疼痛管理的共享决策和协作护理模式:对现有证据的全面审查
Elise Omaki1, Megan Fitzgerald1, Diksha Iyer1
1Elise Omaki, MHS, Megan Fitzgerald, MPH, Diksha Iyer, Wendy Shields, PhD, MPH and Renan Castillo, PhD, MS, Johns Hopkins Center for Injury Research & Policy, Department of Health Policy & Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Journal of pain & palliative care pharmacotherapy
|September 12, 2024
概括
共享决策和协作护理模式有效地减少了急性和慢性疼痛患者的阿片类药物使用. 这些方法可以改善疼痛管理,而不会使患者报告的疼痛水平恶化.
科学领域:
- 疼痛管理 疼痛管理
- 医疗保健服务研究 医疗服务研究
- 证据综合 证据综合
背景情况:
- 有效的疼痛管理策略对于急性和慢性疾病至关重要.
- 过度依赖阿片类药物需要探索以患者为中心的替代方法.
- 共享决策和协作护理模式提供了潜在的解决方案.
研究的目的:
- 系统地审查关于疼痛管理中共享决策和协作护理的证据.
- 评估这些模型对阿片类药物消费和疼痛水平的影响.
- 识别有关以患者为中心的研究结果的研究缺口.
主要方法:
- 在PubMed (1980-2023) 的综合文献搜索和参考扫描.
- 两个评论员对标题和摘要进行独立选.
- 包括评估共享决策或急性/慢性疼痛协作护理的研究.
主要成果:
- 在审查了690篇文章后,32项研究符合纳入标准.
- 干预措施主要评估了阿片类药物数量的变化和患者报告的疼痛.
- 在减少阿片类药物消费而不会影响疼痛缓解方面观察到的积极效应.
结论:
- 共享决策和协作护理有望改善疼痛管理.
- 这些模型证明了在减少不同疼痛群体中阿片类药物使用的有效性.
- 需要进一步研究对患者满意度,生活质量和沟通的影响.
相关概念视频
Methods of Documentation VI: Case Management Model
564
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
564
Chronic Pancreatitis II: Collaborative Care
71
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
71
Analgesia and Pain Management
552
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
552
Documentation in Long-Term and Home Healthcare Setting
875
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
875
Patient-centered Care
2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.0K
Ethical Issues
873
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
873


