生活方式因素是否影响疼痛预后? 一个为期一年的随访研究
Marc-Henri Louis1, Anne Berquin1,2, Arnaud Steyaert1,3
1Institute of Neuroscience, Université Catholique de Louvain, Brussels, Belgium.
British journal of pain
|June 21, 2023
概括
生活方式因素对疼痛预后的影响很小. 总体自我评估健康 (GSRH) 是患有持续疼痛的患者的关键负面预后因素.
科学领域:
- 一般的做法一般的做法
- 纵向研究 纵向研究
- 健康结果的健康结果.
背景情况:
- 了解影响疼痛患者预后的因素对于有效管理至关重要.
- 以前的研究已经探索了各种生活方式和健康指标,但它们对长期疼痛结果的影响需要进一步调查.
研究的目的:
- 研究生活方式因素对一般诊所疼痛患者预后的影响.
- 在一年的时间内确定持续疼痛和功能限制的预测因素.
主要方法:
- 展望纵向观察性研究,涉及患者在基线疼痛.
- 数据收集包括在基线 (T0) 和一年后 (T1) 的问卷.
- 评估的结果是EQ-5D指数,疼痛存在,以及能够在一小时内完成轻工的能力.
主要成果:
- 在377名T0疼痛患者中,有294人仍然报告T1疼痛.
- 持续性疼痛与更高的BMI,更痛苦的部位,更强的疼痛强度,睡眠问题,更差的一般自我评估健康 (GSRH) 和更高的Örebro肌肉骨疼痛查问卷 (ÖMPSQ) 分数有关.
- 总体自我评估健康 (GSRH) 与所有分析的结果密切相关,在预测二分结果方面表现出适度的准确性.
结论:
- 生活方式因素对一般实践中疼痛患者的预后的影响有限.
- 较差的一般自我评估健康 (GSRH) 成为疼痛患者的显著负面预后因素.
- GSRH可能结合了多个因素,突出了它在评估疼痛预后方面的重要性.
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