Pain management nursing : official journal of the American Society of Pain Management Nurses
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Accurate pain assessment still faces many challenges, which impact the effectiveness of analgesic interventions. Understanding the current status of pain assessment implementation and its inhibiting and facilitating factors might help facilitate accurate pain assessment. ⋯ The study reveals significant discrepancies in pain assessment practices among nurses. In the process of pain assessment practice, the assessment time is shorter, and the process is less standardized compared to self-reported results. The factors impeding standardized pain assessment included nurses' insufficient knowledge and poor protocol adherence. Therefore, enhanced training, more explicit guidelines, and robust institutional support are needed to standardize pain assessments and improve patient outcomes.
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Pain following a cesarean section is a significantly stressful experience, impeding women's fast recovery. Interventions such as hand and foot massage have been employed for pain management after cesarean sections, but their effectiveness remains undetermined. ⋯ This meta-analysis indicated that hand and foot massage are beneficial for pain and anxiety management among women following a cesarean section. Appropriate implementation in clinical practice was suggested at an early stage.
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The Pain Relief Motivation Scale (PRMS) was administered to chronic pain sufferers and predicts their psychological well-being. However, the Chinese version of the PRMS has not undergone psychometric validation. ⋯ The Chinese version of the PRMS has powerful validity and reliability and can be used to assess the level of the motivation for pain alleviation in people with pain, serving as a reference for the development of intervention programs for healthcare providers.
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Millions of people live with dementia worldwide, relying heavily on family caregivers. Pain is common in both people living with Alzheimer's disease (PLWAD) and their caregivers, contributing to stress and burden. To our knowledge, this is the first study to examine the relationship between pain, stress, hair cortisol, and mental health in PLWAD and their caregivers and how these factors are linked to caregiver burden. ⋯ This exploratory pilot study showed associational trends suggesting a complex relationship between pain, mental health, and stress in PLWAD-caregiver dyads. This preliminary work will inform future studies that can help advance targeted, tailored interventions.
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To investigate the current status and related influencing factors of self-management stages in older patients with chronic pain. ⋯ Nursing professionals can use research survey findings to identify patients at low levels of self-management stage and develop personalized intervention strategies based on various influencing factors. For example, nurses can provide practical smoking cessation guidance to assist older chronic pain patients in improving their lifestyle. Nurses can also seek support from family members to collectively offer better medical care and nursing services for the patient if financially feasible. Secondly, as our study has demonstrated, patients' health literacy and psychological flexibility were poor. Nurses can utilize available clinical resources to offer educational materials, such as portable handbooks and online videos, covering pain-related knowledge, managing pain medication, and coping strategies like massage and exercise. Combining this approach with mental health education, such as relaxation therapy, can help patients better understand their pain and actively participate in their self-management. In addition, nursing staff should pay more attention to the self-management stages of older chronic pain patients, and the assessment of self-management stages can be included in clinical pain management for patients. Regular assessment will help track more patients needing attention and make timely adjustments to their pain management plans.