Pain assessment in rheumatology – How can we do better? A literature review

Bailly, Franck; Fautrel, Bruno; Gossec, Laure

doi:10.1016/j.jbspin.2016.01.001

Cited by 12 publications

(18 citation statements)

References 43 publications

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“…To measure the experienced pain, NPRS was used, which is a 10cm ruler marked from 0 (no pain) to 10 (the highest imaginable pain). Validity and reliability of the tool have been examined and supported by several studies 25,26. To measure anxiety, VAS-A tool was used, which is also a 10cm ruler marked from 0 (no anxiety) to 10 (the highest imaginable anxiety).…”

Section: Methodsmentioning

confidence: 98%

<p>Effect Of Peppermint Essence On The Pain And Anxiety Caused By Intravenous Catheterization In Cardiac Patients: A Randomized Controlled Trial</p>

Akbari¹,

Rezaei²,

Khatony³

2019

JPR

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BackgroundThe effects of the peppermint essence on the pain and anxiety caused by intravenous catheterization have not been studied yet. The aim of this study was to determine effect of inhaling peppermint essence on the pain and anxiety.MethodsIn this study, 80 cardiac patients were selected through convenient sampling and randomly allocated to aromatherapy and control groups. Data gathering tools were numeric pain rating scale and visual analogue scale for anxiety. The aromatherapy and control groups received inhaled aromatherapy with peppermint essence and distilled water, respectively.ResultsMean severity of the pain in the aromatherapy and control groups was 2.95±0.98 and 3.42±1.33, respectively. The difference was statistically significant (p=0.048). The mean score of anxiety before the intervention in the aromatherapy and control groups was 3.75±1.08 and 4.70±1.43, respectively; these figures after the intervention were 2.32±0.97 and 2.10±1.42, respectively. The two groups were not significantly different before and after the intervention in terms of the level of anxiety. However, the level of anxiety before and after the intervention was significantly different in each group (p<0.001).ConclusionAromatherapy attenuated the pain and anxiety caused by intravenous catheterization. Before catheterization, peppermint essence aromatherapy is recommended.

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Section: Methodsmentioning

confidence: 98%

<p>Effect Of Peppermint Essence On The Pain And Anxiety Caused By Intravenous Catheterization In Cardiac Patients: A Randomized Controlled Trial</p>

Akbari¹,

Rezaei²,

Khatony³

2019

JPR

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“…A link was found between FRP proposal and lower pain levels. Although pain is linked to the disease, it is also linked to psycho-social elements in chronic conditions [33][34][35]. Thus, pain can be considered a mixed medical and psychosocial component of cLBP.…”

Section: Discussionmentioning

confidence: 99%

Criteria for inclusion in programs of functional restoration for chronic low back pain: Pragmatic Study

Assadourian

Bailly

Letellier

et al. 2020

Annals of Physical and Rehabilitation Medicine

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Introduction: Chronic low back pain (cLBP) patients may benefit from multimodal functional restoration programs (FRPs). The aim of this study was to analyze patients' characteristics, when oriented or not towards such a program. As cLBP is a bio-psycho-social disorder medical and social parameters were analysed. Methods:Observational cross-sectional study in six tertiary centers in France in 2017. Consecutive patients with cLBP visiting a rheumatologist or physical medicine and rehabilitation physician were included. Patients oriented or not towards a FRP were compared for demographic characteristics, duration of sick leave over the past year, self-reported physical activity >1h/week, pain, anxiety/depression (Hospital Anxiety and Depression Scale), disability (Oswestry Disease Index) and kinesiophobia (Tampa Kinesiophobia Scale). Univariate and multivariate logistic regression were performed.Results: 147 patients were analysed: mean ± standard deviation, age 48.8 ± 12.0 years, mean cLBP duration 9.1 ± 9.4 years, 88 (59.9%) women. Overall, 58 (39.5%) patients were oriented towards a FRP: these patients were younger (mean age 46.3 ± 11.2 vs 50.5 ± 12.2 years, p=0.036), had longer sick leave (mean 128.5 ± 140.6) vs 67.6 ± 107.6 days/year, p=0.004), less often self-reported physical activity (35.1% ± 48.1 vs 53.4% ± 50.2, p=0.031), and reported lower pain levels (mean 6.1 ± 2.0 vs 7.1 ± 1.9 on a 0-10 numeric scale, p=0.002) .There was no significant difference regarding functional disability, pain duration, kinesiophobia, psychological status. In multivariate analysis, lower pain (odds ratio, OR: 0.95, 95% CI [0.91;0.99] for an increase of 1 point), absence of physical activity (OR: 0.84, 95% CI [0.72;0.98]) and longer sick leave (OR: 1.03, 95 % CI [1.01;1.05] for 30 more days of sick leave) were independently associated with orientation towards a FRP. Conclusion:Orientation towards FRPs was linked to pain, self-reported physical activity and sick leave. This confirms the biopsychosocial approach of FRPs for cLBP.

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“…When answering a VAS item, respondents specify their level of agreement with a statement by indicating a position along a continuous line between two end-points [54]. In this study, a 0–10 cm VAS will be used in the subjective evaluation of pain (no pain to severe pain), fatigue (no fatigue to severe fatigue) and sleep (good sleep to poor sleep) in the patients.…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of a multimodal standard nursing program on health-related quality of life in Chinese mainland female patients with breast cancer: protocol for a single-blind cluster randomized controlled trial

Zhou

Wang

et al. 2016

BMC Cancer

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BackgroundBreast cancer and its treatment-related adverse effects are harmful to physical, psychological, and social functioning, leading to health-related quality of life (HRQoL) impairment in patients. Many programs have been used with this population for HRQoL improvement; however, few studies have considered the physical, psychological, and social health domains comprehensively, and few have constructed multimodal standard nursing interventions based on specific theories. The purpose of this trial is to examine the effect of a health belief model (HBM)-based multimodal standard nursing program (MSNP) on HRQoL in female patients with breast cancer.MethodsThis is a two-arm single-blind cluster randomized controlled trial (cRCT) in clinical settings. Twelve tertiary hospitals will be randomly selected from the 24 tertiary hospitals in Xi’an, China, and allocated to the intervention arm and control arm using a computer-generated random numbers table. Inpatient female patients with breast cancer from each hospital will receive either MSNP plus routine nursing care immediately after recruitment (intervention arm), or only routine nursing care (control arm). The intervention will be conducted by trained nurses for 12 months. All recruited female patients with breast cancer, participating clinical staff, and trained data collectors from the 12 hospitals will be blind with respect to group allocation. Patients of the control arm will not be offered any information about the MSNP during the study period to prevent bias. The primary outcome is HRQoL measured through the Functional Assessment of Cancer Therapy-Breast version 4.0 at 12 months. Secondary outcomes include pain, fatigue, sleep, breast cancer-related lymphedema, and upper limb function, which are evaluated by a visual analogue scale, the circumference method, and the Constant-Murley Score.DiscussionThis trial will provide important evidence on the effectiveness of multimodal nursing interventions delivered by nurses in clinical settings. Study findings will inform strategies for scaling up comprehensive standard intervention programs on health management in the population of female patients with breast cancer.Trial registrationChictr.org.cn ChiCTR-IOR-16008253 (April 9, 2016)

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Pain assessment in rheumatology – How can we do better? A literature review

Cited by 12 publications

References 43 publications

<p>Effect Of Peppermint Essence On The Pain And Anxiety Caused By Intravenous Catheterization In Cardiac Patients: A Randomized Controlled Trial</p>

<p>Effect Of Peppermint Essence On The Pain And Anxiety Caused By Intravenous Catheterization In Cardiac Patients: A Randomized Controlled Trial</p>

Criteria for inclusion in programs of functional restoration for chronic low back pain: Pragmatic Study

Effectiveness of a multimodal standard nursing program on health-related quality of life in Chinese mainland female patients with breast cancer: protocol for a single-blind cluster randomized controlled trial

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