治疗慢性部疼痛的自我护理教育的有效性:系统审查和元分析
Geraldine Valenza-Peña1, Javier Martín-Núñez1, Alejandro Heredia-Ciuró1
1Department of Physiotherapy, Faculty of Health Sciences, University of Granada, Av. De la Ilustración, 60, 18016 Granada, Spain.
Healthcare (Basel, Switzerland)
|December 22, 2023
概括
自理计划显著改善慢性部疼痛,残疾和心理因素. 这些干预措施,通常包括教育和运动,为治疗持续性部疼痛的患者提供长期益处.
科学领域:
- 康复医学 康复医学 康复医学
- 疼痛管理 疼痛管理
- 基于证据的实践.
背景情况:
- 慢性部疼痛显著影响日常生活和长期福祉.
- 自护计划的有效性,关键组件和最佳持续时间需要进一步调查.
研究的目的:
- 系统地审查和元分析慢性部疼痛自我护理计划的有效性.
- 在这些计划中确定共同的组件和干预持续时间.
主要方法:
- 随机对照试验 (RCT) 的系统审查和元分析,遵循PRISMA指南.
- 搜索了主要的数据库 (PubMed,科学网,Scopus,ScienceDirect) 的相关研究.
- 包括十一项研究,分析疼痛,残疾,运动恐惧症和灾难化.
主要成果:
- 自理干预表明疼痛,残疾和心理变量有显著改善 (p < 0.05).
- 共同的组成部分包括教育 (疼痛神经科学,一般概念),炼和解决身体/心理症状.
- 干预的持续时间从三个会议到六个月不等,个人和监督的模式很常见.
结论:
- 自理干预措施在改善慢性部疼痛患者的疼痛,心理疼痛相关变量和残疾方面是有效的.
- 未来的研究应该探索诸如提供者沟通和自我监测等组件,以及标准化剂量和比较治疗.
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