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Healthcare
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Management and Nursing Strategy for Patients with Pain
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Management and Nursing Strategy for Patients with Pain

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

Deadline for manuscript submissions: 15 April 2026 | Viewed by 7508

Special Issue Editors

Dr. Manuel Pabón-Carrasco

E-Mail Website
Guest Editor
Faculty of Nursing, Physiotherapy and Podiatry, Universidad de Sevilla, C/Avenzoar, 41009 Seville, Spain
Interests: pain; nursing process; outcomes in health; complexity of care; meta-analysis; nursing healthcare; helycobacter pylori
Special Issues, Collections and Topics in MDPI journals
Dr. Samuel Vilar-Palomo

E-Mail Website
Guest Editor Assistant
Faculty of Nursing, Physiotherapy and Podiatry, Universidad de Sevilla, C/Avenzoar, 41009 Seville, Spain
Interests: pain; pain management; capsaicin patches; nursing; neurostimulators; pain strategies
Dr. Aurora Castro-Mendez

E-Mail Website
Guest Editor Assistant
Faculty of Nursing, Physiotherapy and Podiatry, Universidad de Sevilla, C/Avenzoar, 41009 Seville, Spain
Interests: biomechanics; osteoarticular pain management; physical therapy
Special Issues, Collections and Topics in MDPI journals
Dr. Rocío Cáceres-Matos

E-Mail Website
Guest Editor Assistant
Faculty of Nursing, Physiotherapy and Podiatry, Universidad de Sevilla, C/Avenzoar, 41009 Seville, Spain
Interests: chronic pain; chronicity; pain management; nursing; gender and health; psychometry validation

Special Issue Information

Dear Colleagues,

This Special Issue will focus on providing a comprehensive insight into effectively addressing pain in our patients, considering both physical and emotional aspects.

In this Special Issue, we would like to highlight various key areas related to pain management in nursing practice. The topics of priority include the following.

Pain assessment: Articles presenting effective methods and tools for assessing pain in both acute and chronic patients are encouraged. Special attention will be given to identifying risk factors, pain intensity scales and assessing the impact of pain on the patients’ quality of life.

Nursing interventions: Authors are invited to share their experiences and expertise on the most effective nursing interventions for pain management. This may include the use of pharmacological and non-pharmacological techniques, as well as complementary and alternative therapy approaches.

Multidisciplinary approach: We recognize the importance of a collaborative approach in pain management. Therefore, we are interested in articles describing multidisciplinary care models involving healthcare professionals from various disciplines working together to improve patient outcomes.

Emotional and psychosocial aspects: Pain not only affects the patient’s physical body, but also their emotional and psychological well-being. Therefore, we would like to explore how nursing can address these aspects, including patient-centered care, pain management education and emotional support.

Gender perspectives: Given the growing awareness of gender differences in pain experience and management, we would like to include articles that explore these disparities and propose culturally sensitive care strategies.

We invite researchers and nursing professionals to contribute their original research, systematic reviews, case studies and perspectives on any of the aforementioned topics. We hope that this Special Issue will serve as a platform for the exchange of knowledge and best practices in pain management within the field of clinical nursing.

I/We look forward to receiving your contributions.

Yours sincerely

Dr. Manuel Pabón-Carrasco
Guest Editor

Dr. Samuel Vilar-Palomo
Dr. Aurora Castro-Mendez
Dr. Rocío Cáceres-Matos
Guest Editor Assistants

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 assessment
  • nursing interventions
  • multidisciplinary care
  • chronic pain management
  • acute pain management
  • patient-centered care
  • pharmacological techniques
  • non-pharmacological techniques
  • emotional support
  • psychosocial aspects
  • gender disparities
  • quality of life
  • pain intensity scales
  • complementary therapies
  • healthcare outcomes

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

Published Papers (4 papers)

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9 pages, 890 KiB  
Article
Efficacy of Chemotherapy in Pain Control of Patients with Cancer at the Early Phase of Their Disease
by Ștefan Spînu, Daniel Sur, Veronica Creciun, Daniela Moșoiu and Daniel Ciurescu
Healthcare 2025, 13(8), 931; https://doi.org/10.3390/healthcare13080931 - 18 Apr 2025
Viewed by 534
Abstract
Scope: The rationale of the present study is to measure the impact of chemotherapy on the pain caused by the disease. Materials and Methods: The present study was based on the completion of two standardized questionnaires for the assessment of physical symptoms (Brief [...] Read more.
Scope: The rationale of the present study is to measure the impact of chemotherapy on the pain caused by the disease. Materials and Methods: The present study was based on the completion of two standardized questionnaires for the assessment of physical symptoms (Brief Pain Inventory—BPI—and the revised Edmonton Symptom Assessment System—ESASr) in three different moments. The research was conducted at the Oncology Institute “Prof. Dr. Ion Chiricuță” Cluj-Napoca between 2022 and 2023. Results: 24 patients were included in the study, and they received different cytostatic treatment regimens, adapted to the underlying pathology. We analyzed the distribution of all symptoms from the ESASr and the total score. In terms of the general situation, if we exclude pain, there is never a difference between Time 2 and 3. Furthermore, in all cases where there is a statistically significant effect, there is a difference between Time 1 and 3. We also analyzed the distribution of activities with which pain interacts in BPI. Regarding the general situation, three patterns of influence of pain on the examined parameters are found: for general activity, mood, ability to work, and sleep, there are significant differences between moments 1 and 2 and 1 and 3, without significant differences between moments 2 and 3. The second pattern identified refers to the lack of effect of pain on the ability to walk and on the relationship with other people. The peculiarity is represented by the influence on the enjoyment of life that was significantly improved only from Time 1 to 3. Conclusions: The present study demonstrated a considerable effect of cytostatic treatment on the management of cancer-related pain, as shown across different evaluations. Full article
(This article belongs to the Special Issue Management and Nursing Strategy for Patients with Pain)
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14 pages, 260 KiB  
Article
Assessing the Association of Pain Intensity Scales on Quality of Life in Elderly Patients with Chronic Pain: A Nursing Approach
by Abdulaziz M. Alodhialah, Ashwaq A. Almutairi and Mohammed Almutairi
Healthcare 2024, 12(20), 2078; https://doi.org/10.3390/healthcare12202078 - 18 Oct 2024
Cited by 2 | Viewed by 2569
Abstract
Background: Chronic pain is prevalent among the elderly and significantly affects their quality of life (QoL). Pain intensity scales are crucial tools in evaluating the severity of pain and tailoring management strategies. This study investigates the relationship between various pain intensity scales and [...] Read more.
Background: Chronic pain is prevalent among the elderly and significantly affects their quality of life (QoL). Pain intensity scales are crucial tools in evaluating the severity of pain and tailoring management strategies. This study investigates the relationship between various pain intensity scales and QoL among elderly patients with chronic pain, highlighting the implications for nursing practice. Methods: A cross-sectional study was conducted with 150 elderly patients (aged 65 and above) in Riyadh, Saudi Arabia. Participants were assessed using the Numeric Rating Scale (NRS), Visual Analog Scale (VAS), and McGill Pain Questionnaire (MPQ) alongside the 36-Item Short-Form Health Survey (SF-36) to evaluate QoL. Data analysis involved Pearson correlation and multiple regression to explore the association of pain intensity on QoL. Results: All pain scales showed significant negative correlations with QoL. The MPQ exhibited a significant association, suggesting its comprehensive nature captures the multidimensional association of pain more effectively. Regression analysis identified pain intensity, age, and duration of chronic pain as significant predictors of reduced QoL. Conclusions: The findings emphasize the importance of selecting appropriate pain assessment tools that reflect the complex nature of pain in elderly patients. Implementing comprehensive pain assessments like the MPQ can enhance individualized care strategies and potentially improve the QoL in this population. This study underscores the role of nurses in optimizing pain management approaches tailored to the elderly. Full article
(This article belongs to the Special Issue Management and Nursing Strategy for Patients with Pain)
15 pages, 2495 KiB  
Article
Comparison of the Short-Term Effect between Iontophoresis and Radial Extracorporeal Shockwave Therapy in the Treatment of Plantar Fasciitis: A Randomized Controlled Trial
by Manuel Pabón-Carrasco, Manuel Coheña-Jiménez, Ana Juana Pérez-Belloso, José Algaba-del-Castillo, Rocío Cáceres-Matos and Aurora Castro-Méndez
Healthcare 2024, 12(12), 1223; https://doi.org/10.3390/healthcare12121223 - 19 Jun 2024
Cited by 1 | Viewed by 3266
Abstract
Conservative treatments for plantar fasciitis have different levels of effectiveness, so it is necessary to personalize the therapeutic modality that improves the patients’ symptoms. Methods: A double-blinded randomized clinical trial was designed to evaluate the short-term efficacy of a physical treatment in chronic [...] Read more.
Conservative treatments for plantar fasciitis have different levels of effectiveness, so it is necessary to personalize the therapeutic modality that improves the patients’ symptoms. Methods: A double-blinded randomized clinical trial was designed to evaluate the short-term efficacy of a physical treatment in chronic plantar fasciitis, namely iontophoresis, compared with radial shockwave therapy. Heel pain, health status using the EuroQol-5D questionnaire, and fascia thickness measured with ultrasound were evaluated. In total, 127 patients were randomly selected for group A and treated with iontophoresis therapy (lidocaine 0.4% and dexamethasone 0.5%), or for group B, in which they were treated with radial shockwave therapy (EWST). Measurements were taken at baseline and at follow-up during the 5 weeks of the study. Results: Statistically significant differences were observed to the shockwave therapy group in respect to the final fascia thickness, and the VAS scale (p = 0.001). The differences between groups A and B showed that the shockwave group follow-up after 3 weeks experienced complete pain remission (1.0 ± 0.9; 95%CI 0.8–1.2) and after the 6-week follow-up, complete pain remission of plantar fasciitis was observed for both therapies. Patients had a better perception of the use of EWST at the end of the treatment, although in both groups it was satisfactory (p = 0.001). Conclusions: The results of this study showed a shorter-term effectiveness of shockwave treatment compared with the use of iontophoresis. However, both techniques were effective in satisfactorily reducing pain in this short period. Full article
(This article belongs to the Special Issue Management and Nursing Strategy for Patients with Pain)
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Systematic Review
Dropout Rate of Participants in Randomized Controlled Trials Using Different Exercise-Based Interventions in Patients with Migraine. A Systematic Review with Meta-Analysis
by Sahar Taghipourazam, Maria-Dolores Cortés-Vega and Cristina García-Muñoz
Healthcare 2025, 13(9), 1061; https://doi.org/10.3390/healthcare13091061 - 5 May 2025
Viewed by 368
Abstract
Background/Objectives: Exercise has gained attention as a potentially beneficial non-pharmacological intervention, but whether this type of intervention presents a higher dropout rate compared to other interventions is still unknown. This systematic review, with a meta-analysis of randomized controlled trials, aims to determine whether [...] Read more.
Background/Objectives: Exercise has gained attention as a potentially beneficial non-pharmacological intervention, but whether this type of intervention presents a higher dropout rate compared to other interventions is still unknown. This systematic review, with a meta-analysis of randomized controlled trials, aims to determine whether exercise or comparators present lower or higher attrition in patients with migraine. Methods: A search was conducted in PubMed, Scopus, Web of Science, and Cochrane Library until March 2025. The methodological quality was evaluated using the JBI scale for randomized trials. Proportion meta-analysis calculated the dropout rate. Results: Odds ratio meta-analysis under 1 indicated lower attrition in experimental participants. Subgroup meta-analyses sorted by type of exercise, control, and migraine were conducted to explore variability in results based on the mentioned moderators. The overall pooled dropout rate was 6.7%, 11.6% for the exercise groups, and 10.1% for the comparators. No statistical difference was found between groups of studies, type of migraine, type of exercise, and type of comparator (p ≥ 0.05). Only the odds ratio results for migraine with auras showed a lower pooled dropout rate in favor of control participants, OR = 1.18. Conclusions: Although there is no statistically significant difference, the meta-analysis of proportions shows a higher loss rate in exercise-based interventions. However, the high heterogeneity found in the included studies prevents us from drawing firm conclusions. Furthermore, adequate adherence to the CONSORT guidelines in reporting losses and their reasons could help design appropriate retention strategies for studies and interventions based on exercise in patients with migraines. Full article
(This article belongs to the Special Issue Management and Nursing Strategy for Patients with Pain)
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