对个性化疼痛评估和多模式干预措施进行综合审查,以优化术后恢复
Jingying Xu1, Xiaona Liu1, Jinyan Zhao1
1Department of Rehabilitation Medicine, Joint Logistics Support Force No. 964 Hospital of People's Liberation Army of China, Changchun, Jilin, 130000, People's Republic of China.
Journal of pain research
|June 10, 2025
概括
个性化疼痛评估和多式干预措施显著改善术后恢复. 这种方法可以减少疼痛,缩短住院时间,降低阿片类药物的使用,从而改善患者的治疗结果.
科学领域:
- 疼痛管理 疼痛管理
- 患者的恢复 患者的恢复
- 基于证据的医学基于证据的医学.
背景情况:
- 传统的术后疼痛管理往往无法解决个体患者的变化和疼痛的复杂性质.
- 优化患者康复取决于有效的疼痛管理,影响康复,住院时间和并发症风险.
研究的目的:
- 系统地审查有关个性化疼痛评估和多模式干预措施的文献,以优化术后恢复.
- 总结关于将生物心理社会模型与药理和非药理疼痛管理策略的结合的证据.
主要方法:
- 在2000年至2024年间出版的文学作品的综合叙事综述.
- 在包括PubMed和Web of Science在内的数据库中进行的搜索.
- 专注于个性化疼痛评估和多模式干预.
主要成果:
- 将个性化评估与多模式干预相结合,可以显著改善结果.
- 观察到的减少包括20-30%的疼痛评分,1-2天更短的住院时间和25-40%更少的阿片类药物消费.
- 临床应用包括动态监测,虚拟现实和预康复.
结论:
- 个性化,多维的疼痛管理策略提高了术后结果和患者满意度.
- 未来的方向包括人工智能驱动的工具,跨学科的合作和标准化的协议.
- 有效实施需要解决理论基础和实际挑战.
相关概念视频
Peripheral Artery Disease V: Postoperative Nursing Management
4
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
4
Analgesia and Pain Management
547
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
547
Peripheral Artery Disease IV: Nursing Management
3
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
3
Chronic Pancreatitis II: Collaborative Care
70
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
70
Peptic Ulcer Disease V: Surgical Management and Nursing Care
237
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
237
Cardiomyopathy VII: Pre and Post Operative Nursing Management
3
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
3


