Multidimensional Pain Characteristics in Older Adults with Chronic Venous Leg Ulcers.
Multidimensional Pain Characteristics in Older Adults with Chronic Venous Leg Ulcers.
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患有慢性静脉腿部溃疡的老年人的多维疼痛特征。
DOI：
10.1089/wound.2020.1355
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发表时间：
2021
影响因子：
4.9
通讯作者：
Stechmiller,Joyce
中科院分区：
文献类型：
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作者：
Kim,Junglyun;Wilkie,DianaJ;Weaver,Michael;Lyon,Debra;Kelly,DebraL;Millan,SusanB;Park,Jungmin;Stechmiller,Joyce
目的：疼痛影响伤口愈合、治疗和生活质量，因为它对身体、心理和社会福祉有重大影响。尽管事实上，超过一半的慢性下肢静脉溃疡（CVLU）患者经历轻度至中度疼痛，CVLU疼痛的多维特征没有得到很好的记录。本研究的目的是描述多维疼痛的特点，包括感觉，情感，认知和行为方面，CVLU清创前。方法：参与者（N= 40）从伤口诊所招募。我们进行了描述性分析的临床数据，包括疼痛，伤口，和人口统计学特征，收集在第一vision.Results：参与者的平均年龄为70.8 ± 9.1岁，22（55%）的参与者是女性，35（87.5%）是白色。参与者报告了当前平均疼痛强度（2.9 ± 2.7）、24小时内最轻（1.2 ± 2.2）和最严重（4.8 ± 3.4）的疼痛强度以及可耐受的疼痛水平（4.9 ± 2.64）（0-10分）。他们将疼痛描述为周期性的（66.7%，n = 26），有多个疼痛质量描述符（5.4 ± 2.9）。他们过去的疼痛治疗提供了一些疼痛缓解（65%，n = 25）。对于68%（n= 27），他们的疼痛与预期相同。几乎所有的人都倾向于不告诉别人他们的疼痛（95%，n = 38）。创新：这项研究是第一个描述CVLU患者的多维疼痛特征的PainReportIt.Conclusion：CVLU患者报告愿意忍受相对较高的疼痛水平，并经历他们预期的疼痛水平。多维疼痛评估将帮助临床医生选择个性化的治疗方法来管理疼痛和改善这些患者的生活质量。
Objective:Pain affects wound healing, treatment, and quality of life because it has significant impacts on physical, psychological, and social well-being. Despite the fact that more than half of chronic venous leg ulcer (CVLU) patients experience mild-to-moderate pain, the multidimensional characteristics of CVLU pain are not well documented. The objective of this study was to describe the multidimensional pain characteristics, including the sensory, affective, cognitive, and behavioral dimensions, of CVLU before debridement.Approach:Participants (N= 40) were recruited from a wound clinic. We conducted a descriptive analysis of clinical data, including pain, wound, and demographic characteristics, collected at the first visit.Results:The mean age of participants was 70.8 ± 9.1 years, 22 (55%) participants were female, and 35 (87.5%) were white. Participants reported mean current pain intensity (2.9 ± 2.7), least (1.2 ± 2.2) and worst (4.8 ± 3.4) pain intensity in 24 h, and tolerable pain level (4.9 ± 2.64) on a 0–10 scale. They described pain as periodic (66.7%,n= 26) with multiple pain quality descriptors (5.4 ± 2.9). Their past pain treatments provided some pain relief (65%,n= 25). For 68% (n= 27), their pain was the same as they expected. Nearly all had a tendency not to tell others about their pain (95%,n= 38).Innovation:This study is the first to describe the multidimensional pain characteristics of patients with CVLU as measured with PAINReportIt.Conclusion:Patients with CVLU reported willingness to tolerate a relatively high level of pain and experience the level of pain they anticipate. Multidimensional pain assessment will assist clinicians to select individualized therapies to manage pain and improve quality of life for these patients.