关于在COVID-19大流行期间实施的基于接受和承诺治疗的虚拟疼痛管理计划相关结果的观察性研究
Shakira Hollyfield1, Warren Travers1, Satwinder K Sondh1
1INPUT Pain Management Unit, Guy's and St Thomas' NHS Foundation Trust.
The Clinical journal of pain
|July 14, 2023
概括
虚拟高强度疼痛管理计划 (PMP) 显示出好处,与低强度虚拟PMP不同. 基于接受和承诺治疗的虚拟PMP可能有助于患者,但需要进一步研究以优化结果.
科学领域:
- 疼痛管理 疼痛管理
- 远程医疗服务是远程医疗服务.
- 心理干预 心理干预
背景情况:
- 由于COVID-19大流行,需要快速实施虚拟的,以小组为基础的跨学科疼痛管理计划 (PMP).
- 虚拟PMP的不同强度和格式被开发出来,以满足不同患者的需求和复杂性.
- 接受和承诺治疗 (ACT) 构成了这些虚拟PMP的基础.
研究的目的:
- 调查在COVID-19大流行期间提供虚拟高强度,低强度和神经调节前PMP的结果.
- 将虚拟PMP的有效性与实体PMP的历史数据进行比较.
主要方法:
- 一项观察性研究分析了从2020年6月到2022年6月进行的虚拟PMP (高强度,低强度,神经调节前) 的数据.
- 参与者完成了标准化疼痛强度,干扰,工作/社会调整,抑郁和疼痛接受治疗前后的标准化措施.
- 疫情前的个人PMP数据 (住院,门诊,神经调节前) 作为历史基准.
主要成果:
- 虚拟高强度PMP (n=294) 在所有测量变量中显示出显著的改善,尽管效果大小小小.
- 虚拟神经调节前PMP (n=129) 在疼痛干扰,抑郁和疼痛接受方面显著改善.
- 没有观察到虚拟低强度PMP (n=90) 的统计学显著改善.
- 从大流行前的个人PMP中获得的改善通常大于可比的虚拟PMP.
结论:
- 基于ACT的虚拟高强度PMP显示初步支持有效性,特别是在准备神经调节时.
- 在这项研究中,虚拟低强度PMP没有显示出统计学上显著的改善.
- 进一步的研究至关重要,以提高虚拟PMP的影响力,并个性化患者和计划的匹配.
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