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

Autor:	Bérubé M; Population Health and Optimal Practices Research Unit, Research Centre of the CHU de Québec-Université Laval, Quebec City, QC, Canada.; Faculty of Nursing, Université Laval, Quebec City, QC, Canada.; Quebec Pain Research Network, Sherbrooke, QC, Canada., Verret M; Population Health and Optimal Practices Research Unit, Research Centre of the CHU de Québec-Université Laval, Quebec City, QC, Canada.; Faculty of Medicine, Clinical Epidemiology Program, University of Ottawa, Ottawa, ON, Canada.; Department of Anesthesiology and Critical Care Medicine, Université Laval, Quebec City, QC, Canada., Bourque L; Population Health and Optimal Practices Research Unit, Research Centre of the CHU de Québec-Université Laval, Quebec City, QC, Canada., Côté C; Population Health and Optimal Practices Research Unit, Research Centre of the CHU de Québec-Université Laval, Quebec City, QC, Canada.; Faculty of Nursing, Université Laval, Quebec City, QC, Canada., Guénette L; Population Health and Optimal Practices Research Unit, Research Centre of the CHU de Québec-Université Laval, Quebec City, QC, Canada.; Quebec Pain Research Network, Sherbrooke, QC, Canada.; Faculty of Pharmacy, Université Laval, Québec, QC, Canada., Richard-Denis A; Department of Medicine, Université de Montréal, Montréal, QC, Canada.; Research Centre, CIUSSS du Nord-de-l'île-de-Montréal, Montréal, QC, Canada., Ouellet S; Population Health and Optimal Practices Research Unit, Research Centre of the CHU de Québec-Université Laval, Quebec City, QC, Canada.; Faculty of Nursing, Université Laval, Quebec City, QC, Canada.; Department of Health Sciences, Université du Québec à Rimouski, Rimouski, QC, Canada., Singer LN; Quebec Pain Research Network, Sherbrooke, QC, Canada.; School of Physical and Occupational Therapy, McGill University, Montréal, QC, Canada., Gauthier L; Population Health and Optimal Practices Research Unit, Research Centre of the CHU de Québec-Université Laval, Quebec City, QC, Canada.; Quebec Pain Research Network, Sherbrooke, QC, Canada.; Department of Family and Emergency Medicine, Faculty of Medicine, Université Laval, Quebec City, QC, Canada.; VITAM-Centre de Recherche en Santé durable, Université Laval, Québec, QC, Canada.; Oncology Division, Research Centre of the CHU de Québec-Université Laval, Quebec City, QC, Canada.; Cancer Research Centre, Université Laval, Québec City, QC, Canada., Gagnon MP; Population Health and Optimal Practices Research Unit, Research Centre of the CHU de Québec-Université Laval, Quebec City, QC, Canada.; Faculty of Nursing, Université Laval, Quebec City, QC, Canada.; VITAM-Centre de Recherche en Santé durable, Université Laval, Québec, QC, Canada., Gagnon MA; Population Health and Optimal Practices Research Unit, Research Centre of the CHU de Québec-Université Laval, Quebec City, QC, Canada., Martorella G; College of Nursing, Florida State University, Tallahassee, FL, United States.; Florida State University Brain Science and Symptom Management Center, Tallahassee, FL, United States.
Jazyk:	angličtina
Zdroj:	Pain [Pain] 2024 Jun 18. Date of Electronic Publication: 2024 Jun 18.
DOI:	10.1097/j.pain.0000000000003288
Abstrakt:	Abstract: 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. (Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the International Association for the Study of Pain.)
Databáze:	MEDLINE
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