PDF(Pubmed)
Abstract：
UNASSIGNED: Chronic pain among survivors of spinal cord injury (SCI) hurts physical and mental health. Persons with SCI have demonstrated dissatisfaction with the management of their chronic pain.
UNASSIGNED: This study aimed to identify existing clinical practice guidelines for chronic pain in the SCI population.
UNASSIGNED: A scoping review was conducted across various databases available at the University of the Western Cape, in addition to guideline clearing houses (BioMedCentral, Cambridge Journals Online, CINAHL, Cochrane Library, Medline [EbscoHost], Medline [Pubmed], Sabinet Reference, SAGE Journals Online, ScienceDirect, SCOPUS, Wiley Online Library, Springerlink, PubMed, Guideline Central, and Agency for Healthcare Research and Quality). The population consisted of adults with SCI, and the interventions that were included were pharmacological and nonpharmacological management of chronic pain. Guidelines that met the inclusion criteria were critically appraised by two reviewers from this study using the AGREE II instrument. Inter-rater reliability was calculated using SPSS 27, and Cohen\'s kappa coefficients were established.
UNASSIGNED: Five articles were included in the data extraction, analysis and appraisal. Two guidelines were rated as high quality, according to the AGREE II tool. In addition, most guidelines focused on neuropathic pain (NeuP) and only one guideline included nociceptive pain and NeuP.
UNASSIGNED: One guideline met the objectives of this scoping review.
UNASSIGNED: Guidelines developed in the future should include a screening tool to identify the specific type of pain and distinguish peripheral NeuP from central NeuP.
UNASSIGNED: This study aimed to identify existing clinical practice guidelines for chronic pain in the SCI population.
UNASSIGNED: A scoping review was conducted across various databases available at the University of the Western Cape, in addition to guideline clearing houses (BioMedCentral, Cambridge Journals Online, CINAHL, Cochrane Library, Medline [EbscoHost], Medline [Pubmed], Sabinet Reference, SAGE Journals Online, ScienceDirect, SCOPUS, Wiley Online Library, Springerlink, PubMed, Guideline Central, and Agency for Healthcare Research and Quality). The population consisted of adults with SCI, and the interventions that were included were pharmacological and nonpharmacological management of chronic pain. Guidelines that met the inclusion criteria were critically appraised by two reviewers from this study using the AGREE II instrument. Inter-rater reliability was calculated using SPSS 27, and Cohen\'s kappa coefficients were established.
UNASSIGNED: Five articles were included in the data extraction, analysis and appraisal. Two guidelines were rated as high quality, according to the AGREE II tool. In addition, most guidelines focused on neuropathic pain (NeuP) and only one guideline included nociceptive pain and NeuP.
UNASSIGNED: One guideline met the objectives of this scoping review.
UNASSIGNED: Guidelines developed in the future should include a screening tool to identify the specific type of pain and distinguish peripheral NeuP from central NeuP.
摘要：
■脊髓损伤（SCI）幸存者的慢性疼痛会损害身心健康。SCI患者对其慢性疼痛的管理表现出不满。
■本研究旨在确定SCI人群慢性疼痛的现有临床实践指南。
■对西开普大学提供的各种数据库进行了范围审查，除了指南票据交换所(BioMedCentral，剑桥在线期刊，CINAHL,科克伦图书馆,Medline[EbscoHost],Medline[发布]，Sabinet参考，SAGE在线期刊，ScienceDirect,Scopus,Wiley在线图书馆,Springerlink,PubMed,指南中心，和医疗保健研究和质量机构)。人群包括患有SCI的成年人，所包括的干预措施是慢性疼痛的药理学和非药理学管理。使用AGREEII工具，本研究的两名审阅者对符合纳入标准的指南进行了严格评估。使用SPSS27计算了评分者间的可靠性，并建立了科恩的卡帕系数。
■数据提取中包含了五篇文章，分析和评估。两项指南被评为高质量，根据AGREEII工具。此外,大多数指南集中在神经性疼痛(NeuP),只有一个指南包括伤害性疼痛和NeuP.
■一个指南符合本次范围审查的目标。
■未来制定的指南应包括一种筛查工具，以识别特定类型的疼痛并区分外周NeuP和中枢NeuP。
■本研究旨在确定SCI人群慢性疼痛的现有临床实践指南。
■对西开普大学提供的各种数据库进行了范围审查，除了指南票据交换所(BioMedCentral，剑桥在线期刊，CINAHL,科克伦图书馆,Medline[EbscoHost],Medline[发布]，Sabinet参考，SAGE在线期刊，ScienceDirect,Scopus,Wiley在线图书馆,Springerlink,PubMed,指南中心，和医疗保健研究和质量机构)。人群包括患有SCI的成年人，所包括的干预措施是慢性疼痛的药理学和非药理学管理。使用AGREEII工具，本研究的两名审阅者对符合纳入标准的指南进行了严格评估。使用SPSS27计算了评分者间的可靠性，并建立了科恩的卡帕系数。
■数据提取中包含了五篇文章，分析和评估。两项指南被评为高质量，根据AGREEII工具。此外,大多数指南集中在神经性疼痛(NeuP),只有一个指南包括伤害性疼痛和NeuP.
■一个指南符合本次范围审查的目标。
■未来制定的指南应包括一种筛查工具，以识别特定类型的疼痛并区分外周NeuP和中枢NeuP。
