Demographics, Psychological Distress, and Pain from Pressure Injury

Junglyun Kim; Debra Lyon; Michael T. Weaver; Gail Keenan; Joyce Stechmiller

doi:10.1097/NNR.0000000000000357

Demographics, Psychological Distress, and Pain from Pressure Injury

Junglyun Kim, Debra Lyon, Michael T. Weaver, Gail Keenan, Joyce Stechmiller

Academics (Nursing)

Research output: Contribution to journal › Article › peer-review

6 Scopus citations

Abstract

Background There is a knowledge gap regarding factors that influence the intensity of pain associated with pressure injuries. Objectives We examined the influence of age, gender, race, and comorbidity on the relationships between pressure injuries, psychological distress, and pain intensity in hospitalized adults. Methods This study was a cross-sectional, retrospective secondary analysis using data from a regional acute hospital's electronic health records from 2013 to 2016. A sample of 454 cases met the inclusion criteria and were analyzed using path analysis. Results The hypothesized model (Model A) and two alternative models (Models B and C) were tested and demonstrated adequate model fit. All tested models demonstrated statistically significant independent direct effects of age on the severity of pressure injury (p <.001) and pain intensity (p =.001), as well as independent direct effects of gender (p ≤.005), race (p <.001), and comorbidity (p =.001) on psychological distress. Discussion Pain management for individuals with pressure injuries should include not only the treatment of wounds but also the individual characteristics of the patient such as demographics, comorbidity, and psychological status that may affect pain. Given the limitations of secondary analyses, further studies are suggested to validate these findings.

Original language	English (US)
Pages (from-to)	339-347
Number of pages	9
Journal	Nursing research
Volume	68
Issue number	5
DOIs	https://doi.org/10.1097/NNR.0000000000000357
State	Published - Sep 1 2019

Bibliographical note

Funding Information:
This publication was supported by the National Center for Advancing Translational Sciences of the National Institutes of Health under University of Florida Clinical and Translational Science Award UL1TR001427. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The authors have no conflicts of interest to report. Ethical Conduct of Research: Institutional review board approval was obtained from the University of Florida Institutional Review Board prior to study commencement.

Publisher Copyright:
© Wolters Kluwer Health, Inc. All rights reserved.

Keywords

demographics
electronic health records
pain intensity
pressure ulcer
psychological distress
secondary analysis

Publisher link

10.1097/NNR.0000000000000357

Find It

Find It at U of M Libraries

Cite this

@article{f1fd224ddff54f6eb0670abca93ddb21,

title = "Demographics, Psychological Distress, and Pain from Pressure Injury",

abstract = "Background There is a knowledge gap regarding factors that influence the intensity of pain associated with pressure injuries. Objectives We examined the influence of age, gender, race, and comorbidity on the relationships between pressure injuries, psychological distress, and pain intensity in hospitalized adults. Methods This study was a cross-sectional, retrospective secondary analysis using data from a regional acute hospital's electronic health records from 2013 to 2016. A sample of 454 cases met the inclusion criteria and were analyzed using path analysis. Results The hypothesized model (Model A) and two alternative models (Models B and C) were tested and demonstrated adequate model fit. All tested models demonstrated statistically significant independent direct effects of age on the severity of pressure injury (p <.001) and pain intensity (p =.001), as well as independent direct effects of gender (p ≤.005), race (p <.001), and comorbidity (p =.001) on psychological distress. Discussion Pain management for individuals with pressure injuries should include not only the treatment of wounds but also the individual characteristics of the patient such as demographics, comorbidity, and psychological status that may affect pain. Given the limitations of secondary analyses, further studies are suggested to validate these findings.",

keywords = "demographics, electronic health records, pain intensity, pressure ulcer, psychological distress, secondary analysis",

author = "Junglyun Kim and Debra Lyon and Weaver, {Michael T.} and Gail Keenan and Joyce Stechmiller",

note = "Funding Information: This publication was supported by the National Center for Advancing Translational Sciences of the National Institutes of Health under University of Florida Clinical and Translational Science Award UL1TR001427. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The authors have no conflicts of interest to report. Ethical Conduct of Research: Institutional review board approval was obtained from the University of Florida Institutional Review Board prior to study commencement. Publisher Copyright: {\textcopyright} Wolters Kluwer Health, Inc. All rights reserved.",

year = "2019",

month = sep,

day = "1",

doi = "10.1097/NNR.0000000000000357",

language = "English (US)",

volume = "68",

pages = "339--347",

journal = "Nursing research",

issn = "0029-6562",

publisher = "Lippincott Williams and Wilkins",

number = "5",

}

TY - JOUR

T1 - Demographics, Psychological Distress, and Pain from Pressure Injury

AU - Kim, Junglyun

AU - Lyon, Debra

AU - Weaver, Michael T.

AU - Keenan, Gail

AU - Stechmiller, Joyce

N1 - Funding Information: This publication was supported by the National Center for Advancing Translational Sciences of the National Institutes of Health under University of Florida Clinical and Translational Science Award UL1TR001427. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The authors have no conflicts of interest to report. Ethical Conduct of Research: Institutional review board approval was obtained from the University of Florida Institutional Review Board prior to study commencement. Publisher Copyright: © Wolters Kluwer Health, Inc. All rights reserved.

PY - 2019/9/1

Y1 - 2019/9/1

N2 - Background There is a knowledge gap regarding factors that influence the intensity of pain associated with pressure injuries. Objectives We examined the influence of age, gender, race, and comorbidity on the relationships between pressure injuries, psychological distress, and pain intensity in hospitalized adults. Methods This study was a cross-sectional, retrospective secondary analysis using data from a regional acute hospital's electronic health records from 2013 to 2016. A sample of 454 cases met the inclusion criteria and were analyzed using path analysis. Results The hypothesized model (Model A) and two alternative models (Models B and C) were tested and demonstrated adequate model fit. All tested models demonstrated statistically significant independent direct effects of age on the severity of pressure injury (p <.001) and pain intensity (p =.001), as well as independent direct effects of gender (p ≤.005), race (p <.001), and comorbidity (p =.001) on psychological distress. Discussion Pain management for individuals with pressure injuries should include not only the treatment of wounds but also the individual characteristics of the patient such as demographics, comorbidity, and psychological status that may affect pain. Given the limitations of secondary analyses, further studies are suggested to validate these findings.

AB - Background There is a knowledge gap regarding factors that influence the intensity of pain associated with pressure injuries. Objectives We examined the influence of age, gender, race, and comorbidity on the relationships between pressure injuries, psychological distress, and pain intensity in hospitalized adults. Methods This study was a cross-sectional, retrospective secondary analysis using data from a regional acute hospital's electronic health records from 2013 to 2016. A sample of 454 cases met the inclusion criteria and were analyzed using path analysis. Results The hypothesized model (Model A) and two alternative models (Models B and C) were tested and demonstrated adequate model fit. All tested models demonstrated statistically significant independent direct effects of age on the severity of pressure injury (p <.001) and pain intensity (p =.001), as well as independent direct effects of gender (p ≤.005), race (p <.001), and comorbidity (p =.001) on psychological distress. Discussion Pain management for individuals with pressure injuries should include not only the treatment of wounds but also the individual characteristics of the patient such as demographics, comorbidity, and psychological status that may affect pain. Given the limitations of secondary analyses, further studies are suggested to validate these findings.

KW - demographics

KW - electronic health records

KW - pain intensity

KW - pressure ulcer

KW - psychological distress

KW - secondary analysis

UR - http://www.scopus.com/inward/record.url?scp=85071615868&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85071615868&partnerID=8YFLogxK

U2 - 10.1097/NNR.0000000000000357

DO - 10.1097/NNR.0000000000000357

M3 - Article

C2 - 30829837

AN - SCOPUS:85071615868

SN - 0029-6562

VL - 68

SP - 339

EP - 347

JO - Nursing research

JF - Nursing research

IS - 5

ER -

Demographics, Psychological Distress, and Pain from Pressure Injury

Abstract

Bibliographical note

Keywords

Publisher link

Find It

Other files and links

Fingerprint

Cite this