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慢性疼痛人群的疼痛康复效果:一项前瞻性队列研究。

Pain Rehabilitation's Effect on People in Chronic Pain: A Prospective Cohort Study.

机构信息

School of Health Science, University of Akureyri, Solborg v/Nordurslod, 600 Akureyri, Iceland.

School of Education, Faculty of Education and Pedagogy, University of Iceland, Stakkahlid 1, 105 Reykjavík, Iceland.

出版信息

Int J Environ Res Public Health. 2021 Sep 30;18(19):10306. doi: 10.3390/ijerph181910306.

Abstract

Multidisciplinary long-term pain rehabilitation programs with a team of healthcare professionals are an integrated approach to treat patients with chronic non-malignant pain. In this longitudinal prospective cohort study, we investigated the long-term effects of multidisciplinary pain rehabilitation on the self-reported causes of pain, pain self-management strategies, sleep, pain severity, and pain's interference with life, pre- and post-treatment. Eighty-one patients, aged 20-69 years, with chronic pain responded. The two most frequently reported perceived causes of pain were fibromyalgia and accidents. The difference in average self-reported pain severity decreased significantly at one-year follow-up ( < 0.001), as did pain's interference with general activities, mood, walking ability, sleep, and enjoyment of life. At one-year follow-up, participants (21%) rated their health as good/very good and were more likely to state that it was better than a year before (20%). No change was found in the use of pain self-management strategies such as physical training at one-year follow-up. The intervention was effective for the participants, as reflected in the decreased pain severity and pain interference with life.

摘要

多学科长期疼痛康复计划,由一组医疗保健专业人员组成,是一种综合治疗慢性非恶性疼痛患者的方法。在这项纵向前瞻性队列研究中,我们调查了多学科疼痛康复对自我报告疼痛原因、疼痛自我管理策略、睡眠、疼痛严重程度以及疼痛对生活的干扰的长期影响,治疗前后。81 名年龄在 20-69 岁之间的慢性疼痛患者做出了回应。报告的最常见的两个疼痛原因是纤维肌痛和事故。平均自我报告疼痛严重程度在一年随访时显著降低(<0.001),一般活动、情绪、行走能力、睡眠和生活乐趣的疼痛干扰也显著降低。在一年随访时,参与者(21%)将自己的健康状况评为良好/非常好,并且更有可能表示比一年前更好(20%)。在一年随访时,没有发现疼痛自我管理策略(如体育锻炼)的使用有任何变化。该干预措施对参与者有效,反映在疼痛严重程度和疼痛对生活的干扰减轻。

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