Samoobvladovanje kronične bolečine
strategija stimulacije
DOI:
https://doi.org/10.14528/snr.2019.53.1.221Ključne besede:
koncept, stimulacija, zdravstvena nega, kronična bolečinaPovzetek
Uvod: Strategija stimulacije, namenjena pacientom s kronično bolečino, je aktivnost samoobvladovanja bolečine, pri čemer se posameznik nauči najti ravnotežje med časom za fizične aktivnosti in časom za počitek. Cilj strategije stimulacije je ohraniti kakovost življenja in zmanjšati simptome kronične bolečine. Za strategijo še ni razvite enotne definicije, prav tako še ni aplicirana v prakso.
Metode: Uporabili smo opisno metodo dela, metodo analize in sinteze literature ter smernice PRISMA. Izmed skupno identificiranih 789 zadetkov smo v končno analizo vključili 19 zadetkov. Tako smo izvedli pregled relevantne znanstvene literature ter analizo koncepta stimulacije, ki v slovenskem prostoru še ni bila izvedena in poteka v devetih korakih.
Rezultati: Strategijo obvladovanja kronične bolečine je najbolj smiselno deliti v tri skupine: (1) predhodniki: bolečina in neznanje; (2) atributi: aktivnost, čas, ravnovesje, učenje in samonadzor in (3) posledice koncepta: zdravljenje bolečine in povečana učinkovitost pri aktivnostih.
Diskusija in zaključek: Pred aplikacijo v prakso je treba opraviti testiranje strategije v kliničnem okolju ter ponovno oceniti prednosti in pomanjkljivosti uporabe koncepta. Mnenja o aplikaciji koncepta v prakso so različna: nekateri menijo, da koncept lahko privede do negativnih posledic, drugi, da uspešno prispeva k zdravljenju kronične bolečine. Strategija bi bila uporabna pri pacientih, ki imajo diagnosticirano kronično bolečino (kronične bolečine po poškodbah, degenerativnih spremembah, kronične bolečine v hrbtu, kronični glavobol, fibromialgija, nevropatska bolečina itd.), ki ni posledica onkološkega obolenja.
Prenosi
Metrike
Literatura
Andrews, N.E., Strong, J. & Meredith, P.J., 2012. Activity pacing, avoidance, endurance, and associations with patient functioning in chronic pain: a systematic review and metaanalysis. Archives of Physical Medicine and Rehabilitation, 93(11), pp. 2109−2121. https://doi.org/10.1016/j.apmr.2012.05.029 PMid:22728699
Antcliff, D., Campbell, M., Woby, S. & Keeley, P., 2015. Assessing the psychometric properties of an activity pacing questionnaire for chronic pain and fatigue. Physiotherapy, 95(9), pp. 1274−1286. https://doi.org/10.2522/ptj.20140405 PMid: 25908522; PMCid: PMC4556956
Antcliff, D., Keeley, P., Campbell, M., Oldham, J. & Woby, S., 2013. The development of an activity pacing questionnaire for chronic pain and/or fatigue: a Delphi technique. Physiotherapy, 99(3), pp. 241−246. https://doi.org/10.1016/j.physio.2012.12.003 PMid:23395263
Antcliff, D., Keeley, P., Campbell, M., Woby, S. & McGowan, L., 2016. Exploring patients' opinions of activity pacing and a new activity pacing questionnaire for chronic pain and/or fatigue: a qualitative study. Physiotherapy, 102(3), pp. 300−307. https://doi.org/10.1016/j.physio.2015.08.001 PMid:26385155
Birkholtz, M., Aylwin, L. & Harman, R.M., 2004. Activity pacing in chronic pain management: one aim, but which method: part one, introduction and literature review. The British Journal of Occupational Therapy, 67(10), pp. 447−452. https://doi.org/10.1177/030802260406701005
Cutcliffe, J.R. & McKenna, H.P., 2005. The essential concepts of nursing : building blocks for practice. New York: Churchill Livingstone, pp. 1−15.
Fordyce, W.E., 1976. Behavioral methods in chronic pain and illness. St. Louis: CV Mosby. PMid:1063343
Friedberg, F. & Jason, L., 2001. Chronic fatigue syndrome and fibromyalgia: clinical assessment and treatment. Journal of Clinical Psychology, 57(4), pp. 433−455. https://doi.org/10.1002/jclp.1040 PMid:11255201
Gill, J.R. & Brown, C.A., 2009. A structured review of the evidence for pacing as a chronic pain intervention. European Journal of Pain, 13(2), pp. 214−216. https://doi.org/10.1016/j.ejpain.2008.03.011 PMid:18448368
Goudsmit, E.M., Nijs, J., Jason, L.A. & Wallman, K.E., 2012. Pacing as a strategy to improve energy management in myalgic encephalomyelitis/chronic fatigue syndrome: a consensus document. Disability and Rehabilitation, 34(13), pp. 1140−1147. https://doi.org/10.3109/09638288.2011.635746 PMid:22181560
Griffin, D.W., Harmon, D.C. & Kennedy, N.M., 2011. Do patients with chronic low back pain have an altered level and/or pattern of physical activity compared to healthy individuals: a systematic review of the literature. Physiotherapy, 98(1), pp. 13−23. https://doi.org/10.1016/j.physio.2011.04.350 PMid:2226538
Jamieson-Lega, K., Berry, R. & Brown, C.A., 2013. Pacing: a concept analysis of a chronic pain intervention. Pain Research & Management, 18(4), pp. 207−213. https://doi.org/10.1155/2013/686179
Karsdorp, P.A. & Vlaeyen, J.W., 2009. Active avoidance but not activity pacing is associated with disability in fibromyalgia. Pain, 147(1–3), pp. 29−35. https://doi.org/10.1016/j.pain.2009.07.019 PMid:19716234
Kindermans, H.P., Roelofs, J., Goossens, M.E., Huijnen, I.P., Verbunt, J.A. & Vlaeyen, J.W., 2011. Activity patterns in chronic pain: underlying dimensions and associations with disability and depressed mood. The Journal of Pain, 12(10), pp. 1049−1058. https://doi.org/10.1016/j.jpain.2011.04.009 PMid:21704568
Kodeks etike v zdravstveni negi in oskrbi Slovenije, 2014. Ljubljana: Zbornica zdravstvene in babiške nege Slovenije – Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije.
Molton, I., Jensen, M.P., Ehde, D.M., Carter, G.T., Kraft, G. & Cardemas, D.D., 2008. Coping with chronic pain among younger, middle-aged, and older adults living with neurological injury and disease. Journal of Aging and Health, 20(8), pp. 972−996. https://doi.org/10.1177/0898264308324680 PMid:18791184; PMCid:PMC2716650
Murphy, S.L. & Kratz, A.L., 2014. Activity pacing in daily life: a within-day analysis. Pain, 155(12), pp. 2630−2637. https://doi.org/10.1016/j.pain.2014.09.028 PMid:25267209; PMCid:PMC4353388
Nielson, W.R., Jensen, M.P, Karsdorp, P.A. & Vlaeyen, J.W., 2013. Activity pacing in chronic pain: concepts, evidence, and future directions. The Clinical Journal of Pain, 29(5), pp. 461−468. https://doi.org/10.1097/AJP.0b013e3182608561 PMid:23247005
Nijs, J., Paul, L. & Wallman, K., 2008. Chronic fatigue syndrome: An approach combining self-management with graded exercise to avoid exacerbations. Journal of Rehabilitation Medicine, 40(4), pp. 241−247. https://doi.org/10.2340/16501977-0185 PMid:18382818
PRISMA, 2017. Preferred reporting items for systematic reviews and meta-analyses (PRISMA). Available at: http://prisma-statement.org/Default.aspx [28. 2. 2017].
Walker, L.O. & Avant, K.C., 2011. Strategies for theory construction in nursing. Boston: Prentice Hall.
White, P.D., Goldsmith, K.A., Johnson, A.L., Potts, L., Walwyn, R., DeCesare, J.C., et al., 2011. Comparison of adaptive pacing therapy, cognitive behaviour therapy, graded exercise therapy, and specialist medical care for chronic fatigue syndrome (PACE): a randomised trial. Lancet, 377(9768), pp. 823−836. https://doi.org/10.1016/S0140-6736(11)60096-2
World Medical Association, 2013. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. Journal of the American Medical Association, 310(20), pp. 2191–2194. https://doi.org/10.1001/jama.2013.281053PMid:24141714
Prenosi
Objavljeno
Kako citirati
Številka
Rubrike
Licenca
Na Obzornik zdravstvene nege, Ob železnici 30A, 1000 Ljubljana, prenašam naslednje materialne avtorske pravice: pravico reproduciranja v neomejeni količini, in sicer v vseh poznanih oblikah reproduciranja, kar obsega tudi pravico shranitve in reproduciranja v kakršnikoli elektronski obliki (23. čl. Zakona o avtorski in sorodnih pravicah – v nadaljevanju ZASP); pravico distribuiranja (24. čl. ZASP); pravico dajanja na voljo javnosti vključno z dajanjem na voljo javnosti prek svetovnega spleta oz. računalniške mreže (32.a čl. ZASP); pravico predelave, zlasti za namen prevoda (33. čl. ZASP). Prenos pravic velja za članek v celoti (vključno s slikami, razpredelnicami in morebitnimi prilogami). Prenos je izključen ter prostorsko in časovno neomejen.