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慢性疼痛患者疼痛管理的文献综述。

Literature review of pain management for people with chronic pain.

作者信息

Takai Yukari, Yamamoto-Mitani Noriko, Abe Yoshiki, Suzuki Mizue

机构信息

Department of Adult Nursing/Palliative Care Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine, the University of Tokyo, Tokyo, Ibaraki, Japan.

School of Nursing, University of Tsukuba, Tsukuba, Ibaraki, Japan.

出版信息

Jpn J Nurs Sci. 2015 Jul;12(3):167-83. doi: 10.1111/jjns.12065. Epub 2014 Nov 19.

Abstract

AIM

Multimodal approaches toward relieving pain, patients' participation, and improving self-efficacy are important for chronic pain management. The aims of this review were to identify possible options of nursing strategies for pain management in individuals with chronic pain and to determine the effectiveness of these strategies for pain relief/pain-related problems; therefore, nurses and researchers could consider and/or adopt multimodal chronic pain management strategies.

METHODS

A Systematic Integrated Literature Review was conducted. Published work related to pain management in individuals with chronic pain was identified by searching databases and reviewed.

RESULTS

Among the studies reviewed, we identified 35 studies that focused on pain management strategies. In 10 studies, interventions such as integrated and multidisciplinary pain management programs were associated with significant decreases in pain intensity. However, they reported that the long-term effectiveness of pain relief was not satisfactory. Individuals with chronic pain reported that strategies including pharmacotherapy, physical activity, social support from friends and family, acupuncture, heating, rest, diets, or life-style changes helped them to effectively manage their pain.

CONCLUSION

We identified possible options of pain management strategies and explored effectiveness of chronic pain interventions. The long-term effects of pain relief interventions and social support for individuals with chronic pain require further investigation.

摘要

目的

采用多模式方法缓解疼痛、促进患者参与并提高自我效能对于慢性疼痛管理至关重要。本综述的目的是确定慢性疼痛患者疼痛管理护理策略的可能选项,并确定这些策略对缓解疼痛/疼痛相关问题的有效性;因此,护士和研究人员可以考虑和/或采用多模式慢性疼痛管理策略。

方法

进行了一项系统综合文献综述。通过检索数据库确定并审查了与慢性疼痛患者疼痛管理相关的已发表作品。

结果

在纳入综述的研究中,我们确定了35项关注疼痛管理策略的研究。在10项研究中,综合和多学科疼痛管理计划等干预措施与疼痛强度的显著降低相关。然而,他们报告说疼痛缓解的长期效果并不令人满意。慢性疼痛患者报告说,包括药物治疗、体育活动、朋友和家人的社会支持、针灸、热敷、休息、饮食或生活方式改变等策略有助于他们有效管理疼痛。

结论

我们确定了疼痛管理策略的可能选项,并探讨了慢性疼痛干预措施的有效性。疼痛缓解干预措施和社会支持对慢性疼痛患者的长期影响需要进一步研究。

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