Best evidence summary for pain management in patients with rheumatoid arthritis
WU Liping
XIAO Lina
LAI Hanqing
GUO Xuan
ZHOU Xun
Abstract：Objective:To evaluate and summarize the evidence related to pain management in patients with rheumatoid arthritis(RA)and provide an evidence-based foundation for clinical pain nursing interventions.Methods:Systematic searches were conducted in domestic and international guideline websites,Chinese and English databases,and relevant websites for evidence on RA pain management.Literature types included clinical decision-making documents,guidelines,evidence summaries,expert consensuses,and systematic reviews.The search period covered from database inception to November 16,2023.Two researchers independently performed literature quality evaluation,evidence extraction,and evidence grading.Results:A total of seventeen articles were included,comprising 6 guidelines,1 clinical decision-making document,1 expert opinion,and 9 systematic reviews.The evidence was synthesized across 11 categories,pain assessment,treatment principles and options,pharmacotherapy,traditional Chinese medicine(TCM)therapy,physical therapy,occupational therapy,exercise interventions,assistive device utilization,diet and weight management,self-management and education,and psychological therapy.A total of 31 best evidence statements were summarized.Conclusions:The synthesized evidence on pain management in RA patients offers an evidence-based foundation for healthcare professionals to develop tailored intervention protocols.Clinicians can integrate this evidence with clinical contexts to provide patients with targeted and scientifically grounded pain management guidance.
Keywords：rheumatoid arthritispain managementevidence summaryevidence-based nursing
Publication Date：2025-03-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：7( 1127-1133 )