Managing Pain and Anxiety in Adult Bone Marrow Examinations: Combining Pharmacological and Psychological Approaches

Lord, Sharon; Bhuller, Kaljit

doi:10.1016/j.jpainsymman.2011.11.005

Cited by 3 publications

(4 citation statements)

References 30 publications

(17 reference statements)

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“…The 50% mixture of nitrous oxide and oxygen is not sufficiently well known or used for CRP relief, although indications and protocols are well established for many procedures such as changing dressings, haematological painful procedures, urodynamic procedures, colonoscopy and minor surgery (Annequin et al, 2000;Calleary et al, 2007;Aboumarzouk et al, 2011;Young et al, 2012;Yuxiang et al, 2012). In fact, considerable research on psychological interventions to prevent CRP from newborn to adults has been published (Shabanloei et al, 2010;Hoffman et al, 2011;Pillai Riddell et al, 2011;Lord and Bhuller, 2012;Uman et al, 2013). Therefore, health-care workers should be less fearful about the use of this treatment, although it should be compared with other procedures for effectiveness in controlling pain.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, health-care workers could also be trained in alternative pain management with non-pharmacological strategies such as physiotherapy or hypnosis (Lang et al, 2000;Czarnecki et al, 2011). In fact, considerable research on psychological interventions to prevent CRP from newborn to adults has been published (Shabanloei et al, 2010;Hoffman et al, 2011;Pillai Riddell et al, 2011;Lord and Bhuller, 2012;Uman et al, 2013). Distraction and hypnosis seem the most helpful for pain relief in this setting.…”

Section: Discussionmentioning

confidence: 99%

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Care‐related pain in hospitalized patients: Severity and patient perception of management

Ambrogi

Montcel

Collin

et al. 2015

European Journal of Pain

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Care‐related pain in hospitalized patients: Severity and patient perception of management

Ambrogi

Montcel

Collin

et al. 2015

European Journal of Pain

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“…A systematic review documented that the largest treatment effect sizes were observed with distraction, combined cognitive-behavioral interventions, and hypnosis (Uman, Chambers, McGrath, & Kisely, 2008). Combinations of pharmacological and nonpharmacological interventions should at least be considered for those at risk of reporting higher levels of pain and anxiety prior to the procedure (Lord & Bhuller, 2012).…”

Section: Discussionmentioning

confidence: 99%

A Multivariate Analysis of Pain and Distress in Adults Undergoing BMAB

et al. 2018

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Clinicians routinely perform bone marrow aspiration and biopsy (BMAB) to diagnose cancer and evaluate disease status; however, few studies address pain and distress with BMAB. A prospective descriptive–correlational design examined patients’ ( N = 152) ratings of pain intensity (numeric rating scale, 0-10) and distress (distress thermometer) at baseline and 5 min and 1 hr postprocedure. Data were analyzed using descriptive statistics, chi-square, and linear regression models. Mean postprocedure pain intensity at 5 min was moderate, 5.56 ( SD = 3.03), and opioid use was associated with decreased pain at 1 hr ( p < .001). Preprocedure administration of anxiolytics had no significant effect on distress reduction ( p = .88). Being female, first-time biopsy, and increased preprocedure pain were significant predictors of postprocedure distress ( p < .001). Treating anxiety alone may not be sufficient to lessen pain and distress. Individualized plans of care should be based on patient risk and response to procedure.

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“…As medicine becomes more patient-oriented and more emphasis is being placed on patient well-being, we try to decrease the pain associated with medical procedures. The prevalence, predicting factors, and prevention of pain associated with BMAB has recently been investigated in different studies (2)(3)(4)(5)(6)(7)(8)(9)(10). Despite more information has been recognized, there are no clear data on pain-causing factors and how to use them in lessening this pain.…”

Section: Introductionmentioning

confidence: 99%

Type and level of anxiety affects the perception of pain during bone marrow biopsy

Öneç

Esbah

et al. 2021

Konuralp Tıp Dergisi

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Objective: Bone marrow aspiration and biopsy (BMAB) is an essential tool for diagnosis of hematological disorders. The most frequent complaint after BMAB is pain but the severity of this pain is described very different among patients. We investigated factors predicting this pain focusing on the role of state and trait anxiety. Methods: One hundred and ten adult patients undergoing BMAB, were informed adequately and assessed with "The State-Trait Anxiety Inventory" (STAI) before the procedure. In this Likert-type inventory, State Anxiety Scale evaluates the current state of anxiety, asking how respondents feel "at that moment". The Trait Anxiety Scale evaluates relatively stable aspects of "anxiety proneness," including general states of confidence, calmness, and security. After the biopsy, pain was measured with visual analog scale. Results: Most of the patients (71.8%) described mild pain but moderate to severe pain were significantly more frequent in both high state and trait anxiety groups. Pain severity had a positive but weak correlation with trait anxiety but not with state anxiety. The described pain level was associated with older age but was not with indication of biopsy, performance status, comorbidities or previous BMAB experiences. Conclusions: Results of our study made us thought that a good communication with the patient and talking about possible outcomes days before procedure might play a role reducing his or her anxiety but because age and trait anxiety cannot be changed by using fast acting anxiolytic drugs, advantage of premedication with anxiolytics in order of reducing pain, would be limited.

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Managing Pain and Anxiety in Adult Bone Marrow Examinations: Combining Pharmacological and Psychological Approaches

Cited by 3 publications

References 30 publications

Care‐related pain in hospitalized patients: Severity and patient perception of management

Care‐related pain in hospitalized patients: Severity and patient perception of management

A Multivariate Analysis of Pain and Distress in Adults Undergoing BMAB

Type and level of anxiety affects the perception of pain during bone marrow biopsy

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