Department of Nursing and Midwifery, Sheffield Hallam University, Sheffield, England.
Nurs Stand. 2023 Mar 1;38(3):45-50. doi: 10.7748/ns.2023.e11957. Epub 2023 Feb 6.
Chronic pain can be debilitating and affects an increasing number of people in the UK due to an ageing population and the rising prevalence of comorbidities. Chronic pain can be primary, where it is not accounted for by another condition, or secondary, where it results from an underlying condition or injury. The National Institute for Health and Care Excellence has published updated guidance on the assessment and management of chronic pain in adults. This article explores the latest recommendations regarding medicines use in chronic primary pain and outlines appropriate non-pharmacological management strategies. It also discusses some of the barriers to implementing chronic pain management interventions, and provides advice for nurses caring for patients who are experiencing this type of pain.
慢性疼痛可能使人虚弱,并由于人口老龄化和共病患病率的上升,在英国越来越多的人受到影响。慢性疼痛可分为原发性疼痛,即不由其他疾病引起的疼痛,或继发性疼痛,即由潜在疾病或损伤引起的疼痛。国家卫生与保健卓越研究所(NICE)已发布有关成人慢性疼痛评估和管理的更新指南。本文探讨了慢性原发性疼痛药物使用的最新建议,并概述了适当的非药物管理策略。它还讨论了实施慢性疼痛管理干预措施的一些障碍,并为护理患有这种类型疼痛的患者的护士提供了建议。