UCIBIO-Applied Molecular Biosciences Unit, Associate Laboratory i4HB-Institute for Health and Bioeconomy, Faculty of Pharmacy, University of Porto, 4050-313 Porto, Portugal.
Porto4Ageing-Competences Centre on Active and Healthy Ageing, Faculty of Pharmacy, University of Porto, 4050-313 Porto, Portugal.
Int J Environ Res Public Health. 2023 Dec 6;20(24):7150. doi: 10.3390/ijerph20247150.
Considering the multidimensionality of chronic pain, it is crucial to develop comprehensive strategies for its effective management. However, establishing well-defined, evidence-based guidelines for such approaches remains challenging. To overcome this, we present the finding from a 4-month intervention to enhance the management of non-cancer chronic pain in older adults with pre-frailty and frailty. The intervention's core elements comprised a multidisciplinary individualized plan, a case manager, and patient education. This pilot study involved 22 participants (≥65 years). It assessed changes in pain frequency and intensity (pain scale), frailty (Fried frailty phenotype criteria), and medication adherence (Brief Adherence Rating Scale) before and after the 4-month intervention. The results were encouraging: pain frequency and intensity and frailty score tended to decrease, and medication adherence showed significant improvement. This preliminary small-scale pilot study provides a foundation for further research and for exploring the potential scalability of this multidisciplinary patient-centred intervention.
考虑到慢性疼痛的多维性，制定有效的管理综合策略至关重要。然而，为这种方法制定明确的、基于证据的指南仍然具有挑战性。为了克服这一问题，我们提出了一项为期 4 个月的干预措施的研究结果，旨在增强衰弱前期和衰弱期老年人非癌症慢性疼痛的管理。该干预措施的核心要素包括多学科个体化计划、个案经理和患者教育。这项试点研究涉及 22 名参与者（≥65 岁）。它在 4 个月的干预前后评估了疼痛频率和强度（疼痛量表）、衰弱（Fried 衰弱表型标准）和药物依从性（简短依从性评定量表）的变化。结果令人鼓舞：疼痛频率和强度以及衰弱评分趋于下降，药物依从性显著改善。这项初步的小规模试点研究为进一步研究和探索这种多学科以患者为中心的干预措施的潜在可扩展性提供了基础。
