Abstract:Objective To understand the current situation of wound-related procedural pain management by certified wound specialists during dressing change, to find out barriers to effective management, and provide a reference for improving the level of wound-related procedural pain management. Methods A self-designed wound-related procedural pain management questionnaire was used to survey 228 certified wound specialists. Results Of the 228 certified wound specialists, 44.3% were working for hospitals that had established wound-related pain management systems and procedures; 64.0% thought wound-related procedural pain was inevitable; 51.3% always performed wound-related procedural pain assessment during dressing change; 31.6% always took measures to control the wound-related procedural pain; 85.5% believed that there was insufficient analgesia during dressing change. The main barriers to wound-related procedural pain management included the following aspects: patients thought they could endure pain and didn′t want to report the pain truthfully; they were reluctant to use painkillers attributable to worries about painkillers addiction, inability to control its side effects or developing drug resistance, etc.; the wound dressing-change staff lacked knowledge of pain management; flawed pain management system in hospitals or departments; heavy workload of wound dressing-change staff, etc. Conclusion The wound-related pain management system needs to be improved. Certified wound specialists′ knowledge on the wound-related procedural pain, and the pain management procedures need to be enhanced and standardized; the analgesic effect is less satisfactory. It is suggested to standardize the wound-related procedural pain management procedures and solve the barriers to pain management, so as to improve the analgesic effect for wound-related procedural pain and patients′ wound dressing change experience.