在疼痛管理中与种族和民族相关的差异:一个范围审查
D Patterson1,2, C McGuinness3, S Dunne4
1School of Pharmacy and Biomolecular Sciences, RCSI University of Medicine and Health Sciences, Dublin, Ireland. diane.patterson@tus.ie.
International journal of clinical pharmacy
|October 6, 2025
概括
疼痛管理中的种族和民族差异很常见,特别是在基于证据的医学方面. 实施协议和了解患者经验可以减少这些健康不平等.
科学领域:
- 医疗保健的不平等 医疗保健的不平等
- 药品优化 药品优化 药品优化
- 疼痛管理 疼痛管理
背景情况:
- 与种族和种族相关的健康不平等可能导致负面的医疗保健结果.
- 疼痛管理是存在感知健康不平等的关键领域.
- 药物优化提供了一个框架,以确保安全,有效的药物使用,并识别护理差异.
研究的目的:
- 评估疼痛管理中的种族和种族差异.
- 将这些差异与药物优化原则进行映射.
主要方法:
- 2012-2025年使用CINAHL,Ovid和Medline进行的研究的系统审查.
- 包括关于疼痛管理,药物优化,种族和种族的研究.
- 两位审查员对药物优化原则和疼痛管理差异进行独立查和数据提取.
主要成果:
- 118项研究符合标准;89%报告了基于种族/种族的疼痛管理差异.
- 大多数差异与基于证据的医学有关 (原则2),包括疼痛评分报告,评估和阿片类药物接收.
- 在儿科,手术,息护理和以协议为指导的疼痛管理方面发现的差异较少.
结论:
- 基于种族和种族的疼痛管理中普遍存在的差异已经减少,但仍然存在.
- 医疗保健专业人员应该优先考虑患者的体验和基于证据的协议.
- 需要进一步研究药物安全性和将药物优化整合到各种环境中的常规护理中.
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