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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, 42 (3). 443 - 459. ISSN 1873-6513


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
Institution: The University of Leeds
Academic Units: The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Healthcare (Leeds) > Nursing Adult (Leeds)
Depositing User: Symplectic Publications
Date Deposited: 13 Jun 2011 11:52
Last Modified: 18 Nov 2014 13:14
Published Version: http://dx.doi.org/10.1016/j.jpainsymman.2010.11.01...
Status: Published
Publisher: Elsevier B.V.
Identification Number: 10.1016/j.jpainsymman.2010.11.016
URI: http://eprints.whiterose.ac.uk/id/eprint/43062

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