Pain prevalence, socio-demographic and clinical features in patients with chronic ulcers

Domingues, Elaine Aparecida Rocha; Cavalcanti, Marianna Carvalho e Souza Leão; Costa, Paula Cristina Pereira da; Lopes, Maria Helena Baena de Moraes; Monteiro, Maria Inês; Alexandre, Neusa Maria Costa

doi:10.1016/j.jtv.2016.03.005

Cited by 15 publications

(13 citation statements)

References 20 publications

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“…42 Accordingly, no conclusion can be drawn whether social participation differs regarding the underlying aetiology. Although some consequences of chronic wounds are similar across wound types (eg, frequent wound dressings, restrictions in choice of clothes 42 ), others differ with regard to the underlying aetiology (eg, pain severity 43 ). Revealing potential differences in social participation in these patients could inform future research and clinical decision-making.…”

Section: Key Messagesmentioning

confidence: 99%

Social participation of people with chronic wounds: A systematic review

Klein

Andrees

Kirsten

et al. 2020

International Wound Journal

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Living with chronic ulcers can be burdensome and restrictive, with regard to not only physical and psychological but also social well‐being. This review aims to analyse social participation in patients with chronic wounds and to compare results across different wound types. A search string was applied in several electronic databases. Results were screened according to predefined inclusion and exclusion criteria. Data of eligible articles were extracted and synthesised narratively. The search revealed 42 eligible publications. Only minor differences across different ulcer types could be detected. Overall, family members were the main social contacts for patients; they often provided wound care and emotional support. Patients had few non‐family relations, but those existing were often very close. Patients felt guilty as their condition imposed burden on family and friends, as well. A close relationship with nurses was described. Restrictions were caused by direct and indirect consequences of the wound. Overall, social support and social connections were reduced in wound patients. Inconsistent results were found regarding social isolation. In summary, people with chronic wounds experience impairments in all aspects of social participation. Therefore, social participation deserves increased attention in routine care both as a trigger of burden and as an outcome of therapy.

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Section: Key Messagesmentioning

confidence: 99%

Social participation of people with chronic wounds: A systematic review

Klein

Andrees

Kirsten

et al. 2020

International Wound Journal

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“…Female gender (Fillingim et al, 2009), older age (Gibson & Farrell, 2004) and reduced quality of life (Breivik et al, 2006) are factors typically associated with more severe pain in the general population. Female gender (Guarnera et al, 2007), poorer health status (Guarnera et al, 2007; Renner et al, 2014), disturbed sleep (Hellström et al, 2016), as well as wound aetiology (Domingues et al, 2016; Guarnera et al, 2007; Paul, 2013) and size (Salvetti et al, 2014) are factors associated with presence of or more severe ulcer‐related pain in persons with chronic ulcers. However, other studies found no such association between ulcer‐related pain and female gender (Domingues et al, 2016; Renner et al, 2014; Salvetti et al, 2014), or age (Domingues et al, 2016; Renner et al, 2014; Salvetti et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

“…Female gender (Guarnera et al, 2007), poorer health status (Guarnera et al, 2007; Renner et al, 2014), disturbed sleep (Hellström et al, 2016), as well as wound aetiology (Domingues et al, 2016; Guarnera et al, 2007; Paul, 2013) and size (Salvetti et al, 2014) are factors associated with presence of or more severe ulcer‐related pain in persons with chronic ulcers. However, other studies found no such association between ulcer‐related pain and female gender (Domingues et al, 2016; Renner et al, 2014; Salvetti et al, 2014), or age (Domingues et al, 2016; Renner et al, 2014; Salvetti et al, 2014). Clearly, the literature on factors associated with ulcer‐related pain is inconclusive, and typically small and underpowered studies show no significant associations among relevant factors and ulcer‐related pain.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and factors associated with ulcer‐related pain in persons with chronic leg ulcers—an explorative study

Leren

Johansen

Eide

et al. 2021

Journal of Clinical Nursing

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Aims and Objectives The aims of this study were to explore the prevalence of background pain and identify demographic, clinical and psychosocial factors associated with moderate to severe background pain in persons with leg ulcers. Background All chronic leg ulcers are potentially painful. Research indicates that 80% of persons with chronic leg ulcers experience wound‐related background pain. However, studies on factors associated with pain have small samples and findings are inconclusive. Design Exploratory cross‐sectional study. Method This quantitative study recruited persons with chronic leg ulcers (N = 252) from two wound care clinics using consecutive sampling method. Data were obtained through screening interview, clinical examination and questionnaires. Logistic regression with stepwise backwards elimination was used to identify factors associated with moderate to severe background pain. The STROBE checklist for cross‐sectional studies was used for reporting this study. Results Background pain was reported by 64% of the participants. Inferential statistical analyses suggest that between 58% and 69% of persons with chronic leg ulcers suffer from this type of pain. Factors associated with moderate to severe pain were older age, female gender, reduced sleep quality and diminished health status. In the final model, reduced sleep quality increased the likelihood of having moderate to severe pain in persons with good health status while not in persons with diminished health status. Conclusion Ulcer‐related background pain is common in persons with chronic leg ulcers. Older females reporting insomnia symptoms also had increased risk of moderate to severe ulcer‐related background pain. These participants also perceived their health status to be better. Relevance to clinical practice This study demonstrates that ulcer‐related background pain and associated factors needs more attention in clinical practice. Furthermore, nurses and other healthcare professionals should integrate biopsychosocial strategies to assess and manage ulcer‐related background pain.

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“…[117][118][119][120] The pain caused by chronic wounds impacts quality of life. [121][122][123][124] Dressing changes can be a cause of pain: products and techniques to minimise this are recommended. [125][126][127][128][129] Dressing changes and local management of the wound site is considered easy in most cases with the TLC-NOSF dressing, 130,131 which has also been shown to significantly reduce pain/discomfort and anxiety/depression for a patient.…”

Section: The Role Of Mmps In Chronic Woundsmentioning

confidence: 99%