包括纤维肌痛在内的慢性广泛疼痛的自我管理干预措施:系统性审查和定性证据综合
Xiao-Yang Hu1, Ben Young2, Miriam Santer1
1Primary Care Research Centre, School of Primary Care, Population Sciences & Medical Education, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.
Pain
|September 17, 2024
概括
慢性广泛疼痛 (CWP) 的自我管理干预提供了变革的潜力,但成功取决于个性化的支持,群体凝聚力和持续的干预后护理. 解决这些因素可以提高纤维肌痛患者的疗效.
科学领域:
- 质量健康研究 质量健康研究
- 行为医学是一种行为医学.
- 疼痛管理 疼痛管理
背景情况:
- 自主管理对于慢性广泛疼痛 (CWP),包括纤维肌痛至关重要.
- 了解患者对干预措施的体验是优化干预措施影响的关键.
- 定性见解可以揭示自我管理的促进者和障碍.
研究的目的:
- 系统地审查和综合有关CWP自我管理干预措施患者经验的定性研究.
- 确定共同的主题和影响这些干预措施有效性的因素.
- 为未来发展和实施CWP自我管理计划提供信息.
主要方法:
- 定性和混合方法研究的系统审查和主题综合.
- 在主要的数据库中进行了搜索 (MEDLINE,Embase,PsycINFO,CINAHL,科学网).
- 包括23项研究,对质量进行了批判性评估.
主要成果:
- 干预被认为是多方面的,个性化通常是有益的.
- 团队凝聚力促进了许多人的接受,新的视角,改善了自我管理.
- 挑战包括整合体育活动,群体动态,以及干预后缺乏持续支持.
结论:
- 患者对CWP自我管理干预措施的体验是复杂而多样化的.
- 个性化,团体支持和持续的干预后护理对于积极的结果至关重要.
- 这些领域的改进可以提高对更广泛患者群体的干预措施的有效性.
相关概念视频
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
Irritable Bowel Syndrome III: Medical and Nursing Management
180
Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
180
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
Chronic Obstructive Pulmonary Disease-V: Nursing Management
3.7K
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
3.7K
Inflammatory Bowel Disease IV: Pharmacological Management
118
Upon diagnosis, managing Inflammatory Bowel Disease (IBD) involves addressing several crucial aspects. The primary goals include resting the bowel, correcting malnutrition, and providing symptomatic relief. Resting the bowel may consist of medications to reduce inflammation and promote healing. Correcting malnutrition is essential, often requiring dietary adjustments and nutritional supplements. Symptomatic relief aims to ease pain, diarrhea, and other discomforts in IBD.
Pharmacologic...
Pharmacologic...
118


