<p>Pain experiences and intrapersonal change among patients with chronic non-cancer pain after using a pain diary: a mixed-methods study</p>

Abstract

ObjectivePain diaries are a valuable self-assessment tool; however, their use in chronic non-cancer pain has received limited attention. In this study, we examined the effect of pain diary use on pain intensity, interference, and intrapersonal change in patients with chronic non-cancer pain.MethodA convergent mixed-methods design was used to prospectively evaluate a cohort of 72 patients. Daily pain intensity and weekly pain-interference were self-reported using pain diaries for a 4-week period. Outcomes were assessed by examining changes in pain scores (primary outcome) as well as the Brief Pain Inventory and Short-form McGill Pain Questionnaire-2. In addition, qualitative data obtained from pain diary entries and focus-group interviews were analyzed using thematic content analysis.ResultsPain intensity and average pain scores were significantly lower after using the diaries. Participants reported less pain interference in mood, walking ability, normal work, and enjoyment of life. No differences were found in SF-MPQ-2 scores. Qualitative analysis indicated that better pain recognition and more effective communication with care providers led to improved self-management and more effectual treatment plans.ConclusionUse of a pain diary in patients with chronic non-cancer pain was associated with reduced pain intensity and improved mood as well as function. Further controlled trials examining the long-term effects of pain diaries are warranted.

The association between daily physical exercise and pain among women with fibromyalgia: the moderating role of pain catastrophizing

“…To test our moderation model, we used the SPSS PROCESS macro because it allows to test moderation effects. 24 Based on prior reports, 11 , 17 , 30 , 42 , 45 , 59 we followed the approach of averaging the diary assessments across the 7 time-points. We tested Model 1, in which average daily physical activity was the predictor as used on past reports, 20 , 37 pain intensity (BPI) was the dependent variable, and average daily state pain catastrophizing was the moderator of the relationship between average physical activity and average pain intensity controlling (covariates) for FM symptoms (FIQR) and BMI following prior literature.…”

Development of the opioid self-management scale for advanced Cancer patients with pain and examination of its validity and reliability

“…This may be because the average duration of analgesic opioid use among the participants in this study was as long as 9 months; thus, they may have already understood the characteristics of pain and been able to tolerate it. However, the effect of recording pain and opioid use in a diary has been reported [ 43 – 45 ]. For a better QOL, patients can manage opioid use better when they understand the characteristics of their pain.…”

Pain Diary in Bands Based on SBAR Communication Mode Application of Nursing Management in Patients with Postherpetic Neuralgia

“…Many studies have shown good results in the management of cancer pain. In addition, it also has a positive effect in the treatment of some non-cancerous pains, such as lower back pain 18,19 . However, the current application of pain diary is to explore the role of chronic pain management.…”

“…Although we know the importance of pain assessment, it is di cult for clinical nurses and doctors to dynamically assess the pain of patients with limited medical human resources. Pain self-assessment tools, such as pain diaries, have shown good effects in the management of cancer-related pain [4][5][6][7] allowing patients to timely re ect the degree, nature and relief of pain when it occurs. This method proved to be highly reliable 8 .…”