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Assessment of Wound-Related Pain Experiences of Patients With Chronic Wounds: A Multicenter Cross-Sectional Study in Eastern China

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机构: [1]Wound Care Center, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing, Jiangsu, China. [2]Department of Cardiothoracic, No. 988 Hospital of Jonit Logistic Support Force, Zhengzhou, Henan, China. [3]Department of Orthopedics, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing, Jiangsu, China. [4]Wound Care Center, ChangShu No. 1 People's Hospital, ChangShu, Jiangsu, China. [5]Wound Care Center, the Second Hospital of Lianyungang, LianYunGang, Jiangsu, China. [6]Wound Care Center, XuZhou RenCi Hospital, XuZhou, Jiangsu, China. [7]Gastrointestinal Surgery, Huai'An First People's Hospital, Huai'An, Jiangsu, China. [8]Burn and Plastic Surgery, the First Affiliated Hospital of Soochow University, Soochow, Jiangsu, China. [9]Wound Care Center, Huai'an Second People's Hospital, Huai'An, Jiangsu, China. [10]Wound Care Center, Xuzhou Mining Group General Hospital, Xuzhou, Jiangsu, China. [11]Wound Care Center, Suqian People's Hospital, Suqian, Jiangsu, China. [12]Wound Care Center, Nanjing Tongren Hospital, School of Medicine, Southeast University, Nanjing, Jiangsu, China. [13]Department of Nursing, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing, Jiangsu, China.
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关键词: Chronic wound Cross-sectional study Wound-related pain Wound-related procedural pain

摘要:
The primary aims of this study were to evaluate the prevalence of wound-related pain (WRP) in patients with chronic wounds and assess the use of pain relief measures.A cross-sectional study.A convenience sample of patients with chronic wounds was recruited from outpatient clinics of 12 hospitals covering 7 of 13 cities in the Jiangsu province located in eastern China from July 10 to August 25, 2020. The sample comprised 451 respondents, and their mean age was 54.85 (SD 19.16) years; 56.1% (253/451) patients were male.An investigator-designed questionnaire was used to collect pain-related information from patients. The questionnaire consisted of 4 parts: (1) basic demographic and clinical information (patient and wound characteristics); (2) wound baseline pain; (3) wound-related procedural pain and pain relief method; and (4) the effect of WRP on the patient. Pain was assessed using the Numerical Rating Scale (NRS) scored from 0 (no pain) to 10 (worst pain). Severity of pain was based on NRS scores' classification as mild (1-3), moderate (4-6), and severe (7-10). The survey was conducted from July 10 to August 25, 2020. Participants were instructed on use of the NRS and then completed the questionnaire following dressing change independently.The 3 most common types of chronic wounds were traumatic ulcers, surgical wounds, and venous leg ulcers. The 3 most prevalent locations were lower limbs, feet, and thorax/abdomen. Of all patients, 62.5% (282/451) and 93.8% (423/451) patients experienced wound baseline pain and wound-related procedural pain, respectively. The mean score of wound baseline pain was 3.76 (SD 1.60) indicating moderate pain. During wound management, the highest pain score was 6.45 (SD 2.75) indicating severe pain; the most severe pain scores were associated with debridement. The use of drugs to relieve wound pain was low, while the use of nondrug-based analgesia was relatively high. Because of WRP, patients with chronic wounds feared dressing changes, hesitated to move, and showed a decline in sleep quality.Wound baseline pain and wound-related procedural pain were very common in patients with chronic wounds. In the future, targeted intervention plans should be developed by combining drug-based and nondrug-based analgesia according to pain severity.Copyright © 2024 by the Wound, Ostomy and Continence Nurses Society.

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出版当年[2023]版:
大类 | 3 区 医学
小类 | 2 区 护理
最新[2025]版:
大类 | 4 区 医学
小类 | 3 区 护理
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Q1 NURSING
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Q2 NURSING

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第一作者机构: [1]Wound Care Center, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing, Jiangsu, China.
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通讯机构: [13]Department of Nursing, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing, Jiangsu, China. [*1]Department of Nursing, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, No. 321 Zhongshan Rd, Gulou District, Nanjing, Jiangsu, China
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