Other Titles
Nurses attitudes and clinical decisions related to pain management
Abstract
Session presented on Monday, July 27, 2015:
Purpose: Pain is one of the leading causes that individuals seek healthcare, however, clinical outcomes for patients with pain are not ideal. The purpose of this presentation is to describe integrative approaches for pain management, examine the results of a clinical trial that evaluated a non-invasive neuroelectrical stimulation therapy for patients with chronic pain and discuss the delivery of integrative nursing interventions for pain management.
Methods: A double-blinded randomized sham-controlled trial was conducted to evaluate a non-invasive neurocutaneous electrical stimulation therapy for patients with chronic pain. Subjective pain ratings, pain sensitivity measured by quantitative sensory testing, and mRNexpression profiles of pain sensitivity genes were assessed in participants before and after the intervention. Clinical outcome measures included functional abilities (physical function, exercise, work), symptom self-management and quality of life.
Results: Compared with the sham group, the Calmare group showed a significant decrease in the 'worst' pain and interference scores at three weeks follow-up. There were also significant differences in measures of pain sensitivity and differential mRNexpression of 17 pain genes between the Calmare and sham groups suggesting that Calmare can be effective in reducing pain intensity and interference in individuals with persistent low back pain by altering the mechanisms of enhanced pain sensitivity.
Conclusion: Integrative approaches that incorporate multi-modal strategies for pain management can improve clinical outcomes for patients with chronic pain. Nurses can use this research to inform the delivery of integrative interventions for patients suffering with chronic pain.
Sigma Membership
Unknown
Type
Presentation
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
Pain, Integrative Interventions, Clinical Outcomes
Recommended Citation
Starkweather, Angela R., "Improving chronic pain outcomes with integrative nursing interventions" (2016). INRC (Congress). 3.
https://www.sigmarepository.org/inrc/2015/presentations_2015/3
Conference Name
26th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
San Juan, Puerto Rico
Conference Year
2015
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Acquisition
Proxy-submission
Improving chronic pain outcomes with integrative nursing interventions
San Juan, Puerto Rico
Session presented on Monday, July 27, 2015:
Purpose: Pain is one of the leading causes that individuals seek healthcare, however, clinical outcomes for patients with pain are not ideal. The purpose of this presentation is to describe integrative approaches for pain management, examine the results of a clinical trial that evaluated a non-invasive neuroelectrical stimulation therapy for patients with chronic pain and discuss the delivery of integrative nursing interventions for pain management.
Methods: A double-blinded randomized sham-controlled trial was conducted to evaluate a non-invasive neurocutaneous electrical stimulation therapy for patients with chronic pain. Subjective pain ratings, pain sensitivity measured by quantitative sensory testing, and mRNexpression profiles of pain sensitivity genes were assessed in participants before and after the intervention. Clinical outcome measures included functional abilities (physical function, exercise, work), symptom self-management and quality of life.
Results: Compared with the sham group, the Calmare group showed a significant decrease in the 'worst' pain and interference scores at three weeks follow-up. There were also significant differences in measures of pain sensitivity and differential mRNexpression of 17 pain genes between the Calmare and sham groups suggesting that Calmare can be effective in reducing pain intensity and interference in individuals with persistent low back pain by altering the mechanisms of enhanced pain sensitivity.
Conclusion: Integrative approaches that incorporate multi-modal strategies for pain management can improve clinical outcomes for patients with chronic pain. Nurses can use this research to inform the delivery of integrative interventions for patients suffering with chronic pain.