Shared Decision-Making and Collaborative Care Models for Pain Management: A Scoping Review of Existing Evidence.

IF 0.9 Q3 ANESTHESIOLOGY
Elise Omaki, Megan Fitzgerald, Diksha Iyer, Wendy Shields, Renan Castillo
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引用次数: 0

Abstract

This article aims to summarize the existing evidence on shared decision-making and collaborative care models for acute and chronic pain management. We searched the PubMed database for articles published between 1980 and 2023 and scanned included articles' references to identify additional sources. Two reviewers independently screened titles and abstracts. Studies met inclusion criteria if they implemented or evaluated shared decision-making or collaborative care interventions in patients with acute or chronic pain. A total of 690 articles were reviewed, with 32 full text articles meeting inclusion criteria. Most studies assessed changes in prescription opioid quantities and patient-reported pain levels. Secondary measures generally included patient satisfaction, 30-day refill rate, and use of non-opioid analgesics. Shared decision-making and collaborative care models are promising interventions to improve pain management. These interventions are effective at reducing opioid consumption among acute and chronic pain patients without compromising patient-reported pain levels. There is further research needed to evaluate how shared decision-making and collaborative care interventions impact patient-centered outcomes such as patient satisfaction, quality of life, and patient-provider communication.

疼痛管理的共同决策与合作护理模式:现有证据范围综述》。
本文旨在总结有关急慢性疼痛管理的共同决策和协作护理模式的现有证据。我们在 PubMed 数据库中检索了 1980 年至 2023 年间发表的文章,并扫描了收录文章的参考文献以确定更多来源。两名审稿人独立筛选了标题和摘要。如果研究针对急性或慢性疼痛患者实施或评估了共同决策或协作护理干预措施,则符合纳入标准。共审查了 690 篇文章,其中 32 篇全文符合纳入标准。大多数研究评估了阿片类药物处方量的变化和患者报告的疼痛程度。次要衡量指标一般包括患者满意度、30 天再用药率以及非阿片类镇痛药的使用情况。共同决策和协作护理模式是很有希望改善疼痛管理的干预措施。这些干预措施能有效减少急性和慢性疼痛患者的阿片类药物用量,同时又不影响患者报告的疼痛水平。还需要进一步研究,以评估共同决策和协作护理干预如何影响以患者为中心的结果,如患者满意度、生活质量和患者与医护人员的沟通。
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
CiteScore
1.60
自引率
9.10%
发文量
40
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