当作为例行护理提供时,治疗师指导的虚拟心理疼痛管理计划的评估:一个前性的实用队列研究
Blake F Dear1,2, Jennie Walker1,2, Eyal Karin1,2
1MindSpot, MQ Health, Macquarie University, Sydney, NSW 2109, Australia.
Pain medicine (Malden, Mass.)
|August 4, 2023
概括
通过互联网提供的心理疼痛管理计划 (PMP) 有效地改善了日常护理中的疼痛,抑郁和焦虑. 观察到高完成率和满意度,表明PMP是慢性疼痛管理的可行选择.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 慢性疼痛管理 慢性疼痛管理
- 心理干预 心理干预
背景情况:
- 随机对照试验 (RCT) 已经评估了慢性疼痛在互联网上提供的心理疼痛管理计划 (PMP).
- 关于这些PMP在常规护理环境中的有效性的证据有限.
研究的目的:
- 评估通过国家数字心理健康服务提供的已建立的互联网交付的PMP.
- 分析用户特征,治疗开始和完成率以及五年内临床改善情况.
- 确定治疗参与和结果的预测因素.
主要方法:
- 通过互联网提供PMP的1367名用户的临床和人口统计数据的分析.
- 检查结果,包括疼痛干扰,抑郁,焦虑,疼痛强度,自我有效性和疼痛灾难化.
- 探索影响治疗开始,完成和临床改善的因素.
主要成果:
- 在所有测量结果中观察到显著的改善:疼痛干扰 (18.9%),抑郁 (26.1%),焦虑 (23.9%),疼痛强度 (12.8%),疼痛自我有效性 (-23.8%) 和疼痛灾难化 (26.3%).
- 治疗完成率很高 (63%对整个计划,75%对大多数).
- 用户满意度很高 (82%非常满意或满意).
结论:
- 通过互联网提供的PMP在慢性疼痛患者的日常护理中是有效和可接受的.
- 建议将这些数字干预措施纳入现有护理途径.
- 需要进一步的研究来优化PMP在慢性疼痛管理中的使用.
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