与疼痛相处 - - 对患者的主观经验的系统审查
Maria Christidis1,2, Essam Ahmed Al-Moraissi3, Tasnim Miah4
1Department of Nursing Science, Sophiahemmet University, Stockholm, 11486, Sweden. maria.christidis@ki.se.
Systematic reviews
|October 7, 2025
概括
患有慢性,急性或癌症疼痛的患者会对他们的社会,工作和个人生活产生重大影响. 了解这些主观疼痛经历对于开发有效的个性化疼痛管理策略至关重要.
科学领域:
- 疼痛研究 疼痛研究
- 定性证据综合研究
- 患者为中心的护理
背景情况:
- 了解患者对疼痛的主观经验对于改善治疗选择,护理和支持至关重要.
- 这项定性系统性审查分析了急性,慢性和癌症疼痛状态之间主观疼痛体验的差异.
研究的目的:
- 分析病人的主观经验生活与疼痛之间的急性,慢性和癌症疼痛状态不同.
- 综合不同类型疼痛患者经验的定性证据.
主要方法:
- 来自Medline,Embase,Cochrane,Web of Science和CINAHL数据库的62篇文章的系统审查.
- 纳入标准:年龄在18岁以上的参与者,主观经历过急性,慢性或癌症疼痛.
- 使用CASP工具进行质量评估,使用GRADE-CERQual评估证据的确定性;所有研究都显示了中等到高的可靠性.
主要成果:
- 确定了四个主要主题:对社会,工作和家庭生活的影响;获得医疗保健的挑战;心理和情感上的斗争;以及有效疼痛管理的障碍.
- 所有疼痛类型的患者都报告了日常功能和情绪健康的重大挑战.
- 获得医疗保健和有效的疼痛管理策略是常见的担忧.
结论:
- 患有慢性,急性或癌症疼痛的患者面临着影响他们生活的类似挑战,并且经常遇到有效管理的障碍.
- 需要进一步研究不同类型的疼痛如何影响患者,以及个性化,协作式的治疗方法.
- 了解这些经验对于通过更好的临床实践和管理策略来改善生活质量至关重要.
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