退伍军人管理局的慢性,非癌症疼痛护理:当前趋势和未来方向
Rena Elizabeth Courtney1, Mary Josephine Schadegg2
1Salem VA Medical Center, Virginia Tech Carilion School of Medicine, 1970 Roanoke Boulevard (Building 143, 3H), Salem, VA 24153, USA.
Anesthesiology clinics
|May 28, 2023
概括
退伍军人卫生管理局 (VHA) 在以循证为基础的慢性疼痛护理方面领先,使用阶段性护理模式. 创新包括加强教育,技术,以及获得行为健康和跨学科团队的机会.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 疼痛管理 疼痛管理
- 医疗保健创新 医疗保健创新
背景情况:
- 退伍军人卫生管理局 (VHA) 是实施基于证据的医疗保健实践的公认领导者.
- 慢性疼痛管理在大型医疗保健系统中提出了重大挑战.
- VHA一直专注于创新的方法来改善慢性疼痛退伍军人的护理.
研究的目的:
- 为了突出VHA在慢性疼痛管理方面的进步.
- 描述阶段性护理模式的整合及其影响.
- 讨论整体健康模式对未来疼痛治疗的潜在影响.
主要方法:
- 审查慢性疼痛护理中的VHA倡议和实践.
- 在阶段性护理模式的各个层面实施的干预措施的分析.
- 审查教育,技术和获得护理的作用.
主要成果:
- 逐步护理模式刺激了VHA内部的新型干预措施和最佳实践.
- 关键的进步包括加强患者教育,技术整合,以及改善对行为健康和跨学科团队的访问.
- 全国实施全健康模式正在进行中.
结论:
- 越南卫生局采用分步护理模式显然改善了慢性疼痛管理.
- 预计未来的慢性疼痛治疗将受到整体健康模式的显著影响.
- 持续在护理方面的创新对于解决慢性疼痛的复杂性至关重要.
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