对于患有慢性疼痛的退伍军人而言,非药物干预:范围审查和干预地图
Rochelle Furtado1,2,3, Joy C MacDermid1,2,4, David M Walton1,2
1Department of Rehabilitation Sciences, Faculty of Health Science, Western University, London, ON, Canada.
Disability and rehabilitation
|March 10, 2025
概括
本次审查强调了需要更好地报告军事退伍军人慢性疼痛的非药物干预措施的需要. 改进的研究设计和报告对于证明这些康复计划的价值至关重要.
科学领域:
- 康复医学 康复医学 康复医学
- 疼痛管理 疼痛管理
- 军人卫生保健 军人卫生保健
背景情况:
- 慢性疼痛显著影响退伍军人的生活质量.
- 对于慢性疼痛管理,越来越多地探索非药物干预措施.
- 现有的文献缺乏对干预组件和有效性的全面理解.
研究的目的:
- 系统地描述军事退伍军人的慢性疼痛康复干预措施的内容,理由,机制和结果.
- 识别当前研究领域的局限性和缺口.
- 为未来的研究和临床实践提供信息.
主要方法:
- 在多个数据库 (CINAHL,EMBASE,PubMed,Cochrane Reviews,Google Scholar) 中进行了全面的文献搜索.
- 研究由三个作者根据预定义的纳入标准进行了选.
- 采用定性合成来分析包含的文章中的数据,这些文章重点关注退伍军人慢性疼痛康复.
主要成果:
- 包括31篇文章,包括25个随机试验,详细介绍了各种干预设计,交付方式和遵守报告.
- 只有很小一部分研究 (4/31) 涉及退伍军人参与干预开发.
- 开发了一个概念地图,对干预组件,机制和结果进行分类.
结论:
- 对非药物干预细节的不一致和不良报告妨碍了对系统审查中的价值的理解.
- 未来的研究需要在研究设计和报告中提高严格性,以便明确并响应退伍军人的慢性疼痛需求.
- 提高透明度和以退伍军人为中心的设计对于推进康复战略至关重要.
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