Sundaramurthi Thiruppavai, Gallagher Natalie, Sterling Bethany
Veterans Affairs Medical Center.
University of Texas MD Anderson Cancer Center.
Clin J Oncol Nurs. 2017 Jun 1;21(3 Suppl):13-30. doi: 10.1188/17.CJON.S3.13-30.
BACKGROUND: Identifying and implementing evidence-based interventions for cancer-related acute pain can decrease adverse effects and improve quality of life. .
OBJECTIVES: This article presents current evidence supporting interventions to reduce cancer-related acute pain. .
METHODS: PubMed and CINAHL® databases were searched to identify studies addressing interventions to manage acute pain in patients with cancer. The interventions are categorized according to the Putting Evidence Into Practice classification schema. .
Interventions that are recommended for practice in the management of acute pain include epidural analgesia and local anesthetic infusions. Interventions likely to be effective include pharmacologic interventions, such as gabapentin and intraspinal analgesia, and nonpharmacologic interventions, such as music therapy. Methodologically stronger clinical trials of new and existing therapies are needed to provide clinicians with accurate resources for managing cancer-related acute pain.
识别并实施基于证据的癌症相关急性疼痛干预措施可减少不良反应并改善生活质量。
本文介绍了支持减少癌症相关急性疼痛干预措施的当前证据。
检索了PubMed和CINAHL®数据库，以识别针对癌症患者急性疼痛管理干预措施的研究。这些干预措施根据“将证据应用于实践”分类模式进行分类。
推荐用于急性疼痛管理实践的干预措施包括硬膜外镇痛和局部麻醉剂输注。可能有效的干预措施包括药物干预，如加巴喷丁和脊髓内镇痛，以及非药物干预，如音乐疗法。需要对新的和现有的疗法进行方法学上更严格的临床试验，为临床医生提供管理癌症相关急性疼痛的准确资源。
