期刊
INTERNATIONAL JOURNAL OF ORTHOPAEDIC AND TRAUMA NURSING
卷 24, 期 -, 页码 59-67出版社
ELSEVIER SCI LTD
DOI: 10.1016/j.ijotn.2016.04.001
关键词
Extremity trauma; Limb injury; Acute pain; Chronic pain; Acute to chronic pain transition; Risk factors; Protective factors; Prognostic factors
类别
资金
- Canadian Institutes of Health Research (CIHR)
- Fonds de Recherche du Quebec - Sante (FRQ-S)
- Quebec Nursing Intervention Research Network (RRISIQ)
- McGill University
Background: The first part of this series of 2 articles revealed that chronic pain is an important issue post extremity trauma (ET) involving permanent biological transformations. Interventions aimed at preventing chronic pain in ET patients are therefore required. Objective: To conduct a comprehensive analysis of literature on risk and protective factors for chronic pain post-ET to guide the development of relevant preventive interventions. Methods: A narrative review of the literature was undertaken. Databases were searched to identify studies on chronic pain prognostic factors in ET patients. Results: Demographic, injury-related and psychological factors were shown to either contribute to or limit acute to chronic pain transition. High-intensity acute pain has consistently been identified as an important chronic pain risk factor. Other significant documented risk factors include: female gender, older age, less than college education, lower limb injury, symptoms of anxiety and depression and pain catastrophizing. Pain self-efficacy and pain acceptance have been shown to protect individuals against chronic pain. Conclusions: This narrative review highlights factors placing ET patients at higher risk of chronic pain or protecting them against this problem. Determining how these factors could be addressed in preventive interventions is the next step before undertaking their development. Crown Copyright (C) 2016 Published by Elsevier Ltd. All rights reserved.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据