Bruckenthal Patricia, Marino Marie Ann, Snelling Lisa
J Gerontol Nurs. 2016 Dec 1;42(12):40-48. doi: 10.3928/00989134-20161110-08.
Management of persistent pain in older adults is challenging given the prevalence of multiple comorbid painful conditions, polypharmacy, age-related changes restricting pharmacological options, and socioeconomic factors. The influences of these factors along with current concern for the use of opioid analgesics highlight the importance of incorporating complementary and integrative medicine approaches. Evidence suggests efficacy and satisfaction with integrating complementary pain management strategies for older adults, especially yoga, massage, and natural products. Nurses and other providers, given their emphasis on holistic care, are in a unique position to lead the transformation of pain management to a patient-centered, self-management style that integrates complementary therapies. [Journal of Gerontological Nursing, 42(12), 40-48.].
鉴于多种合并存在的疼痛性疾病的普遍性、多重用药、限制药物选择的年龄相关变化以及社会经济因素,老年患者持续性疼痛的管理具有挑战性。这些因素的影响以及当前对阿片类镇痛药使用的关注凸显了采用补充和整合医学方法的重要性。有证据表明,将补充性疼痛管理策略整合用于老年人,尤其是瑜伽、按摩和天然产物,具有疗效且能让患者满意。护士和其他医疗服务提供者,由于他们对整体护理的重视,在引领将疼痛管理转变为以患者为中心、整合补充疗法的自我管理模式方面具有独特地位。[《老年护理杂志》,42(12),40 - 48。]