White Rose University Consortium logo
University of Leeds logo University of Sheffield logo York University logo

Patient-Reported Pressure Ulcer Pain: A Mixed-Methods Systematic Review

Gorecki, C, Closs, SJ, Nixon, J and Briggs, M (2011) Patient-Reported Pressure Ulcer Pain: A Mixed-Methods Systematic Review. Journal of Pain and Symptom Management. ISSN 1873-6513 (In Press)

Full text available as:

Abstract

CONTEXT: Pressure ulcers (PUs) can cause patients considerable pain and discomfort; however, little is known about how PU pain affects patients' everyday lives. To improve outcomes for patients and to help clinicians manage PU pain, the existing qualitative and quantitative research base was systematically reviewed. OBJECTIVES: The aims were to identify and synthesize all research that obtained verbal patient reports of PU-associated pain, including descriptions of the pain experience, intensity, quality, and impact to interpret the complexities of the pain experienced from PUs; describe specific characteristics of PU pain; and determine how it affects patients' lives. METHODS: We searched eight electronic databases (from inception to January 2010), hand searched and cross-referenced. Research studies that addressed the experience of PU-associated pain by direct patient reports were included. Two reviewers independently applied inclusion criteria and extracted findings, allocating findings to defined categories. Synthesis of findings and categories were reviewed by three reviewers until reaching consensus. RESULTS: Ten studies were included: six qualitative and four quantitative. These included 108 adults with PUs. The PU pain experience was mapped, producing a conceptual framework of five domains: communicating the pain, feeling the pain, impact of pain, self-management, and professional management, and represented by 23 subdomains and five mediating factors (four psychological well-being plus comorbidity). CONCLUSION: A biopsychosocial model of pain experienced from PUs is presented. Improved communication of pain experienced between the individual and health care professionals is needed to promote more effective PU pain management in the future.

Item Type: Article
Academic Units: The University of Leeds > Faculty of Medicine and Health (Leeds) > Institute of Molecular Medicine (LIMM) (Leeds) > Section of Clinical Trials Research Unit (Leeds)
The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Healthcare (Leeds) > Leeds Institute of Health & Social Work > AU First Contact/Acute Care
The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Healthcare (Leeds) > Leeds Institute of Diagnostics & Therapeutics > AU Clinical & Rehabilitation Sciences
Depositing User: Symplectic Publications
Date Deposited: 13 Jun 2011 11:52
Last Modified: 08 Feb 2013 17:32
Published Version: http://dx.doi.org/10.1016/j.jpainsymman.2010.11.01...
Status: In Press
Publisher: Elsevier B.V.
Identification Number: 10.1016/j.jpainsymman.2010.11.016
URI: http://eprints.whiterose.ac.uk/id/eprint/43062

Actions (login required)

View Item View Item