Faculty of Health Sciences, Queen's University, 92 Barrie Street, Kingston, Ontario K7L 3N6, Canada.
Clin Geriatr Med. 2024 Aug;40(3):501-514. doi: 10.1016/j.cger.2023.12.013. Epub 2024 Feb 3.
Chronic wound-related pain is a complex biopsychosocial experience that is experienced spontaneously at rest and exacerbated during activities. Tissue debridement, trauma at dressing change, increased bioburden or infection, exposure of periwound skin to moisture, and related treatment can modulate chronic wound-related pain. Clinicians should consider multimodal and multidisciplinary management approach that take into account the biology, emotions, cognitive thinking, social environment, and other personal determinants of pain. Unresolved pain can have a significant impact on wound healing, patients' adherence to treatment, and individual's quality of life.
慢性伤口相关疼痛是一种复杂的生物心理社会体验，在休息时会自发出现，并在活动时加剧。组织清创、换药时的创伤、生物负荷增加或感染、伤口周围皮肤暴露在潮湿环境中以及相关治疗都可能会调节慢性伤口相关疼痛。临床医生应考虑采用多模式和多学科管理方法，综合考虑生物学、情绪、认知思维、社会环境和其他个人疼痛决定因素。未解决的疼痛会对伤口愈合、患者对治疗的依从性以及个体的生活质量产生重大影响。
