在慢性非恶性疼痛患者中帮助阿片类药物逐渐减少的nudging:系统的范围审查
Sabrina Hoffensitz Nielsen1, Merethe Kirstine Kousgaard Andersen1, Jens Søndergaard1
1Research Unit for General Practice, Department of Public Health, University of Southern Denmark, Postal address: Campusvej 55, 5230 Odense M, Denmark.
Preventive medicine reports
|July 31, 2024
概括
针对患者的推动旨在减少慢性疼痛中的阿片类药物使用,但证据有限. 需要进一步的研究来确定这些非药物干预措施对阿片类药物逐渐减少的有效性.
科学领域:
- 行为经济学是一种行为经济学.
- 疼痛管理 疼痛管理
- 公共卫生 公共卫生
背景情况:
- 吸食阿片类药物具有显著的副作用,需要非药物替代品.
- 正在探索nudging策略,以减少阿片类药物消费和支持逐渐减少.
- 慢性非癌症疼痛患者是探索这些干预措施的关键人群.
研究的目的:
- 识别和评估患者向的阿片类药物缓解的推动在患有慢性非癌症疼痛的成年人中.
- 在这个背景下,综合当前关于 nudges 功效的证据.
主要方法:
- 从2010年到2023年1月,在多个数据库 (EMBASE,MEDLINE,CINAHL,PsycInfo,社会科学引用索引) 进行系统的文献搜索.
- 包含原始的,同行评审的英语语言研究,针对患有慢性非癌症疼痛的成年人,遵守nudge定义和PRISMA-ScR指南.
- 描述性数据提取,重点关注与计划相关的结果.
主要成果:
- 四项研究符合纳入标准,所有研究都采用了聚焦于决策和行为改变的信息传递的nudges.
- 识别的nudge类别包括越来越突出,理解映射和反.
- 结果措施主要集中在感知,知识,参与和心理福祉上,没有统计学上显著的效应或仅有很少的效应证据.
结论:
- 目前关于推动阿片类药物逐渐减少在慢性非癌症疼痛患者的有效性的证据是不够的.
- 包括的研究缺乏对照组和减少阿片类药物的客观措施.
- 需要进行更严格的研究,以确定这种患者群体中推动策略的有效性.
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