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Patient-reported pressure ulcer pain: a mixed-methods systematic review
Claudia Gorecki1, S José Closs, Jane Nixon
1Clinical Trials Research Unit, University of Leeds, Lees, United Kingdom. C.Gorecki@leeds.ac.uk
Journal of Pain and Symptom Management
|March 30, 2011
Summary
Pressure ulcer (PU) pain significantly impacts patients
Area of Science:
- Nursing
- Pain Management
- Qualitative Research
Background:
- Pressure ulcers (PUs) cause significant patient pain and discomfort.
- Understanding the impact of PU pain on daily life is limited.
- Systematic review of existing research to improve patient outcomes and clinical management.
Purpose of the Study:
- Identify and synthesize research on verbal patient reports of PU-associated pain.
- Describe the pain experience, intensity, quality, and impact.
- Interpret complexities of PU pain and its effects on patients' lives.
Main Methods:
- Systematic review of qualitative and quantitative studies.
- Searched eight electronic databases and performed hand/cross-referencing.
- Two independent reviewers applied inclusion criteria and extracted data; consensus reached by three reviewers.
Main Results:
- Ten studies (six qualitative, four quantitative) involving 108 adults with PUs were included.
- A conceptual framework of PU pain experience was developed.
- Framework includes five domains: communicating, feeling, and impact of pain; self- and professional management; with 23 subdomains and five mediating factors.
Conclusions:
- A biopsychosocial model for PU pain experience is presented.
- Enhanced communication between patients and healthcare professionals is crucial for effective pain management.
- Future research should focus on improving communication to optimize PU pain management.
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