建立与儿科慢性疼痛相关的生物心理社会因素的共识:修改后的Delphi研究
Emma Rheel1, Marieke De Craemer2, Tom Deliens3
1Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Laarbeeklaan 103, 1090 Brussels, Belgium.
The journal of pain
|October 12, 2024
概括
专家们确定了儿童慢性疼痛的关键可改变因素,包括体力活动和久坐行为. 这些发现指导了预防和有效管理儿童慢性疼痛的干预措施.
科学领域:
- 儿科疼痛管理 儿科疼痛管理
- 儿童健康研究 儿童健康研究
- 干预科学 干预科学
背景情况:
- 慢性疼痛影响到许多儿童,需要识别可修改的因素.
- 了解这些因素对于开发有效的干预措施至关重要.
- 针对可修改因素可以改善儿童慢性疼痛的预防和管理策略.
研究的目的:
- 为了在与儿科慢性疼痛相关的因素上达成专家共识.
- 评估这些因素的可变性和人口层面的影响.
- 引导针对儿童慢性疼痛的有针对性的干预措施的开发.
主要方法:
- 与儿科疼痛专家一起使用了两轮修改的Delphi方法.
- 基于网络的调查问卷评估了因素的关联强度,可修改性和人口层面的影响.
- 在47个与儿科慢性疼痛相关的已确定因素上达成专家共识.
主要成果:
- 四个因素被认为是高度可修改的:身体活动 (PA),久坐行为 (SB),与疼痛相关的学校缺勤,以及孩子的疼痛知识.
- 三个因素表明了高人口水平的影响:PA,SB和孩子的情绪状态 (例如,抑郁症).
- 在各种因素的可变性和人口层面影响方面达成了共识.
结论:
- 专家共识确定了儿童慢性疼痛中关键可修改的因素和具有高人口水平影响的因素.
- 身体活动,久坐不动的行为和情绪健康是干预的关键目标.
- 这些发现为基于证据的干预提供了基础,以减少儿童慢性疼痛的负担.
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