沟通策略在慢性术后疼痛管理中的有效性：系统评价与荟萃分析方案

Effectiveness of Communication Strategies in the Management of Chronic Postsurgical Pain: Protocol for a Systematic Review and Meta-Analysis.

作者信息

Ferrante Asha-Naima, Keller Barbara K, Flury Julian S, Harnik Michael A, Grosse Holtforth Martin, Wertli Maria M

机构信息

Department of General Internal Medicine, University Hospital of Bern, Inselspital, University of Bern, Bern, 3010, Switzerland.

Department of Psychology, University of Bern, Bern, 3012, Switzerland.

出版信息

J Pain Res. 2023 Jun 5;16:1907-1913. doi: 10.2147/JPR.S401685. eCollection 2023.

DOI:10.2147/JPR.S401685

PMID:37303695

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10254707/

Abstract

PURPOSE

To describe the details of a systematic review to assess the current evidence about the efficacy of communication strategies on the prevention of chronic postsurgical pain (CPSP).

METHODS

The protocol for this systematic review was based on the Cochrane Handbook methodology and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P) recommendations. A systematic search of the literature on electronic databases Medline, Embase, Cochrane Library, CINAHL, PsycINFO, and Web of Science (from the inception to 19 June 2022) was carried out using predefined search terms to identify relevant studies. This review will include randomized clinical trials or observational studies. The search strategy consisted of keywords and index terms related to "clinician", "communication" or "post-surgical pain". Inclusion criteria are as follows: randomized clinical trials or observational studies using a parallel group design that assess the efficacy of communication interventions in patients undergoing surgery and that assess pain and pain-related disability. We considered interventions that included any type of written, verbal, and non-verbal communication in combination with other interventions or without. Control groups may include no communication intervention or another intervention distinctly different. We excluded studies with follow-up duration of less than 3 months, patients aged <18 years, and studies for which no reviewer had language proficiency (eg, Chinese, Korean). Descriptive statistics will be used to summarize quantitative findings. Meta-analysis will only be considered if at least three studies used the same outcome with comparable interventions, as we expect a wide heterogeneity of study population and settings.

CONCLUSION

This systematic review and meta-analysis will be an important source for clinicians and researchers to understand the influence of communication to prevent CPSP.

STUDY REGISTRATION

This protocol is registered with the International Prospective Register of Systematic Reviews (PROSPERO). Registration number: CRD42021241596.

摘要

目的

描述一项系统评价的详细情况，以评估关于沟通策略对预防慢性术后疼痛（CPSP）有效性的现有证据。

方法

本系统评价的方案基于Cochrane手册方法和系统评价与Meta分析方案的首选报告项目（PRISMA-P）建议。使用预定义的检索词对电子数据库Medline、Embase、Cochrane图书馆、CINAHL、PsycINFO和Web of Science（从创刊至2022年6月19日）进行文献系统检索，以识别相关研究。本评价将纳入随机临床试验或观察性研究。检索策略包括与“临床医生”“沟通”或“术后疼痛”相关的关键词和索引词。纳入标准如下：采用平行组设计的随机临床试验或观察性研究，评估沟通干预对手术患者的有效性，并评估疼痛及与疼痛相关的残疾情况。我们考虑的干预措施包括任何类型的书面、口头和非语言沟通，可与其他干预措施联合使用或单独使用。对照组可能包括无沟通干预或明显不同的其他干预措施。我们排除随访时间少于3个月的研究、年龄小于18岁的患者以及评审员无语言能力（如中文、韩文）的研究。将使用描述性统计来总结定量结果。仅当至少三项研究使用相同结局且干预措施具有可比性时才考虑进行Meta分析，因为我们预计研究人群和研究背景存在广泛的异质性。