Pain management nursing : official journal of the American Society of Pain Management Nurses
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One of the obstacles in chronic pain management is the attitude of healthcare professionals. Although literature reports that the negative attitudes of healthcare professionals such as stigmatizing their patients with chronic pain and applying inadequate treatment cause failure in chronic pain management, there is no scale to measure the attitudes of healthcare professionals towards patients with chronic pain. ⋯ Our study found that the scale for healthcare professionals' attitudes towards patients with chronic pain is a valid and reliable tool.
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Considering the importance of pain acceptance in adjusting to chronic pain among diabetic patients, this study was conducted to determine the relationship between the empowerment scale and the level of chronic pain acceptance among the elderly with diabetes and the resulting limitations. ⋯ Based on the results of this study, the level of empowerment, pain acceptance, and pain-related limitations in the older patients with diabetes was moderate and there was no significant relationship between them. Identifying vulnerable groups in the field of chronic pain and preventive, educational and therapeutic interventions will help increase patients' self-care capacity and reduce the limitations and the disability caused by pain.
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Type D personality as a personality vulnerable to stress consists of negative affectivity and social inhibition, and it is related to symptoms and decreased quality of life in patients with chronic illness. ⋯ Type D personality was related to migraine symptoms, disability, and quality of life in patients with migraine.
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Clinical Trial
The Role of Psychological Factors in Chronic Pain Treatment Outcomes in the Military.
Chronic pain treatment in the military includes complementary and integrative health (CIH) therapies that may affect psychological factors such as pain catastrophizing, chronic pain acceptance, pain self-efficacy, and patient activation. The unique roles that psychosocial factors play in how CIH approaches reduce pain are not clear. This study examined if a holistic pain management program improved pain outcomes through psychological mediators in service members with chronic pain. ⋯ Although psychological factors were related to pain outcomes, the effect of CIH therapies on chronic pain did not occur via a change in the four psychological factors.
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There is lack of instruments for assessing nurses' comprehensive pain management competency. ⋯ Findings support internal consistency reliability and content and construct validity of the Nurses' Cancer Pain Management Competency Scale that can help examine pain management competency of nurses. Adopting an evidence-based clinical cancer pain management-related protocol and multi-component training programs are needed to achieve optimal cancer pain management competency in nurses.