患有肌缩侧面硬化症的人们感知到的疼痛 - - 一个范围广泛的综述
Debora Rosa1, Laura Ingrande1, Ilaria Marcomini1
1Center for Nursing Research and Innovation, Faculty of Medicine and Surgery, Vita-Salute San Raffaele University, 20132 Milan, Italy.
Nursing reports (Pavia, Italy)
|October 25, 2024
概括
肌缩侧面硬化症 (ALS) 的疼痛管理是复杂的. 有效的评估和治疗策略对于改善ALS患者经历疼痛的生活质量至关重要.
科学领域:
- 神经学 神经学
- 疼痛管理 疼痛管理
- 肌缩侧面硬化症研究研究
背景情况:
- 疼痛是被诊断为肌缩侧面硬化症 (ALS) 的患者普遍和复杂的症状.
- 目前对ALS的疼痛管理缺乏基于证据的药理疗法,依赖于一般慢性疼痛指南和临床专业知识.
- 疼痛对ALS患者日常活动和社会互动的影响需要进一步调查.
研究的目的:
- 对现有的有关ALS患者经历疼痛的文献进行范围审查.
- 探索疼痛对ALS患者生活质量的感知,特征和影响.
- 确定当前的治疗方法及其在治疗ALS疼痛方面的有效性.
主要方法:
- 采用了一种全面的范围审查方法.
- 在MEDLINE,CINAHL和SCOPUS数据库中进行文献搜索,应用时间和语言标准.
- 研究包括18岁及以上的脊柱/凸骨ALS患者经历疼痛,重点关注其多方面的方面.
主要成果:
- 在ALS的疼痛管理具有挑战性,通常涉及抗炎药物,止痛药和阿片类药物.
- 疼痛经常伴随着抑郁和焦虑等心理状况,加剧了生活质量的下降.
- 疼痛负面影响患者对治疗的坚持和他们认为的护理质量.
结论:
- 有必要开发和实施有效的方法来评估和治疗ALS的疼痛.
- 医疗保健专业人员必须在ALS患者的多学科疼痛管理中发挥积极作用.
- 需要进行进一步的研究,以建立基于证据的指导方针,以治疗肌缩侧面硬化症的疼痛.
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