成年急性疼痛患者的教育需求和偏好:混合方法系统审查
Mélanie Bérubé1,2,3, Michael Verret1,4,5, Laurence Bourque1
1Population Health and Optimal Practices Research Unit, Research Centre of the CHU de Québec-Université Laval, Quebec City, QC, Canada.
Pain
|June 18, 2024
概括
患者需要的急性疼痛教育重点是了解疼痛强度,持续时间,药物使用和副作用. 让护理人员参与和优先考虑医生沟通是有效的疼痛管理策略的关键偏好.
科学领域:
- 疼痛管理 疼痛管理
- 患者教育 患者教育
- 医疗保健服务研究 医疗服务研究
背景情况:
- 急性疼痛对患者产生重大影响,需要有效的管理策略.
- 由于缺乏以人为中心的方法,目前的疼痛教育干预措施的有效性有限.
- 了解患者的需求和偏好对于改善急性疼痛教育至关重要.
研究的目的:
- 系统地审查和综合有关成人患者急性疼痛教育需求和偏好的证据.
- 确定患者需要信息的关键领域以及他们喜欢的获取信息方法.
- 为开发更有效,以人为中心的疼痛教育干预措施提供信息.
主要方法:
- 对定量,定性和混合方法研究的系统审查.
- 搜索了7个数据库和灰色文献 (1990年1月 - 2023年10月).
- 使用混合方法评估工具评估方法质量;包括32项研究 (n=1847名患者).
主要成果:
- 患者最需要的是关于预期疼痛强度/持续时间,药物管理和不良影响的教育.
- 首选的教育交付包括与护理人员参与的面对面会议.
- 患者更喜欢最初从医生那里获得信息,其次是其他医疗保健专业人员.
结论:
- 急性疼痛教育干预措施必须优先考虑患者确定的需求和偏好.
- 一种以人为中心的方法,强调与患者和护理人员的沟通和伙伴关系是必不可少的.
- 需要进一步的研究来证实在不同患者群体中发现的结果.
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