关键词: cancer survivor caregiver pain education

来  源:   DOI:10.3390/cancers16132468   PDF(Pubmed)

Abstract:
BACKGROUND: Cancer-related pain is a global health-related problem associated with functional impairment, anxiety, depression, and reduced quality of life. The use of educational interventions for patients and their caregivers has been proposed as a promising tool for overcoming pain in cancer. The aim of this study was to summarize by means of a standardized methodological systematic revision the actual pain education intervention used in cancer patients and their caregivers and to analyze its effects on pain.
METHODS: A search was conducted through PubMed, Web of Science, Scopus and Cinhal from their inception to September 2022. Randomized controlled trials which included pain education interventions were identified. Two reviewers performed independent data extraction and methodologic quality assessments of these studies.
RESULTS: A total of seven studies was included in the study. The meta-analysis showed that pain education interventions have a significant effect on the worst pain; however, there was no effect on average pain.
CONCLUSIONS: Pain education interventions addressed to patients and their caregivers could have positive effects on cancer-related pain. It is recommended that a minimum of three sessions of about one hour\'s duration be held once a week. Further research needs to be carried out and analyzed on the effects over the long term. Pain education interventions show positive results in improving pain in cancer patients regardless of etiology or extent of the cancer. Studies with better methodological quality should be carried out to address specific components related to education interventions.
摘要:
背景:癌症相关疼痛是与功能损害相关的全球健康相关问题,焦虑,抑郁症,降低了生活质量。已提出对患者及其护理人员使用教育干预措施作为克服癌症疼痛的有希望的工具。这项研究的目的是通过标准化的方法学系统修订来总结癌症患者及其护理人员的实际疼痛教育干预措施,并分析其对疼痛的影响。
方法:通过PubMed进行搜索,WebofScience,Scopus和Cinhal从成立到2022年9月。确定了包括疼痛教育干预措施的随机对照试验。两名评审员对这些研究进行了独立的数据提取和方法学质量评估。
结果:本研究共纳入7项研究。荟萃分析显示,疼痛教育干预对最严重的疼痛有显著影响;然而,对平均疼痛没有影响。
结论:针对患者及其照顾者的疼痛教育干预措施可能对癌症相关疼痛产生积极影响。建议每周至少举行三次约一小时的会议。需要进行进一步的研究,并对长期影响进行分析。疼痛教育干预在改善癌症患者疼痛方面显示出积极的结果,无论癌症的病因或程度如何。应进行方法学质量更好的研究,以解决与教育干预措施有关的特定组成部分。
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