对于接受认知功能治疗的膝关节骨关节炎患者的变化过程:一个复制的单一病例实验设计研究
J P Caneiro1,2, Peter O'Sullivan1,2, Jay-Shian Tan1
1School of Allied Health, Curtin University, Perth, Australia.
Disability and rehabilitation
|June 15, 2023
概括
认知功能疗法 (CFT) 适用于膝关节骨关节炎的管理. 它帮助患者转向生物心理社会模式,减少疼痛和残疾,并可能避免手术.
科学领域:
- 康复科学是康复的科学.
- 临床心理学 临床心理学
- 类风湿病学 类风湿病学
背景情况:
- 膝关节关节炎 (KOA) 显著影响生活质量.
- 许多KOA患者是膝关节置换手术的候选人.
- 确定有效的保守管理对于那些手术预后不佳的人来说至关重要.
研究的目的:
- 评估认知功能治疗 (CFT) 在KOA患者中的适用性和变化过程.
- 调查CFT在那些接受手术的人的疼痛和残疾管理中的作用.
- 探索CFT在患有不良外科手术结果的风险因素的患者中的有效性.
主要方法:
- 采用单个案例实验设计,采用混合方法,重复措施方法.
- 利用定性面试来探索信仰,行为和应对机制.
- 评估疼痛,残疾,心理因素和功能,使用25个时间点的自我报告措施.
主要成果:
- CFT促进了所有参与者的积极变化.
- 两种不同的反应模式出现了:完全的生物心理社会转变或混合概念化.
- 定量测量证实了定性发现,表明疼痛和功能有所改善.
结论:
- 认知功能疗法是膝关节骨关节炎的可行治疗方法.
- 在生物心理社会框架内重新概念化关节炎是一个关键的有益变化.
- 心理和社会因素可以作为KOA管理中恢复的障碍.
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