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首页> 外文期刊>Rehabilitation Process and Outcome >Self-Management Interventions to Prevent the Secondary Condition of Pain in People with Disability Due to Mobility Limitations
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Self-Management Interventions to Prevent the Secondary Condition of Pain in People with Disability Due to Mobility Limitations

机译：自我管理干预措施，以防止因行动不便造成的残疾人继发性疼痛

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Introduction This focused review examines the use and effectiveness of self-management strategies in preventing or managing pain, which is among the most common secondary conditions faced by individuals with a mobility disability.Methods This focused review was part of a two-phase comprehensive scoping review. Phase I was a comprehensive scoping review of the literature targeting multiple outcomes of self-management interventions for those with mobility impairment, and Phase II was a focused review of the literature on self-management interventions that target pain as a primary or secondary outcome. Two authors searched CINAHL, PubMed, and PsyclNFO for papers published from January 1988 through August 2014 using specified search terms. Following the scoping review, the authors independently screened and selected the studies and reviewed the eligible studies, and the first author extracted data from the included studies.Results The scoping review yielded 40 studies that addressed pain self-management interventions for those living with mobility impairment. These 40 accumulated papers revealed a heterogeneous evidence base in terms of setting (clinic, community, and online), target populations, intervention duration (3 weeks to 24 months), and mode (health-care providers and lay leaders). Most of the reviewed studies reported that the self-management intervention led to significant reduction of pain over time, suggesting that self-management may be a promising approach for addressing pain experienced by people who live with mobility limitations.Discussion This review also reveals moderate-to-high bias across studies, and findings indicate that future research should enhance the methodological quality to provide stronger evidence about the effectiveness of self-management strategies for reducing pain among those with mobility impairments.
机译：引言这项重点回顾研究了自我管理策略在预防或控制疼痛方面的作用和有效性，这是行动不便人士面临的最常见的继发性疾病之一。方法这项重点回顾是两阶段综合范围界定研究的一部分。第一阶段是针对针对行动不便者的自我管理干预措施的多种结果的文献的全面范围界定回顾，第二阶段是针对以疼痛作为主要或次要结果的自我管理干预措施的文献的重点综述。两位作者使用指定的搜索词在CINAHL，PubMed和PsyclNFO中进行了搜索，以查找1988年1月至2014年8月发表的论文。在进行范围界定审查后，作者独立筛选和选择了研究，并审查了合格的研究，第一作者从纳入的研究中提取了数据。结果范围界定审查产生了40项研究，这些研究针对行动不便者进行了疼痛自我管理干预。这40篇积累的论文揭示了在环境（诊所，社区和在线），目标人群，干预时间（3周至24个月）和模式（医疗保健提供者和非专业领导者）方面的异质证据基础。大部分经过审查的研究报告都指出，自我管理干预能够随着时间的推移显着减轻疼痛，这表明自我管理可能是解决行动不便者所遭受疼痛的一种有前途的方法。各个研究之间存在很大的偏见，研究结果表明，未来的研究应提高方法学质量，以提供更有力的证据证明自我管理策略可减轻行动不便者的痛苦。

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