在手术医生咨询后,疾病感知,疼痛灾难化和心理痛苦的变化:一项前性研究
Willemijn A de Ridder1, Mark J W van der Oest2, Harm P Slijper2
1Department of Plastic, Reconstructive and Hand Surgery, Erasmus MC, Rotterdam, the Netherlands; Department of Rehabilitation Medicine, Erasmus MC, Rotterdam, the Netherlands; Hand and Wrist Center, Xpert Clinics, Eindhoven, the Netherlands; Center for Hand Therapy, Xpert Handtherapie, Eindhoven, the Netherlands.
Journal of psychosomatic research
|September 20, 2023
概括
手部外科医生的咨询改善了患者的心态,包括疾病感知和疼痛灾难化. 手术患者在疾病感知方面表现出比非手术患者更大的改善.
科学领域:
- 整形外科 整形外科 整形外科
- 心理学 心理学 心理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 心态因素显著影响治疗决策和结果.
- 在治疗前改善患者的心态可能会提高决策和结果.
- 这项研究调查了手术手术师咨询后的心态变化.
研究的目的:
- 为了评估患者在咨询手术医生后对疾病感知的变化.
- 为了比较手术和非手术患者之间的疾病感知变化.
- 评估咨询对疼痛灾难化和心理痛苦的影响.
主要方法:
- 一项前性队列研究,涉及276名手/手腕疾病患者.
- 通过简要疾病感知问卷 (B-IPQ) 测量疾病感知.
- 二次结局包括疼痛灾难化量表 (PCS) 和患者健康问卷-4 (PHQ-4).
主要成果:
- 在咨询后,B-IPQ总体得分 (39.7至35.8,p<0.0001) 显著改善.
- 在B-IPQ分级 (一致性,关注等) 中观察到的改善. 和PCS的成绩.
- 手术患者在治疗控制和时间线B-IPQ分量表中表现出更大的改善.
结论:
- 手术师的咨询对患者的疾病感知和疼痛产生了积极的影响.
- 临床医生可以影响患者的心态,潜在地改善治疗结果.
- 非手术患者可能需要有针对性的策略来增强思维方式的改变.
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