reasons attributed to intervention success were analyzed using content analysis. From 2,534 papers, 17 were included. A majority were randomized controlled trials (n = 13) and most addressed postoperative pain (n = 15). A range of interventions were found that directly targeted parents, including child-parent interactions and health care professional–parent interactions, as well as complex interventions. Three studies were successful in reducing child pain at home and seven in increasing appropriate analgesic drug administration. Analysis of reasons attributed to interventions success revealed characteristics of interventions, components of parental pain management, and key features of research that aid researchers in designing and evaluating interventions. Risk of bias was present because of inadequate randomization, lack of a control group, and underpowered studies. Nurses should be aware that targeting parents directly is the most effective way of reducing child pain at home. Nurses need to advocate for effective analgesics for their child patients because the ineffectiveness of many interventions was attributed to inadequate analgesic drugs. Once this is achieved, success in increasing analgesic drug administration is most likely reached via parent-targeted interventions and those targeting health care professional–parent interactions. Successful interventions will be tailored to the child and adequately powered. Including a measure of sedation will ensure sedation is not mistaken for analgesic effectiveness. Interventions should address multiple facets of pain management and include a measure of pain over a period as opposed to a snapshot in time. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=84602
in Pain Management Nursing > Vol. 19, n°2 (April 2018) . - p. 139-156[article]Exemplaires (1)
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Titre : Effects of Educational Intervention on State Anxiety and Pain in People Undergoing Spinal Surgery : A Randomized Controlled Trial Type de document : Article Auteurs : Chiu-Hsiang Lee ; Jung-Tung Liu ; Shu-Chen Lin ; et al. Année de publication : 2018 Article en page(s) : p. 163-171 Note générale : DOI: https://doi.org/10.1016/j.pmn.2017.08.004 Langues : Anglais (eng) Descripteurs : HE Vinci
Anxiété ; Chirurgie ; Douleur ; Education à la santé ; Essai clinique ; RachisRésumé : Preoperative educational intervention for anxiety and pain affects patients undergoing spinal surgery. The effects, however, have never been examined using randomized controlled designs. To investigate the effects of education on anxiety and pain for patients undergoing spinal surgery, a randomized trial with block design was used. Patients were recruited from a medical center in central Taiwan. We invited 90 patients to participate in this study. Inclusion criteria were (a) age ≥20 years, (b) voluntary participation, (c) able to understand Taiwanese Mandarin Chinese or Taiwanese, and (4) no hearing or vision impairments after using aids. Patients (n = 86) undergoing lumbar spinal surgery were randomized into either an Intervention group (using educational intervention; n = 43) or a Control group (n = 43); four patients voluntarily dropped out after surgery (one in Intervention group; three in Control group). Patients had their anxiety (using the State-Trait Anxiety Inventory; STAI) and pain (using a visual analog scale) measured the day before surgery, 30 minutes before surgery, and the day after surgery. After controlling for demographics, the adjusted anxiety and pain levels were significantly lower for the Intervention group: mean STAI scores were 52.67 at baseline and 47.54 at 30 minutes before surgery (p Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=84604
in Pain Management Nursing > Vol. 19, n°2 (April 2018) . - p. 163-171[article]Exemplaires (1)
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Titre : Barriers to Optimal Pain Management in Aged Care Facilities : An Australian Qualitative Study Type de document : Article Auteurs : Felicity Veal ; Mackenzie Williams ; Luke Bereznicki ; et al. Année de publication : 2018 Article en page(s) : p. 177-185 Note générale : DOI: https://doi.org/10.1016/j.pmn.2017.10.002 Langues : Anglais (eng) Descripteurs : HE Vinci
Australie ; Gestion de la douleur ; Maison de santé ; Maisons de repos ; Recherche qualitative ; Sujet âgéRésumé : Up to 80% of residents in aged care facilities (ACFs) experience pain, which is often suboptimally managed. The purpose of this study was to characterize pain management in ACFs and identify the barriers to optimal pain management. This exploratory descriptive qualitative study used semistructured interviews in five Southern Tasmania, Australian ACFs. Interviewees included 23 staff members (18 nurses and 5 facility managers) and were conducted from September to November 2015. Interviews included questions about how pain was measured or assessed, what happened if pain was identified, barriers to pain management, and potential ways to overcome these barriers. Interviewees noted that there were no formal requirements regarding pain assessment at the ACFs reviewed; however, pain was often informally assessed. Staff noted the importance of adequate pain management for the residents' quality of life and employed both nonpharmacologic and pharmacologic techniques to reduce pain when identified. The barriers to optimal pain management included difficulty identifying and assessing pain, residents' resistance to reporting pain and/or taking medications, and communication barriers between the nursing staff and GPs. Staff interviewed were dedicated to managing residents' pain effectively; however, actions in a number of areas could improve resident outcomes. These include a more consistent approach to documenting pain in residents' progress notes and improving nurse-GP communications to ensure that new or escalating pain is identified and expedient changes can be made to the resident's management. Additionally, resident, family, nurse, and carer education, conducted within the facilities on a regular basis, could help improve the pain management of residents. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=84606
in Pain Management Nursing > Vol. 19, n°2 (April 2018) . - p. 177-185[article]Exemplaires (1)
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Titre : Effect of Single Intra-cutaneous Injection for Acute Thoracic Herpes Zoster and Incidence of Postherpetic Neuralgia Type de document : Article Auteurs : Ji-zheng Cui ; Jin-wei Zhang ; Fang Yan ; et al. Année de publication : 2018 Article en page(s) : p. 186-194 Note générale : DOI: https://doi.org/10.1016/j.pmn.2017.09.002 Langues : Anglais (eng) Descripteurs : HE Vinci
Algie post-zona ; Injections ; Névralgie ; ZonaRésumé : The therapeutic effect of postherpetic neuralgia (PHN) is often disappointing and challenging. The role of intra-cutaneous injection of local anesthetic and steroids in preventing PHN remains unknown. The purpose of this study was to investigate the effect of a single intra-cutaneous injection of ropivacaine plus methylprednisolone on acute thoracic herpes zoster (HZ) pain intensity and duration, eruptive duration, and PHN incidence. A total of 97 patients with acute thoracic HZ diagnosed 1-7 days after the onset of the rash were randomly assigned to receive either 15 mL of 37.5 mg ropivacaine plus 40 mg methylprednisolone (active group, n = 49) or 15 mL of saline (placebo group, n = 48). Over 7 days, all patients received 800 mg of acyclovir 5 times daily and 150 mg pregabalin twice daily. Acetaminophen was used as a rescue analgesia when visual analog scale ≥4. Pain intensity was measured with visual analog scale and the amount of analgesic taken was evaluated at the initial visit and at weeks 1, 4, 12, and 24 after the intra-cutaneous injection. The time of complete resolution of pain, time of healing of skin eruption, and incidence of PHN were reported. The active group displayed a significantly shorter duration of pain (28.4 ± 46.7 vs. 59.2 ± 65.0, respectively; p = .009) and herpetic eruption (22.5 ± 6.8 vs. 32.6 ± 7.6, respectively; p Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=84607
in Pain Management Nursing > Vol. 19, n°2 (April 2018) . - p. 186-194[article]Exemplaires (1)
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Titre : Pain Management Practice and Guidelines in Jordanian Pediatric Intensive Care Units Type de document : Article Auteurs : Ahmad Ismail ; Paula A. Forgeron ; Viola Polomeno ; et al. Année de publication : 2018 Article en page(s) : p. 195-203 Note générale : DOI: https://doi.org/10.1016/j.pmn.2017.07.004 Langues : Anglais (eng) Descripteurs : HE Vinci
Gestion de la douleur ; Jordanie ; Recommandations ; Unités de soins intensifs pédiatriquesRésumé : Limited knowledge exists of current pain management practices and supporting guidelines in Jordanian pediatric intensive care units. To determine the current pain management practices and the availability and content of practice guidelines in Jordanian pediatric intensive care units, we conducted a cross-sectional and multisite survey of four pediatric intensive care units in Jordan. A questionnaire was developed and orally administered over the phone or in person to head nurses or their nominees to capture pain management practices and the existence and content of guidelines. All units had written pain management guidelines that included pain assessment, documentation, and management. All four units used one or more pain assessment tools. In three units, pain management was considered multidisciplinary and routinely discussed on unit rounds. In two units, continuous infusion of intravenous opioids was used as well as sedatives and neuromuscular blockers for most ventilated patients. In the two other units, continuous intravenous infusion of opioids was not used and only sedatives were administered for patients on mechanical ventilation. In two units, there were no specific guidelines on the use of nonopioid analgesics, patient-controlled anesthesia, or the management of postoperative pain. No unit used an opioid or sedative withdrawal assessment tool or had pain management guidelines on the use of topical anesthetic agents or sucrose. Pain management practices and guidelines varied across the four units, suggesting that there is an opportunity for improvement in pain management in pediatric intensive care units in Jordan. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=84608
in Pain Management Nursing > Vol. 19, n°2 (April 2018) . - p. 195-203[article]Exemplaires (1)
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Titre : Use of Self-management Interventions for Chronic Pain Management : A Comparison between Rural and Nonrural Residents Type de document : Article Auteurs : Linda H. Eaton ; Dale J. Langford ; Alexa R. Mains Année de publication : 2018 Article en page(s) : p. 8-13 Note générale : DOI: https://doi.org/10.1016/j.pmn.2017.09.004 Langues : Anglais (eng) Résumé : Individuals with chronic pain who live in rural communities often lack access to pain specialists and rely on primary care providers who may be less prepared. Research has indicated that rural residents with chronic pain are more likely to receive an opioid prescription than nonrural residents. Although self-management approaches are available for chronic pain management, it is unclear to what extent rural residents use these interventions. This study compares usage of self-management interventions and opioid-based analgesics for chronic pain management between rural and nonrural residents. This study is a secondary analysis of baseline data from a randomized controlled trial evaluating a telehealth intervention for chronic pain management. Participants, recruited from primary care clinics, were 65 rural residents and 144 nonrural residents with similar demographic characteristics. Differences in the use of self-management interventions, pain intensity, and opioid dose were evaluated between rural and nonrural residents. Rural residents (n = 50, 77%) were less likely to use self-management interventions compared with nonrural residents (n = 133, 92%) (p = .019). Opioids were taken for pain relief by 76% of the rural residents compared with 52% of the nonrural residents. A disparity exists in the use of self-management interventions for chronic pain management by rural residents compared with nonrural residents. Further study is needed to determine if this is related to the lack of access to specialists and/or pain management training of primary care providers. Nurses can play an essential role in addressing this disparity by educating patients about self-management interventions. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=83772
in Pain Management Nursing > Vol. 19, n°1 (February 2018) . - p. 8-13[article]Exemplaires (1)
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Titre : Neighborhood, Socioeconomic, and Racial Influence on Chronic Pain Type de document : Article Auteurs : Angelika Maly ; April Hazard Vallerand Année de publication : 2018 Article en page(s) : p. 14-22 Note générale : https://doi.org/10.1016/j.pmn.2017.11.004 Langues : Anglais (eng) Résumé : The purpose of this review is to highlight the neighborhood, socioeconomic, and racial influences on chronic pain. Negative influences on the experience of chronic pain are explored and defined as any adverse stressor common in low socioeconomic, urban neighborhoods that potentially contributes to health disparity in African Americans experiencing chronic pain. The multifactorial influences on chronic pain disparity in African Americans are explored and expounded upon in this review of existing evidence. Databases used for the search included CINAHL, PubMed, and PsycArticles. The experience of chronic pain is multifaceted, existing with multiple comorbidities and lasting consequences. To improve the burden of chronic pain requires a multifactorial assessment that considers neighborhood risk factors, emphasis on environmental stressors, limitations to support networks, barriers to physical activity, and access to primary care providers with whom communication is open and without bias. A comprehensive assessment of barriers will aid in the development of interventions that reach beyond the physical factors of chronic pain, also considering the psychosocial barriers to improving the burden of chronic pain in African Americans living in impoverished urban neighborhoods. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=83773
in Pain Management Nursing > Vol. 19, n°1 (February 2018) . - p. 14-22[article]Exemplaires (1)
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Titre : Transcultural Pain Management : Theory, Practice, and Nurse-Client Partnerships Type de document : Article Auteurs : William E. Rosa Année de publication : 2018 Article en page(s) : p. 23-33 Note générale : DOI: https://doi.org/10.1016/j.pmn.2017.10.007 Langues : Anglais (eng) Résumé : Nursing is becoming increasingly aware of its impact as a global profession. Part of this evolution is the understanding that the Western evidence-based construct may not be reliably or universally applicable to transcultural settings and clients. In a global world, no ‘one size fits all’ and no singular approach to pain management is appropriate; there are, quite literally, infinite variations in cross-cultural dynamics. Nurses working in the field of pain management must be able to navigate their responsibilities within the global health context. The role of the pain management nurse in the global world is to provide individualized and culturally relevant pain management for clients, which is mindful of multifactorial contributors to the pain experience, such as the physiologic, affective, cognitive, behavioral, sociocultural, and environmental, and to view adequate pain management as an international human right. Through the skillful integration of theory, practice, and the ability to build respectful and responsible nurse-client partnerships, pain management nurses can deliver contextually relevant care that promotes safety, quality, and healing. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=83774
in Pain Management Nursing > Vol. 19, n°1 (February 2018) . - p. 23-33[article]Exemplaires (1)
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Titre : Living with Symptoms : A Qualitative Study of Black Adults with Advanced Cancer Living in Poverty Type de document : Article Auteurs : Katherine A. Yeager ; Tammie E. Quest ; Catherine Vena ; et al. Année de publication : 2018 Article en page(s) : p. 34-45 Note générale : DOI: https://doi.org/10.1016/j.pmn.2017.10.017 Langues : Anglais (eng) Résumé : Cancer is associated with disease-related and treatment-related symptoms. Little is known about the symptom experience of black individuals with advanced cancer especially those with limited financial resources. Therefore, the purpose of this study was to explore the symptom experience of black adults with advanced cancer living in poverty. This qualitative descriptive study focused on the perspectives of the participants experiencing at least two symptoms related to cancer. A purposive sample of 27 individuals receiving care at a public hospital in a southeastern city participated in the study. Semi-structured audiotaped interviews were conducted by two research interviewers. Content analysis was used to develop themes to describe the symptom experience. Two main themes emerged in terms of the participants’ symptom experiences: (1) “living in pain,” which included the overwhelming experience of pain, both physical and emotional, and (2) “symptoms associated with functioning in everyday life.” Participants frequently used the context of activities in their daily lives to explain symptoms, including the effect of symptoms on the activities of eating, moving and doing, and communicating. People with advanced cancer work to negotiate a high frequency of multiple distressful symptoms of severe-to-moderate severity. Information gained from this study can help guide research in symptom science and provide direction for clinicians working with this minority group. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=83775
in Pain Management Nursing > Vol. 19, n°1 (February 2018) . - p. 34-45[article]Exemplaires (1)
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Titre : Pain Treatment Practices of Community-Dwelling Black Older Adults Type de document : Article Auteurs : Sheria G. Robinson-Lane ; April Hazard Vallerand Année de publication : 2018 Article en page(s) : p. 46-53 Note générale : DOI: https://doi.org/10.1016/j.pmn.2017.10.009 Langues : Anglais (eng) Résumé : Black older adults often experience disparities in pain treatment that results in unmet pain needs. The aims of this study were to assess the pain management experiences of a group of community dwelling Black older adults and identify gaps in clinical practice. A qualitative, descriptive design was employed using the methodology of ethnography. The setting was an urban, low-income, community elderly housing high-rise facility. Participants included facility residents (n = 106); of these, 20 completed structured qualitative interviews. The Brief Pain Inventory and qualitative interviews were used to determine pain prevalence, treatment practices, and barriers. Eighty-six percent of the participants had severe pain with a mean worst pain rating of 7 on a 0 to 10 scale. Pain interfered moderately with general activity (5.59), walking (5.73) and normal work (5.70), also measured on 0 to 10 scales. Participants preferred non-opioid analgesics, topical over-the-counter treatments, and nonpharmacological interventions such as prayer/meditation, and exercise for treatment. Medications most commonly used by participants for pain management included, hydrocodone with acetaminophen (28.6%), nonsteroidal anti-inflammatory drugs (13.2%), acetaminophen with codeine (12%), and tramadol (9.9). Qualitative interviews revealed that pain management barriers were centered around communication concerns about side effects, fears of addiction, and provider mistrust. A communication gap exists between patients and providers. Discussing patient treatment preferences, providing balanced treatment information, and following-up with patients on treatment plan effectiveness by phone can improve how pain is managed for Black older adults. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=83776
in Pain Management Nursing > Vol. 19, n°1 (February 2018) . - p. 46-53[article]Exemplaires (1)
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Titre : Pain Assessment and Management for Older Patients with Dementia in Hospitals : An Integrative Literature Review Type de document : Article Auteurs : I-Pei Tsai ; Sarah Yeun-Sim Jeong ; Sharyn Hunter Année de publication : 2018 Article en page(s) : p. 54-71 Note générale : DOI: https://doi.org/10.1016/j.pmn.2017.10.001 Langues : Anglais (eng) Résumé : Previous studies have suggested that pain in older people with dementia is often underestimated and undertreated in acute hospitals. Undermanaged pain negatively affects a person's recovery and prolongs hospital stays. However, the issues related to pain assessment and management by nurses for this group have not been fully understood. (1) To synthesize evidence about pain assessment and management for older people with dementia in hospital settings, and (2) to discuss implications for nurses and their practice. Integrative literature review. A systematic search of evidence-based research from six electronic databases (CINAHL, MEDLINE, ProQuest, Cochrane, JBI, and Scopus) was conducted for the period of 2006-2016. Following Cooper's integrative review framework and a systematic screening process, the articles included were analyzed and synthesized to identify the common issues and relationships. Fourteen empirical research articles were examined and synthesized. Two main categories were identified and include: the nursing practice of pain assessment in older patients with dementia is less than optimal, and the nursing practice of pain management for this group varies. The lack of initiation of pain assessment and use of pain assessment tools may contribute to the inadequate pain management by nurses. Whereas this review uncovered the extent and challenges related to pain assessment and management, previous studies were explorative and descriptive. The findings from the review provide nurses with an opportunity to establish empirical evidence that may improve nursing practice of pain assessment and management for older people with dementia in hospital settings. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=83777
in Pain Management Nursing > Vol. 19, n°1 (February 2018) . - p. 54-71[article]Exemplaires (1)
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Titre : Experiences of Urban African Americans with Cancer Pain Type de document : Article Auteurs : Angelika Maly ; Navdeep Singh ; April Hazard Vallerand Année de publication : 2018 Article en page(s) : p. 72-78 Note générale : DOI: https://doi.org/10.1016/j.pmn.2017.11.007 Langues : Anglais (eng) Résumé : The experience of cancer pain is poorly understood from the perspective of African Americans, who experience higher levels of pain, more pain-related distress, and poorer function than Caucasians. Decreased perceived control over pain may play a greater role for African American patients, affecting pain-related distress and function. The purpose of this study was to add to the understanding of cancer pain and perceived control over pain in African Americans, from the patients’ perspective. This qualitative inquiry was part of a larger mixed-methods study testing an intervention to improve pain, pain-related distress, and functional status through increasing perceived control over pain. Participants were recruited from the waiting room of an urban comprehensive cancer and interviewed in their homes. Interviews with 18 adult cancer patients who self-identified as African American and reported experiencing moderate to severe pain (>4 on a 0–10 scale) within the past two weeks were included. Qualitative interviews were audiotaped, transcribed, and analyzed using a constant comparative method. Two major themes emerged from this qualitative inquiry: struggles of the chronic pain experience and benefits of perceived control over pain. Each theme contained several categories. The study unveiled the participants account of both struggles of the chronic pain experience and barriers of perceived control that can be assessed for and targeted in nursing intervention. Benefits to having perceived control over pain were also illustrated in the participants’ narratives Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=83778
in Pain Management Nursing > Vol. 19, n°1 (February 2018) . - p. 72-78[article]Exemplaires (1)
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Titre : Pain, Racial Discrimination, and Depressive Symptoms among African American Women Type de document : Article Auteurs : Janiece L. Walker Taylor ; Claudia M. Campbell ; Roland J. Thorpe Jr. ; et al. Année de publication : 2018 Article en page(s) : p. 79-87 Note générale : DOI: https://doi.org/10.1016/j.pmn.2017.11.008 Langues : Anglais (eng) Résumé : African American women with osteoarthritis (OA) are at high risk of experiencing pain. They report more pain than non-Hispanic White women and men of other racial/ethnic groups. This pain can limit independence and diminish their quality of life. Despite the detrimental effects that pain can have on older African American women with OA, there is a dearth of literature examining factors beyond the OA pathology that are associated with pain outcomes within this population. The purpose of this study was to examine the relationships between racial discrimination and depressive symptoms with pain intensity in African American women with OA. The sample comprised of 120 African American women, aged 50-80 years, with OA, from Texas and New Mexico. The women completed survey booklets to answer study questionnaires. We used multiple linear regression to test associations between racial discrimination, depressive symptoms, and pain intensity. We tested whether depressive symptoms mediated the relationship between racial discrimination and pain intensity by using bootstrapping. Results indicated that racial discrimination was significantly associated with pain intensity and that this relationship was mediated by depressive symptoms, even after controlling for body mass index, years of education, and length of time with OA. Both depressive symptoms and racial discrimination may be modifiable. If these modifiable factors are addressed in this population, there may be decreased pain in middle-aged and older African American women. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=83779
in Pain Management Nursing > Vol. 19, n°1 (February 2018) . - p. 79-87[article]Exemplaires (1)
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Titre : The Characteristics of Pain in Patients Diagnosed with Depression and Heart Failure Type de document : Article Auteurs : Christine Haedtke ; Marianne Smith ; John VanBuren ; et al. Année de publication : 2017 Article en page(s) : p. 353-362 Langues : Anglais (eng) Descripteurs : HE Vinci
Dépression ; Diagnostic ; Douleur chronique ; Insuffisance cardiaque ; Thérapies complémentairesRésumé : Heart failure (HF) is a costly and growing health problem that is routinely complicated by chronic pain and depression. The purpose of this paper is to describe the characteristics of pain and pain management in depressed HF patients. In this descriptive cross-sectional study, we analyzed data from 62 participants with depression and class II-IV HF. Study variables of interest were collected from the Brief Pain Inventory, Beck Depression Inventory, and Rand-36. Almost all participants (98%) had some pain in the past month and most had pain in the last 24 hours (66%). The median pain score was 4 (0-10 scale) with the majority reporting moderate to severe pain. The median pain interference score was 4.42 (0-10 scale) with the majority reporting moderate to extreme interference. Medication to treat pain was used by all participants who reported pain, with only 5% also using nonpharmacologic treatment. The majority of participants reported moderate or severe pain while also having moderate to extreme pain interference. Nonpharmacologic pain treatments were severely underused. Women were more likely to have higher levels of pain intensity and more pain interference than men, suggesting that additional screening for the impact of pain is especially important in women. The wide variety of body areas affected, along with moderate to high intensity pain and considerable interference scores reported, indicate that pain was ineffectively treated. Nonpharmacologic treatments should be considered to decrease the impact of pain. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=83511
in Pain Management Nursing > Vol. 18, n°6 (December 2017) . - p. 353-362[article]Exemplaires (1)
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Titre : Quality Improvement Project: Replacing the Numeric Rating Scale with a Clinically Aligned Pain Assessment (CAPA) Tool Type de document : Article Auteurs : Debra Topham ; Debra Drew Année de publication : 2017 Article en page(s) : p. 363-371 Langues : Anglais (eng) Descripteurs : HE Vinci
Démarche qualité ; Douleur ; Echelle d'évaluation ; Enquête de satisfaction ; Gestion de la douleurMots-clés : Échelle dévaluation numérique Résumé : CAPA is a multifaceted pain assessment tool that was adopted at a large tertiary Midwest hospital to replace the numeric scale for adult patients who could self-report their pain experience. This article describes the process of implementation and the effect on patient satisfaction scores. Use of the tool is supported by the premise that pain assessment entails more than just pain intensity and that assessment is an exchange of meaning between patients and clinicians dependent on internal and external factors. Implementation of the tool was a transformative process resulting in modest increases in patient satisfaction scores with pain management. Patient reports that “staff did everything to manage pain” had the biggest gains and were sustained for more than 2 years. The CAPA tool meets regulatory requirements for pain assessment. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=83512
in Pain Management Nursing > Vol. 18, n°6 (December 2017) . - p. 363-371[article]Exemplaires (1)
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Titre : Ketamine for Pain Management—Side Effects & Potential Adverse Events Type de document : Article Auteurs : Cheryl A. Allen ; Julius R. Ivester Année de publication : 2017 Article en page(s) : p. 372-377 Langues : Anglais (eng) Descripteurs : HE Vinci
Analgésie ; Anesthésie ; Effets secondaires indésirables des médicaments ; Gestion de la douleur ; Revue de la littératureMots-clés : Kétamine Résumé : An old anesthetic agent, ketamine is finding new use in lower doses for analgesic purposes. There are concerns stemming from its potential side effects—specifically psychomimetic effects. These side effects are directly related to dose amount. The doses used for analgesic purposes are much lower than those used for anesthesia purposes. A literature review was performed to ascertain potential side effects and/or adverse events when using ketamine for analgesia purposes. The search included CINAHL, PubMed, and Ovid using the search terms “ketamine,” “ketamine infusion,” “pain,” “adverse events,” “practice guideline,” and “randomized controlled trial.” Searches were limited to full-text, peer-reviewed articles and systematic reviews. Initially 1,068 articles were retrieved. The search was then narrowed by using the Boolean connector AND with various search term combinations. After adjusting for duplication, article titles and abstracts were reviewed, leaving 25 articles for an in-depth analysis. Specific exclusion criteria were then applied. The literature supports the use of ketamine for analgesic purposes, and ketamine offers a nonopioid option for the management of some pain conditions. Because ketamine is still classified as an anesthetic agent, health care institutions should develop their own set of policies and protocols for the administration of ketamine. By using forethought and understanding of the properties of ketamine, appropriate care may be planned to mitigate potential side effects and adverse events so that patients are appropriately cared for and their pain effectively managed. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=83513
in Pain Management Nursing > Vol. 18, n°6 (December 2017) . - p. 372-377[article]Exemplaires (1)
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Titre : The Effects of Massage Therapy on Pain and Anxiety after Surgery : A Systematic Review and Meta-Analysis Type de document : Article Auteurs : Yukiko Kukimoto ; Noriko Ooe ; Norio Ideguchi Année de publication : 2017 Article en page(s) : p. 378-390 Langues : Anglais (eng) Descripteurs : HE Vinci
Anxiété ; Chirurgie ; Douleur ; Massage ; Thérapies complémentairesMots-clés : Douleur post-opératoires Résumé : Pain management is critical for patients after surgery, but current pain management methods are not always adequate. Massage therapy may be a therapeutic complementary therapy for pain. Many researchers have investigated the effects of massage therapy on post-operative pain, but there have been no systematic reviews and meta-analysis of its efficacy for post-operative patients. Our objective was to assess the effects of massage therapy on pain management among post-operative patients by conducting a systematic review and meta-analysis. The databases searched included MEDLINE, CINAHL, and the Cochrane Library’s CENTRAL. To assess the effects of massage therapy on post-operative pain and anxiety, we performed a meta-analysis and calculated standardized mean difference with 95% CIs (Confidential Intervals) as a summary effect. Ten randomized controlled trials were selected (total sample size = 1,157). Meta-analysis was conducted using subgroup analysis. The effect of single dosage massage therapy on post-operative pain showed significant improvement (−0.49; 95% confidence intervals −0.64, −0.34; p Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=83514
in Pain Management Nursing > Vol. 18, n°6 (December 2017) . - p. 378-390[article]Exemplaires (1)
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Titre : Management of Sickle Cell Pain Using Pregabalin : A Pilot Study Type de document : Article Auteurs : Judith M. Schlaeger ; Robert E. Molokie ; Yingwei Yao ; et al. Année de publication : 2017 Article en page(s) : p. 391-400 Langues : Anglais (eng) Descripteurs : HE Vinci
Analgésiques ; Douleur ; Drépanocytose ; Maladies du système nerveux ; Médicament ; Prise en chargeMots-clés : Étude pilote Résumé : Sickle cell disease (SCD) pain may have a neuropathic component. Adjuvant drugs used to treat neuropathic pain have not been studied for the treatment of adults with SCD. To determine the safety and feasibility of using pregabalin for chronic SCD pain. A randomized, controlled, double-blind pilot study. Based on random assignment, participants were treated with pregabalin or placebo control for 3 months with monthly follow-up visits. Participants were recruited from the University of Illinois Hospital and Health Sciences System outpatient SCD clinic. Participants/Subjects: A total of 22 participants with SCD (21 African American, 1 other) were included 16 women aged 18-82 (mean age 33.1 ± 9.9). PAINReportIt, Leeds Assessment of Neuropathic Signs and Symptoms, Neuropathic Pain Symptom Inventory, and Short Form 36 Health Survey were completed. Adverse effects were minimal. Mean scores for average pain intensity, composite pain index, and neuropathic pain revealed a reduction for pregabalin and placebo control groups. Although the between-group differences were not significant, sustained reduction in pain over time within the pregabalin group indicated promising effects of pregabalin for SCD pain. Mean quality-of-life scores increased slightly over time (representing better quality of life) in 7 of 8 domains for the pregabalin group and decreased in 4 of 8 domains for the placebo control group. Small sample size made it difficult to interpret quality-of-life findings. This pilot study provided sufficient evidence that further investigation of pregabalin's potential efficacy for treatment of chronic SCD pain in adults is warranted. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=83515
in Pain Management Nursing > Vol. 18, n°6 (December 2017) . - p. 391-400[article]Exemplaires (1)
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Titre : Beyond the Pain Scale: Provider Communication and Staffing Predictive of Patients’ Satisfaction with Pain Control Type de document : Article Auteurs : Judith Shindul-Rothschild ; Jane Flanagan ; Kelly D. Stamp ; Catherine Y. Read Année de publication : 2017 Article en page(s) : p. 401-409 Langues : Anglais (eng) Descripteurs : HE Vinci
Continuité des soins ; Echelle d'évaluation ; Etats-Unis ; Financement ; Gestion de la douleur ; Hôpitaux ; Hospitalisation ; Satisfaction des patients ; Soins infirmiers ; Vécu du patientMots-clés : Analyse de l'enquête Dotation en personnel infirmier Résumé : This paper examined hospital characteristics, staffing, and nursing care factors associated with patient perception of poor pain control by conducting a secondary analysis of the Hospital Consumer Assessment of Health Care Providers Systems (HCAHPS) survey in California, Massachusetts, and New York hospitals. Analysis of variance was used to analyze the relationship between nurse, hospitalist, physician, and resident staffing and patients' perception of pain control. Twenty-one factors correlated with patients' reports of pain control were included in the stepwise linear regression analysis. Patients' perception of pain control significantly improved with higher numbers of registered nurses (p = .045), nursing staff (p = .005), and hospitalists (p = .035) and worsened with higher numbers of residents or interns (p = .010). Six predictors explained 79% of the variance in patients' self-reports of pain control. Four factors increased the likelihood that patients reported their pain was poorly controlled: (1) patients did not receive help as soon as they wanted (p Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=83516
in Pain Management Nursing > Vol. 18, n°6 (December 2017) . - p. 401-409[article]Exemplaires (1)
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Titre : Can We Quickly and Thoroughly Assess Pain with the PACSLAC-II? : A Convergent Validity Study in Long-Term Care Residents Suffering from Dementia Type de document : Article Auteurs : Mélanie Ruest ; M Bourque ; Sarah Laroche Année de publication : 2017 Article en page(s) : p. 410-417 Langues : Anglais (eng) Descripteurs : HE Vinci
Démence ; Echelle d'évaluation ; Etudes de validation ; Gestion de la douleur ; Long sejour (hospitalisation)Mots-clés : Soins de longue durée Résumé : A previous study found that the modified version of the Pain Assessment Checklist for Seniors with Limited Ability to Communicate (PACSLAC-II) is a valid tool to assess pain in elderly individuals suffering from dementia and who are unable to communicante verbally. The primary objective of this study was to confirm the convergent validity of the PACSLAC-II using direct evaluation of long-term care residents in real-life situations, using two other well-validated pain assessment scales (i.e., PACSLAC and Pain Assessment in Advanced Dementia [PAINAD]). A secondary objective was to document and compare the time required to complete and score each assessment scale. During two potentially painful procedures (i.e., transfer/mobilization), 46 long-term care residents (mean age = 83 ± 10 years) suffering from dementia were observed by three independent evaluators, each using one of the assessment scales (randomly assigned). Correlational analyses and analysis of variance were used to evaluate the association between each scale and to compare scoring time. The PACSLAC (r = 0.61) and the PAINAD (r = 0.65) were both moderately associated with the PACSLAC-II (all p values Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=83517
in Pain Management Nursing > Vol. 18, n°6 (December 2017) . - p. 410-417[article]Exemplaires (1)
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Titre : Distraction Kits for Pain Management of Children Undergoing Painful Procedures in the Emergency Department : A Pilot Study Type de document : Article Auteurs : Ariane Ballard ; Sylvie Le May ; Christelle Khadra ; et al. Année de publication : 2017 Article en page(s) : p. 418-426 Langues : Anglais (eng) Descripteurs : HE Vinci
Chirurgie ; Enfant (6-12 ans) ; Gestion de la douleur ; Matériel médical ; UrgencesMots-clés : Étude pilote de faisabilité Trousse de distraction Unité de soins d'urgence Résumé : To assess the feasibility, usefulness, and acceptability of using distraction kits, tailored to age, for procedural pain management of young children visiting the emergency department and requiring a needle-related procedure. A pre-experimental design was piloted. A kit, tailored to age (infants-toddlers: 3 months–2 years; preschoolers: 3-5 years), was provided to parents before their child's needle-related procedure. Data was collected to assess feasibility, usefulness, and acceptability of the kits by parents and nurses. Pain was measured pre-, peri-, and postprocedure using the Face, Legs, Activity, Cry, Consolability scale. A total of 25 infants and toddlers (mean age: 1.4 ± .7 years) and 25 preschoolers (mean age: 4.0 ± .9) participated in the study. Parents and nurses considered the kits useful and acceptable for distraction in the emergency department, especially in the postprocedural period. Addition of more animated and interactive toys to the kits was suggested. In the infants-toddlers group, mean pain scores were 1.6 ± 2.5 preprocedure, 7.1 ± 3.0 periprocedure, and 2.5 ± 2.5 postprocedure. In the preschoolers group, mean pain scores were 1.6 ± 3.0 preprocedure, 4.8 ± 3.4 periprocedure, and 2.0 ± 3.2 postprocedure. Distraction kits were deemed useful and acceptable by parents and emergency nurses. They are an interesting nonpharmacologic option for nurses to distract children, giving them a sense of control over their pain and improving their hospital experience. Future research should address the feasibility of distraction kits for a broader population of patients and a variety of painful procedures. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=83518
in Pain Management Nursing > Vol. 18, n°6 (December 2017) . - p. 418-426[article]Exemplaires (1)
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Titre : Departure from Pediatric Care: Transitioning of Adolescents with Chronic Pain to Adult Care Type de document : Article Auteurs : Paula A. Forgeron ; Andrea Higginson ; Carolyn Truskoski Année de publication : 2017 Article en page(s) : p. 273-277 Langues : Anglais (eng) Descripteurs : HE Vinci
Accompagnement du patient ; Adolescent ; Douleur chronique ; Soins de l'enfantMots-clés : Transition aux soins pour adultes Résumé : Little is known about specific factors related to chronic pain that need to be considered to support successful transition from pediatric to adult health care settings. This is troubling because 1 in 5 adolescents may experience chronic pain and many will continue to live with pain into adulthood. This paper reviews what is known about successful transition processes for adolescents with various chronic conditions and the unique factors associated with chronic pain and includes a call for further research on transition. Transitioning from the pediatric to the adult health care setting is challenging for adolescents with chronic conditions and their families. Loss to follow-up and negative health outcomes are linked to poor transition processes. Despite studies examining factors associated with successful transition, not all of the findings are transferable to adolescents with chronic pain. We need to support adolescents, young adults, and their parents as they prepare for transition, engage pediatric and adult care providers in care, advocate for system change, and systematically examine the processes that support the successful health care transition of adolescents and young people with chronic pain. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82280
in Pain Management Nursing > Vol. 18, n°5 (October 2017) . - p. 273-277[article]Exemplaires (1)
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Titre : Computer Simulation for Pain Management Education : A Pilot Study Type de document : Article Auteurs : Kelly Allred ; Nicole Gerardi Année de publication : 2017 Article en page(s) : p. 278-287 Langues : Anglais (eng) Descripteurs : HE Vinci
Education ; Gestion de la douleur ; Ordinateurs ; Simulation numériqueMots-clés : Projets pilotes Résumé : Effective pain management is an elusive concept in acute care. Inadequate knowledge has been identified as a barrier to providing optimal pain management. This study aimed to determine student perceptions of an interactive computer simulation as a potential method for learning pain management, as a motivator to read and learn more about pain management, preference over traditional lecture, and its potential to change nursing practice. A post–computer simulation survey with a mixed-methods descriptive design was used in this study. A college of nursing in a large metropolitan university in the Southeast United States. A convenience sample of 30 nursing students in a Bachelor of Science nursing program. An interactive computer simulation was developed as a potential alternative method of teaching pain management to nursing students. Increases in educational gain as well as its potential to change practice were explored. Each participant was asked to complete a survey consisting of 10 standard 5-point Likert scale items and 5 open-ended questions. The survey was used to evaluate the students' perception of the simulation, specifically related to educational benefit, preference compared with traditional teaching methods, and perceived potential to change nursing practice. Data provided descriptive statistics for initial evaluation of the computer simulation. The responses on the survey suggest nursing students perceive the computer simulation to be entertaining, fun, educational, occasionally preferred over regular lecture, and with potential to change practice. Preliminary data support the use of computer simulation in educating nursing students about pain management. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82281
in Pain Management Nursing > Vol. 18, n°5 (October 2017) . - p. 278-287[article]Exemplaires (1)
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Titre : Seasonal Variation in Pediatric Chronic Pain Clinic Phone Triage Call Volume Type de document : Article Auteurs : Kristen E. Jastrowski ; Robert C. Gibler ; Renee J. Ladwig Année de publication : 2017 Article en page(s) : p. 288-294 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur chronique ; Pédiatrie ; Téléphone ; TriageMots-clés : Volume des appels téléphoniques Variation selon la saison Résumé : Chronic pain is highly prevalent in youth and often results in significant health care usage and familial distress. Telephone triage nurses in pediatric pain clinics provide support and consultation to families and engage parents of pediatric pain patients in interdisciplinary intervention efforts. Despite evidence of winter predominance in rates of pain-related and psychiatric complaints, seasonal variations have not been examined in terms of the demand placed on pain clinic triage nurses. The present study investigated seasonal patterns in the frequency and type of phone calls made over the course of 1 year to an interdisciplinary outpatient pediatric chronic pain clinic at a large Midwestern children's hospital. Pain complaints, reasons for phone calls, and call outcomes (e.g., medication changes, consultation with medical or mental health providers) were recorded in patient charts and retrospectively reviewed by the clinic registered nurse. A total of 721 calls regarding 253 patients were made over the course of 1 year. Results indicated that overall call volume across pain conditions was more than two times greater in the winter than in the summer (χ2 = 64.13, p Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82282
in Pain Management Nursing > Vol. 18, n°5 (October 2017) . - p. 288-294[article]Exemplaires (1)
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Titre : What Are the Barriers and Facilitators for the Self-Management of Chronic Pain with and without Neuropathic Characteristics? Type de document : Article Auteurs : Elizabeth G. Mann ; Margaret B. Harrisson ; Elizabeth G. VanDenKerkhof Année de publication : 2017 Article en page(s) : p. 295-308 Langues : Anglais (eng) Descripteurs : HE Vinci
Autosoins ; Douleur chronique ; Maladies du système nerveuxMots-clés : Causalité Facteurs facilitant Résumé : Chronic pain requires affected individuals to self-manage their health. This study compared barriers and facilitators of self-management in two groups of people with chronic pain: those with and without neuropathic characteristics. A cross-sectional survey study of community-dwelling Canadians was conducted. The sample (n = 710) included randomly selected participants who reported chronic pain. The Self-Report Leeds Assessment of Neuropathic Symptoms and Signs was used to screen for neuropathic characteristics. Barriers and facilitators of self-management included self-efficacy (Pain Self-Efficacy Questionnaire), depression (Patient Health Questionnaire 9), social support and relationship with health care provider (Chronic Illness Resources Survey), and pain intensity (numeric rating scale). Participants were asked which factors they felt made pain management easier or harder. Statistical analyses included frequency, percent, relative risk (RR), and 95% confidence intervals (CI). Self-confidence to manage pain was the most commonly perceived self-management barrier/facilitator by both groups; however, participants with neuropathic characteristics (n = 188) were more likely to report low self-efficacy than those without neuropathic characteristics (n = 522) (RR = 2.1, CI = 1.62-2.72, ref = high self-efficacy). Participants with neuropathic characteristics were also more likely to screen positive for depression (RR = 2.30, CI = 1.73-3.06, ref = no/mild depression). There were no group differences in social support and relationship with health professional, but 40.8% felt they were not involved as equal partners in decision making and goal setting related to their care. Health professionals should consider collaborative decision making when seeking to support self-management abilities. Addressing low self-efficacy and depression may be especially important for supporting self-management by individuals with neuropathic characteristics. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82283
in Pain Management Nursing > Vol. 18, n°5 (October 2017) . - p. 295-308[article]Exemplaires (1)
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Titre : Pain, Sensory Disturbances, and Psychological Distress among Danish Women Treated for Ductal Carcinoma In Situ : An Exploratory Study Type de document : Article Auteurs : Birgitte Goldschmidt ; Helle M. Duriaud ; Kenneth G. Andersen Année de publication : 2017 Article en page(s) : p. 309-3017 Langues : Anglais (eng) Descripteurs : HE Vinci
Danemark ; Douleur ; FemmesMots-clés : Détresse psychologique Troubles sensoriels Carcinome canalaire Résumé : Ductal carcinoma in situ is a noninvasive precancer condition. The treatment resembles the treatment of invasive breast cancer. The aim of this exploratory study was to gain knowledge on the level of postoperative pain, sensory disturbances, and distress among a small group of Danish women with ductal carcinoma in situ who had sentinel lymph node biopsy in order to plan a population study. A subgroup of patients with ductal carcinoma in situ (n = 20) was compared to patients with invasive breast cancer (n = 455) at time of diagnosis and after 12 months. Six patients were interviewed on the impact of the diagnosis and life after treatment. We found no significant difference in reported sensory disturbances or pain after 12 months between the groups. More than one-third (39%) of ductal carcinoma in situ patients reported moderate to severe distress (≥ 7 on the Distress Thermometer) at time of diagnosis decreasing to 10% after 12 months. Similarly 36% of breast cancer patients reported distress at time of diagnosis and 10% after 12 months. Interviews confirmed that ductal carcinoma in situ patients experienced distress and also uncovered physical problems and rehabilitation needs. The study indicates that women with ductal carcinoma in situ seem to suffer from pain and distress. The study highlights the need for a large study in order to validate the findings. Additional efforts may be needed to improve patients' understanding of diagnosis of ductal carcinoma in situ and alleviate psychological morbidity and physical restraints related to the condition. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82284
in Pain Management Nursing > Vol. 18, n°5 (October 2017) . - p. 309-3017[article]Exemplaires (1)
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Titre : Biodanza Reduces Acute Pain Severity in Women with Fibromyalgia Type de document : Article Auteurs : Victor Segura-Jimenez ; Claudia M. Gatto-Cordia ; Manuel Delgado-Fernandez ; et al. Année de publication : 2017 Article en page(s) : p. 318-327 Langues : Anglais (eng) Descripteurs : HE Vinci
Femmes ; Fibromyalgie ; ThérapeutiqueMots-clés : Sévérité de la douleur Développement humain Biodanza (méthode) Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82285
in Pain Management Nursing > Vol. 18, n°5 (October 2017) . - p. 318-327[article]Exemplaires (1)
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Titre : The Effect of Swaddling on Pain, Vital Signs, and Crying Duration during Heel Lance in Newborns Type de document : Article Auteurs : Zeynep Erkut ; Suzan Yildiz Année de publication : 2017 Article en page(s) : p. 328-336 Langues : Anglais (eng) Descripteurs : HE Vinci
Constante biologique ; Nouveau-né ; Pleurs ; TalonMots-clés : Emmaillotement Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82286
in Pain Management Nursing > Vol. 18, n°5 (October 2017) . - p. 328-336[article]Exemplaires (1)
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Titre : Cultural Adaptation and Psychometric Evaluation of the Spanish Version of the Nursing Outcome “Pain Control” in Primary Care Patients with Chronic Pain Type de document : Article Auteurs : José Carlos Bellido-Vallejo ; Pedro Luis Pancorbo-Hidalgo Année de publication : 2017 Article en page(s) : p. 337-350 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur chronique ; Espagne ; Gestion de la douleurMots-clés : Adaptation culturelle Évaluation psychométrique Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82287
in Pain Management Nursing > Vol. 18, n°5 (October 2017) . - p. 337-350[article]Exemplaires (1)
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Titre : A Multisite Retrospective Study Evaluating the Implementation of the Pasero Opioid-Induced Sedation Scale (POSS) and Its Effect on Patient Safety Outcomes Type de document : Article Auteurs : Christie Davis ; Christopher Geik ; Karen Arthur ; et al. Année de publication : 2017 Article en page(s) : p. 193-201 Langues : Anglais (eng) Descripteurs : HE Vinci
Patients ; Psychotrope ; Rééducation et réadaptation ; Sécurité ; SédationMots-clés : Échelle de sédation de Pasero Résumé : The Joint Commission recommended the Pasero Opioid-induced Sedation Scale (POSS) to minimize opioid-induced respiratory depression. However, there is a paucity of data describing its impact on patient safety. This study assessed the impact of POSS implementation or reeducation on naloxone use in patients receiving hydromorphone. This retrospective, Institutional Review Board–approved study performed with the Indianapolis Coalition for Patient Safety was conducted in two phases, 3 months before and after intervention. The intervention was POSS implementation or reeducation at six sites in a variety of practice settings. A total of 212 patients were evaluated. For the primary endpoint, naloxone use occurred in 1.9% of patients in each group and occurred in 3.1 versus 3.5 patients per 1,000 patient days pre- versus postintervention (p = .902). For secondary endpoints, POSS documentation increased post- versus preintervention, 78.1% versus 26.4% (p Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=81576
in Pain Management Nursing > Vol. 18, n°4 (August 2017) . - p. 193-201[article]Exemplaires (1)
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Titre : Family Perspectives of Traumatically Brain-Injured Patient Pain Behaviors in the Intensive Care Unit Type de document : Article Auteurs : Brandy L. Vanderbyl ; C. Gelinas Année de publication : 2017 Article en page(s) : p. 202-213 Langues : Anglais (eng) Descripteurs : HE Vinci
Blessure ; Cerveau ; Comportement ; Soins intensifs ; Unité de soinsRésumé : Behavioral scales allow for the pain assessment of vulnerable critically ill patients who are unable to self-report. However, validity of the use of such scales is limited in traumatic brain injury patients with an altered level of consciousness as a result of the different way that these patients express pain. Family participation is considered as an important component of pain assessment for those unable to self-report, but research in this area is minimal so far. This study aimed to describe what behaviors family caregivers deemed relevant to pain for patients with a traumatic brain injury with an altered level of consciousness in the intensive care unit. Using a mixed-method descriptive design, semistructured interviews were conducted and behaviors' relevance was quantitatively rated by seven family caregivers of nonverbal patients with traumatic brain injury in the intensive care unit of a tertiary trauma center in Montreal, Canada. Family caregivers were able to provide rich descriptions of a number of behaviors they observed in their loved ones that were perceived to be relevant indicators of pain, such as muscle tension and key facial expressions and body movements. Several factors influenced how behaviors were interpreted by family, including personal medical beliefs and intimate knowledge of the patient's history. The pain behaviors determined by family caregivers can be useful in the pain assessment process of traumatic brain injury patients with an altered level of consciousness. Their input could also be helpful in further development of pain assessment tools. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=81577
in Pain Management Nursing > Vol. 18, n°4 (August 2017) . - p. 202-213[article]Exemplaires (1)
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Titre : Nurses’ Knowledge and Attitudes about Pain: Personal and Professional Characteristics and Patient Reported Pain Satisfaction Type de document : Article Auteurs : Jeannine M. Brant ; Carla Mohr ; Nicholas C. Coombs Année de publication : 2017 Article en page(s) : p. 214-223 Langues : Anglais (eng) Descripteurs : HE Vinci
Connaissances, attitudes et pratiques en santé ; Douleur ; Infirmières et infirmiersRésumé : Pain is a nursing sensitive indicator and yet pain is often not well managed in both hospital and ambulatory settings. Improving nurse knowledge and attitudes about pain may translate to improved patient outcomes. The objective of this study was to investigate knowledge and attitudes about pain (KAP) in nurses who work in diverse settings, professional and personal characteristics that predict KAP, and whether KAP correlated with patient satisfaction according to Hospital Consumer Assessment of Healthcare Providers (HCAHPS). Descriptive, cross-sectional, correlational study. A large integrated health care facility in the northwest. A total of 217 registered nurses working in acute, ambulatory, and long-term care. A Pain Knowledge and Attitudes Survey was administered to registered nurses in diverse settings. Scores were examined for personal and professional predictors of KAP and correlated with HCAHPS patient satisfaction surveys. Nurses scored an average of 72%; nurses in long-term care scored the highest. Having more than 5 years of nursing experience, being a certified nurse, and receiving pain education in the last year were predictive of a higher score on the KAP survey, which explained only 9.8% of the variance. Unit mean KAP scores were highly correlated with unit-based HCAHPS scores (r = 0.917, p = .01). Certified nurses scored higher on the KAP survey, consistent with other studies. This study suggests that having more knowledge and better attitudes about pain may improve patient satisfaction of pain. Further studies are needed that link knowledge and attitudes about pain to patient outcomes. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=81578
in Pain Management Nursing > Vol. 18, n°4 (August 2017) . - p. 214-223[article]Exemplaires (1)
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Titre : A New Clinical Pain Knowledge Test for Nurses : Development and Psychometric Evaluation Type de document : Article Auteurs : Esther I. Bernhofer ; Barbara St. Marie ; James F. Bena Année de publication : 2017 Article en page(s) : p. 224-233 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur ; Evaluation ; Gestion de la douleur ; Infirmières et infirmiers ; PsychométrieRésumé : All nurses care for patients with pain, and pain management knowledge and attitude surveys for nurses have been around since 1987. However, no validated knowledge test exists to measure postlicensure clinicians’ knowledge of the core competencies of pain management in current complex patient populations. To develop and test the psychometric properties of an instrument designed to measure pain management knowledge of postlicensure nurses. Psychometric instrument validation. Four large Midwestern U.S. hospitals. Registered nurses employed full time and part time August 2015 to April 2016, aged M = 43.25 years; time as RN, M = 16.13 years. Prospective survey design using e-mail to invite nurses to take an electronic multiple choice pain knowledge test. Content validity of initial 36-item test “very good” (95.1% agreement). Completed tests that met analysis criteria, N = 747. Mean initial test score, 69.4% correct (range 27.8-97.2). After revision/removal of 13 unacceptable questions, mean test score was 50.4% correct (range 8.7-82.6). Initial test item percent difficulty range was 15.2%-98.1%; discrimination values range, 0.03-0.50; final test item percent difficulty range, 17.6%-91.1%, discrimination values range, –0.04 to 1.04. Split-half reliability final test was 0.66. A high decision consistency reliability was identified, with test cut-score of 75%. The final 23-item Clinical Pain Knowledge Test has acceptable discrimination, difficulty, decision consistency, reliability, and validity in the general clinical inpatient nurse population. This instrument will be useful in assessing pain management knowledge of clinical nurses to determine gaps in education, evaluate knowledge after pain management education, and measure research outcomes. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=81579
in Pain Management Nursing > Vol. 18, n°4 (August 2017) . - p. 224-233[article]Exemplaires (1)
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Titre : The Trajectory of Postoperative Pain Following Mastectomy with and without Paravertebral Block Type de document : Article Auteurs : Rochelle Wynne ; Kristen Tytler ; Victor Kirwa ; et al. Année de publication : 2017 Article en page(s) : p. 234-242 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur ; Mastectomie ; Soins intensifs ; Soins postopératoiresMots-clés : Ligne paravertébrale Résumé : Evidence to support the argument that general anesthesia (GA) with paravertebral block (PVB) provides better pain relief for mastectomy patients than GA alone is contradictory. The aim of this study was to explore pain and analgesia after mastectomy with or without PVB during acute inpatient recovery. A retrospective study was conducted in a single hospital providing specialist cancer services in metropolitan Melbourne, Australia. We explored pain and concomitant analgesic administration in 80 consecutive women recovering from mastectomy who underwent GA with (n = 40) or without (n = 40) PVB. A pain management index (PMI) was derived to illustrate the efficacy of management from day of surgery (DOS) to postoperative day (POD) 3. Patients who reported no pain progressively increased from DOS (n = 12, 15%) to POD 3 (n = 54, 67.5%). Most patients were administered analgesics as a combination of acetaminophen and a strong opioid on DOS (n = 53, 66.2%), POD 1 (n = 45, 56.2%), POD 2 (n = 33, 41.2%), and POD 3 (n = 21, 26.2%). Less than 6% of patients on any POD were administered multimodal anlagesics. PMI scores indicate some pain in the context of receiving weak and strong opioids for GA patients and more frequent use of nonopioid analgesics in PVB patients during recovery. These findings highlight the need for data describing patterns of analgesic administration in addition to reports of postoperative pain to determine the most effective means of avoiding postoperative pain in patients who require mastectomy. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=81580
in Pain Management Nursing > Vol. 18, n°4 (August 2017) . - p. 234-242[article]Exemplaires (1)
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Titre : The Mediating and Moderating Effect of Volunteering on Pain and Depression, Life Purpose, Well-Being, and Physical Activity Type de document : Article Auteurs : Elisabeth Salt ; Leslie J. Crofford ; Suzanne Segerstrom Année de publication : 2017 Article en page(s) : p. 243-249 Langues : Anglais (eng) Descripteurs : HE Vinci
Bien-être ; Dépression ; Douleur ; Exercice physiqueMots-clés : Bénévoles Résumé : To improve function and quality of life in patients with chronic pain, a prevalent and costly condition, an understanding of the relationships among well-being, physical activity, depression, and life purpose with pain is needed. Because of the role loss experienced by people with chronic pain, activities such as volunteering could have an important role in improving health and well-being. In one study, chronic pain patients who participated in volunteer activities reported both decreased pain and “a sense of purpose.” The aim of this study is to test the relationships among pain and well-being, physical activity, depression, and life purpose and then to determine if volunteering activities mediated or moderated these relationships. This observational study was conducted in a large university setting in Kentucky and used a sample of 200 women older than age 50. We found that people with higher pain were more depressed and had lower life purpose and well-being. People who volunteered less had more pain, lower perceived life purpose, more depressive symptoms, and decreased physical activity. Volunteer activities did have a significant mediating effect on the relationship between pain and depression; approximately 9% of the relationship between pain and depression can be accounted for by volunteering. Moderation by volunteering was found between pain and life purpose. We identified important relationships among pain, volunteering, and health outcomes and found that volunteering has a role in improving depressive symptoms and life purpose in women with pain. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=81581
in Pain Management Nursing > Vol. 18, n°4 (August 2017) . - p. 243-249[article]Exemplaires (1)
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Titre : Attitude and Intention Regarding Pain Management among Chinese Nursing Students : A Cross-Sectional Questionnaire Survey Type de document : Article Auteurs : Liang-yu Fang ; Yin-chuan Xu ; Dan-ni Lin ; et al. Année de publication : 2017 Article en page(s) : p. 250-259 Langues : Anglais (eng) Descripteurs : HE Vinci
Chine ; Comportement ; Étudiants ; Gestion de la douleur ; Soins infirmiersRésumé : Optimal pain management is a priority in effective nursing care. Lack of sufficient pain knowledge associated with inadequate pain management has been proved. However, the intention, defined as the predictor of behavior, regarding pain management remains unknown. Therefore, the study was to determine the attitude and intention regarding pain management among Chinese nursing students and investigate the underlying determinants and their interactions in terms of intention toward pain management. The Pain Management Survey Questionnaire, comprising the key determinants of the theory of planned behavior—that is, direct attitude, belief-based intention, subjective norm, direct control, and indirect control—was used to collect data from 512 nursing students who undertook clinical rotation in an affiliated hospital of a medical college in China. Data were analyzed using descriptive statistics, independent sample t test, Pearson correlation analysis, or structural equation modeling analysis. Chinese nursing students reported negative attitudes and behavioral intentions toward pain management. Direct control, subjective norm, belief-based attitude, and indirect control independently predicted nursing students' intention to treat patients with pain. Direct control was the strongest predictor. Structural equation modeling analysis further revealed 39.84% of the variance associated with intention that could be explained by determinants of the theory of planned behavior. Additionally, educational school level and previous pain management training had great effects on pain management intention. Overall, this study identified intention as an important factor in effective pain treatment. Chinese nursing students have negative attitudes and insufficient intention to pain management. Therefore, hospitals and universities in China should manage these factors to improve nursing students’ practice regarding pain management. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=81582
in Pain Management Nursing > Vol. 18, n°4 (August 2017) . - p. 250-259[article]Exemplaires (1)
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Titre : Effect of the Use of Buzzy® during Phlebotomy on Pain and Individual Satisfaction in Blood Donors Type de document : Article Auteurs : Dilek Yilmaz ; Yasemin Heper ; Leyla Gözler Année de publication : 2017 Article en page(s) : p. 260-267 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur ; Matériel médicalMots-clés : Phlebotomie Donneurs de sang Résumé : Phlebotomy causes pain and discomfort to adults. The objective of this study was to investigate the effect of the use of Buzzy® on phlebotomy satisfaction and pain relating to the phlebotomy process in healthy adult blood donors voluntarily donating blood. This was a prospective, randomized, controlled experimental study. The research sample was made up of 90 healthy adult men. These individuals were randomly assigned to an experimental group (Buzzy group), a placebo control group, and a nonintervention control group. For the individuals in the experimental group, the ice wings of the Buzzy device, frozen solid in the refrigerator, were placed approximately 5 centimeters above the intervention site from 1 minute before the procedure until the end of the needle location process. When the device was operated, it applied vibration and cold to the site. For individuals in the placebo control group, the Buzzy device was also located approximately 5 centimeters above the intervention site from 1 minute before the procedure until the end of the needle location process, but with the ice wings at room temperature (unfrozen) and with the vibration switch remaining off. For the nonintervention control group, no intervention was implemented before the procedure. Immediately after entry to the vein, pain levels and levels of phlebotomy satisfaction were assessed in individuals in all groups. A statistically significant difference was determined between the mean pain and phlebotomy satisfaction scores of individuals in the experimental and control groups (p Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=81583
in Pain Management Nursing > Vol. 18, n°4 (August 2017) . - p. 260-267[article]Exemplaires (1)
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Titre : The Effect of Positive Affect on the Memory of Pain Type de document : Article Auteurs : Babel Przemysslaw Année de publication : 2017 Article en page(s) : p. 129-136 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur ; Émotions ; Mémoire ; Stimulation sensorielleRésumé : The aim of the study was to assess the accuracy of the memory of experimentally induced pain and the affect that accompanies experimentally induced pain. Sixty-two healthy female volunteers participated in the study. In the first phase of the study, the participants received three pain stimuli and rated pain intensity, pain unpleasantness, state anxiety, and their positive and negative affect. About a month later, in the second phase of the study, the participants were asked to rate the pain intensity, pain unpleasantness, state anxiety, and the emotions they had felt during the first phase of the study. Both recalled pain intensity and recalled pain unpleasantness were found to be underestimated. Although the positive affect that accompanied pain was remembered accurately, recalled negative affect was overestimated and recalled state anxiety was underestimated. Experienced pain, recalled state anxiety, and recalled positive affect accounted for 44% of the total variance in predicting recalled pain intensity and 61% of the total variance in predicting recalled pain unpleasantness. Together with recent research findings on the memory of other types of pain, the present study supports the idea that pain is accompanied by positive as well as negative emotions, and that positive affect influences the memory of pain. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=80495
in Pain Management Nursing > Vol. 18, n°3 (June 2017) . - p. 129-136[article]Exemplaires (1)
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Titre : Influencing Nursing Knowledge and Attitudes to Positively Affect Care of Patients with Persistent Pain in the Hospital Setting Type de document : Article Auteurs : Alyson Keen ; Brian McCrate ; Susan McLennon ; et al. Année de publication : 2017 Article en page(s) : p. 137-143 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur ; Education ; Efficacité ; Evaluation ; Gestion de la douleur ; Hospitalisation ; Infirmières et infirmiers ; ProgrammeRésumé : Hospitalized patients with persistent pain are among the most challenging populations to effectively manage because of coexistence with acute pain. Nurses play a vital role in pain management; however, gaps in knowledge and detrimental attitudes exist. The purpose of this study was to evaluate the effectiveness of a targeted evidence-based pain education program to increase nurses’ knowledge and attitudes about pain management. One group, paired, pretest/posttest educational intervention. A convenience sample of nurses from three medical and surgical inpatient units were recruited. Participants completed a pretest, the Knowledge and Attitudes Survey Regarding Pain Scale, to assess education needs. Identified gaps were targeted during program design. The program consisted of two 30-minute interactive educational sessions approximately 1 month apart. The first session, delivered by a pharmacist, covered pharmacology and pathophysiology content. The second session, delivered by trained registered nurses, used case studies paired with video scenarios. A total of 51 nurses completed the pretest. The final sample consisted of 24 nurses who completed both the pretest and posttest. The mean age was 30 years; 88% were female, and 92% were baccalaureate prepared. Paired t tests indicated higher posttest total scores (p Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=80496
in Pain Management Nursing > Vol. 18, n°3 (June 2017) . - p. 137-143[article]Exemplaires (1)
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Titre : Determinants of Knowledge and Attitudes Regarding Pain among Nurses in a University Hospital: A Cross-sectional Study Type de document : Article Auteurs : Elfa Gretarsdottir ; Sigridur Zoëga ; Gunnar Tomasson Année de publication : 2017 Article en page(s) : p. 144-152 Langues : Anglais (eng) Descripteurs : HE Vinci
Connaissances, attitudes et pratiques en santé ; Gestion de la douleur ; Hôpitaux ; Infirmières et infirmiers ; Présentations de cas ; UniversitésRésumé : The aim of this cross-sectional study was to evaluate the primary determinants of knowledge and attitudes regarding pain among nurses in a hospital setting. All registered nurses employed at participating units at a university hospital were invited to participate. Information on work experience, education, and hospital unit was evaluated using a questionnaire. The Knowledge and Attitude Survey Regarding Pain instrument was used to assess knowledge on pain management. The difference in knowledge between nurses with different levels of education was assessed with analysis of variance. The discriminatory ability of each question was determined with item response theory, and the association between correct answers to individual items and the total score were calculated using linear regression. Participants were 235 nurses, 51% of the 459 invited. The overall pain knowledge score was 26.1 (standard deviation 5.3, range 8-38) out of a total of 40 possible. Those with an advanced degree in nursing scored on average 2.9 points higher than those who did not have an advance degree (95% confidence interval: 0.9-4.7). Responses to clinical vignette questions showed more difference between nurses with different levels of knowledge of pain management than the other questions. Participants with the correct response to the best discriminatory item had 5.35 (95% confidence interval 4.08-6.61) points higher total score than those with an incorrect answer. Higher education is associated with better knowledge on pain management. To assess pain knowledge, the ability to interpret and solve a clinical vignette leads to better results than answering direct questions. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=80497
in Pain Management Nursing > Vol. 18, n°3 (June 2017) . - p. 144-152[article]Exemplaires (1)
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Titre : Theory of Planned Behavior Constructs Associated with Nurses’ Pain Assessment and Pro Re Nata (PRN) Opioid Analgesic Administration : A Cross-sectional Study Type de document : Article Auteurs : Phichpraorn Youngcharoen ; Catherine Vincent ; Chang G. Park Année de publication : 2017 Article en page(s) : p. 153-169 Langues : Anglais (eng) Descripteurs : HE Vinci
Analgésiques morphiniques ; Evaluation ; Formation ; Gestion de la douleur ; Infirmières et infirmiers ; Qualité des soins de santéRésumé : Little theory-based research has been performed to better understand nurses' perceptions of pain management. Framed by the theory of planned behavior, the aims of the study were to describe nurses' beliefs (behavioral, normative, and control) about pain management for hospitalized elderly patients with postoperative pain; to present an item analysis for beliefs, attitudes, perceived norms, perceived behavioral control, intentions, and behaviors (measured in case study vignettes) for nurses (a) with different durations of nursing experience, (b) working in university, public health, and military hospitals, and (c) who either had or had not received pain management training in the past six months; and to compare differences in the constructs across these three groups. A comparative descriptive cross-sectional design was used with a convenience sample of 140 Thai nurses working in three Bangkok hospitals. Participants responded to pain assessment and management questionnaires. Most nurses expressed fairly strong beliefs about pain assessment and pro re nata (PRN) opioid analgesic administration. Nurses with more than 10 years of experience had the highest scores for attitudes toward pain assessment and perceptions of others’ expectations about PRN opioid analgesic administration. Responses of nurses working in different types of hospitals indicated significantly different pain assessment and PRN opioid analgesic administration behaviors. No significant differences were found for nurses who did and did not receive pain management training. The study highlighted the need for improved pain management education for nurses to enhance the quality of patient care. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=80498
in Pain Management Nursing > Vol. 18, n°3 (June 2017) . - p. 153-169[article]Exemplaires (1)
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Titre : Implementing Best Practice Guidelines in Pain Assessment and Management on a Women's Psychiatric Inpatient Unit: Exploring Patients' Perceptions Type de document : Article Auteurs : Cheryl Rolin-Gilman ; Bonnie Fournier ; Kristin Cleverley Année de publication : 2017 Article en page(s) : p. 170-178 Langues : Anglais (eng) Descripteurs : HE Vinci
Evaluation ; Gestion de la douleur ; Hospitalisation ; Humeur ; Psychiatrie ; Recommandations ; ThérapeutiqueRésumé : Assessing and managing chronic pain in women with histories of interpersonal trauma, mood disorders and co-morbid addiction is complex. The aim of this paper is to report on the findings from a quality improvement project exploring women’s experiences who have co-occurring mental health issues, addiction and chronic pain. Exploring perceptions was an initial step in implementing the Registered Nurses’ Association of Ontario (RNAO) Best Practice Guideline (BPG) on the Assessment and Management of Pain. Focus group discussions were conducted using an exploratory design with 10 women who were hospitalized in an acute psychiatric unit. Our findings suggest that these women view their pain as complex and often feel powerless within an acute psychiatric setting resorting to coping through self management. The women expressed the importance of therapeutic relationships with clinicians in assessing and managing their pain. The implications of this study suggest that patients have a key role in informing the implementation and applicability of best practice guidelines. Validating the patient’s personal pain management experience and particular psychological and physical therapies were suggested as strategies to enhance the patient’s quality of life. Many clinicians working in mental health are knowledgeable about these therapies, but may not be aware of the application to managing physical pain. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=80499
in Pain Management Nursing > Vol. 18, n°3 (June 2017) . - p. 170-178[article]Exemplaires (1)
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Titre : Guided Internet-based Psycho-educational Intervention Using Cognitive Behavioral Therapy and Self-management for Individuals with Chronic Pain : A Feasibility Study Type de document : Article Auteurs : Jennifer Perry ; Elizabeth G. VanDenKerkhof ; Rosemary Wilson Année de publication : 2017 Article en page(s) : p. 179-189 Langues : Anglais (eng) Descripteurs : HE Vinci
Autonomie personnelle ; Douleur chronique ; Education ; Internet ; Technologie ; Thérapie cognitivo-comportementale (TCC)Résumé : When considering barriers to chronic pain treatment, there is a need to deliver nonpharmacological therapies in a way that is accessible to all individuals who may benefit. To conduct feasibility testing using a guided, Internet-based intervention for individuals with chronic pain, a novel, Internet-based, chronic pain intervention (ICPI) was developed, using concepts proven effective in face-to-face interventions. This study was designed to assess usability of the ICPI and feasibility of conducting larger-scale research, and to collect preliminary data on effectiveness of the intervention. Data were collected at baseline, after each of the six intervention modules, and 12 weeks after intervention completion. Forty-one participants completed baseline questionnaires, and 15 completed the 12-week postintervention questionnaires. At baseline, all participants reported satisfaction with the structure of the intervention and ease of use. Internet-based platforms such as Facebook aided in accrual of participants, making further large-scale study of the ICPI feasible. There is preliminary evidence suggesting that the ICPI improves emotional function but not physical function, with a small but significant decrease in pain intensity and pain interference. Most participants felt they benefited at least minimally as a result of using the ICPI. The ICPI was well received by participants and demonstrated positive outcomes in this preliminary study. Further research with more participants is feasible and necessary to fully assess the effect of this intervention. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=80500
in Pain Management Nursing > Vol. 18, n°3 (June 2017) . - p. 179-189[article]Exemplaires (1)
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Titre : Can A Complex Online Intervention Improve Cancer Nurses’ Pain Screening and Assessment Practices? : Results from a Multicenter, Pre-post Test Pilot Study Type de document : Article Auteurs : Jane L. Phillips ; Nicole Heneka ; Louise D. Hickman ; et al. Année de publication : 2017 Article en page(s) : p. 75-89 Langues : Anglais (eng) Descripteurs : HE Vinci
Dépistage systématique ; Douleur ; Etude clinique ; Evaluation ; Internet ; Méthodologie ; Pratique professionnelle ; Recherche ; TumeursRésumé : Unrelieved cancer pain has an adverse impact on quality of life. While routine screening and assessment forms the basis of effective cancer pain management, it is often poorly done, thus contributing to the burden of unrelieved cancer pain. The aim of this study was to test the impact of an online, complex, evidence-based educational intervention on cancer nurses' pain assessment capabilities and adherence to cancer pain screening and assessment guidelines. Specialist inpatient cancer nurses in five Australian acute care settings participated in an intervention combining an online spaced learning cancer pain assessment module with audit and feedback of pain assessment practices. Participants' self-perceived pain assessment competencies were measured at three time points. Prospective, consecutive chart audits were undertaken to appraise nurses' adherence with pain screening and assessment guidelines. The differences in documented pre-post pain assessment practices were benchmarked and fed back to all sites post intervention. Data were analyzed using inferential statistics. Participants who completed the intervention (n = 44) increased their pain assessment knowledge, assessment tool knowledge, and confidence undertaking a pain assessment (p Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=80053
in Pain Management Nursing > Vol. 18, n°2 (April 2017) . - p. 75-89[article]Exemplaires (1)
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Titre : Development of a Guided Internet-based Psycho-education Intervention Using Cognitive Behavioral Therapy and Self-Management for Individuals with Chronic Pain Type de document : Article Auteurs : Jennifer Perry ; Elizabeth G. VanDenKerkhof ; Rosemary Wilson ; et al. Année de publication : 2017 Article en page(s) : p. 90-101 Langues : Anglais (eng) Descripteurs : HE Vinci
Autosoins ; Douleur chronique ; Education thérapeutique ; Evidence-based nursing ; Internet ; Recherche ; Technologie ; Thérapie cognitivo-comportementale (TCC)Résumé : Evidence-based chronic pain treatment includes nonpharmacologic therapies. When addressing barriers to treatment, there is a need to deliver these therapies in a way that is accessible to all individuals who may benefit. To develop a guided Internet-based intervention for individuals with chronic pain, program content and sequence of evidence-based treatments for chronic pain, traditionally delivered via in-person sessions, were identified to be adapted for Internet delivery. With consideration to historical barriers to treatment, and through use of a concept map, therapeutic components and educational material were situated, in an ordered sequence, into six modules. An Internet-based chronic pain intervention was constructed to improve access to evidence-based chronic pain therapies. Research using this intervention, in the form of a pilot study for intervention refinement, was conducted, and a large-scale study to assess effectiveness is necessary prior to implementation. As clients may face barriers to multimodal treatment for chronic pain, nurses could introduce components of education, cognitive behavioral therapy and self-management to clients and prepare them for the “work” of managing chronic pain, through use of this Internet-based intervention. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=80055
in Pain Management Nursing > Vol. 18, n°2 (April 2017) . - p. 90-101[article]Exemplaires (1)
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Titre : Pain Catastrophizing, rather than Vital Signs, Associated with Pain Intensity in Patients Presenting to the Emergency Department for Pain Type de document : Article Auteurs : Phoebe R. Block ; Beverly E. Thorn ; Shveta Kapoor Année de publication : 2017 Article en page(s) : p. 102-109 Langues : Anglais (eng) Descripteurs : HE Vinci
Constante biologique ; Douleur ; Recherche ; UrgencesMots-clés : Intensité de la douleur Résumé : This study examined the relationships of self-reported pain intensity with vital signs, pain catastrophizing, and state anxiety in patients presenting to the emergency department (ED) for acute pain, exacerbations of chronic pain, or acute pain with concurrent chronic (combined) pain, comparing the pattern of relationships among these three pain groups. One hundred fifty-eight patients presenting to the ED for pain were recruited. Vital signs and self-reported pain intensity were obtained at triage, then participants completed self-report measures of pain catastrophizing, state anxiety, and demographic information. No significant associations were found between vital signs and pain intensity at triage in any of the pain groups. Pain catastrophizing was significantly associated with self-reported pain intensity in the acute pain group (r = .34, p Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=80056
in Pain Management Nursing > Vol. 18, n°2 (April 2017) . - p. 102-109[article]Exemplaires (1)
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Titre : Reliability and Validity of the Chinese Version of the Revised American Pain Society Patient Outcome Questionnaire in Postoperative Patients Type de document : Article Auteurs : Hui Wang ; Gwen D. Sherwood ; Zhiyi Gong ; et al. Année de publication : 2017 Article en page(s) : p. 110-120 Langues : Anglais (eng) Descripteurs : HE Vinci
Analyse de contenu ; Chine ; Questionnaire ; Recherche ; Reproductibilité des résultats ; Soins postopératoiresRésumé : The American Pain Society Patient Outcome Questionnaire and the subsequent revised version are the most frequently reported measures of the quality of pain management. However, the reliability and validity of the revised questionnaire have not been reported in Chinese patients. This study sought to evaluate the psychometric properties of the Chinese version of the revised questionnaire in postoperative patients in China. The study was a descriptive, cross-sectional psychometric study. The revised questionnaire was translated into Chinese according to international guidelines and then administered to participants. The patients' present, average, and worst pain intensity were evaluated in face-to-face interviews. The Pain Management Index was calculated according to the worst pain intensity and the classification of analgesic drugs used by the patients. The continuous items in the revised questionnaire demonstrated excellent construct validity and acceptable internal consistency reliability (0.732). Cronbach's alpha coefficients for the following subscales were acceptable: pain severity and sleep interference (0.773), activity interference (0.812), affective (0.824), and adverse effects (0.636); the exception was for the perception of pain care subscale (0.492). Patients with different anticipated pain management outcomes were differentiated as expected. Satisfaction could be predicted (31.3% of the variance) using subscales and items in the questionnaire. Although our evidence supports the psychometric properties of the Chinese version of the revised questionnaire when tested with postoperative patients, further study is needed, especially on the subscale perception of pain care. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=80058
in Pain Management Nursing > Vol. 18, n°2 (April 2017) . - p. 110-120[article]Exemplaires (1)
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