系统性硬化症中的疼痛和疲劳:非药物管理的实际策略
Francesco Bonomi1, Khadija El Aoufy1, Silvia Bellando Randone2,3
1Department of Internal Medicine, University Hospital Careggi, Florence, Italy.
Journal of scleroderma and related disorders
|September 26, 2025
概括
系统性硬化症的疼痛和疲劳是残疾的,但往往没有得到充分的治疗. 非药理学方法和多学科护理是管理这些症状和改善患者生活质量的关键.
科学领域:
- 类风湿病学 类风湿病学
- 症状管理 症状管理
- 生活质量研究 研究 生命质量研究
背景情况:
- 疼痛和疲劳是系统性硬化症 (SSc) 的高度普遍和致残症状.
- 这些症状显著损害了SSc患者的日常功能和生活质量.
- 临床医生经常低估和治疗SSc.中的疼痛和疲劳.
研究的目的:
- 审查有关SSc.患者疼痛和疲劳的评估和非药物管理的现有证据.
- 为SSc患者提供支持多学科护理的实用方法.
- 综合优化SSc症状管理的建议.
主要方法:
- 关于SSc疼痛和疲劳的原因,诊断和非药物治疗的综合文献综述.
- 整合基于证据的建议和专家共识.
- 反映目前在SSc管理中的最佳临床实践.
主要成果:
- 脑脊髓炎疼痛和疲劳是多因素的,通常被低估.
- 疼痛来源包括肌肉骨,神经病,血管,胃肠道和阳性因素.
- 疲劳司机包括心肺问题,营养不良,内分泌功能障碍,睡眠不良和心理因素.
- 非药物干预,如身体康复和CBT显示出希望,但高质量的SSc证据是有限的.
结论:
- 个性化,整体的方法对于管理SSc疼痛和疲劳至关重要.
- 涉及各种专家的跨学科护理对于最佳结果至关重要.
- 需要未来的研究来解决未满足的需求,并改善SSc患者的生活质量.
相关概念视频
Peripheral Artery Disease IV: Nursing Management
350
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,...
350
Atherosclerosis IV: Nursing Management
366
Nursing management for a patient with arteriosclerosis involves a comprehensive approach focusing on lifestyle modification, disease monitoring, education, and symptomatic care. Here is an overview of effective nursing strategies:Assessment and Monitoring: Initial and ongoing assessments are crucial. Nurses must document the patient's medical history, including any hypertension, diabetes, hyperlipidemia, and other cardiovascular diseases. Assessments also cover family history and lifestyle...
366
Peripheral Artery Disease V: Postoperative Nursing Management
378
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...
378
Atherosclerosis III: Management
321
Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...
321
Peripheral Artery Disease III: Interprofessional Care
245
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
245
COPD: Management Using Bronchodilators and Corticosteroids
734
Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
734


