检查慢性腰部疼痛的弹性疼痛行为:一个范围广泛的审查
Robin R Austin1, Oliver Ang1, Alex Haley1
1University of Minnesota, School of Nursing, Minneapolis, MN; University of Minnesota, Earl E. Bakken Center for Spirituality and Healing, Minneapolis, MN; University of Minnesota, Integrative Health and Wellbeing Research Program, Minneapolis, MN.
概括
这次审查发现,慢性腰部疼痛 (CLBP) 的弹性研究正在出现,定义多样化,行为操作有限. 在定义性和在护理实践中应用理论框架方面需要取得进展.
科学领域:
- 疼痛管理研究 疼痛管理研究
- 心理性研究 心理性研究
- 护理科学 护理科学
背景情况:
- 慢性腰部疼痛 (CLBP) 影响着大量人群,需要对影响患者结果的因素进行研究.
- 弹性,适应逆境的能力,越来越被认为是管理慢性疼痛疾病的关键因素.
- 了解如何在CLBP研究中定义和应用弹性对于开发有效干预措施至关重要.
研究的目的:
- 在患有CLBP的个体中对弹性和弹性疼痛行为进行范围审查.
- 检查用于CLBP的弹性研究中的定义,操作化 (特征与行为) 和理论框架.
- 确定差距,并为该领域的未来研究方向提供信息.
主要方法:
- 进行了全面的范围审查.
- 在五个主要数据库 (CINAHL,Embase,Ovid MEDLINE,PsycInfo,Scopus) 中搜索了2011年至2021年间发表的相关文章.
- 数据被系统地绘制图表并使用电子表格进行分析.
主要成果:
- 最终分析包括了26篇文章,主要来自美国,其中大多数使用横截面设计.
- 适应力的定义在各个研究中有很大差异,大多数都不使用理论框架.
- 弹性在三项研究中作为一种特征,仅在一项研究中作为一种行为.
结论:
- 弹性定义的异质性和横截面设计的普遍性表明,CLBP中的弹性研究仍处于早期阶段.
- 缺乏一致的弹性操作,特别是作为一种行为,以及有限的理论框架的使用,突出了需要改进的领域.
- 这些发现对护理实践有意义,强调需要标准化定义和框架来指导整体患者护理和弹性建设干预措施.
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