School of Nursing and Health Studies, Hong Kong Metropolitan University, Hong Kong.
School of Nursing and Health Studies, Hong Kong Metropolitan University, Hong Kong.
Geriatr Nurs. 2024 May-Jun;57:123-131. doi: 10.1016/j.gerinurse.2024.04.008. Epub 2024 Apr 18.
This systematic review aims to assess the effectiveness, acceptability, and sustainability of non-pharmacological pain management interventions for older adults in mainland China.
Articles searching was conducted across six databases, including MEDLINE, PubMed, PsycINFO, Web of Science, China National Knowledge Infrastructure (CNKI), and WanFangdata. Quality appraisal was performed using the revised Cochrane risk of bias tool.
A total of 26 articles met the inclusion criteria, involving 2,197 participants with a mean age of 69.19 years. The participants' ages ranged from 63.85 to 81.75 years. The evaluated non-pharmacological interventions included psychotherapy, acupuncture, exercise, massage, neurotherapy, and multidisciplinary interventions. The overall changes in pain intensity varied from -5.19 to -0.65 on a numeric rating scale ranging from zero to ten.
Non-pharmacological interventions proved effective in alleviating pain intensity among older adults in mainland China. The findings suggest that mindfulness, exercise and pain education can be promoted as viable strategies for enhancing the well-being of the elderly population.
本系统评价旨在评估非药物性疼痛管理干预措施在中国大陆老年人群体中的有效性、可接受性和可持续性。
文章检索在六个数据库中进行，包括 MEDLINE、PubMed、PsycINFO、Web of Science、中国知网（CNKI）和万方数据。使用修订后的 Cochrane 偏倚风险工具进行质量评估。
共有 26 篇文章符合纳入标准，涉及 2197 名平均年龄为 69.19 岁的参与者。参与者的年龄范围从 63.85 岁到 81.75 岁。评估的非药物性干预措施包括心理治疗、针灸、运动、按摩、神经治疗和多学科干预。数字评分量表（范围从 0 到 10）上的疼痛强度总体变化从-5.19 到-0.65。
非药物性干预措施在缓解中国大陆老年人群体的疼痛强度方面被证明是有效的。研究结果表明，正念、运动和疼痛教育可以作为增强老年人群体幸福感的可行策略。
