Lam Michael, Choi Matthew, Lam Helen R, Agarwal Arnav, Chow Ronald, Chow Selina, Rowbottom Leigha, McDonald Rachel, Lam Henry, Chan Stephanie, Chow Edward, Henry Blair
Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.
Ann Palliat Med. 2017 Jan;6(1):66-72. doi: 10.21037/apm.2016.11.06. Epub 2016 Nov 30.
Pain is one of the most prominent symptoms faced by cancer patients. It is known that patient and caregiver-targeted educational interventions addressing the proper use of pain management may provide significant clinical value. This review examines the literature surrounding the use of multimedia interventions for patient and caregiver education (PCE) on pain management compared to traditional educational interventions. A literature search was conducted in Ovid MEDLINE (1946-July Week 2, 2016), Ovid Embase (1947-2016 Week 29), and Ovid Cochrane Central Register of Controlled Trials (up to June 2016). Paired reviewers conducted title and abstract screening and full-text screening to identify experimental, quasi-experimental and cohort studies evaluating one or more multimedia-based PCE interventions focused on cancer pain and pain management and targeting patients and/or caregivers. Findings were extracted by paired reviewers and synthesized qualitatively. Of the 68 full-text papers assessed, 7 were deemed relevant, of which 5 were RCTs and 2 were observational studies. We found limited but convincing quantitative data to suggest that the use of multimedia use in pain management education for patients/caregivers has greater value-added benefit compared to standard education. While there is evidence suggesting a positive effect on pain-related outcomes with the use of multimedia-based patient and caregiver-targeted interventions, it is limited to a small number of lower-quality studies. More robust and large-scale studies are needed to supplement existing evidence and provide more insight regarding the usability and user-friendliness of these tools in practice.
疼痛是癌症患者面临的最突出症状之一。众所周知，针对患者和护理人员开展的关于正确使用疼痛管理方法的教育干预可能具有重大临床价值。本综述研究了与传统教育干预相比，使用多媒体干预对患者和护理人员进行疼痛管理教育（PCE）的相关文献。在Ovid MEDLINE（1946年 - 2016年7月第2周）、Ovid Embase（1947年 - 2016年第29周）和Ovid考科蓝对照试验中央注册库（截至2016年6月）中进行了文献检索。由两名评审人员进行标题和摘要筛选以及全文筛选，以确定评估一项或多项基于多媒体的针对癌症疼痛和疼痛管理且面向患者和/或护理人员的PCE干预措施的实验性、准实验性和队列研究。研究结果由两名评审人员提取并进行定性综合分析。在评估的68篇全文论文中，7篇被认为相关，其中5篇为随机对照试验，2篇为观察性研究。我们发现有限但有说服力的定量数据表明，与标准教育相比，在对患者/护理人员的疼痛管理教育中使用多媒体具有更大的附加值效益。虽然有证据表明基于多媒体的针对患者和护理人员的干预措施对疼痛相关结局有积极影响，但这仅限于少数质量较低的研究。需要更有力和大规模的研究来补充现有证据，并就这些工具在实际应用中的可用性和用户友好性提供更多见解。
