Educational needs and preferences of adult patients with acute pain: a mixed-methods systematic review

被引：2

作者：

Berube, Melanie ^{[1
,2
,3
]}

Verret, Michael ^{[1
,4
,5
]}

Bourque, Laurence ^{[1
]}

Cote, Caroline ^{[1
,2
]}

Guenette, Line ^{[1
,3
,6
]}

Richard-Denis, Andreane ^{[7
,8
]}

Ouellet, Simon ^{[1
,2
,9
]}

Singer, Lesley Norris ^{[3
,10
]}

Gauthier, Lynn ^{[1
,3
,11
,12
,13
,14
]}

Gagnon, Marie-Pierre ^{[1
,2
,12
]}

Gagnon, Marc-Aurele ^{[1
]}

Martorella, Geraldine ^{[15
,16
]}

机构：

[1] Univ Laval, Populat Hlth & Optimal Practices Res Unit, Res Ctr, CHU Quebec, Quebec City, PQ, Canada

[2] Univ Laval, Fac Nursing, Quebec City, PQ, Canada

[3] Quebec Pain Res Network, Sherbrooke, PQ, Canada

[4] Univ Ottawa, Clin Epidemiol Program, Fac Med, Ottawa, ON, Canada

[5] Univ Laval, Dept Anesthesiol & Crit Care Med, Quebec City, PQ, Canada

[6] Univ Laval, Fac Pharm, Quebec City, PQ, Canada

[7] Univ Montreal, Dept Med, Montreal, PQ, Canada

[8] CIUSSS Nord de Lile de Montreal, Res Ctr, Montreal, PQ, Canada

[9] Univ Quebec, Dept Hlth Sci, Rimouski, PQ, Canada

[10] McGill Univ, Sch Phys & Occupat Therapy, Montreal, PQ, Canada

[11] Univ Laval, Fac ofMedicine, Dept Family & Emergency Med, Quebec City, PQ, Canada

[12] Univ Laval, VITAM Ctr Rech Sante Durable, Quebec City, PQ, Canada

[13] Univ Laval, CHU Quebec, Res Ctr, Div Oncol, Quebec City, PQ, Canada

[14] Univ Laval, Canc Res Ctr, Quebec City, PQ, Canada

[15] Florida State Univ, Coll Nursing, Tallahassee, FL USA

[16] Florida State Univ, Brain Sci & Symptom Management Ctr, Tallahassee, FL USA

来源：

PAIN | 2024年 / 165卷 / 12期

关键词：

Patient education; Needs and preferences; Acute pain; Person-centered care; POSTOPERATIVE PAIN; INFORMATION NEEDS; SURGICAL-PATIENTS; INTENSIVE-CARE; OPIOID USE; MANAGEMENT; PERSPECTIVES; EXPERIENCES; EXPECTATIONS; PREVALENCE;

D O I：

10.1097/j.pain.0000000000003288

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Many patients experience acute pain, which has been associated with numerous negative consequences. Pain education has been proposed as a strategy to improve acute pain management. However, studies report limited effects with educational interventions for acute pain in adults, which can be explained by the underuse of the person-centered approach. Thus, we aimed to systematically review and synthetize current evidence from quantitative, qualitative and mixed-methods studies describing patients' needs and preferences for acute pain education in adults. We searched original studies and gray literature in 7 databases, from January 1990 to October 2023. Methodological quality was assessed with the Mixed Methods Appraisal Tool. A total of 32 studies were included (n = 1847 patients), two-thirds of which were qualitative studies of high methodological quality. Most of the studies were conducted over the last 15 years in patients with postsurgical and posttraumatic pain, identified as White, with a low level of education. Patients expressed the greatest need for education when it came to what to expect in pain intensity and duration, as well how to take the medication and its associated adverse effects. The most frequently reported educational preferences were for in-person education while involving caregivers and to obtain information first from physicians, then by other professionals. This review has highlighted the needs and preferences to be considered in pain education interventions, which should be embedded in an approach cultivating communication and partnership with patients and their caregivers. The results still need to be confirmed with different patient populations.

引用

页码：E162 / E183

页数：22

共 130 条

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