Avtor/Urednik		Nemec, Urška; Pajnkihar, Majda; Šostar-Turk, Sonja; Klanjšek, Petra; Košič, Anja
Naslov		Samoobvladovanje kronične bolečine
Prevedeni naslov		Self-regulation of chronic pain
Tip		članek
Vol. in št.		Letnik 53, št. 1
Leto izdaje		2019
Obseg		str. 70-77
ISSN		1318-2951 - Obzornik zdravstvene nege : strokovno glasilo Zveze društev medicinskih sester in zdravstvenih tehnikov Slovenije
Jezik		slv, eng
Abstrakt		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.Introduction: Strategy of stimulation intended for patients with chronic pain is an active strategy of pain selfregulation where an individual learns to find the balance between the time used for an activity and the time for resting. The aim is to maintain the quality of life and reduce the symptoms of chronic pain. No unified definition for the concept has been developed yet nor has it been applied in practice. Methods: The descriptive method, the method of analysis, the synthesis of the literature and the PRISMA guidelines were used. Out of a total of 789 results, 19 were included in the final analysis. We performed an overview of the relevant scientific literature and an analysis of the concept stimulation, which has not yet been carried out in Slovenia and includes nine steps. Results: The strategy for chronic pain management can be divided into three groups: (1) forerunners: pain and ignorance, (2) attributes: activity, time, balance, learning and self-control and (3) consequences of the concept: pain treatment and increased effectiveness at activities. Discussion and conclusion: Before applying it in practice, the strategy should be tested in a clinical environment and a re-evaluation of the advantages and disadvantages of the use of the concept should be performed. Views on applying the concept in practice differ; some think this would lead to negative consequences, while others think that it would contribute to the healing of chronic pain. The strategy would be useful in programs for patients with a diagnosed chronic pain (chronic pain after injury, degenerative changes, chronic back pains, chronic headaches, fibromyalgia, neuropathic pain etc.) that is not a consequence of oncological illness.
Proste vsebinske oznake		koncept kronična bolečina zdravstvena nega stimulacija concept chronic pain stimulation health care