Introduction: Cancer-related pain is a global health-related problem associated with functional impairment, anxiety, depression, and reduced quality of life. The use of educational interventions for patients and their caregivers has been proposed as a promising tool for overcoming pain in cancer. The aim of this study was to summarize by means of a standardized methodological systematic revision the actual pain education intervention used in cancer patients and their caregivers and to analyze its effects on pain. Methods: A search was conducted through PubMed, Web of Science, Scopus and Cinhal from their inception to September 2022. Randomized controlled trials which included pain education interventions were identified. Two reviewers performed independent data extraction and methodologic quality assessments of these studies. Results: A total of seven studies was included in the study. The meta-analysis showed that pain education interventions have a significant effect on the worst pain; however, there was no effect on average pain. Conclusions: Pain education interventions addressed to patients and their caregivers could have positive effects on cancer-related pain. It is recommended that a minimum of three sessions of about one hour’s duration be held once a week. Further research needs to be carried out and analyzed on the effects over the long term. Pain education interventions show positive results in improving pain in cancer patients regardless of etiology or extent of the cancer. Studies with better methodological quality should be carried out to address specific components related to education interventions.
引言：癌症相关疼痛是一个全球性的健康问题，与功能障碍、焦虑、抑郁及生活质量下降密切相关。对患者及其照护者实施教育干预已被视为缓解癌症疼痛的有效策略。本研究旨在通过标准化的系统综述方法，总结当前应用于癌症患者及其照护者的疼痛教育干预措施，并分析其对疼痛的影响效果。方法：系统检索PubMed、Web of Science、Scopus和Cinhal数据库自建库至2022年9月的文献，筛选包含疼痛教育干预的随机对照试验。由两名评审员独立进行数据提取和方法学质量评估。结果：共纳入七项研究。荟萃分析显示，疼痛教育干预对最剧烈疼痛有显著改善效果，但对平均疼痛强度未见明显影响。结论：针对患者及其照护者的疼痛教育干预可能对缓解癌症相关疼痛产生积极影响。建议每周至少开展一次、每次约一小时、持续不少于三周的教育课程。未来需开展更多研究以分析其长期效果。无论癌症病因或分期如何，疼痛教育干预在改善患者疼痛方面均显示出积极效果。后续应开展方法学质量更高的研究，以深入探讨教育干预中特定要素的作用机制。
肿瘤(癌症)患者之家