title: The dynamic experience of pain in burn patients: A phenomenological study.
abstract: Although pain is one of the main sources of suffering during the acute phase and rehabilitation in burn patients, it remains as a major challenge for burn care, and clinical management not always correlates with the experience felt by patients. The aim of this study was to understand the experience of pain from people who has suffered severe burns, to identify personal strategies used to cope with this challenging event. A qualitative phenomenological study with purposive sampling was carried out with severe burn patients admitted to a Burn Unit. Through individual in-depth interviews, verbatim transcription and content analysis, two main categories were isolated: a dynamic and changing experience of pain, from the onset to the hospital discharge, and diverse strategies developed by patients to cope with pain, being distraction the most frequently used. Pain experienced acquires its maximum intensity during wound care, and divergent patients' opinions about sedation are present. This study highlights how understanding subjective experiences is an invaluable aid to improve care in pain assessment and management. Furthermore, it points out the need to guarantee patient involvement in the organization and improvement of burn care, inasmuch as traditional professional centered approach is not ensuring an optimal management.
authors.affiliation: University Regional Hospital of Málaga, Spain.
authors.forename: M T
authors.initials: MT
authors.lastname: Pérez Boluda
authors.affiliation: Faculty of Health Sciences, University of Málaga, Spain. Electronic address: jmmasen@uma.es.
authors.forename: J M
authors.initials: JM
authors.lastname: Morales Asencio
authors.affiliation: University Hospital of Wales, UK.
authors.forename: A
authors.initials: A
authors.lastname: Carrera Vela
authors.affiliation: Faculty of Health Sciences, University of Málaga, Spain.
authors.forename: S
authors.initials: S
authors.lastname: García Mayor
authors.affiliation: University Regional Hospital of Málaga, Spain; Faculty of Health Sciences, University of Málaga, Spain.
authors.forename: A
authors.initials: A
authors.lastname: León Campos
authors.affiliation: Faculty of Health Sciences, University of Málaga, Spain.
authors.forename: I
authors.initials: I
authors.lastname: López Leiva
authors.affiliation: University Hospital Virgen de la Victoria, Málaga, Spain.
authors.forename: C
authors.initials: C
authors.lastname: Rengel Díaz
authors.affiliation: Faculty of Health Sciences, University of Málaga, Spain.
authors.forename: S
authors.initials: S
authors.lastname: Kaknani-Uttumchandani
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D059031:Anticipation, Psychological; D001007:Anxiety / Q000209:etiology / Q000517:prevention & control; D002056:Burns / Q000150:complications* / Q000503:physiopathology; D005239:Fear / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D010146:Pain / Q000209:etiology / Q000517:prevention & control / Q000523:psychology*; D036301:Qualitative Research; D012893:Sleep Wake Disorders / Q000209:etiology; D055815:Young Adult
keywords: Burns; Coping; Pain; Qualitative research