研究动态
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家庭护理谈话作为多学科治疗的补充对慢性非癌性疼痛患者的影响:一项准实验性试验。

The Effect of Family Nursing Conversations as an Add-on to Multidisciplinary Treatment in Patients with Chronic Non-Cancer Pain: A Quasi-Experimental Trial.

发表日期:2024
作者: Pernille Friis Rønne, Bente Appel Esbensen, Anne Brødsgaard, Lasse Østergaard Andersen, Bo-Biering Sørensen, Carrinna Aviaja Hansen
来源: ARTHRITIS RESEARCH & THERAPY

摘要:

慢性非癌性疼痛(CNCP)是一种具有严重后果的终生疾病,需要患者家属的参与来进行治疗。 Wright 和 Leahey 基于家庭系统护理框架的干预措施已被证明对其他人群有益,但需要在 CNCP 人群中进行调查。该试验假设基于家庭系统护理框架的家庭护理对话(FNC)将提高患者和家庭成员对 CNCP 管理的自我效能。 CNCP 会对患者及其家属的自我效能产生影响。此外,为了调查对家庭功能、健康相关的生活质量、焦虑和抑郁的影响。该试验采用了前瞻性非盲准实验设计,对两组可比较的患者和家庭成员进行了设计:历史对照组(HCG) )和干预组(IG)。这项干预措施是由丹麦首都地区一家多学科疼痛中心的护士执行的。在护士干预培训之前收集HCG数据。主要结果是自我效能感。次要结局是家庭功能、健康相关的生活质量、焦虑和抑郁。总共包括 58 名患者和 85 名家庭成员。主要结局,自我效能,检测到患者平均变化(p = .990)或家庭成员(p = .765)的组间差异没有统计学意义。在患者行为家庭功能平均变化 (p = .034) 和焦虑 (p = .031) 的组间差异中发现有利于 IG 的统计显着效应。家庭成员的次要结局没有检测到显着的组间差异。干预对患者或家庭成员的自我效能没有影响,但对患者的行为家庭功能和焦虑有积极影响。此次干预措施深受 COVID-19 大流行的影响。因此,任何结果都应谨慎解释。© 作者 2024。
Chronic non-cancer pain (CNCP) is a lifelong condition with radical consequences, calling for management involving patients' families. Interventions based on the family systems nursing framework by Wright and Leahey have proved beneficial in other populations but require investigation in a CNCP population. This trial assumed that family nursing conversations (FNCs) based on the family systems nursing framework would increase patients' and family members' self-efficacy concerning CNCP management.To investigate whether an intervention with FNCs as an add-on to the usual multidisciplinary treatment of CNCP would have an effect on patients' and family members' self-efficacy. Additionally, to investigate any impact on family function, health-related quality of life, anxiety, and depression.The trial applied a prospective non-blinded quasi-experimental design with two comparable groups of patients and family members: a historical control group (HCG) and an intervention group (IG). The intervention was executed by nurses employed at a multidisciplinary pain center in the Capital Region of Denmark. HCG data were collected before the nurses' intervention training. The primary outcome was self-efficacy. Secondary outcomes were family function, health-related quality of life, anxiety, and depression.In total, 58 patients and 85 family members were included. The primary outcome, self-efficacy, detected no statistically significant between-group differences in mean change for patients, p = .990, or family members, p = .765. A statistically significant effect in favor of the IG was found in between-group differences in mean change in patients' behavioral family function, p = .034, and anxiety, p = .031. No statistically significant between-group differences were detected in family members' secondary outcomes.The intervention had no effect on patients' or family members' self-efficacy but a positive effect on patients' behavioral family function and anxiety. The intervention was deeply affected by the COVID-19 pandemic. Hence, any results should be interpreted with caution.© The Author(s) 2024.