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慢性疼痛的管理:重新聚焦以患者为中心的护理

The Management of Chronic Pain: Re-Centring Person-Centred Care.

作者信息

Themelis Kristy, Tang Nicole K Y

机构信息

Department of Psychology, University of Warwick, Coventry CV4 7AL, UK.

出版信息

J Clin Med. 2023 Nov 7;12(22):6957. doi: 10.3390/jcm12226957.

Abstract

The drive for a more person-centred approach in the broader field of clinical medicine is also gaining traction in chronic pain treatment. Despite current advances, a further departure from 'business as usual' is required to ensure that the care offered or received is not only effective but also considers personal values, goals, abilities, and day-to-day realities. Existing work typically focuses on explaining pain symptoms and the development of standardised interventions, at the risk of overlooking the broader consequences of pain in individuals' lives and individual differences in pain responses. This review underscores the importance of considering additional factors, such as the influence of chronic pain on an individual's sense of self. It explores innovative approaches to chronic pain management that have the potential to optimise effectiveness and offer person-centred care. Furthermore, it delves into research applying hybrid and individual formulations, along with self-monitoring technologies, to enhance pain assessment and the tailoring of management strategies. In conclusion, this review advocates for chronic pain management approaches that align with an individual's priorities and realities while fostering their active involvement in self-monitoring and self-management.

摘要

在更广泛的临床医学领域,采用更以患者为中心的方法的趋势在慢性疼痛治疗中也越来越受到关注。尽管目前已取得进展,但仍需要进一步摆脱“照旧行事”的模式,以确保所提供或接受的护理不仅有效,而且考虑到个人价值观、目标、能力和日常实际情况。现有工作通常侧重于解释疼痛症状和制定标准化干预措施,却有忽视疼痛对个人生活的更广泛影响以及疼痛反应个体差异的风险。本综述强调了考虑其他因素的重要性,比如慢性疼痛对个体自我认知的影响。它探讨了慢性疼痛管理的创新方法,这些方法有可能优化疗效并提供以患者为中心的护理。此外,它深入研究了应用混合配方和个体化配方以及自我监测技术来加强疼痛评估和管理策略定制的研究。总之,本综述提倡采用与个人优先事项和实际情况相契合的慢性疼痛管理方法,同时促进他们积极参与自我监测和自我管理。

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