Strategies for pain management in photodynamic therapy: integrative review: Strategies for pain management in photodynamic therapy: integrative review
Photodynamic therapy (PDT) is an alternative treatment widely used for premalignant skin lesions and non-melanoma skin cancer. The pain during the irradiation is one of the important limitations in the patient’s acceptance to this treatment. This integrative review was focused on evaluating the stra...
| Autores: | , , , , |
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| Tipo de documento: | artigo |
| Estado: | Versão publicada |
| Data de publicação: | 2020 |
| País: | Brasil |
| Recursos: | Sociedade Brasileira de Enfermagem em Feridas e Estética (SOBENFeE) |
| Repositório: | Revista Enfermagem Atual In Derme |
| Idioma: | português |
| OAI Identifier: | oai:revistae_ojs.revistaenfermagematual.a2hosted.com:article/629 |
| Acesso em linha: | https://revistaenfermagematual.com/index.php/revista/article/view/629 |
| Access Level: | Acceso aberto |
| Palavra-chave: | Fotoquimioterapia, dor, neoplasias cutâneas, queratose actínica photochemotherapy, pain, skin cancer, actinic keratosis |
| Resumo: | Photodynamic therapy (PDT) is an alternative treatment widely used for premalignant skin lesions and non-melanoma skin cancer. The pain during the irradiation is one of the important limitations in the patient’s acceptance to this treatment. This integrative review was focused on evaluating the strategies for pain management for patients treated with PDT. The search was carried out in the Pubmed database, considering articles published between 2014 and 2019. A total of 238 articles were found, from which 184 were excluded and 54 were included in the analysis. The strategies found were divided into two groups: methods applied for pain management during the treatment and PDT protocol modifications aiming for pain relief. According to our the results, the most adopted strategy was the cold air administration during irradiation, which has been reported as efficient as an pain reliever and as an approach well accepted by the patients. There are new strategies that have been explored in the literature aiming to improve the pain tolerability during PDT; however, more studies are fundamental to evaluate possible interferences in the treatment effectiveness. |
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