在初级保健中解释纤维肌痛诊断:一个范围审查
Kerrie McConnell1, Neil Heron2, Nigel D Hart3
1School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast, UK kmcconnell15@qub.ac.uk.
使用类比来解释纤维肌痛可以提高患者对治疗计划的理解和接受,特别是非药物治疗. 个性化的方法至关重要,因为对慢性疼痛的解释是无效的.
科学领域:
- 医学研究 医学研究
- 患者教育 患者教育
- 疼痛管理 疼痛管理
背景情况:
- 纤维肌痛是英国慢性疼痛的常见原因,存在诊断和治疗挑战.
- 当前的诊断解释可能会对治疗关系和患者的结果产生负面影响.
- 有效的患者教育对于治疗纤维肌痛至关重要.
研究的目的:
- 对解释纤维肌痛诊断的初级保健方法进行审查.
- 建立一个最佳实践模型,用于患者在纤维肌痛的教育.
主要方法:
- 进行了对英语文章的范围审查.
- 搜索包括MEDLINE,Embase,科学网络和灰色文学.
- 数据是根据包含标准提取,审查和分析的.
主要成果:
- 29个记录符合纳入标准,确定了6个主题:患者和医生教育,多学科团队,以患者为中心的护理,初级保健价值和资源.
- 解释疼痛敏感化的类比增强了患者对纤维肌痛的理解.
- 更好的理解有助于接受管理计划,特别是由多学科团队提供的非药物治疗.
结论:
- 清楚地解释纤维肌痛的关键方面对于患者的理解至关重要.
- 个性化的患者体验需要一个量身定制的诊断解释方法,而不是一个适合所有人的模型.
- 需要进一步的研究来确定不同解释策略对患者结果的影响.
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