The locus of pain control in patients with lower limb ulcerations

Cwajda‐Białasik, Justyna; Szewczyk, Maria T.; Mościcka, Paulina; Cierzniakowska, Katarzyna

doi:10.1111/j.1365-2702.2012.04163.x

Cited by 10 publications

(12 citation statements)

References 16 publications

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“…However, significant intergroup differences pertained to annoyance of physical symptoms – this was significantly higher in patients with ulcerations of arterial and mixed etiology. This finding is consistent with literature data; many authors observed that the etiology of the ulceration is the main clinical determinant of physical discomfort experienced by the patient [ 10 , 11 , 13 , 16 , 31 – 34 ]. Additionally, the lack of significant intergroup differences in global quality of life and its various components suggests that patients with ulcerations of arterial and mixed etiology do not transfer unfavorable physical sensations associated with the disease onto other spheres of their quality of life.…”

Section: Discussionsupporting

confidence: 93%

Influence of ulceration etiology on the global quality of life and its specific dimensions, including the control of pain, in patients with lower limb vascular insufficiency

Cwajda‐Białasik

Szewczyk

Mościcka

et al. 2017

pdia

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IntroductionThe results of previous studies suggest that the quality of life in patients with lower limb ulcerations is markedly poorer than in the general population – with regard to physical, mental and social spheres. This complex character of that parameter necessitates comprehensive analyses of its specific aspects, including the level of the acceptance of illness and associated pain symptoms.AimTo compare the quality of life and its specific dimensions in patients with lower limb ulcerations of various etiology.Material and methodsPatients with the ulcerations resulting from venous (n = 101) or arterial pathologies (n = 98), or having mixed etiology (n = 99) were examined with the: 1) Skindex-29 instrument, 2) Acceptance of Illness Scale, 3) Beliefs about Pain Control Questionnaire, and 4) Coping Strategy Questionnaire.ResultsThe average quality of life related to physical symptoms was significantly higher in patients with venous ulcerations. Patients with ulcerations of arterial etiology more frequently used catastrophizing, and less often ignored pain sensations, used coping self-statements, and increased their activity levels; they were characterized by lower levels of control and poorer ability to decrease the pain. The internal locus of pain control increased proportionally to the global quality of life scores and levels of illness acceptance. Control over pain and ability to decrease the pain were more effective in individuals who used ignoring pain sensations, increasing the activity level, coping self-statements, and reinterpreting pain than in those using catastrophizing or praying and hoping strategies.ConclusionsPhysical complaints seem to be the basic determinant of the quality of life in patients with the lower limb ulceration, irrespective of its etiology.

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Section: Discussionsupporting

confidence: 93%

Influence of ulceration etiology on the global quality of life and its specific dimensions, including the control of pain, in patients with lower limb vascular insufficiency

Cwajda‐Białasik

Szewczyk

Mościcka

et al. 2017

pdia

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“…The experience of living daily in pain was a meaning often attributed to people with chronic wounds 7,[21][22][23][27][28][29][30][31][32][33][34][35] . Previous studies 32,[36][37][38] showed that the pain symptom is the most commonly reported by the interviewees, followed by secretions, odors, discomfort, anxiety and depression, which is in accordance with the findings of this meta-synthesis.…”

Section: Initial Concerns and Appearance Of Symptomssupporting

confidence: 92%

Meanings of living with a chronic wound: a meta-synthesis study

Araújo

Assis

Vilela

et al. 2020

ESTIMA, Braz. J. Enterostomal Ther.

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Objective: explore qualitative research on the meanings of living with a chronic wound. Method: it is a qualitative meta-synthesis. 13 articles were included, totaling a sample of 248 individuals who self-reported living with a chronic wound. The Critical Appraisal Skills Program instrument was used to evaluate the eligible articles, and to report the qualitative synthesis, the recommendations of Enhancing transparency in reporting the synthesis of qualitative research were followed. The analysis and extraction of information and construction of the synthesis were carried out by two independent reviewers, with the assistance of a third expert reviewer. Results: living with a chronic wound involves initial concerns and the appearance of symptoms, especially marked pain. They report that the increase in pain led to low functional capacity, as well as weakened social relationships and financial conditions. The experiences illustrate the challenges of emotional burden and the implications of illness, which contributed to social isolation. Religiosity and spirituality were the main coping strategies. Conclusion: living with a chronic wound means a condition of pain, limits physical and functional capacity, causes negative feelings and emotions that result in people’s isolation.

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“…According to the study by Wiśniewska et al,10 the intensity of pain in patients with peripheral arterial disease (PAD) is high and patients are convinced about the influence of the external factors in pain control. Similarly in the case of the patients studied by Cwajda-Białasik et al,11 external factors intensified pain ailments. In the case of rheumatoid arthritis (RA), in turn, according to the study by Jia and Jackson,12 belief about internal control with the simultaneous reduction of external control influenced the reduction of pain ailments, in the sense of helplessness and of anxiety.…”

Section: Introductionmentioning

confidence: 58%

“…Simultaneously, along with the increase of pain intensity, belief about the influence of medical care on pain control decreased and belief about internal control increased 10. Another study revealed that patients with chronic constant ischemic pain of the lower extremities more frequently passively succumbed to the disease, they manifested the locus of pain control mainly in external factors and associated relief in suffering with the help of the medical staff and the therapy proposed by that staff 11…”

Section: Discussionmentioning

confidence: 99%

“…In this context, the elements which gain high significance are medical interventions encouraging to actively cope with pain and to strengthen the internal locus of control as well as early treatment of depression which intensifies the perception of chronic pain 4,5. The importance of psychological support supplementing therapy is also underlined by Cwajda-Białasik et al,11 pursuant to the holistic approach to the patient during the therapeutic process.…”

Section: Discussionmentioning

confidence: 99%

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Perception vs pain and beliefs about pain control and Type A behavior pattern in patients with chronic ischemia of lower extremities or with rheumatoid arthritis

Kadłubowska

Bąk

Marcisz

et al. 2018

JPR

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ObjectiveThe study aimed at determining the experience of pain taking into consideration beliefs about pain control, Type A behavior pattern and sociodemographic factors in patients with chronic ischemia of the lower extremities or with rheumatoid arthritis (RA).MethodsThe study enrolled 100 patients with peripheral arterial disease (PAD) and 100 patients with RA. The subjective sensation of pain was assessed using the Visual Analog Scale (VAS); beliefs about pain control were analyzed using the Beliefs about Pain Control Questionnaire (BPCQ), taking into consideration internal factors, the influence of physicians and accidental events (chance); and Type A behavior features (haste and competition) were analyzed using the Framingham Type A Scale. The multiple regression model was used to assess associations between the experienced pain and the BPCQ value, the Framingham Type A Scale and sociodemographic factors.ResultsThe pain intensity degree was found to be comparable in patients with PAD and with RA. The median determined using the VAS was 5.75 in both of the studied groups. In patients with PAD, lower VAS values were associated with the BPCQ – internal factors (P<0.05) whereas a higher VAS value was related to the BPCQ – physicians’ influence (P<0.001). In patients with RA, a higher VAS value was associated with BPCQ – physicians’ influence (P<0.05), disease duration (P<0.05) and smoking cigarettes (P<0.05).ConclusionExperiencing pain by patients with chronic ischemia of the lower extremities occurs at a moderate level and is beneficially connected with the internal factors and adversely connected with the external factors of beliefs about pain control. Patients with RA reported pain ailments of a moderate level in connection with the adverse influence of the external factors of beliefs about pain control, the duration of the disease and smoking cigarettes. Experiencing pain by patients with chronic ischemia of the lower extremities and RA does not seem to be related to Type A behavior.

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The locus of pain control in patients with lower limb ulcerations

Cited by 10 publications

References 16 publications

Influence of ulceration etiology on the global quality of life and its specific dimensions, including the control of pain, in patients with lower limb vascular insufficiency

Influence of ulceration etiology on the global quality of life and its specific dimensions, including the control of pain, in patients with lower limb vascular insufficiency

Meanings of living with a chronic wound: a meta-synthesis study

Perception vs pain and beliefs about pain control and Type A behavior pattern in patients with chronic ischemia of lower extremities or with rheumatoid arthritis

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