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Pain Management in Healthcare Practice
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Pain Management in Healthcare Practice

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Pain Management".

Deadline for manuscript submissions: 28 February 2025 | Viewed by 4129

Special Issue Editor

Prof. Dr. Mimi M.Y. Tse

E-Mail Website
Guest Editor
School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China
Interests: pain management strategies including music, vision, exercise, humour, massage, use of play therapies and gardening activities; enhance quality of living and quality of life for older persons

Special Issue Information

Dear Colleagues,

People are suffering from acute or chronic pain due to work, diseases, etc. Pain is associated with significant physical and psychosocial incapacities, and interferes with people’s daily and social activities. Persistent pain is associated with various adverse outcomes, including functional impairment, cognitive failure, depression, anxiety, falls, sleep and appetite disturbances, reduced social interaction and unnecessary healthcare use and expenditures [1].

Pain is usually inadequately managed. Analgesics remain the primary approach to pain management, but people worry about adverse drug reactions. Non-pharmacological strategies, including pain education programmes, exercise programmes, massage, relaxation therapies, cognitive-behavioural therapy, listening to music, visual  stimulation and motivational interviewing, are becoming increasingly popular [2].

This Special Issue aims to serve as a platform for new scientific evidence on pain management in healthcare practice. Research areas may include (but are not limited to) the keywords listed below.

References

  1. Zis, P.; Daskalaki, A.; Bountouni, I.; Sykioti, P.; Varrassi, G.; Paladini, A. Depression and chronic pain in the elderly: Links and management challenges. Clin. Interv. Aging, 2017, 12, 709–720. https://doi.org/10.2147/CIA .S113576
  1. Abdulla, A.; Adams, N.; Bone, M.; Elliott, A. M.; Gaffin, J.; Jones, D.; Knaggs, R.; Martin, D.; Sampson, L.; Schofield, P. Guidance on the management of pain in older people. Age Ageing, 2013, 42(Suppl 1), i1–i57. https://doi.org/10.1093/ageing/afs200

Prof. Dr. Mimi M.Y. Tse
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • pain
  • acute pain
  • chronic pain
  • older adults
  • depression
  • non-pharmacological
  • exercise
  • healthcare
  • home care
  • dyadic pain management

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Further information on MDPI's Special Issue polices can be found here.

Published Papers (4 papers)

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Research

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18 pages, 614 KiB  
Article
Exploring the Pain Situation, Pain Impact, and Educational Preferences of Pain Among Adults in Mainland China, a Cross-Sectional Study
by Jiafan He, Mimi Mun Yee Tse, Tyrone Tai On Kwok, Timothy Chung Ming Wu and Shukkwan Tang
Healthcare 2025, 13(3), 289; https://doi.org/10.3390/healthcare13030289 - 31 Jan 2025
Viewed by 261
Abstract
Objectives: This study aimed to investigate the pain situation, functional limitations, treatment used, care-seeking behaviors, and educational preferences of adults with pain in mainland China. Methods: An online questionnaire was developed through expert validation, and participants were recruited via social media platforms. Inclusion [...] Read more.
Objectives: This study aimed to investigate the pain situation, functional limitations, treatment used, care-seeking behaviors, and educational preferences of adults with pain in mainland China. Methods: An online questionnaire was developed through expert validation, and participants were recruited via social media platforms. Inclusion criteria required having access to the Internet and smartphones, while individuals with significant cognitive impairments or severe mental illness were excluded. Results: 1566 participants, predominantly male (951) with a mean age of 30.24, were included. A total of 80.1% of the respondents reported experiencing pain, with over half suffering from chronic pain. Pain primarily affects the neck, lower back, and upper back, especially chronic low back pain. Pain significantly impacted various aspects of life, including mood, physical activity, work performance, family dynamics, and social relationships, particularly among chronic pain sufferers (p-value:  < 0.001). Analgesics (66.9%) and self-management (80–94.3%) were the most used pain management strategies, with respondents with chronic pain reporting higher usage and effectiveness of medication than those with acute pain (p-value:  < 0.001). Participants also expressed a greater interest in online education and psychotherapy interventions, especially through mobile applications. Conclusions: Chronic pain is highly prevalent in mainland China, leading to emotional distress, decreased work competency, and social isolation, with a strong demand for pain education through smartphone applications. Full article
(This article belongs to the Special Issue Pain Management in Healthcare Practice)
12 pages, 271 KiB  
Article
Healthcare Utilization (HCU) Reduction with High-Frequency (10 kHz) Spinal Cord Stimulation (SCS) Therapy
by Vinicius Tieppo Francio, Logan Leavitt, John Alm, Daniel Mok, Byung-jo Victor Yoon, Niaman Nazir, Christopher M. Lam, Usman Latif, Timothy Sowder, Edward Braun, Andrew Sack, Talal W. Khan and Dawood Sayed
Healthcare 2024, 12(7), 745; https://doi.org/10.3390/healthcare12070745 - 29 Mar 2024
Cited by 2 | Viewed by 1504
Abstract
Spinal cord stimulation (SCS) is a well-established treatment for patients with chronic pain. With increasing healthcare costs, it is important to determine the benefits of SCS in healthcare utilization (HCU). This retrospective, single-center observational study involved 160 subjects who underwent implantation of a [...] Read more.
Spinal cord stimulation (SCS) is a well-established treatment for patients with chronic pain. With increasing healthcare costs, it is important to determine the benefits of SCS in healthcare utilization (HCU). This retrospective, single-center observational study involved 160 subjects who underwent implantation of a high-frequency (10 kHz) SCS device. We focused on assessing trends in HCU by measuring opioid consumption in morphine milligram equivalents (MME), as well as monitoring emergency department (ED) and office visits for interventional pain procedures during the 12-month period preceding and following the SCS implant. Our results revealed a statistically significant reduction in HCU in all domains assessed. The mean MME was 51.05 and 26.52 pre- and post-implant, respectively. There was a 24.53 MME overall decrease and a mean of 78.2% statistically significant dose reduction (p < 0.0001). Of these, 91.5% reached a minimally clinically important difference (MCID) in opioid reduction. Similarly, we found a statistically significant (p < 0.01) decrease in ED visits, with a mean of 0.12 pre- and 0.03 post-implant, and a decrease in office visits for interventional pain procedures from a 1.39 pre- to 0.28 post-10 kHz SCS implant, representing a 1.11 statistically significant (p < 0.0001) mean reduction. Our study reports the largest cohort of real-world data published to date analyzing HCU trends with 10 kHz SCS for multiple pain etiologies. Furthermore, this is the first and only study evaluating HCU trends with 10 kHz SCS by assessing opioid use, ED visits, and outpatient visits for interventional pain procedures collectively. Preceding studies have individually investigated these outcomes, consistently yielding positive results comparable to our findings. Full article
(This article belongs to the Special Issue Pain Management in Healthcare Practice)
13 pages, 285 KiB  
Article
Gender Differences among Nurses in Managing Arterial Puncture-Related Pain: A Multicenter Cross-Sectional Study
by Julio Alberto Mateos-Arroyo, Ignacio Zaragoza-García, Rubén Sánchez-Gómez, Paloma Posada-Moreno, Sara García-Almazán and Ismael Ortuño-Soriano
Healthcare 2024, 12(5), 531; https://doi.org/10.3390/healthcare12050531 - 23 Feb 2024
Cited by 1 | Viewed by 1009
Abstract
There is evidence that healthcare can be executed differentially depending on the gender of patients, researchers, and clinicians. The aim was to analyze the possible existence of nursing gender differences in pain management produced by arterial puncture for blood gas analysis. A cross-sectional, [...] Read more.
There is evidence that healthcare can be executed differentially depending on the gender of patients, researchers, and clinicians. The aim was to analyze the possible existence of nursing gender differences in pain management produced by arterial puncture for blood gas analysis. A cross-sectional, multicenter study designed was conducted in Castilla-la Mancha (Spain). Variables of interest were collected from nurses in the public health system of a European region through a questionnaire. Data were collected for four months; the primary outcome was the use of any intervention to reduce pain and the explanatory variable was the nurse’s gender. Bivariate analysis was carried out to assess associations between gender and pain-reducing interventions and a multivariate model was created with those factors that were relevant using logistic regression. A significantly higher proportion of men reported using some form of intervention (45% vs. 30%) and had more specific training (45.9% vs. 32.4%). The adjusted probability of using pain-reducing interventions by men was 71% higher than women. Thus, we found gender differences in the management of pain caused by arterial punctures performed by nurses as the main healthcare providers. Full article
(This article belongs to the Special Issue Pain Management in Healthcare Practice)

Other

Jump to: Research

14 pages, 516 KiB  
Opinion
Framing and Management of Migraines in Women: An Expert Opinion on Challenges, Current Approaches, and Future Multidisciplinary Perspectives
by Piero Barbanti and Rossella E. Nappi
Healthcare 2025, 13(2), 164; https://doi.org/10.3390/healthcare13020164 - 16 Jan 2025
Viewed by 650
Abstract
Background/Objectives: Migraines are a common neurological disorder that significantly impact women, especially during their reproductive years. Hormonal, neurological, and lifestyle factors shape migraine patterns, with fluctuations during menstruation, pregnancy, perimenopause, and menopause influencing migraine prevalence and severity. This expert opinion explores current challenges, [...] Read more.
Background/Objectives: Migraines are a common neurological disorder that significantly impact women, especially during their reproductive years. Hormonal, neurological, and lifestyle factors shape migraine patterns, with fluctuations during menstruation, pregnancy, perimenopause, and menopause influencing migraine prevalence and severity. This expert opinion explores current challenges, therapeutic strategies, and future directions for personalized care, addressing the limited inclusion of women in clinical research across different life stages. Methods: In order to focus on hormonal influences, pharmacological and non-pharmacological therapies, including CGRP monoclonal antibodies, neuromodulation, and lifestyle interventions, a comprehensive analysis of literature, in particular on clinical trials, real-world studies, and guidelines on migraine management was performed. Emerging digital tools and AI-based approaches were also evaluated to improve personalized care for women with migraine. Results: Hormonal therapies, including contraceptives and HRTs, present both risks and benefits, particularly for women with migraines with aura, highlighting the need for individualized approaches. Advances in CGRP-targeted therapies have shown effectiveness in preventing refractory migraines. Non-pharmacological treatments, such as neuromodulation, acupuncture, and lifestyle adjustments, further expand the treatment landscape. However, research gaps remain, particularly regarding hormonal influences on migraines during pregnancy and menopause. Conclusions: Future research should prioritize female-specific clinical trials to better understand the impact of hormonal changes on migraines. Tailored therapies combining pharmacological, non-pharmacological, and digital solutions are essential for improving care. A multidisciplinary approach integrating personalized medicine, technological advancements, and patient education is crucial to optimizing outcomes and enhancing quality of life for women with migraine. Full article
(This article belongs to the Special Issue Pain Management in Healthcare Practice)
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