Chronic wounds and pain perception: Results of a multicentre survey

Wollina, U., Dissemond, J., Hubner, K., Junger, M., Konrad, H., Norgauer, J. and Price, Patricia Elaine 2008. Chronic wounds and pain perception: Results of a multicentre survey. Zeitschrift für Wundheilung 13 (3) , pp. 146-151.

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Abstract

Background: Pain experience of patients with chronic wounds has yet not studied in much detail. Patients and Methods: This is a cross-sectional study with a descriptive questionnaire design, providing predominantly quantitative data. 154 patients (69 males, 78 females) with an age-range of 20 to 87 years (65.5±14.1 years) participated. The average wound duration was 38.0 month (SD 93.1 month), with a range between 0.5 to 792 month. A vast range of dressings was used across wound types; these have been categorized into ten dressing types. We assessed pain quality and intensity in relation to both type of wound and dressing changes. Pain intensity was quantified using a visual analogue scale (0-100). Pain perception was documented by a modified McGill-Short form Pain Questionnaire. Results: Pain is a common symptom of chronic wounds. Only 9 (6.4%) of our patients were pain free. 85 patients (60,3%) perceived pain often or most of the time. Dressing-related pain was experienced by 111 patients (78.7%), 50 (35.5%) suffered quite often or most of the time from pain during dressing changes. The mean pain score was 44.9 (SD 30.1). Pain intensity was highest among mixed vascular ulcers, lowest in the groups of surgical, diabetic and pressure ulcers. 82 of 144 patients considered the pain as the worst part of living with chronic wounds. 70 of 144 patients indicated that pain at dressing changes was the worst part of living with a wound. 40.1% of patients used painkillers (n=141), 70 of 109 (56.9%) suggested that they were effective, but 29 of 143 (20.3%) were concerned about long term adverse effects. Discussion: Pain is a common symptom with negative impact on several domains of quality of life. The acknowledgement of pain and the patient's perspective is a need for guidelines and recommendations of medical societies

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Healthcare Sciences
Subjects:	R Medicine > RA Public aspects of medicine
Language other than English:	German
Publisher:	Congress Compact Verlag
ISSN:	1439670X
Last Modified:	04 Jun 2017 04:02
URI:	https://orca.cardiff.ac.uk/id/eprint/31475

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