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管理非特异性腰部疼痛的护理模式
Sean Docking1, Shivadharshini Sridhar1, Romi Haas1
1School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
腰部疼痛的替代护理模式在护理质量上差异很小,但与常规护理相比,在疼痛和功能方面提供了微小,临床上不重要的改善. 需要对不良事件进行进一步的研究.
科学领域:
- 提供医疗保健的模式.
- 基于证据的实践实践.
- 疼痛管理 疼痛管理
背景情况:
- 替代护理模式旨在提高医疗保健的质量和效率.
- 这些模型修改了如何,何时,在哪里或由谁提供和协调护理.
- 例如包括远程医疗和团体护理与个人患者护理.
研究的目的:
- 评估基于证据的替代护理模式,用于非特异性腰部疼痛.
- 评估对护理质量和患者报告结果的影响.
- 总结这些替代模型的经济评估.
主要方法:
- 随机对照试验 (RCT) 的系统审查.
- 在2024年6月14日之前搜索了CENTRAL,MEDLINE,Embase和试验注册表.
- 包括RCT比较非特异性腰部疼痛的常规护理的替代模型.
主要成果:
- 包括57项试验 (29,578名参与者),主要是在高收入国家.
- 中等确定性证据显示,成像或阿片类药物使用的差异很小.
- 高确定性证据表明,疼痛和功能的改善很小,在临床上并不重要.
结论:
- 治疗腰部疼痛的替代护理模式对护理质量的影响最小.
- 疼痛和功能的改善在统计学上是显著的,但在临床上没有意义.
- 由于低确定性证据,对不良事件的影响仍然不确定.
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