脊髓损伤患者神经病理性疼痛护理干预最佳证据总结

Summary of the best evidence for neuropathic pain nursing intervention in patients with spinal cord injury

目的总结、评价国内外关于脊髓损伤患者神经病理性疼痛干预及管理的证据,为临床护理人员提供循证依据。方法按照证据金字塔"6S"证据模型,进行计算机证据检索。专家共识和证据总结采用JBI循证卫生保健中心相应的评价标准(2016)进行质量评价,循证指南用AGREEⅡ进行质量评价,并对高质量证据进行提取。结果本次共纳入了6篇文献,其中指南5篇,专家共识1篇,共提取证据22条,主要内容包括脊髓损伤患者神经病理性疼痛的评估方法、干预措施实施方法及健康教育要求。结论通过总结脊髓损伤病理性疼痛护理相关证据,能够为临床护理人员提供理论支持。本研究总结的证据多来自国外,在临床应用前应先充分考虑临床环境及相关因素。

Objective To summarize and evaluate the domestic and foreign evidence on the intervention and management of neuropathic pain in patients with spinal cord injury,so as to provide evidence-based basis for clinical nursing staff.Methods According to"6S"evidence model of evidence pyramid,computer evidence retrieval was carried out.Expert consensus and evidence summary quality assessment used the corresponding evaluation criteria of JBI evidence-based Health Care Centers(2016),while evidence-based guidelines quality used AGREEⅡinstrument,and high quality evidence was extracted.Results A total of 6 articles,including 5 guidelines and 1 expert consensus,were included in this study.A total of 22 pieces of evidence were extracted,including the assessment,intervention measures,feedback,education and nursing model of neuropathic pain in patients with spinal cord injury.Conclusion This study summarizes the evidence for the intervention and management of pathologic pain in spinal cord injury,which can provide scientific basis for clinical nursing staff.As the evidence summarized in this study comes from many countries,sufficient evaluation of clinical environment and other related factors should be conducted before application to promote the quality of nursing.