评估患者报告的疼痛:一个综合的视角
Lancet (London, England)
|May 29, 1999
概括
疼痛报告是复杂的,受到不仅仅是身体病理的影响. 综合性评估必须包括心理和行为因素,以全面了解患者的体验.
科学领域:
- 疼痛医学 医学 疼痛医学
- 精神病体医学是一种精神病体医学.
- 行为医学是一种行为医学.
背景情况:
- 普遍认为疼痛总是源于有机病理的假设不足以解释患者体验的变化.
- 在没有客观病理的情况下,将疼痛仅归因于心理原因,忽略了关键的促成因素.
- 疼痛感知的个体差异不能完全由单独的有机因素来解释.
研究的目的:
- 在疼痛评估中挑战传统的体质原生与心理原生二分法.
- 倡导一种综合性方法,整合心理社会,行为和有机因素.
- 描述一种评估影响疼痛报告的心理和行为变量的方法.
主要方法:
- 描述一个全面的评估框架.
- 整合心理和行为变量的评估.
- 考虑病人作为一个整体,不仅仅是身体病理.
主要成果:
- 疼痛评估需要一种超越纯粹有机病理学的多方面的方法.
- 心理社会和行为因素显著影响患者报告疼痛的方式.
- 综合模型提供了对疼痛体验的更全面的理解.
结论:
- 为了有效的疼痛管理,超越体质/心理双重是必不可少的.
- 整体评估,包括个体的心理社会和行为背景,至关重要.
- 这种综合方法提高了对报告疼痛的患者的理解和治疗.
相关概念视频
Blood and Nerve Supply to the Bones
Bones are dynamic organs that require a rich supply of oxygen and nutrients. Around 5% to 10% of the cardiac output supplies blood to the bones. A typical long bone has three main sources: the nutrient artery, the metaphyseal and epiphyseal arteries, and the periosteal arteries.
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
Analgesia and Pain Management
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
Assessment of the Gastrointestinal System I: Subjective Data
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems related to...
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems related to...


