术前教育对术后疼痛和骨科手术后功能的影响:系统性审查和元分析
Fanjia Wang1, Jing Zhang1, Yonghao Guan2
1Department of Physical Therapy, Shanghai YangZhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), School of Medicine, Tongji University, Shanghai 201619, China.
Patient education and counseling
|August 21, 2024
概括
术前教育为骨科手术患者提供短期的疼痛缓解,但不能改善长期的功能恢复. 需要进一步的研究来优化教育干预措施,以获得更好的结果.
科学领域:
- 整形外科手术 整形外科手术
- 疼痛管理 疼痛管理
- 患者教育 患者教育
背景情况:
- 手术后的疼痛和残疾严重影响了骨科手术后的康复.
- 术前教育是缓解这些不良结果的潜在策略.
- 这些干预措施的长期有效性仍然不完全理解.
研究的目的:
- 系统地审查术前教育对骨科手术患者术后疼痛和残疾的短期和长期影响.
- 综合随机对照试验 (RCT) 的证据,以评估手术前教育和联合干预措施的影响.
主要方法:
- 对RCT进行了全面的系统审查和元分析.
- 在包括PubMed,Cochrane Central,Embase,Medline,Scopus和CINAHL在内的主要数据库中进行了搜索,截至2023年9月10日.
- 研究选择,数据提取和质量评估由两位作者独立进行.
主要成果:
- 包括37个RCT,其中27个接受了元分析.
- 术前教育对短期术后疼痛缓解 (SMD = -0.23) 的影响很小,但具有统计学意义.
- 联合的手术前干预也显示了对缓解疼痛的小但显著的影响 (SMD = -0.25).
结论:
- 术前教育和联合干预措施为骨科手术患者提供短期的疼痛缓解,有效期约为一周.
- 这些干预措施没有显示出对短期或长期功能恢复的通常护理的优越性.
- 需要进一步调查以确定手术前教育策略的最佳内容,持续时间和剂量.
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