老年人慢性疼痛管理的最佳证据总结

Summary of best evidence for chronic pain management in the elderly

目的:总结老年人慢性疼痛管理的相关证据,为临床老年人疼痛管理的相关实践提供参考。方法:针对老年人慢性疼痛的问题,运用循证护理方法检索国内外数据库相关文献,检索时限为建库至2020年6月2日。由2名研究者采用JBI循证卫生保健中心的文献质量评价标准和证据推荐系统,对各类研究进行质量评价及证据推荐级别评定,纳入符合质量标准的文献,并提取证据。结果:共纳入文献20篇,包括指南8篇、系统评价3篇、专家共识3篇、最佳实践1篇、立场声明1篇、证据总结4篇。最终形成包括疼痛管理一般原则、疼痛评估、干预策略、自我管理、教育和培训5个方面的20条最佳证据。结论:本研究汇总了目前老年人慢性疼痛的文献,为临床老年人的慢性疼痛管理提供循证依据,临床人员应依据最佳临床证据并依据医院实际医疗情况进行证据的运用,以提高护理质量。

Objective To summarize the best evidence of chronic pain management in the elderly,and to provide reference for the clinical practice of chronic pain management in the elderly.Methods Focusing on the problem of chronic pain in the elderly,evidence-based nursing method was used to search the relevant literature in domestic and foreign databases from the establishment of the database to June 2,2020.Two researchers evaluated the quality of various studies and level of evidence recommendation by the JBI evidence-based health care center's literature quality evaluation standard and evidence recommendation system,and extracted evidences from the literature meeting the inclusion criteria.Results A total of 20 articles were included with 8 guides,3 systematic reviews,3 expert consensus,1 best decision,1 position statement and 4 evidence summaries.Finally,20 pieces of best evidence were formed,including general principles of pain management,pain assessment,intervention strategies,self-management,education and training.Conclusions This study summarizes the current literature on chronic pain in the elderly,which provides evidence-based basis for the management of chronic pain in the elderly.Clinicians should use the evidence according to the best clinical evidence and the actual medical conditions of the hospital,in order to improve the quality of nursing.