Nursing Care for Patients with Chronic Pain

A Special Issue of Nursing Reports (ISSN 2039-4403).

Deadline for manuscript submissions: 30 November 2026 | Viewed by 8933

Editors


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Guest Editor
1. Department of Nursing, University of Applied Health Sciences, 10000 Zagreb, Croatia
2. Department of Nursing, Faculty of Health Studies, University of Rijeka, 51000 Rijeka, Croatia
3. European Specialist Nursing Organization, 30016 Arnhem, The Netherlands
Interests: critical care; nursing management; nursing leadership; nursing care; pain treatment
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
Department of Nursing, University of Applied Health Sciences, 10000 Zagreb, Croatia
Interests: nursing leadership; nursing care; intensive care; pain treatment
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
Department of Nursing, University of Applied Health Sciences, 10000 Zagreb, Croatia
Interests: nursing leadership; nursing care; intensive care; pain treatment

Special Issue Information

Dear Colleagues,

Chronic pain is defined as pain that lasts or recurs for more than three to six months. It is a complex and multifactorial condition that impacts an individual's physical, emotional, and social well-being. The current literature on the subject of chronic pain highlights that it is a global public health issue, with significant impacts on individuals and society as a whole. Studies indicate that chronic pain can significantly reduce quality of life, limiting daily activities and work capacity and contributing to the development of anxiety and depression. In Croatia, as in other countries, chronic pain represents a significant health and economic burden.

There are various approaches to the treatment and management of chronic pain, including pharmacological and non-pharmacological methods. The effectiveness of these methods can vary, and a multidisciplinary approach is often considered the most effective in improving patients' quality of life.

We invite you to contribute to the Special Issue “Nursing Care for Patients with Chronic Pain’’ in Nursing Reports. We aim to gather scientific work from across the world on this important topic. Chronic pain is a highly researched topic, but it remains one of the key issues in healthcare systems. With this Special Issue, we will highlight the role of nurses in the treatment of chronic pain, malignant or non-malignant, and present nursing research.

Dr. Adriano Friganovic
Dr. Biljana Filipovic
Dr. Irena Kovačević
Guest Editors

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Keywords

  • nursing care
  • pain
  • chronic
  • malignant
  • non-malignant
  • quality of life
  • end-of-life care

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Published Papers (4 papers)

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Research

14 pages, 435 KB  
Article
Clinical Manifestations Associated with Pain in Nursing Students in Emerging Adulthood with Long COVID
by Marisol Ignacio Albino, Yolanda Hernández Ortega, Lorena Chaparro Díaz, María de Lourdes Rico González, Patricia Cruz Bello, Zuleyma González Miguel, Nicolas Santiago González, María Gicela Pérez Hernandez, Ángel Eduardo Bárcenas García and María de Lourdes García Hernández
Nurs. Rep. 2026, 16(9), 302; https://doi.org/10.3390/nursrep16090302 - 26 Aug 2026
Viewed by 262
Abstract
Objective: To identify the clinical manifestations associated with pain in nursing students in emerging adulthood with Long COVID (LC). Methods: A cross-sectional, descriptive, and analytical study was conducted. The universe comprised 1508 students from a Faculty of Nursing in the State [...] Read more.
Objective: To identify the clinical manifestations associated with pain in nursing students in emerging adulthood with Long COVID (LC). Methods: A cross-sectional, descriptive, and analytical study was conducted. The universe comprised 1508 students from a Faculty of Nursing in the State of Mexico. The sample size of 307 participants was calculated using Cochran’s formula (1977) with 95% confidence and a 5% margin of error, with correction for finite populations; participants were invited through an open call and selected non-probabilistically according to inclusion criteria and willingness to participate. Instrument: A questionnaire on post-SARS-CoV-2 health conditions was used, with reliability assessed in a pilot test through internal consistency measures, obtaining a Cronbach’s Alpha = 0.86 and KR-20 = 0.87. It was administered between the third and fourth week following the three-month mark after COVID-19 onset. Descriptive analysis, Fisher’s exact test, and a binary logistic regression model were used, with pain as the dependent variable (1 = yes, 0 = no); statistical significance was set at p < 0.05, with a 95% CI. Results: 40.4% of students reported pain—(46.6%) males and (39.0%) females—with a significant association between age group and pain (p < 0.001). A total of 198 painful clinical manifestations were reported: headache (48.0%), chest oppression (26.8%), and myalgias (23.2%). The model showed that taste alteration (p < 0.001) and decreased vision (p < 0.001) were associated with a lower likelihood of pain, while gastrointestinal alterations (p = 0.025) and fatigue (p = 0.048) were associated with a higher likelihood of pain. Conclusions: Pain in students with LC is associated with clinical manifestations, mainly gastrointestinal alterations, and fatigue. Full article
(This article belongs to the Special Issue Nursing Care for Patients with Chronic Pain)
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14 pages, 762 KB  
Article
Nurses’ Pain Knowledge, Attitudes, and Perceived Barriers to Timely Analgesia in a Saudi Tertiary Hospital: A Cross-Sectional Study
by Khulud Adel Abudawood and Rawan Almutairi
Nurs. Rep. 2026, 16(7), 245; https://doi.org/10.3390/nursrep16070245 - 15 Jul 2026
Viewed by 400
Abstract
Pain is highly prevalent during hospitalization, and inadequate assessment contributes to avoidable suffering, prolonged length of stay, and increased resource use. Nurses play a central role in pain assessment, timely analgesic administration, patient education, and escalation of care. Background/Objectives: This study assessed nurses’ [...] Read more.
Pain is highly prevalent during hospitalization, and inadequate assessment contributes to avoidable suffering, prolonged length of stay, and increased resource use. Nurses play a central role in pain assessment, timely analgesic administration, patient education, and escalation of care. Background/Objectives: This study assessed nurses’ knowledge and attitudes regarding pain assessment and management and examined perceived causes of delayed pain treatment and perceived barriers to timely pain control at a tertiary hospital in Saudi Arabia. Methods: A descriptive cross-sectional study was conducted in inpatient and outpatient departments at King Abdulaziz Medical City, Jeddah, Saudi Arabia (August–December 2023). Registered nurses providing direct patient care were recruited via convenience sampling. Data were collected using a demographic and clinical practice questionnaire, the Nurses’ Knowledge and Attitudes Survey Regarding Pain (NKASRP), and an adopted instrument assessing perceived causes of delayed pain treatment and perceived barriers. Data were analyzed using descriptive statistics, two-tailed t-tests, one-way ANOVA with assumption checks and post hoc testing, Pearson correlations, and multiple linear regression. Results: A total of 125 nurses participated; 95.2% were female and 80.8% held a bachelor’s degree. The mean NKASRP composite score was 46.69% (SD = 9.90), indicating a suboptimal knowledge-and-attitudes profile. Age group was significantly associated with NKASRP scores (F = 5.136, p = 0.007), and age remained the only significant independent predictor in the multivariable model (b = 0.055, p = 0.006). The most frequently perceived delay was contacting a physician for opioid prescription (58.4%), followed by obtaining opioids from the pharmacy (46.4%). Major perceived barriers included insufficient staff–patient communication (60.0%), insufficient patient knowledge of pain control (52.8%), and inadequate staffing (49.6%). Conclusions: Nurses demonstrated a low composite knowledge-and-attitudes score and reported communication, workflow, and system-related barriers relevant to timely analgesia. These findings support further prospective evaluation of targeted educational and system-level strategies in similar settings. Full article
(This article belongs to the Special Issue Nursing Care for Patients with Chronic Pain)
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14 pages, 2359 KB  
Article
Pharmacological and Non-Pharmacological Postoperative Pain Management Practices Among Nurses in Vietnam: A Cross-Sectional Study
by Van Hoi Le, Huu Thuan Vo, Thi Bich Thuy Tran, My Hanh Dang, Cai Thi Thuy Nguyen and Thi Anh Nguyen
Nurs. Rep. 2026, 16(4), 106; https://doi.org/10.3390/nursrep16040106 - 25 Mar 2026
Viewed by 1217
Abstract
Background/Objectives: Despite extensive research on nurses’ knowledge and attitudes toward pain management globally, limited evidence exists regarding the actual implementation of multimodal pain management practices among Vietnamese nurses. This study aimed to (1) assess nurses’ implementation of pharmacological and non-pharmacological postoperative pain management [...] Read more.
Background/Objectives: Despite extensive research on nurses’ knowledge and attitudes toward pain management globally, limited evidence exists regarding the actual implementation of multimodal pain management practices among Vietnamese nurses. This study aimed to (1) assess nurses’ implementation of pharmacological and non-pharmacological postoperative pain management interventions, (2) examine the relationships among knowledge, attitude, and practice (KAP), and (3) identify predictors of competent practice with attention to the relative contributions of formal training versus clinical experience. Methods: A cross-sectional survey was conducted among 230 nurses working in Urology Departments from two tertiary public hospitals in Ho Chi Minh City, Vietnam, between April and June 2024, focusing on postoperative pain management. Pain management knowledge, attitudes, and practices were assessed using validated instruments. Independent samples t-tests compared trained versus untrained nurses. Multiple linear regression identified predictors of practice competency. Effect sizes (Cohen’s d) quantified the magnitude of training effects. Results: Nurses demonstrated moderate-to-good competency, with pharmacological interventions (M = 3.74) implemented more consistently than non-pharmacological interventions (M = 3.48, p < 0.001). Trained nurses significantly outperformed untrained nurses across all domains with large effect sizes (Cohen’s d = 1.34–1.54). A clear hierarchy emerged in non-pharmacological practice: environmental (M = 4.01) > physical (M = 3.69) > cognitive–behavioral (M = 3.27) > spiritual (M = 2.60). Strong KAP correlations were observed (r = 0.70–0.85, p < 0.001). Prior training was the strongest predictor of both pharmacological (β = 1.31, p < 0.001) and non-pharmacological practice (β = 0.58, p < 0.001), while clinical experience showed no significant effect (p > 0.40). Conclusions: This study provides evidence that formal training—not clinical experience—is strongly associated with competent postoperative pain management practice among Vietnamese nurses, with large effect sizes demonstrating practical significance. The strong KAP relationships support targeted educational interventions addressing knowledge gaps to improve practice. These findings have implications for nursing education research in Vietnam and similar healthcare settings. Full article
(This article belongs to the Special Issue Nursing Care for Patients with Chronic Pain)
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16 pages, 266 KB  
Article
Experiences, Beliefs, and Values of Patients with Chronic Pain Who Attended a Nurse-Led Program: A Descriptive Phenomenological Qualitative Study
by Jose Manuel Jimenez Martin, Angelines Morales Fernandez, Manuel Vergara Romero and Jose Miguel Morales Asencio
Nurs. Rep. 2025, 15(8), 269; https://doi.org/10.3390/nursrep15080269 - 25 Jul 2025
Cited by 2 | Viewed by 3446
Abstract
Aim: To explore the experiences, beliefs, and values of patients who participated in a two-arm randomized clinical trial assessing a nurse-led intervention program for chronic pain self-management, which demonstrated positive effects on pain reduction, depression, and anxiety, and on health-related quality of life [...] Read more.
Aim: To explore the experiences, beliefs, and values of patients who participated in a two-arm randomized clinical trial assessing a nurse-led intervention program for chronic pain self-management, which demonstrated positive effects on pain reduction, depression, and anxiety, and on health-related quality of life 24 months after completion of the program. Design: Descriptive phenomenological qualitative study. Methods: Patients were recruited via telephone, informed about the study, and invited to participate in an individual interview at a place of their choice (hospital or home). All interviews were audiotaped, and an inductive thematic analysis was performed. Results: Seven interviews were carried out between both groups. Six emerging categories were found: effective relationship with the healthcare system, learning to live with pain, family and social support, behaviors regarding pain, resources for self-management, and concomitant determinants. Conclusions: Patients report key aspects that help us to understand the impact of this type of nurse-led group intervention: the intrinsic therapeutic effect of participating in the program itself, the ability to learn to live with pain, the importance of family and social support, the modification of pain-related behaviors, and the identification of resources for self-care. The findings highlight the need for gender-sensitive, individualized care approaches to chronic pain, addressing stigma and social context. Expanding community-based programs and supporting caregivers is essential, as is further research into gender roles, family dynamics, and work-related factors. Full article
(This article belongs to the Special Issue Nursing Care for Patients with Chronic Pain)
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