为慢性疼痛提供年龄友好的跨学科护理
David E Reed1, Natalie Fullenkamp2, Keela Herr3
1Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA; Seattle-Denver Center for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, WA, USA.
Clinics in geriatric medicine
|November 21, 2025
概括
老年5M框架为老年人慢性疼痛管理提供了一种新的方法. 本综述探讨了其适用于老年友好的疼痛护理的应用,解决了挑战和解决方案.
科学领域:
- 老年医学 老年医学
- 疼痛管理 疼痛管理
- 卫生系统研究 卫生系统研究
背景情况:
- 预计慢性疼痛的患病率和成本将在老年人中显著增加.
- 老年5M (多复杂性,心灵,移动性,药物,最重要) 框架存在,但缺乏在慢性疼痛中系统的应用.
- 需要将老年友好原则纳入老年疼痛管理中.
研究的目的:
- 审查老年5M在老年人慢性疼痛管理中的当前应用.
- 提供关于利用5M为老年友好的疼痛护理的指导.
- 确定每个"M"的挑战,解决方案和跨学科团队角色.
主要方法:
- 系统的文献综述综合了老年5M和慢性疼痛的证据.
- 对每一个5M的挑战和潜在解决方案的分析.
- 确定相关的跨学科团队成员为老年疼痛管理.
主要成果:
- 关于老年5Ms在老年人慢性疼痛中的系统应用的证据有限.
- 提供了关于如何适应每个"M"以适应年龄的疼痛护理的指导.
- 挑战,解决方案和团队角色被检查为多重复杂性,心灵,移动性,药物和最重要的事情.
结论:
- 老年5M框架提供了一个结构化的方法,为老年人提供年龄友好的慢性疼痛护理.
- 系统地实施5M可以解决老年人疼痛管理的复杂性.
- 需要进一步的研究和跨学科的合作,以优化5M的应用.
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