临床医生对截肢后疼痛评估和康复干预措施的观点
Tonya L Rich1,2, Kierra J Falbo2,3, Hannah Phelan3,4
1Department of Rehabilitation & Extended Care, Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, USA.
Prosthetics and orthotics international
|October 4, 2023
概括
退伍军人事务 (VA) 的临床医生主要使用疼痛强度尺度,并建议为截肢疼痛提供物理治疗. 障碍包括患者的坚持和对治疗的信念,强调需要改善康复的一致性.
科学领域:
- 康复医学 康复医学 康复医学
- 疼痛管理 疼痛管理
- 假肢和整形术 假肢和整形术
背景情况:
- 截肢相关的疼痛给退伍军人事务 (VA) 患者带来了重大挑战.
- 了解临床医生的观点对于优化疼痛管理策略至关重要.
研究的目的:
- 探索VA截肢临床医生关于疼痛测量和治疗的自我报告的观点和临床实践.
- 确定影响截肢相关疼痛治疗选择的因素.
主要方法:
- 对73名VA康复临床医生进行了横截面调查.
- 收集的数据包括临床医生背景,使用的疼痛结果措施和推的干预措施.
主要成果:
- 物理治疗师,假肢师和PM&R专家是最常见的临床医生背景.
- 疼痛强度数值评分尺度是首选的结果措施.
- 压缩服,脱敏和物理治疗是经常推的干预措施.
- 临床医生指出心态,认知和动机是促进者,而干预措施的不良坚持和信念被认为是障碍.
结论:
- 截肢的临床疼痛管理以患者的表现为指导,优先考虑基于强度的措施.
- 了解促进者和障碍物是改善截肢疼痛的非药物干预的关键.
- 未来的定性研究可以解决实施障碍,提高实践的一致性.
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