对患有慢性疼痛的老年人进行跨学科自我管理干预的结果和特点:范围界定审查的启示

Samuel Turcotte, Marie-Ève Lapointe, Carolann Shea, Jacqueline Rousseau, J. Masse, Johanne Higgins, Pierre Rainville, David Lussier, F. Dubé, Catherine Genest, Kami Sarimanukoglu, Lucile Agarrat, Maria Varganici, J. Filiatrault
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引用次数: 0

摘要

导言:在社区居住的老年人中,多达 50%的人表示患有慢性疼痛,这种疼痛会影响他们的日常活动并导致残疾。因此,为这些人提供有效控制疼痛的策略至关重要。考虑到导致老年人疼痛的因素众多,有必要采取跨学科的方法。虽然已有多项关于各种跨学科疼痛自我管理计划的研究,但很少有人对针对老年人的此类计划的相关知识进行总结。目的:本综述旨在总结针对社区老年人的跨学科慢性疼痛自我管理干预措施的特点和效果。方法:根据《美国医学会杂志》的研究方法,我们进行了一次范围界定综述:按照 Arksey 和 O'Malley(2005 年)以及 Levac 等人(2010 年)推荐的步骤进行了范围界定综述。在 MEDLINE、CINAHL、EMBASE 和 Cochrane 图书馆中进行了关键词检索。结果:共纳入 66 篇文章。大多数干预措施都是基于认知行为的团体方法,并综合使用了多种模式,包括使用自我管理策略的教育和培训。最常参与小组干预的专业人员是心理学家、物理治疗师和职业治疗师。据报道,这些计划在疼痛强度、日常生活自理能力、心理健康和生活质量方面带来了一些益处。结论跨学科慢性疼痛自我管理计划在指导患有慢性疼痛的老年人的临床和康复干预方面似乎大有可为。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Outcomes and Characteristics of Interdisciplinary Self-Management Interventions for Older Adults Living with Chronic Pain: Insights from a Scoping Review
Introduction: Up to 50% of community-dwelling older adults report living with some chronic pain that interferes with their daily functioning and leads to disabilities. Hence, it is crucial to provide these individuals with strategies to effectively manage pain. An interdisciplinary approach is warranted considering the numerous factors contributing to pain among older adults. Although several studies have been conducted on various interdisciplinary pain self-management programs, little effort has been made to synthesize knowledge about such programs for older adults. Objective: The objective of this review was to synthesize the characteristics and effects of interdisciplinary chronic pain self-management interventions targeting community-dwelling older adults. Methods: A scoping review was conducted following the steps recommended by Arksey and O’Malley (2005) and Levac et al. (2010). Keyword searches were performed in MEDLINE, CINAHL, EMBASE, and the Cochrane Library. Results: Sixty-six articles were included. Most interventions were based on a cognitive-behavioral group approach and used a combination of modalities, including education and training on the use of self-management strategies. The professionals most frequently involved in group interventions were psychologists, physiotherapists, and occupational therapists. Several benefits of these programs have been reported concerning pain intensity, independence in daily functioning, mental health, and quality of life. Conclusions: Interdisciplinary chronic pain self-management programs appear promising in guiding clinical and rehabilitation interventions for older adults living with chronic pain.
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