Các khía cạnh của liệu pháp điều trị đau đa phương thức ở người cao tuổi

Springer Science and Business Media LLC - Tập 54 - Trang 823-832 - 2021
M. Gosch1, K. Pils2, S. Venkat3, K. Singler1,4
1Medizinische Klinik 2, Schwerpunkt Geriatrie, Klinikum Nürnberg, Paracelsus Medizinische Privatuniversität Nürnberg, Nürnberg, Deutschland
2Institut für Physikalische Medizin und Rehabilitation, Wiener Gesundheitsverbund – Klinik Favoriten, Wien, Österreich
3Klinik für Psychosomatische Medizin und Psychotherapie, Schmerztagesklinik, Klinikum Nürnberg, Paracelsus Medizinische Privatuniversität Nürnberg, Nürnberg, Deutschland
4Institut für Biomedizin des Alterns, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nürnberg, Deutschland

Tóm tắt

Đau mãn tính ở người cao tuổi cần được giải thích và điều trị dựa trên mô hình sinh học- tâm lý-xã hội. Liệu pháp điều trị đau đa phương thức là phương pháp được chọn nhờ vào cách tiếp cận liên ngành và liên nghề. Ở tuổi già, mục tiêu không phải là sự tự do khỏi cơn đau. Thay vào đó, điều quan trọng là thông qua một loạt các biện pháp điều trị, khôi phục chất lượng cuộc sống của bệnh nhân, đồng thời duy trì sự độc lập và tự chủ. Bài viết này giải thích các nguyên tắc cơ bản của liệu pháp điều trị đau đa phương thức cũng như những đặc điểm riêng biệt của nó ở người cao tuổi.

Từ khóa

#đau mãn tính #liệu pháp điều trị đau đa phương thức #người cao tuổi #chất lượng cuộc sống #tự chủ

Tài liệu tham khảo

Reid MC, Eccleston C, Pillemer K (2015) Management of chronic pain in older adults. BMJ 350:h532 Arnold B, Brinkschmidt T, Casser HR, Diezemann A, Gralow I, Irnich D et al (2014) Multimodal pain therapy for treatment of chronic pain syndrome. Consensus paper of the ad hoc commission on multimodal interdisciplinary pain management of the German Pain Society on treatment contents. Schmerz 28(5):459–472 Wade KF, Marshall A, Vanhoutte B, Wu FC, O’Neill TW, Lee DM (2017) Does pain predict frailty in older men and women? Findings from the English Longitudinal Study of Ageing (ELSA). J Gerontol A Biol Sci Med Sci 72(3):403–409 Venkat SWS, Tonassi T, Söllner W (2016) Gender- und kultursensitive Schmerzbewältigungstherapie für türkische Frauen. Psychother Dialog 17(04):82–88 AWMF (2017) Nationale Versorgungsleitlinie Nicht-spezifischer Kreuzschmerz. Langfassung. https://www.awmf.org/uploads/tx_szleitlinien/nvl-007l_S3_Kreuzschmerz_2017-03.pdf. Zugegriffen: 25. Mai 2021 Radbruch L, Loick G, Kiencke P, Lindena G, Sabatowski R, Grond S et al (1999) Validation of the German version of the Brief Pain Inventory. J Pain Symptom Manage 18(3):180–187 Ferrell BA, Stein WM, Beck JC (2000) The Geriatric Pain Measure: validity, reliability and factor analysis. J Am Geriatr Soc 48(12):1669–1673 Dhanju S, Kennedy SH, Abbey S, Katz J, Weinrib A, Clarke H et al (2019) The impact of comorbid pain and depression in the United States: results from a nationally representative survey. Scand J Pain 19(2):319–325 Leppert K, Gunzelmann T, Schumacher J, Strauss B, Brahler E (2005) Resilience as a protective personality characteristic in the elderly. Psychother Psychosom Med Psychol 55(8):365–369 Melzack R, Wall PD (1965) Pain mechanisms: a new theory. Science 150(3699):971–979 Qaseem A, Wilt TJ, McLean RM, Forciea MA (2017) Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline from the American College of Physicians. Ann Intern Med 166(7):514–530 Ozsoy G, Ilcin N, Ozsoy I, Gurpinar B, Buyukturan O, Buyukturan B et al (2019) The effects of myofascial release technique combined with core stabilization exercise in elderly with non-specific low back pain: a randomized controlled, single-blind study. Clin Interv Aging 14:1729–1740 Kern H, Barberi L, Lofler S, Sbardella S, Burggraf S, Fruhmann H et al (2014) Electrical stimulation counteracts muscle decline in seniors. Front Aging Neurosci 6:189 Hicks GE, Sions JM, Velasco TO, Manal TJ (2016) Trunk muscle training augmented with neuromuscular electrical stimulation appears to improve function in older adults with chronic low back pain: a randomized preliminary trial. Clin J Pain 32(10):898–906 Sendera M, Sendera A (Hrsg) (2015) Chronischer Schmerz: Wärme- und Kältetherapie. Springer, Wien, S 236–237 Noori SA, Rasheed A, Aiyer R, Jung B, Bansal N, Chang KV et al (2020) Therapeutic ultrasound for pain management in chronic low back pain and chronic neck pain: a systematic review. Pain Med 21(7):1482–1493 Aiyer R, Noori SA, Chang KV, Jung B, Rasheed A, Bansal N et al (2020) Therapeutic ultrasound for chronic pain management in joints: a systematic review. Pain Med 21(7):1437–1448 Sendera M, Sendera A (Hrsg) (2015) Chronischer Schmerz: Lasertherapie. Springer, Wien, S 224 Sendera M, Sendera A (Hrsg) (2015) Chronischer Schmerz: Ergotherapie. Springer, Wien, S 225–228 Gosch M (2015) Analgesics in geriatric patients. Adverse side effects and interactions. Z Gerontol Geriatr 48(5):483–492 (quiz 93) Pazan F, Weiss C, Wehling M, Forta (2019) The FORTA (Fit fOR The Aged) list 2018: third version of a validated clinical tool for improved drug treatment in older people. Drugs Aging 36(5):481–484 Roberts E, Delgado Nunes V, Buckner S, Latchem S, Constanti M, Miller P et al (2016) Paracetamol: not as safe as we thought? A systematic literature review of observational studies. Ann Rheum Dis 75(3):552–559 Hughes GJ, Patel PN, Saxena N (2011) Effect of acetaminophen on international normalized ratio in patients receiving warfarin therapy. Pharmacotherapy 31(6):591–597 The International Agranulocytosis and Aplastic Anemia Study (1986) Risks of agranulocytosis and aplastic anemia. A first report of their relation to drug use with special reference to analgesics. JAMA 256(13):1749–1757 Hedenmalm K, Spigset O (2002) Agranulocytosis and other blood dyscrasias associated with dipyrone (metamizole). Eur J Clin Pharmacol 58(4):265–274 Pirmohamed M, James S, Meakin S, Green C, Scott AK, Walley TJ et al (2004) Adverse drug reactions as cause of admission to hospital: prospective analysis of 18 820 patients. BMJ 329(7456):15–19 Swart LM, van der Zanden V, Spies PE, de Rooij SE, van Munster BC (2017) The comparative risk of delirium with different opioids: a systematic review. Drugs Aging 34(6):437–443 Seppala LJ, van de Glind EMM, Daams JG, Ploegmakers KJ, de Vries M, Wermelink A et al (2018) Fall-risk-increasing drugs: a systematic review and meta-analysis: III. Others. J Am Med Dir Assoc 19(4):372.e1–372.e8 Söderberg KC, Laflamme L, Möller J (2013) Newly initiated opioid treatment and the risk of fall-related injuries. A nationwide, register-based, case-crossover study in Sweden. CNS Drugs 27(2):155–161 Whiting PF, Wolff RF, Deshpande S, Di Nisio M, Duffy S, Hernandez AV et al (2015) Cannabinoids for medical use: a systematic review and meta-analysis. JAMA 313(24):2456–2473