Lee James, Mowat Rebecca, Blamires Julie, Foster Mandie
School of Clinical Sciences, Auckland University of Technology, Auckland, New Zealand.
J Adv Nurs. 2025 Nov;81(11):7332-7347. doi: 10.1111/jan.16716. Epub 2025 Jan 10.
This integrative review aims to identify what nurses currently offer through digital technology and their success in managing chronic pain.
An integrative review guided by Whittemore and Knafl was conducted.
Five databases-CINAHL, Medline, PsycINFO, PubMed, and Scopus-were utilised to gather relevant studies from January 2018 to November 2024.
Selected studies were assessed using the Mixed Methods Appraisal Tool and the Joanna Briggs Appraisal Tool. Braun and Clarke's thematic analysis was applied to identify pertinent themes.
Digital nursing technologies such as telehealth and web-based interventions effectively deliver interventions to assess and manage chronic pain; these technologies can reduce healthcare resource utilisation and increase accessibility. This review highlights that nurses commonly deliver exercise, cognitive-behavioural therapy, acceptance and commitment therapy and self-management techniques through digital technology.
This review indicates that web-based interventions and telemedicine are the primary digital technologies employed by nurses for chronic pain management providing psychosocial interventions, with evidence supporting their effectiveness. Digital and web-based technology is essential to bridge healthcare access gaps as nurses can provide this successfully with minimal nursing support and cost to the patient.
Evidence supports nurses in providing psychosocial interventions for the management of chronic pain, particularly web-based psychosocial interventions. Nurses need to adopt digital technology to improve access to care and patient outcomes and to maintain professional development in an increasingly digital world.
No patient or public contribution was used for this study.
本综合综述旨在确定护士目前通过数字技术提供的服务及其在管理慢性疼痛方面的成效。
进行了一项以惠特莫尔和克纳夫为指导的综合综述。
利用五个数据库——护理学与健康领域数据库（CINAHL）、医学文献数据库（Medline）、心理学文摘数据库（PsycINFO）、医学期刊数据库（PubMed）和斯高帕斯数据库（Scopus）——收集2018年1月至2024年11月的相关研究。
使用混合方法评估工具和乔安娜·布里格斯评估工具对选定研究进行评估。应用布劳恩和克拉克的主题分析法来确定相关主题。
远程医疗和基于网络的干预等数字护理技术有效地提供了评估和管理慢性疼痛的干预措施；这些技术可以减少医疗资源的利用并提高可及性。本综述强调，护士通常通过数字技术提供运动、认知行为疗法、接纳与承诺疗法和自我管理技巧。
本综述表明，基于网络的干预措施和远程医疗是护士用于慢性疼痛管理的主要数字技术，可提供心理社会干预措施，有证据支持其有效性。数字技术和基于网络的技术对于弥合医疗服务可及性差距至关重要，因为护士能够在对患者护理支持最少且成本最低的情况下成功提供此类服务。
有证据支持护士提供心理社会干预措施来管理慢性疼痛，尤其是基于网络的心理社会干预措施。护士需要采用数字技术来改善医疗服务的可及性和患者治疗效果，并在日益数字化的世界中保持专业发展。
本研究未使用患者或公众参与。
