Authors: (including presenting author): :
LAM CWF(1), CHAN OL (!)
Affiliation: :
Anaesthesiology and Operating Theatre Services, Kwong Wah Hospital
Keyword 1: :
chronic pain
Keyword 3: :
pain nurse clinic
Keyword 4: :
Brief Pain Inventory
Keyword 5: :
Pain Self-Efficacy Questionnaire
Introduction: :
Chronic pain is defined as pain lasting more than 3 months, which has become a major global public health challenge. Pain is not only a physical sensation but also a multidimensional experience involving psychological and social factors. Long-term pain can lead to sleep disorders, anxiety, depression, limited mobility, and even loss of work capacity in patients, while low pain self-efficacy further exacerbates this vicious cycle.
Objectives: :
This study aimed to explore the effects of specialized pain nursing interventions in SOPD on pain severity, pain interference, and pain self-efficacy in 97 patients (Male=42; Female =55), (age < 60 Years Old =62; ≥60 Years Old =35) with chronic pain managed in KWH IMSN (Chronic Pain) in 2025, and to analyze the efficacy differences among patients with different pain types, demographic characteristics, and disease durations.
Methodology: :
The pain nurse interventions included personalized care plans tailored to patient, encompassing evidence-based strategies such as pain education, non-pharmacological interventions, psychological support, and collaborative care coordination with other healthcare providers. These findings provide an important reference for the clinical implementation of precision pain management.
Result & Outcome: :
Results showed that after intervention, patients’ Numeric Rating Scale (NRS) score decreased from 5.6 to 3.8 (a 32.1% reduction, P< 0.001), Brief Pain Inventory (BPI) score decreased from 5.9 to 4.1 (a 30.5% reduction, P< 0.001), and Pain Self-Efficacy Questionnaire (PSEQ) score increased from 31.2 to 38.7 (a 24.0% increase, P< 0.001). Stratified analysis revealed that patients with back-related pain (including simple back pain, multiple pain sites) achieved the most significant pain relief (36.4% reduction), female patients had slightly better efficacy than male patients, and patients with a disease duration ≤5 years showed significantly greater improvement than those with a duration >5 years. Patients under 60 years old had a more obvious improvement in self-efficacy, but there was no significant difference in self-efficacy improvement between patients with long and short disease durations. Future pain nursing interventions should develop personalized plans for patients in different subgroups. Limitation of this study: small sample size, single-center retrospective study, and failure to explore the relationship between intervention duration and efficacy. Future multi-center, large-sample prospective studies are needed to further verify the conclusions of this study and explore intervention mechanisms in depth, providing more solid evidence for precision nursing of chronic pain.
