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Patients' Experiences of Pain and Pain Relief During Photodynamic Therapy on Actinic Keratoses: An Interview Study.

Journal article
Authors Christina Halldin
Helena Gonzalez
Ann-Marie Wennberg
Margret Lepp
Published in Acta Dermato-Venereologica
Volume 93
Issue 4
Pages 433-437
ISSN 0001-5555
Publication year 2013
Published at Institute of Clinical Sciences, Department of Dermatology and Venereology
Institute of Health and Care Sciences
Pages 433-437
Language en
Links dx.doi.org/10.2340/00015555-1500
Subject categories Dermatology and Venereal Diseases

Abstract

Photodynamic therapy (PDT) is a well-known, effective method for treating extensive areas of multiple actinic keratoses in the face and scalp. The main side-effect of PDT is the pain experienced during treatment. The objective of this study was to explore and describe patients' experiences of PDT. The study used individual interviews, and analysis was carried out using phenomenography. The patients had all been treated with PDT for actinic keratoses on the face and scalp, and experienced PDT with and without nerve blocks. The results are presented in 3 themes and 10 categories. Most patients reported that the nerve blocks given prior to PDT altered their experience of pain. Alternative options are needed to reduce pain during PDT based on patients' needs and body site. This study adds a patient perspective highlight-ing patients' own voices as a qualitative complement to statistical analysis using the visual analogue scale.

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