实施治疗慢性肌肉骨疼痛患者干预措施的障碍和促进因素:使用理论领域框架进行定性范围审查
Mette Dahl Klausen1, Line Lindberg1,2,3, Simon Kristoffer Johansen1,3
1Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark.
Musculoskeletal care
|April 26, 2025
概括
实施基于证据的肌肉骨疼痛干预措施面临重大障碍. 解决与时间,资金和支持有关的系统性问题对于改善患者护理和临床实践至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 疼痛管理 疼痛管理
- 实施科学 实施科学
背景情况:
- 慢性肌肉骨 (MSK) 疼痛是一个巨大的社会负担.
- 基于证据的MSK疼痛干预措施与其临床实践之间存在差距.
- 本研究确定了在医疗保健中实施MSK疼痛干预措施的障碍和促进因素.
研究的目的:
- 确定肌肉骨疼痛干预措施实施中的障碍和促进因素.
- 探索患者和医疗保健专业人士对MSK疼痛干预措施实施的观点.
主要方法:
- 根据乔安娜·布里格斯研究所的方法进行了范围审查.
- 在多个数据库 (MEDLINE,EMBASE,CINAHL,PubMed,PsycINFO) 进行了搜索,截至2023年12月.
- 使用通用诱导方法分析了涉及患者和医疗保健专业人员的定性研究,并将其映射到理论领域框架 (TDF).
主要成果:
- 包括22项涉及307名医疗保健专业人员和76名患者的研究.
- 六个主要主题出现了:通常的护理差距,信任,支持,时间/财务,知识/技能和患者偏好.
- 关键的障碍包括时间限制,低偿还和不足的支持;促进者包括领导力,沟通和社交网络.
结论:
- 个人,组织和政治层面的系统性障碍阻碍了MSK疼痛干预措施的实施.
- 有针对性的战略对于克服这些障碍至关重要.
- 改善可持续的临床实施是提高慢性MSK疼痛患者护理的关键.
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