Pain management in complex wounds: a scoping review and analysis using comfort theory.
Mariana Érica da Silva Paixão, Yzis Oliveira Pontes Pereira, Amanda Meireles Medeiros and 4 others
PMID 41774885WHAT IT FOUND
Pain management evidence for complex wounds mapped into physical and psycho-spiritual comfort interventions, including scales, dressings, virtual reality, analgesics, and relaxation techniques across 27 studies.
Key findings
01This review mapped pain-management evidence from 27 included articles, of 1,577 records identified.
02The mapped evidence formed 2 categories and 4 subcategories, covering physical and psycho-spiritual comfort.
03Ibuprofen-containing foam dressings were mapped among analgesic physical interventions.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The review included only articles and theses available in full and free, which may narrow the corpus. The included studies had mixed levels of evidence, and the review noted low levels of evidence in part of the sample. The search limited Google Scholar to the first 100 results, and all included articles were in English. The review found it difficult to identify interventions covering all comfort domains, especially sociocultural and environmental care. Most included studies were from the United Kingdom and United States, so local applicability may be limited.
The easy way to misread this
Do not read the mapped interventions as evidence that they work. This was a scoping review of 27 articles from 1,577 records, and it noted low levels of evidence in part of the sample.