Pressure ulcer related pain in community populations: a prevalence survey

BMC Nursing

Jane Nixon²  E Andrea Nelson¹  Rebecca Stevenson²  Nikki Stubbs³  Susanne Coleman²  Julia Brown²  Carol Dealey⁵  Lyn Wilson²  Michelle Collinson²  Michelle Briggs⁴  Elizabeth McGinnis⁶ 

[1] University of Leeds, Leeds, UK;Clinical Trials Research Unit Leeds, Leeds, UK;Leeds Community Healthcare NHS Trust, Leeds, UK;Leeds Metropolitan University, Leeds, UK;University of Birmingham, Birmingham, UK;Leeds Teaching Hospitals NHS Trust, Leeds, UK

关键词: Community;    Prevalence;    Pain;    Pressure Ulcer;   

Others  :  1091172
DOI  :  10.1186/1472-6955-13-16

 received in 2013-11-17, accepted in 2014-06-12,  发布年份 2014

【 摘 要 】

Background

Pressure ulcers are costly to the healthcare provider and can have a major impact on patient’s quality of life. One of the most distressing symptoms reported is pain. There is very little published data on the prevalence and details of pain experienced by patients with pressure ulcers, particularly in community populations. The study was conducted in two community NHS sites in the North of England.

Methods

The aim was to estimate the prevalence of pressure area related pain within a community population. We also explored the type and severity of the pain and its association with pressure ulcer classification. A cross-sectional survey was performed of community nurses caseloads to identify adult patients with pressure ulcers and associated pain. Consenting patients then had a full pain assessment and verification of pressure ulcer grade.

Results

A total of 287 patients were identified with pressure ulcers (0.51 per 1000 adult population). Of the 176 patients who were asked, 133 (75.6%) reported pain. 37 patients consented to a detailed pain assessment. Painful pressure ulcers of all grades and on nearly all body sites were identified. Pain intensity was not related to number or severity of pressure ulcer. Both inflammatory and neuropathic pain were reported at all body sites however the proportion of neuropathic pain was greater in pressure ulcers on lower limbs.

Conclusions

This study has identified the extent and type of pain suffered by community patients with pressure ulcers and indicates the need for systematic and regular pain assessment and treatment.

【 授权许可】

   
2014 McGinnis et al.; licensee BioMed Central Ltd.

【 图 表 】

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