膝关节骨性关节炎疼痛非药物干预的证据总结

Summary of evidence for non-pharmacological intervention of pain in knee osteoarthritis

目的:检索和评价膝关节骨性关节炎疼痛病人非药物干预的相关证据,并对证据进行整合,为临床实践提供循证依据。方法:使用计算机按照“6S”循证证据模型自上而下检索关于膝关节骨性关节炎疼痛病人非药物干预的所有证据,包括临床决策、指南、证据总结、系统评价、专家共识。检索时限为建库至2023年3月1日。经文献质量评价,对符合质量标准的文献进行证据提取及总结。结果:共纳入17篇文献,包括临床决策2篇、指南4篇、专家共识2篇、证据总结2篇、系统评价7篇。从预防性干预、治疗性干预和联合性干预3个方面,共总结33条最佳证据。结论:基于现有证据总结的非药物干预措施改善膝关节骨性关节炎病人疼痛的最佳证据,证据应用专业人员在实践时需结合病人病情、意愿及临床情境,针对性地选择干预策略以提升护理质量。

Objective:To search and evaluate the relevant evidence of non-pharmacological intervention in patients with knee osteoarthritis pain,and integrate the evidence to provide evidence-based basis for clinical practice.Methods:All evidence related to non-pharmacological interventions in patients with knee osteoarthritis pain using the"6S"evidence-based evidence model from top to bottom was searched by computer,including clinical decision-making,guidelines,evidence summary,systematic evaluation,and expert consensus.The retrieval time was from the inception to March 1,2023.After literature quality evaluation,evidence was extracted and summarized for literature that mected quality standards.Results:A total of 17 articles were included,including 2 clinical decision-making articles,4 guidelines,2 expert consensus articles,2 evidence summaries,and 7 systematic evaluations.A total of 33 best pieces of evidence were summarized from three aspects:preventive intervention,therapeutic intervention,and combined intervention.Conclusion:The best evidence for non-pharmacological intervention measures to improve pain in patients with knee osteoarthritis on existing evidence.Evidence application professionals have received relevant training,and in practice,targeted intervention strategies should be selected based on the patient′s condition,willingness,and clinical situation to improve nursing quality.