心理干预
模式
医学
物理疗法
荟萃分析
慢性疼痛
系统回顾
颈部疼痛
梅德林
斯科普斯
随机对照试验
包裹体(矿物)
病人教育
替代医学
心理学
家庭医学
护理部
内科学
社会心理学
社会科学
病理
社会学
政治学
法学
作者
Geraldine Valenza-Peña,Javier Martín‐Núñez,Alejandro Heredia‐Ciuró,Alba Navas‐Otero,Laura López‐López,Maríe Carmen Valenza,Irene Cabrera‐Martos
出处
期刊:Healthcare
[MDPI AG]
日期:2023-12-13
卷期号:11 (24): 3161-3161
被引量:1
标识
DOI:10.3390/healthcare11243161
摘要
Self-care programs for chronic neck pain are relevant to everyday life and can lead to long- term improvement. More studies on their effectiveness, key components and appropriate duration are needed. The aim of this study was to determine the effectiveness of self-care programs for patients with chronic neck pain. A systematic review and meta-analysis of randomized controlled trials was conducted according to the PRISMA guidelines. After searching in PubMed, Web of Science, Scopus and ScienceDirect, eleven studies met the inclusion criteria. Self-care education interventions typically consisted of education (i.e., pain neuro-science education or general educational concepts) accompanied by exercise or manual therapy. The most frequent components were addressing physical and psychological symptoms and engaging in self-care strategies. The least frequent ones were monitoring and recording symptoms and discussing with providers of medical care. The duration of the interventions ranged from three sessions to six months. Finally, individual and supervised modalities were the most frequent. After pooling the data, a meta-analysis was carried out according to four variables (i.e., pain, disability, kinesiophobia and catastrophization) and showed significant results (p < 0.05) in favor of self-care interventions. This systematic review and meta-analysis suggests that self-education interventions improve pain, psychological pain-related variables and disability in patients with chronic neck pain. The most frequently used components were addressing physical and psychological symptoms and engaging in self-care strategies. Future trials should focus on including other components, such as discussing symptoms with providers of medical care or self-monitoring symptoms. Additional areas of focus include more homogeneous doses and comparator treatments, as well as studies with better evidence to reach more solid conclusions.
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