Eaton Linda H, Brant Jeannine M, McLeod Karen, Yeh Chao
University of Washington.
Billings Clinic Hospital.
Clin J Oncol Nurs. 2017 Jun 1;21(3 Suppl):54-70. doi: 10.1188/17.CJON.S3.54-70.
BACKGROUND: Pain is a common issue for patients with cancer and can be challenging to manage effectively. Healthcare professionals need to be knowledgeable about evidence-based nonpharmacologic interventions. .
OBJECTIVES: This systematic review critically appraises the strength and quality of the empirical evidence for nonpharmacologic interventions in reducing chronic cancer pain. .
METHODS: Intervention studies were critically appraised and summarized by an Oncology Nursing Society Putting Evidence Into Practice team of RNs, advanced practice nurses, and nurse scientists. A level of evidence and a practice recommendation was assigned to each intervention. .
Based on evidence, recommended interventions to reduce chronic cancer pain are celiac plexus block for pain related to pancreatic and abdominal cancers and radiation therapy for bone pain. Although psychoeducational interventions are considered likely to be effective, the effective components of these interventions and their dose and duration need to be determined through additional research.
疼痛是癌症患者的常见问题，有效管理具有挑战性。医疗保健专业人员需要了解循证非药物干预措施。
本系统评价批判性地评估了非药物干预措施减轻慢性癌痛的实证证据的强度和质量。
肿瘤护理学会将证据应用于实践团队的注册护士、高级执业护士和护士科学家对干预研究进行了批判性评估和总结。为每种干预措施确定了证据水平和实践建议。
基于证据，推荐用于减轻慢性癌痛的干预措施是针对胰腺癌和腹部癌相关疼痛的腹腔神经丛阻滞以及针对骨痛的放射治疗。虽然心理教育干预措施被认为可能有效，但这些干预措施的有效成分及其剂量和持续时间需要通过进一步研究来确定。
