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  • Price, Patricia E.Department of Wound Healing, School of Medicine, Cardiff University (författare)

Dressing-related pain in patients with chronic wounds : an international patient perspective

  • Artikel/kapitelEngelska2008

Förlag, utgivningsår, omfång ...

  • 2008
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:hkr-164
  • urn:nbn:se:hkr:diva-164urn
  • https://doi.org/10.1111/j.1742-481X.2008.00471.xDOI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

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  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • This cross-sectional international survey assessed patients' perceptions of their wound pain. A total of 2018 patients (57% female) from 15 different countries with a mean age of 68.6 years (SD = 15.4) participated. The wounds were categorised into ten different types with a mean wound duration of 19.6 months (SD = 51.8). For 2018 patients, 3361 dressings/compression systems were being used, with antimicrobials being reported most frequently (n= 605). Frequency of wound-related pain was reported as 32.2%, 'never' or 'rarely', 31.1%, 'quite often' and 36.6%, 'most' or 'all of the time', with venous and arterial ulcers associated with more frequent pain (P= 0.002). All patients reported that 'the wound itself' was the most painful location (n= 1840). When asked if they experienced dressing-related pain, 286 (14.7%) replied 'most of the time' and 334 (17.2%) reported pain 'all of the time'; venous, mixed and arterial ulcers were associated with more frequent pain at dressing change (P < 0.001). Eight hundred and twelve (40.2%) patients reported that it took <1 hour for the pain to subside after a dressing change, for 449 (22.2%) it took 1-2 hours, for 192 (9.5%) it took 3-5 hours and for 154 (7.6%) patients it took more than 5 hours. Pain intensity was measured using a visual analogue scale (VAS) (0-100) giving a mean score of 44.5 (SD = 30.5, n= 1981). Of the 1141 who reported that they generally took pain relief, 21% indicated that they did not feel it was effective. Patients were asked to rate six symptoms associated with living with a chronic wound; 'pain' was given the highest mean score of 3.1 (n= 1898). In terms of different types of daily activities, 'overdoing things' was associated with the highest mean score (mean = 2.6, n= 1916). During the stages of the dressing change procedure; 'touching/handling the wound' was given the highest mean score of 2.9, followed by cleansing and dressing removal (n= 1944). One thousand four hundred and eighty-five (80.15%) patients responded that they liked to be actively involved in their dressing changes, 1141 (58.15%) responded that they were concerned about the long-term side-effects of medication, 790 (40.3%) of patient indicated that the pain at dressing change was the worst part of living with a wound. This study adds substantially to our knowledge of how patients experience wound pain and gives us the opportunity to explore cultural differences in more detail.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Fagervik-Morton, HildeDepartment of Wound Healing, School of Medicine, Cardiff University (författare)
  • Mudge, Elizabeth J.Department of Wound Healing, School of Medicine, Cardiff University (författare)
  • Beele, HildeDienst Huidziekten, UZ Gent (författare)
  • Ruiz, Jose ContrerasClínica Interdisciplinaria de Cuidado de Heridas y Estomas. Hospital General 'Dr. Manuel Gea Gonzalez', Mexico City (författare)
  • Nystrøm, Theis HuldtHudpoliklinikken i Namsos (författare)
  • Lindholm, Christina,1942-Högskolan Kristianstad,Institutionen för hälsovetenskaper (författare)
  • Maume, SylvieHospital Charles Foix, Ivry sur Seine (författare)
  • Melby-Østergaard, BrittaCopenhagen Wound Healing Centre, Bispebjerg Hospital, Copenhagen (författare)
  • Peter, YolandaFachleiterin Wundbehandlung, Bulach (författare)
  • Romanelli, MarcoDipartimento di Dermatologia, Ospidale Santa Chiara, Via Roma, Pisa (författare)
  • Seppänen, SallaHealth Department, Mikkeli University of Applied Sciences (författare)
  • Serena, Thomas E.Pennsylvania North Centre for Advanced Wound Care, Warren, PA (författare)
  • Sibbald, GaryWomen's College Hospital, Toronto (författare)
  • Soriano, Jose VerdúDepartment of Community Nursing, Preventive Medicine, Public Health and History of Science, School of Nursing, University of Alicante (författare)
  • White, WendyMonash University, Wound Foundation of Australia/NSW Branch, Sydney (författare)
  • Wollina, UweDepartment of Dermatology and Allergology, Hospital Dresden-Friedrichstadt, Dresden (författare)
  • Woo, Kevin YWomen's College Hospital, Toronto (författare)
  • Wyndham-White, CarolynHEdS Geneve (författare)
  • Harding, Keith G.Department of Wound Healing, School of Medicine, Cardiff University (författare)
  • Department of Wound Healing, School of Medicine, Cardiff UniversityDienst Huidziekten, UZ Gent (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:International Wound Journal5:2, s. 159-1711742-48011742-481X

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