&lt;p&gt;Severity of Wound-Related Pain and Associated Factors Among Patients Who Underwent Wound Management at Teaching and Referral Hospital, Northwest Ethiopia&lt;/p&gt;

Tegegne, Biresaw Ayen; Lema, Girmay Fitiwi; Fentie, Demeke Yilkal; Bizuneh, Yosef Belay

doi:10.2147/jpr.s276449

Cited by 18 publications

(13 citation statements)

References 36 publications

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“…20 Anxiety, acute wound, baseline pain, and analgesia intake were significantly associated with the severity of WRP. 20 The severity of wound pain was different at different stages of the dressing changes. In our study, pain scores were highest during wound debridement (mean 6.45) and cleansing (mean 5.50).…”

Section: Discussionmentioning

confidence: 94%

“…A vast majority of participants (93.8%) reported WRP during procedures such as dressing changes and debridement. A study conducted in Northwest Ethiopia showed that the prevalence of moderate-to-severe WRP during wound management was 94.1% 20. Anxiety, acute wound, baseline pain, and analgesia intake were significantly associated with the severity of WRP 20.…”

Section: Discussionmentioning

confidence: 99%

“…A study conducted in Northwest Ethiopia showed that the prevalence of moderate-to-severe WRP during wound management was 94.1% 20. Anxiety, acute wound, baseline pain, and analgesia intake were significantly associated with the severity of WRP 20. The severity of wound pain was different at different stages of the dressing changes.…”

Section: Discussionmentioning

confidence: 99%

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Assessment of Wound-Related Pain Experiences of Patients With Chronic Wounds

Wei,

Zheng,

et al. 2024

Journal of Wound, Ostomy &Amp; Continence Nursing

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PURPOSE: 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. DESIGN: A cross-sectional study. SUBJECTS AND SETTING: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

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Assessment of Wound-Related Pain Experiences of Patients With Chronic Wounds

Wei,

Zheng,

et al. 2024

Journal of Wound, Ostomy &Amp; Continence Nursing

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“…[85,259] Opioids and acetaminophen are typically used to treat moderate to severe pain, while non-steroid anti-inflammatory drugs (NSAIDs) work best for inflammatory wounds. [260] Naproxen is an NSAID that competitively inhibits the cyclooxygenase isozymes resulting in analgesic and antiinflammatory effects. One study used the anti-inflammatory effect of Naproxen to accelerate wound healing in diabetic rats in the form of MNP.…”

Section: Pain Hemorrhage and Deeper Tissue Damagementioning

confidence: 99%

Targeting Diverse Wounds and Scars: Recent Innovative Bio‐design of Microneedle Patch for Comprehensive Management

Zhuang,

Wang,

Feng

et al. 2023

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Wounds and the subsequent formation of scars constitute a unified and complex phased process. Effective treatment is crucial; however, the diverse therapeutic approaches for different wounds and scars, as well as varying treatment needs at different stages, present significant challenges in selecting appropriate interventions. Microneedle patch (MNP), as a novel minimally invasive transdermal drug delivery system, has the potential for integrated and programmed treatment of various diseases and has shown promising applications in different types of wounds and scars. In this comprehensive review, the latest applications and biotechnological innovations of MNPs in these fields are thoroughly explored, summarizing their powerful abilities to accelerate healing, inhibit scar formation, and manage related symptoms. Moreover, potential applications in various scenarios are discussed. Additionally, the side effects, manufacturing processes, and material selection to explore the clinical translational potential are investigated. This groundwork can provide a theoretical basis and serve as a catalyst for future innovations in the pursuit of favorable therapeutic options for skin tissue regeneration.

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“…Частота хронізації болю під час Операції Об'єднаних Сил у пацієнтів після вогнепальних поранень складає більше 70% [1,6]. Відсутність якісного контролю над болем має вплив на віддалені результати лікування посттравматичних стресових розладів, що в свою чергу, впливає на якість життя [2,3]. Біль стає безпосередньою причиною зв'язку із обставинами, в яких пацієнт отримав поранення [4,5,7].…”

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Peculiarities of Pain Management in Patients With Gunshot Wounds in Medical and Nursing Teams

Horoshko

2023

Med. Sci. of Ukr.

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Background. The experience of military doctors in the treatment of pain in patients after gunshot wounds indicates that chronicization of pain in this category of patients may occur much earlier - at the time of injury. Gunshot wounds are accompanied by high intensity pain. At the stage of treatment in medical and nursing teams, effective pain relief is important, because in the long term, more than 70% of such patients are diagnosed with chronic pain. Therefore, studying the features of pain management at this stage of treatment can play an important role in improving the results of their treatment. Aim: To study the peculiarities of pain treatment in patients after gunshot wounds at the stage of treatment in nursing teams. Materials and methods. We used EZR v.1.35 (R statistical software version 3.4.3, R Foundation for Statistical Computing, Vienna, Austria). Criteria: Shapiro-Wilk, Mann-Whitney, Friedman, chi-square, Bonferroni correction. Results. The results of the study of pain management in nursing teams in 769 patients after gunshot wounds indicate that before analgesia, the VAS values on admission to the stages of treatment in nursing teams in group 1 were statistically different from group 2 (p<0.001). In group 2, this figure was higher. Special attention should be paid to the issue of pain relief during evacuation from the battlefield to the medical and nursing team, because in both groups of observation at the time of admission to the medical and nursing team, the pain intensity of the VAS was 7-8 points, which meets the criteria for high intensity. Conclusion. At the stage of treatment in nursing teams, more attention should be paid to the treatment of pain in patients with gunshot wounds, as we should try to achieve high-quality pain control. Probably ineffectively treated high intensity pain can potentially have an impact on the chronicization of pain in the future. The absence or insufficiency of analgesia can have a significant impact on the long-term outcomes of pain treatment.

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<p>Severity of Wound-Related Pain and Associated Factors Among Patients Who Underwent Wound Management at Teaching and Referral Hospital, Northwest Ethiopia</p>

Cited by 18 publications

References 36 publications

Assessment of Wound-Related Pain Experiences of Patients With Chronic Wounds

Assessment of Wound-Related Pain Experiences of Patients With Chronic Wounds

Targeting Diverse Wounds and Scars: Recent Innovative Bio‐design of Microneedle Patch for Comprehensive Management

Peculiarities of Pain Management in Patients With Gunshot Wounds in Medical and Nursing Teams

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