Educational needs and preferences of adult patients with acute pain: a mixed-methods systematic review.

IF 5.9 1区 医学 Q1 ANESTHESIOLOGY
PAIN® Pub Date : 2024-12-01 Epub Date: 2024-06-18 DOI:10.1097/j.pain.0000000000003288
Mélanie Bérubé, Michael Verret, Laurence Bourque, Caroline Côté, Line Guénette, Andréane Richard-Denis, Simon Ouellet, Lesley Norris Singer, Lynn Gauthier, Marie-Pierre Gagnon, Marc-Aurèle Gagnon, Géraldine Martorella
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Abstract

Abstract: Many patients experience acute pain, which has been associated with numerous negative consequences. Pain education has been proposed as a strategy to improve acute pain management. However, studies report limited effects with educational interventions for acute pain in adults, which can be explained by the underuse of the person-centered approach. Thus, we aimed to systematically review and synthetize current evidence from quantitative, qualitative and mixed-methods studies describing patients' needs and preferences for acute pain education in adults. We searched original studies and gray literature in 7 databases, from January 1990 to October 2023. Methodological quality was assessed with the Mixed Methods Appraisal Tool. A total of 32 studies were included (n = 1847 patients), two-thirds of which were qualitative studies of high methodological quality. Most of the studies were conducted over the last 15 years in patients with postsurgical and posttraumatic pain, identified as White, with a low level of education. Patients expressed the greatest need for education when it came to what to expect in pain intensity and duration, as well how to take the medication and its associated adverse effects. The most frequently reported educational preferences were for in-person education while involving caregivers and to obtain information first from physicians, then by other professionals. This review has highlighted the needs and preferences to be considered in pain education interventions, which should be embedded in an approach cultivating communication and partnership with patients and their caregivers. The results still need to be confirmed with different patient populations.

急性疼痛成年患者的教育需求和偏好:混合方法系统综述。
摘要:许多病人都经历过急性疼痛,这种疼痛与许多负面后果相关。疼痛教育被认为是改善急性疼痛管理的一种策略。然而,有研究报告称,针对成人急性疼痛的教育干预效果有限,原因可能是未充分利用以人为本的方法。因此,我们旨在系统地回顾和综合目前来自定量、定性和混合方法研究的证据,这些研究描述了患者对成人急性疼痛教育的需求和偏好。我们在 7 个数据库中检索了 1990 年 1 月至 2023 年 10 月期间的原始研究和灰色文献。我们使用混合方法评估工具(Mixed Methods Appraisal Tool)对研究方法的质量进行了评估。共纳入 32 项研究(n = 1847 名患者),其中三分之二是方法学质量较高的定性研究。大多数研究都是在过去 15 年间进行的,研究对象是手术后和创伤后疼痛患者,他们被认定为白人,受教育程度较低。患者对教育的最大需求是了解疼痛的强度和持续时间,以及如何服药和相关的不良反应。最常报告的教育偏好是在有护理人员参与的情况下进行面对面教育,以及首先从医生那里获得信息,然后再由其他专业人员提供信息。本综述强调了疼痛教育干预中应考虑的需求和偏好,这些需求和偏好应纳入培养与患者及其护理人员的沟通和伙伴关系的方法中。这些结果还需要在不同的患者群体中得到证实。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
PAIN®
PAIN® 医学-临床神经学
CiteScore
12.50
自引率
8.10%
发文量
242
审稿时长
9 months
期刊介绍: PAIN® is the official publication of the International Association for the Study of Pain and publishes original research on the nature,mechanisms and treatment of pain.PAIN® provides a forum for the dissemination of research in the basic and clinical sciences of multidisciplinary interest.
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