Pain Management with Sickle Cell Patients
Pain Management with Sickle Cell Patients
Introduction to Nursing Research/NRS- 433V – Literature search example – Pain Management with Sickle Cell Patients
References
Elander, J., Beach, M., & Haywood, C. (2011). Respect, trust, and the management of sickle cell disease pain in hospital: comparative analysis of concern-raising behaviors, preliminary model, and agenda for international collaborative research to inform practice. Ethnicity & Health,16(4/5), 405-421.
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Abstract
Background/objectives. Qualitative interview studies suggest that adult patients’ experiences of hospital treatment for sickle cell disease (SCD) pain reflect an absence of respect by providers for patients, and an absence or breakdown of trust. Systematic comparisons between treatment settings could help identify contextual influences on respect and trust. Design. Quantitative comparison of concern-raising behaviors (pain treatment outcomes indicating breakdowns of trust) among adult SCD patients in Baltimore, Maryland, USA, and London, UK, followed by analysis of potential explanations for differences, including socio-cultural and behavioral factors, with a preliminary model of the processes leading to concern-raising behaviors. Rates of concern-raising behaviors were significantly higher in Baltimore than London. Introduction to Nursing Research/NRS- 433V – Literature search example – Pain Management with Sickle Cell Patients. The model identifies respect and trust as key factors which could be targeted in efforts to improve the quality of SCD pain management in hospital. Conclusion. An agenda for international, interdisciplinary research to improve the treatment of SCD pain in hospital should include: comparative analyses between countries and treatment settings of factors that could influence respect and trust; research to test hypotheses derived from models about the roles of respect and trust in the treatment of pain; studies of the impact of healthcare structures and policy on patients’ experiences of care; research focusing on developmental and interpersonal processes related to respect and trust; applications of attribution and other social psychology theories; and development and evaluation of interventions to improve the hospital treatment of SCD pain by increasing respect and trust. Introduction to Nursing Research/NRS- 433V – Literature search example – Pain Management with Sickle Cell Patients.
Ohara, D.G., Ruas, G., Castro, S.S., J., & P. (2012). Musculoskeletal pain, profile and quality of life of individuals with sickle cell disease. Brazilian Journal Of Physical Therapy / Revista Brasileira De Fisioterapia, 16(5), 431-438.
Abstract
Background: Sickle cell disease is a prevalent condition in Brazil. Its clinical presentation includes vascular occlusion that result in ischemia, inflammation, dysfunctions, pain and chronic hemolysis, causing irreversible damage and compromising quality of life. Objective: The objectives of this study were to verify the relationship between musculoskeletal pain, from different body parts, with social economic characteristics and quality of life among individuals with sickle cell disease. Method: 27 individuals with sickle cell disease were interviewed with the use of a structured questionnaire with questions about personal, social, economic and cultural variables, the Nordic musculoskeletal symptoms questionnaire and the SF-36 Health Survey. Introduction to Nursing Research/NRS- 433V – Literature search example – Pain Management with Sickle Cell Patients. Data were analyzed descriptively using frequencies and percentages. The inferential Chi-Square test was used for dichotomous variables and the Student t- test for continuous variables, with a significance of 5%. A logistic regression was performed using all variables that correlated with pain as dependent variables. Results: The mean age was 31.77 years, predominantly male, black, registered active employment, with average education and income up to three minimum wages. The regions most affected by pain were hip/limbs, chest, lower back and arms. Physical Functioning from the SF-36 had the highest score and mental health the lowest score. Musculoskeletal pain was present in the arms, chest and lower back. Social Functioning was not associated with pain, indicating the influence of other factors. Arm pain was more frequent in black individuals and those with low education. Conclusion: Body pain was associated with race and education and all pain areas were associated with the physical components of the SF-36. Pain was significantly associated with vitality and mental health components of the SF-36. Introduction to Nursing Research/NRS- 433V – Literature search example – Pain Management with Sickle Cell Patients.
Valente, S., Alexander, J., Blount, M., Fair, J., Goldsmith, C., & Williams, L. (2010). Sickle cell disease in emergency department: education for emergency nurses. JOCEPS:The Journal Of Chi Eta Phi Sorority, 54(1), 11-14.
Abstract
This project reflects a partnership of Mu Chi Chapter with the Sickle Cell Disease Foundation of California to improve emergency department nurses ‘ evaluation and management of Sickle Cell Disease (SCD). Although SCD is a prevalent, chronic and painful disorder, nurses report they lack training, cultural competence, and understanding of this disorder. Our educational pilot program will improve emergency department nurses’ knowledge, attitudes, assessment, and management of Sickle Cell Disease. TI1e project recruited 51 attendees at a one-day workshop on Sickle Cell Disease. The educational class was evaluated as excellent, nurses’ knowledge improved on the post test, and their incorrect beliefs decreased. Introduction to Nursing Research/NRS- 433V – Literature search example – Pain Management with Sickle Cell Patients.