FACTORS AFFECTING PATIENTSʼ PAIN INTENSITY DURING IN OFFICE INTRAVITREAL INJECTION PROCEDURE

Retina ◽  
2012 ◽  
Vol 32 (4) ◽  
pp. 696-700 ◽  
Author(s):  
Lana Rifkin ◽  
Shlomit Schaal
Keyword(s):  
Pain Intensity ◽  
Intravitreal Injection ◽  
Factors Affecting ◽  
Injection Procedure

scholarly journals Factors Affecting Disability With Nonspecific Low Back Pain in Different Subgroups: A Hierarchical Linear Regression Analysis

2021 ◽  
Author(s):  
Takahiro Miki ◽  
Daisuke Higuchi ◽  
Tsuneo Takebayashi ◽  
Mina Samukawa
Keyword(s):  
Regression Analysis ◽  
Pain Intensity ◽  
Psychosocial Factors ◽  
Explanatory Power ◽  
Demographic Characteristics ◽  
Low Back ◽  
Factors Affecting ◽  
Additional Variable ◽  
Chronic Group ◽  
Acute Group

Abstract Purpose: To systematically explore how disability is influenced with layers　(demographic level, pain level and psychosocial factors) in nonspecific low back pain (NSLBP) in different subgroups.Methods: This is a cross-sectional study that compared two different subgroups in NSLBP at two hospitals. Hierarchical multiple regression analysis was performed to analyse factors affecting disability in different groups (overall group, acute group and subacute/chronic group).Results: In the overall group (n = 235), explanatory power increased with each additional variable in the order of demographic characteristics, pain intensity and psychosocial factors. Pain intensity (ß = 0.219), Pain Catastrophising Scale (PCS) (ß = 0.175) and Pain Self-Efficiency Questionnaire (PSEQ) (ß = −0.370) were significantly associated with disability. In the acute group (n = 65), explanatory power improved with each additional variable for the disability in the order of demographic characteristics, pain intensity and psychosocial factors. Ultimately, pain intensity and PSEQ had significant explanatory power, with pain having the most influence. However, in the subacute/chronic group (n = 170), explanatory power increased with each additional variable in the order of demographic characteristics, pain intensity and psychosocial factors and all, including psychosocial factors, had a strong impact, with self-efficacy having the most substantial impact on disability.Conclusion: Depending on the duration of the disease, the factors affecting the disability differed, with pain having more influence than psychosocial factors in the acute phase and psychosocial factors having more influence in the chronic phase.

scholarly journals Factors Affecting the Satisfaction Levels of Patients who Underwent Orthopedic Knee Surgery in the Early Postoperative Period

2021 ◽  
Vol 8 ◽  
pp. 237437352110433
Author(s):  
Arzu Erden ◽  
Murat Emirzeoğlu
Keyword(s):  
Pain Intensity ◽  
Negative Correlation ◽  
Postoperative Period ◽  
Cruciate Ligament ◽  
Early Postoperative Period ◽  
Knee Surgery ◽  
Factors Affecting ◽  
Arthroscopic Meniscectomy ◽  
Weak Negative Correlation ◽  
Anterior Cruciate

The aim of this study was to investigate the effects of biopsychosocial parameters in the early postoperative period on the satisfaction of patients. Seventy-seven patients (female/male: 61/16, age: 40.28 ± 17.67 years) who underwent arthroscopic meniscectomy (n = 43), anterior cruciate ligament reconstruction (n = 25) and total knee arthroplasty (n = 9) were included in this study. The satisfaction levelwas evaluated using the Orthopedics Service Inpatient Satisfaction Survey (OTISS). In addition, the pain intensity, anxiety, depression, and independence level in daily living activities of the patients were evaluated. There was a very weak negative correlation between the anxiety and the satisfaction level with the physiotherapist and secretary ( r: −0.274, p: 0.016; r:−0.265, p: 0.020). A very weak negative correlation was found between the pain intensity at activity and satisfaction with the nurse ( r: −0.227, p: 0.048). There were very weak correlations between feeding and satisfaction with the physiotherapist ( r: 0.292, p: 0.010), secretary ( r: 0.285, p: 0.012), doctor ( r: −0.269, p: 0.018), nurse ( r: 0.300, p: 0.008) general satisfaction ( r: 0.251, p: 0.028) and OTISS total score ( r: −0.305, p: 0.007). In conclusion, the pain intensity, anxiety, and independence level in the early postoperative period were related to the satisfaction levels of patients who have undergone orthopedic knee surgery.

scholarly journals Features of conducting medial branches radiofrequency neurotomy in the cervical spine

2018 ◽  
Vol 24 (2) ◽  
pp. 37-43
Author(s):  
V.G. Sichinava
Keyword(s):  
Cervical Spine ◽  
Pain Intensity ◽  
Functional State ◽  
Neck Disability Index ◽  
Chronic Neck Pain ◽  
Spinal Nerve ◽  
Medial Branch ◽  
Preoperative Pain ◽  
Factors Affecting ◽  
Radiofrequency Neurotomy

Objective — optimize the technique of radiofrequency destruction of the medial branch of the spinal nerve and evaluate its effectiveness in the treatment of reflex pain syndromes of the cervical spine. Materials and methods. In 30 patients with chronic pain in the neck and upper extremities who were treated in the department of neurosurgery N 2 of the Kyiv City Clinical Emergency Hospital from 2014 to 2017, the effectiveness of the radiofrequency neurotomy of the medial branch of the spinal cord back root and the clinical significance of diagnostic blockades. There were 14 men (46.7 %), women — 16 (53.3 %). The age of the patients is from 38 to 75 years (the average age is 53.7 years). Neurotomy was performed in patients with chronic neck pain with irradiation in the upper limbs, in which diagnostic blockades were effective. The study did not include patients with myelopathy and radiculopathy. Preoperative pain intensity ranges from 5 to 9 points (on average, 7.50 ± 0.86 points) on a visual analog scale (VAS). The duration of pain before surgery ranged from 6 months to 20 years (an average is 3.5 years). In 21 patients, the pain was one-sided (9 in the right, 12 in the left), and the others with a bilateral one. All patients underwent clinical and neurological examination, roentgenography of the cervical spine and magnetic resonance imaging. The efficacy of the therapy was assessed with the help of the VAS, the functional state using the NDI (Neck Disability Index) questionnaire. Results. The pain intensity was assessed after 1, 3, 6 and 12 months. The pain intensity according to the VAS decreased from (7.50 ± 0.86) point before the operation to (2.07 ± 0.74) points after 12 months. A significant statistically significant (p < 0.05) improvement in the functional state compared with the baseline was noted in the postoperative period. Preoperative functional status was assessed on average (27.80 ± 1.19) points on the NDI scale. A week after the neurotomy, there was a statistically significant decrease in the total score on the NDI scale to an average of 12.90 ± 0.69, after 12 months to 13.10 ± 1.01. Conclusions. Factors affecting the effectiveness of radiofrequency destruction include the proper selection of patients, the accuracy of diagnostic tests and the technically correct installation of the electrode. Knowledge of the anatomical features of the medial branch of the spinal nerve, the X-ray anatomy, the characteristics and size of the damage during radiofrequency destruction ensure the effectiveness of neurotomy.

scholarly journals Sustainability of Evidence-Based Acute Pain Management Practices for Hospitalized Older Adults

2017 ◽  
Vol 40 (12) ◽  
pp. 1749-1764 ◽  
Author(s):  
Clayton J. Shuman ◽  
Xian-Jin Xie ◽  
Keela A. Herr ◽  
Marita G. Titler
Keyword(s):  
Older Adults ◽  
Pain Management ◽  
Pain Intensity ◽  
Acute Pain ◽  
Management Practices ◽  
Cluster Randomized Trial ◽  
Evidence Based ◽  
Acute Pain Management ◽  
Factors Affecting ◽  
Hospitalized Older Adults

Little is known regarding sustainability of evidence-based practices (EBPs) following implementation. This article reports sustainability of evidence-based acute pain management practices in hospitalized older adults following testing of a multifaceted Translating Research Into Practice (TRIP) implementation intervention. A cluster randomized trial with follow-up period was conducted in 12 Midwest U.S. hospitals (six experimental, six comparison). Use of evidence-based acute pain management practices and mean pain intensity were analyzed using generalized estimating equations across two time points (following implementation and 18 months later) to determine sustainability of TRIP intervention effects. Summative Index scores and six of seven practices were sustained. Experimental and comparison group differences for mean pain intensity over 72 hours following admission were sustained. Results revealed most evidence-based acute pain management practices were sustained for 18 months following implementation. Further work is needed to identify factors affecting sustainability of EBPs to guide development and testing of sustainability strategies.

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