类风湿性疾病中的灾难性疼痛:患病率,起源和影响
Mateusz Wilk1, Olena Zimba1,2,3, Glenn Haugeberg4,5
1Division of Rheumatology, Immunology and Internal Medicine, University Hospital in Krakow, Krakow, Poland.
Rheumatology international
|April 12, 2024
概括
catastrophizing 疼痛显著影响类风湿性疾病,恶化患者的福祉. 解决这种不适应的应对策略对于改善类风湿性关节炎和骨关节炎等疾病的治疗结果至关重要.
科学领域:
- 类风湿病学 类风湿病学
- 疼痛管理 疼痛管理
- 心理学 心理学 心理学
背景情况:
- 疼痛是类风湿性疾病的核心问题,应对策略显著影响患者的结果.
- 不适应性疼痛应对,特别是疼痛灾难化,与类风湿病患者的健康状况较差有关.
研究的目的:
- 审查当前关于普遍的类风湿性疾病中疼痛灾难性的知识.
- 了解现象的含义,并确定未来的研究方向.
主要方法:
- 从MEDLINE/PubMed,SCOPUS和DOAJ数据库中对文献进行叙述性审查.
- 搜索集中在类风湿性关节炎,牛皮性关节炎,轴性脊柱炎,全身性硬化症,全身性红斑狼,Sjögren综合征,青少年异常性关节炎和骨关节炎 (非手术) 中的灾难性疼痛.
- 包括156个记录在查和完整文本分析后的相关性,流行率,病原体和影响.
主要成果:
- 疼痛灾难化放大了疼痛感知,并对患者幸福感的多个方面产生了负面影响.
- 该审查总结了各种类风湿性疾病中疼痛灾难性的潜在治疗方法.
结论:
- 疼痛灾难化是类风湿性疾病的重要因素,影响患者的治疗结果.
- 需要进一步的前性对照试验来探索其影响并改善患者护理.
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