慢性腰部疼痛的"自我管理"是什么意思? 一个叙事审查
Tianyu Zhou1, David Salman1,2, Alison H McGregor3
1MSk Lab, Department of Surgery & Cancer, Imperial College London, 2nd Floor, Sir Michael Uren Hub, 86 Wood Lane, London, W12 0BZ, UK.
概括
慢性腰部疼痛 (CLBP) 的自我管理缺乏一致的内容和评估方法. 需要进一步的研究来确定有效的CLBP自我管理策略,考虑到其复杂性质.
科学领域:
- 肌肉骨健康 肌肉骨健康
- 康复医学 康复医学 康复医学
- 疼痛管理 疼痛管理
背景情况:
- 慢性腰部疼痛 (CLBP) 是一种广泛的疾病,影响着全球人口的很大一部分.
- 对于CLBP,越来越多地推自我管理策略,但其定义和目标仍然不清楚.
- 本研究旨在澄清CLBP自我管理的内容,特征和证据基础.
研究的目的:
- 系统地审查和分析关于慢性腰痛自我管理干预措施的现有文献.
- 确定当前CLBP自我管理方法的核心组成部分,特征和结果指标.
- 突出关于CLBP自我管理的研究中的不一致性和差距.
主要方法:
- 对英语期刊文章进行了系统的叙事审查.
- 从2016年1月到2022年1月,在MEDLINE,EMBASE,CINAHL和PsycINFO中进行了搜索.
- 关键词包括与背痛和自我管理相关的术语.
主要成果:
- 十五项研究符合审查的纳入标准.
- 确定了关键的自我管理组件是运动,教育和心理干预,但内容有显著的变化.
- 干预特征经常被报告不足或不一致,结果指标 (主要是功能障碍和疼痛强度) 不同.
结论:
- 关于CLBP的自我管理干预措施的内容,特征和评估缺乏共识.
- 目前的方法往往无法解决CLBP复杂的生物心理社会性质.
- 建立对干预组件和评估方法的共识对于推进有效的CLBP自我管理研究至关重要.
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