在癌症疼痛管理中使用目标:系统性审查
Olga Ehrlich1, Alyssa Lackowski1, Toni L Glover1
1School of Nursing, Oakland University, (O.E, A.L, T.L.G), Rochester, MI, USA.
Journal of pain and symptom management
|June 8, 2024
概括
目前的癌症疼痛目标评估,如个人疼痛目标 (PPG),是有限的. 研究表明,需要多维患者疼痛目标,包括功能,情绪和安全,以有效控制疼痛.
科学领域:
- 在瘤学瘤学.
- 疼痛管理 疼痛管理
- 以患者为中心的护理
背景情况:
- 癌症疼痛是复杂的,需要根据患者的目标进行个性化管理.
- 个人疼痛目标 (PPG) 是当前的标准,但可能无法完全捕捉有意义的患者目标.
- 有效的疼痛管理需要将治疗与患者定义的结果结合起来.
研究的目的:
- 在癌症疼痛管理中研究疼痛目标的利用.
- 识别和分类现有研究中探索的疼痛目标类型.
主要方法:
- 在CINAHL,PsychInfo和PubMed数据库中进行了全面的文献搜索.
- 手动搜索补充了数据库的发现.
- 对标题,摘要和全文的严格审查确保了相关研究的选择.
主要成果:
- 16篇文章符合纳入标准,涵盖了各种研究设计 (质量改进,概念分析,定性,定量,混合方法).
- 目标设定是疼痛管理的关键组成部分,实现个人目标是关键结果.
- 定性发现突出了与疼痛管理相关的个人目标,包括功能目标和患者资源的发展.
- 量化研究仅集中在个人疼痛目标 (PPG) 上,发现其评估是可行的,并将实现与疼痛控制等同.
结论:
- 现有的癌症疼痛目标评估缺乏多维性,无法纳入患者对功能,活动,情绪,药物效应或安全的愿望.
- 显然需要开发和验证多维患者疼痛目标评估.
- 这种评估对于癌症患者的一致,记录和个人有意义的疼痛管理至关重要.
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