痴呆症患者的非药理性疼痛管理:一个大范围的审查 从务实的角度绘制研究差距
Annalisa Na1, Justine S Sefcik1, Laura N Gitlin1
1College of Nursing and Health Professions, Drexel University, Philadelphia, Pennsylvania, USA.
Journal of the American Geriatrics Society
|March 7, 2025
概括
对于患有痴呆症 (PLWD) 的人来说,非药理性疼痛干预措施未得到充分利用. 一项审查发现,有限的研究符合实用试验准备评估 (RAPT) 模型,突出了可行性和可接受性的差距. 为了有效的疼痛管理,需要进行进一步的研究.
科学领域:
- 老年学是一门学科.
- 疼痛管理 疼痛管理
- 实施科学 实施科学
背景情况:
- 非药理性疼痛干预措施对患有痴呆症 (PLWD) 的人有效,但未得到充分利用.
- 使用实用试验准备评估 (RAPT) 模型的实施科学镜头可以识别阻碍利用的研究差距.
研究的目的:
- 为PLWD进行非药物疼痛干预措施的范围审查.
- 将现有文献映射到RAPT模型领域.
- 确定这些干预措施的实施中存在的研究差距.
主要方法:
- 根据Arksey和O'Malley的框架和PRISMA-ScR指南进行了范围审查.
- 两位评论员从81项研究中提取和映射了9个RAPT领域的数据.
- 使用描述性统计数据来总结研究特征和RAPT领域覆盖范围.
主要成果:
- 该审查包括了81项关于24项干预措施的研究,主要是在长期护理机构.
- 量身定制的活动计划,运动,疼痛教育和逐步方法拥有最多的文学资料,以告知RAPT领域.
- 大多数研究都映射到"证据"领域,很少有研究涉及"可行性"",可接受性"和"实施";没有研究涉及"风险"或"影响".
结论:
- 对于PLWD的非药物疼痛干预措施,与RAPT模型一致的文献显著缺乏.
- 对特定的疼痛/痴呆症条件和护理环境给予了有限的考虑.
- 未来的研究应该优先考虑可行性和可接受性研究,以建立有效的证据,在不同的环境中定制干预措施.
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