Evidence map›Paper›PMID 30456856›Full record

ArticleJournal of advanced nursing2019

The role of psychological distress in the relationship between the severity of pressure injury and pain intensity in hospitalized adults.

Junglyun Kim, Debra Lyon, Michael T Weaver, Gail Keenan, Xinguang Jim Chen

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of advanced nursing, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Dressings and topical agents for preventing pressure ulcers.The Cochrane database of systematic reviews · 2024
    Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. Observational
  8. Observational
  9. Review
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Junglyun KimDepartment of Family, Community and Health System Science, College of Nursing, University of Florida, Gainesville, Florida.ORCID http://orcid.org/0000-0001-5695-7520
Debra LyonDepartment of Biobehavioral Nursing, College of Nursing, University of Florida, Gainesville, Florida.
Michael T WeaverDepartment of Biobehavioral Nursing, College of Nursing, University of Florida, Gainesville, Florida.ORCID http://orcid.org/0000-0002-6630-4758
Gail KeenanDepartment of Family, Community and Health System Science, College of Nursing, University of Florida, Gainesville, Florida.
Xinguang Jim ChenDepartment of Epidemiology, College of Public Health and Health Professions & College of Medicine, University of Florida, Gainesville, Florida.ORCID http://orcid.org/0000-0001-8263-643X
University of Florida · USUniversity of Florida Health · US

Funding

Using social networks to map and evaluate team science across CTSA hubsUL1TR001427 · NCATS · UNIVERSITY OF FLORIDA · PI MITCHELL, DUANE A. · 2015 to 2024
$37.2M
NCI CLINICAL INVESTIGATOR AWARDK08CA001427 · NCI · TULANE UNIVERSITY OF LOUISIANA · PI MALTER, JAMES S. · 1988 to 1990
–
NCATS NIH HHS UL1 TR001427The National Center for Advancing Translational Sciences of the National Institutes of Health under University of Florida Clinical and Translational Science Awards UL1TR001427
6 · The paper itself

Abstract

aimsTo examine the effect of psychological distress in mediating the relationship between the severity of pressure injury and pain intensity in hospitalized adults.

backgroundDespite the prevalence of pressure injury (previously known as pressure ulcers) in hospitalized adults, the current knowledge of pain associated with pressure injury is limited and findings are inconsistent. There is also a lack of understanding of the relationship between psychological distress and pain from pressure injury.

designRetrospective cross-sectional secondary analysis of data from electronic health records.

methodsThe data were retrieved from the third day of admission in the period between 2013 - 2016 through the Integrated Data Repository (IDR). Electronic health records were reviewed to collect data as needed. The mediation effect was tested by using path analysis implemented through Mplus.

resultsPath analysis revealed that the severity of pressure injuries and psychological distress have significant direct effects on pain intensity in hospitalized adults. However, the relationship between the severity of pressure injury and pain intensity was not significantly mediated by psychological distress.

conclusionHospitalized adults who have more severe pressure injury and more treatments for psychological distress experienced greater pain intensity. Healthcare providers must pay attention to treating psychological distress among hospitalized adults to manage pain. Further study is needed to validate these findings and it should incorporate more appropriate measures of psychological distress. The lack of standardized nursing documentation in electronic health records severely limits the usefulness of data from electronic health records for nursing research.

Indexed as

Psychological DistressAdolescentAdultAgedAged, 80 and overCross-Sectional StudiesFemaleHumansInpatientsMaleMiddle AgedPainPain ManagementPressure UlcerPrevalenceRetrospective Studieselectronic health recordshospitalized adultsnursing researchpain intensitypressure injurypsychological distresssecondary analysis

Identifiers

PMID30456856
PMCPMC7227670
OpenAlexW2901152398

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.