慢性伤口疼痛管理的最佳证据总结  

Summary of the best evidence for chronic wound pain management

作　　者：罗智燕 徐泽俊[2] 杨学芳 王丽[4] 李萍 蒋晓华[4] Luo Zhiyan;Xu Zejun;Yang Xuefang;Wang Li;Li Ping;Jiang Xiaohua(Department of Nursing,Chengdu Integrated TCM&Western Medicine Hospital,Chengdu 610041,China)

机构地区：[1]成都市中西医结合医院护理部,四川成都610041 [2]四川省人民医院伤口护理中心 [3]宜宾市第二人民医院神经外科 [4]四川省人民医院神经外科 [5]电子科技大学医学院

出　　处：《护理学杂志》2025年第4期51-56,共6页Journal of Nursing Science

基　　金：2023年四川省干部保健科研项目(川干研2023-226)

摘　　要：目的评价和整合慢性伤口疼痛管理的最佳证据,为临床实践提供参考。方法按照“6S”证据金字塔模型,通过检索国内外专业网站以及数据库中关于慢性伤口疼痛评估与管理的相关证据。检索时间范围为建库至2024年4月。结果共纳入文献12篇,包括1篇指南,4篇证据总结,3篇最佳临床实践,2篇系统评价,1篇专家共识,1篇类试验研究。从疼痛管理总原则、疼痛评估内容、疼痛评估时机和工具、非药物干预措施、药物干预措施5个维度32个条目总结了慢性伤口疼痛管理策略。结论总结目前关于慢性伤口疼痛管理的最佳证据,可为临床医护人员科学管理慢性伤口疼痛提供循证依据,减轻患者痛苦和疾病负担,提升患者生活质量。Objective To evaluate and integrate the best evidence on chronic wound pain management,providing reference for clinical practice.Methods Domestic and international specialized websites and databases were searched for evidence on chronic wound pain assessment and management in accordance with the"6S"evidence pyramid model.The time frame of the search was from the establishment of the database to April 2024.Results A total of 12 papers were included,including 1 guideline,4 evidence summaries,3 best clinical practices,2 systematic evaluations,1 expert consensus,and 1 pilot study.Chronic wound pain management strategies were summarized in 32 entries in 5 dimensions:general principles of pain management,content of pain assessment,timing and tools for pain assessment,nonpharmacological interventions,and pharmacological interventions.Conclusion This study summarizes the current best evidence on chronic wound pain management,which can provide an evidence-based basis for clinical healthcare professionals to scientifically manage chronic wound pain,reduce patients′pain and disease burden,and improve patients′quality of life.

关 键 词：慢性伤口 疼痛 评估 管理 生活质量 证据总结 循证护理 

分 类 号：R471[医药卫生—护理学]