Debora Rosa, Laura Ingrande, Ilaria Marcomini, Andrea Poliani, Giulia Villa, Martina Sodano, Duilio Fiorenzo Manara
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引用次数: 0
摘要
(1) 背景:疼痛是肌萎缩侧索硬化症(ALS)患者的常见症状。目前还没有针对 ALS 疼痛的循证药物治疗方法;相关建议均基于慢性非肿瘤性疼痛指南和临床经验。本研究旨在对有关 ALS 患者如何体验疼痛以及疼痛如何影响其日常活动和社会关系的文献进行梳理。(2) 方法:本次范围界定综述纳入了有关年龄≥ 18 岁、有疼痛经历的脊髓/球部 ALS 患者的研究,重点关注疼痛的感知、特征、治疗以及对生活质量的影响。在检索 MEDLINE、CINAHL 和 SCOPUS 数据库时采用了时间和语言标准。(3) 结果:这些患者的疼痛治疗非常复杂,需要使用消炎药、镇痛药和阿片类药物。疼痛与抑郁和焦虑等其他病症相关,导致生活质量下降。此外,疼痛还可能对患者遵从处方治疗方案以及他们认为自己所接受的护理质量产生负面影响。(4) 结论:最重要的是确定评估和治疗这一问题的有效方法,医护人员应在这一过程中发挥积极作用。
Perceived Pain in People Living with Amyotrophic Lateral Sclerosis-A Scoping Review.
(1) Background: Pain is a common symptom in patients with Amyotrophic Lateral Sclerosis (ALS). There are no evidence-based pharmacological treatments for pain in ALS; recommendations are based on guidelines for chronic non-oncological pain and clinical experience. The aim is to map the literature on how people with ALS experience pain, and how this affects their daily activities and social relationships. (2) Methods: This scoping review included studies concerning patients with spinal/bulbar ALS aged ≥ 18 years who experience pain, focusing on perception, characteristics, treatment, and impact on quality of life. Temporal and linguistic criteria were applied when searching the MEDLINE, CINAHL, and SCOPUS databases. (3) Results: The management of pain in these patients is complex and involves the use of anti-inflammatory drugs, analgesics, and opioids. Pain is associated with other conditions such as depression and anxiety, which contribute to a deterioration in the quality of life. Moreover, pain may also negatively influence patient compliance with prescribed treatment regimens and the quality of care they perceive themselves to be receiving. (4) Conclusions: It is of the most importance to identify effective ways to assess and treat this issue, with health care professionals taking an active role in this process.
期刊介绍:
Nursing Reports is an open access, peer-reviewed, online-only journal that aims to influence the art and science of nursing by making rigorously conducted research accessible and understood to the full spectrum of practicing nurses, academics, educators and interested members of the public. The journal represents an exhilarating opportunity to make a unique and significant contribution to nursing and the wider community by addressing topics, theories and issues that concern the whole field of Nursing Science, including research, practice, policy and education. The primary intent of the journal is to present scientifically sound and influential empirical and theoretical studies, critical reviews and open debates to the global community of nurses. Short reports, opinions and insight into the plight of nurses the world-over will provide a voice for those of all cultures, governments and perspectives. The emphasis of Nursing Reports will be on ensuring that the highest quality of evidence and contribution is made available to the greatest number of nurses. Nursing Reports aims to make original, evidence-based, peer-reviewed research available to the global community of nurses and to interested members of the public. In addition, reviews of the literature, open debates on professional issues and short reports from around the world are invited to contribute to our vibrant and dynamic journal. All published work will adhere to the most stringent ethical standards and journalistic principles of fairness, worth and credibility. Our journal publishes Editorials, Original Articles, Review articles, Critical Debates, Short Reports from Around the Globe and Letters to the Editor.