Hernández-Hernández Sofía, Heredia-Ciuró Alejandro, Martín-Núñez Javier, Calvache-Mateo Andrés, Navas-Otero Alba, López-López Laura, Valenza Marie Carmen
Department of Physiotherapy, Faculty of Health Sciences, University of Granada, Av. De La Ilustración 60, 18016 Granada, Spain.
Cancers (Basel). 2024 Jul 5;16(13):2468. doi: 10.3390/cancers16132468.
Cancer-related pain is a global health-related problem associated with functional impairment, anxiety, depression, and reduced quality of life. The use of educational interventions for patients and their caregivers has been proposed as a promising tool for overcoming pain in cancer. The aim of this study was to summarize by means of a standardized methodological systematic revision the actual pain education intervention used in cancer patients and their caregivers and to analyze its effects on pain.
A search was conducted through PubMed, Web of Science, Scopus and Cinhal from their inception to September 2022. Randomized controlled trials which included pain education interventions were identified. Two reviewers performed independent data extraction and methodologic quality assessments of these studies.
A total of seven studies was included in the study. The meta-analysis showed that pain education interventions have a significant effect on the worst pain; however, there was no effect on average pain.
Pain education interventions addressed to patients and their caregivers could have positive effects on cancer-related pain. It is recommended that a minimum of three sessions of about one hour's duration be held once a week. Further research needs to be carried out and analyzed on the effects over the long term. Pain education interventions show positive results in improving pain in cancer patients regardless of etiology or extent of the cancer. Studies with better methodological quality should be carried out to address specific components related to education interventions.
癌症相关疼痛是一个全球性的健康问题，与功能障碍、焦虑、抑郁以及生活质量下降相关。针对患者及其护理人员开展教育干预已被视为一种有望缓解癌症疼痛的手段。本研究旨在通过标准化方法进行系统综述，总结目前用于癌症患者及其护理人员的疼痛教育干预措施，并分析其对疼痛的影响。
检索了PubMed、科学网、Scopus和Cochrane图书馆，检索时间从各数据库建库至2022年9月。纳入包含疼痛教育干预措施的随机对照试验。两名评审员对这些研究进行独立的数据提取和方法学质量评估。
本研究共纳入7项研究。荟萃分析表明，疼痛教育干预措施对最严重疼痛有显著影响；然而，对平均疼痛无影响。
针对患者及其护理人员的疼痛教育干预措施可能对癌症相关疼痛产生积极影响。建议每周至少进行3次，每次约1小时的干预。需要对长期效果开展进一步研究和分析。无论癌症的病因或程度如何，疼痛教育干预措施在改善癌症患者疼痛方面均显示出积极效果。应开展方法学质量更高的研究，以探讨与教育干预相关的具体因素。
