Laura Isabel Henao Bermúdez, Lawrence Dominguez Palacios, Ilem D Rosero, Rocio Guil, Leidy Tatiana Ordoñez-Mora
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引用次数: 0
摘要
背景：在癌症患者中，疼痛是仅次于疲劳的第二大常见症状，并且非常虚弱。人们越来越重视非药物干预的处方，其中疼痛教育是一个突出的选择。本研究旨在确定教育干预对肿瘤疼痛患者疼痛强度和相关结局的影响。方法：按照Cochrane和PRISMA（系统评价和荟萃分析的首选报告项目）指南进行系统评价，从PubMed、Science Direct、Taylor and Francis、Cochrane （CENTRAL）和Scopus等主要数据库中检索，在PROSPERO CRD42022343205中注册，无语言限制，包括随机临床试验和观察性研究，使用以下关键词：“疼痛教育”和“癌症”。使用PEDro（物理治疗证据数据库量表）量表和未成年人（非随机研究的方法学指数）标准来分析偏倚风险。结果：本研究分析了涉及癌性疼痛患者教育干预的35篇文章。大多数的治疗方案都采用了视听辅助手段，病人可以很容易地接触到。该方案在干预组的疼痛强度、压力、生活质量和灾难方面显示出显著的改善结果。由于定量分析中干预措施的异质性，只可能纳入六篇在改善疼痛方面取得显著结果的文章（-0.65(-1.18至-0.12)）。结论：教育干预可有效治疗癌性疼痛，应考虑作为姑息治疗的补充。普洛斯彼罗注册号：CRD42022343205。
Effect of educational interventions in pain intensity and related outcomes in adults with oncological pain: a systematic review and meta-analysis.
Background: Pain is the second most prevalent symptom in patients with cancer after fatigue and is highly debilitating. There is an increasing emphasis on the prescription of non-pharmacological interventions, among which pain education is a prominent option. This study aimed to determine the effects of educational interventions on pain intensity and related outcomes in patients with oncological pain.
Methods: A systematic review was conducted following Cochrane and PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, with registration in PROSPERO CRD42022343205 from searches in the main databases such as PubMed, Science Direct, Taylor and Francis, Cochrane (CENTRAL) and Scopus without language restriction, including randomised clinical trials and observational studies using the following keywords: "Pain Education" AND "Cancer". The PEDro (Physiotherapy Evidence Database scale) scale and MINORS (methodological index for non-randomised studies) criteria were used to analyse the risk of bias.
Results: 35 articles involving the use of educational interventions for patients with cancer pain were analysed in this study. Most protocols involved sessions implementing audiovisual aids, which the patient could easily access. The protocols showed significant results in terms of improvement in pain intensity, stress, quality of life and catastrophising in the intervened groups. Due to the heterogeneity of the interventions in the quantitative analysis, it was only possible to include six articles, which yielded significant results in improving pain (-0.65 (-1.18 to -0.12)).
Conclusions: It is concluded that educational interventions can be effective in the treatment of cancer pain and should be considered as a complement to palliative care treatment.
期刊介绍：
Published quarterly in print and continuously online, BMJ Supportive & Palliative Care aims to connect many disciplines and specialties throughout the world by providing high quality, clinically relevant research, reviews, comment, information and news of international importance.
We hold an inclusive view of supportive and palliative care research and we are able to call on expertise to critique the whole range of methodologies within the subject, including those working in transitional research, clinical trials, epidemiology, behavioural sciences, ethics and health service research. Articles with relevance to clinical practice and clinical service development will be considered for publication.
In an international context, many different categories of clinician and healthcare workers do clinical work associated with palliative medicine, specialist or generalist palliative care, supportive care, psychosocial-oncology and end of life care. We wish to engage many specialties, not only those traditionally associated with supportive and palliative care. We hope to extend the readership to doctors, nurses, other healthcare workers and researchers in medical and surgical specialties, including but not limited to cardiology, gastroenterology, geriatrics, neurology, oncology, paediatrics, primary care, psychiatry, psychology, renal medicine, respiratory medicine.
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