骨关节炎病人非药物疼痛管理的最佳证据总结

Summary of the best evidence for non-pharmacological pain management in patients with osteoarthritis

目的:总结骨关节炎病人非药物疼痛管理最佳证据,为临床护理干预提供依据。方法:系统检索最佳临床实践数据库(BMJ)、英国国家卫生与临床优化研究所(NICE)、美国国立指南网(NGC)、乔安娜布里格斯研究所数据库(JBI)、美国风湿病学会(ACR)、国际骨关节炎研究协会(OARSI)、the Cochrane Library、Web of Science、EMbase、PubMed、中国知网、万方数据库等,检索时限为建库至2022年11月30日。由3名研究者采用JBI文献评价标准及证据分级系统,独立进行文献质量评价及证据级别评定。结果:共纳入14篇文献,包括9篇指南、4篇专家共识、1篇系统评价,共汇总31条证据,分别为多学科协作、疼痛评估、运动治疗、体重管理、心理和社会干预、健康教育与自我管理、随访7个方面的内容。结论:总结的骨关节炎病人非药物疼痛管理最佳证据,可为护理人员制订个性化护理方案提供循证依据。

Objective:To summarize the best evidence for non-pharmacological pain management in patients with osteoarthritis and provide a basis for clinical nursing intervention.Methods:Literature was retrieved systematically from BMJ Best Practice,UK National Institute for Health and Care Excellence(NICE),National Guideline Clearinghouse(NGC),Joanna Briggs Institute(JBI),American College of Rheumatology(ACR),OARSI,the Cochrane Library,Web of Science,EMbase,PubMed,CNKI,WanFang Database,and other database resources.The search time limit was from establishing the database to November 30,2022.Three researchers used the JBI literature evaluation criteria and evidence grading system to independently evaluate the literature quality and the evidence level.Results:A total of 14 articles were included,including 9 guidelines,4 expert consensus articles,and 1 systematic review.A total of 31 pieces of evidence covered 7 aspects,including multidisciplinary intervention,pain assessment,exercise therapy,weight management,psychological and social intervention,health education,self-management,and follow-up.Conclusion:The summary of the best evidence on non-pharmacological pain management for patients with osteoarthritis could provide an evidence-based basis for nursing staff to develop personalized care plans.