Kim Junglyun, Ahn Hyochol, Lyon Debra E, Stechmiller Joyce
Department of Family, Community and Health System Science, University of Florida College of Nursing, P.O. BOX 100197, Gainesville, FL 32610-0197, USA.
Healthcare (Basel). 2016 Jan 8;4(1):7. doi: 10.3390/healthcare4010007.
Although pressure ulcers are a prevalent condition, pain associated with pressure ulcers is not fully understood. Indeed, previous studies do not shed light on the association between pressure ulcer stages and the experience of pain. Especially, pain characteristics of suspected deep tissue injury, which is a new category that was recently added by the National Pressure Ulcer Advisory Panel, are yet unknown. This is concerning because the incidence of pressure ulcers in hospitalized patients has increased exponentially over the last two decades, and health care providers are struggling to ensure providing adequate care. Thus, in order to facilitate the development of effective interventions, this paper presents a conceptual framework to explore pressure ulcer pain in hospitalized patients. The concepts were derived from a biopsychosocial model of pain, and the relationships among each concept were identified through a literature review. Major propositions are presented based on the proposed conceptual framework, which integrates previous research on pressure ulcer pain, to ultimately improve understanding of pain in hospitalized patients with pressure ulcers.
尽管压疮是一种普遍存在的病症，但与压疮相关的疼痛尚未得到充分理解。事实上，先前的研究并未阐明压疮阶段与疼痛体验之间的关联。特别是，疑似深部组织损伤（这是国家压疮咨询小组最近新增的一个类别）的疼痛特征尚不清楚。这令人担忧，因为在过去二十年中，住院患者压疮的发生率呈指数级增长，而医疗保健提供者正在努力确保提供充分的护理。因此，为了促进有效干预措施的发展，本文提出了一个概念框架，以探讨住院患者的压疮疼痛。这些概念源自疼痛的生物心理社会模型，并且通过文献综述确定了每个概念之间的关系。基于所提出的概念框架提出了主要命题，该框架整合了先前关于压疮疼痛的研究，以最终增进对住院压疮患者疼痛的理解。
