反侧手臂疼痛是关于症状的痛苦迹象
Floor A Davids1, Jose C Padilla1, David Ring1
1The University of Texas at Austin, USA.
概括
一只手臂的疼痛可能与症状的痛苦有关,即使另一只手臂是主要问题. 这一发现可以引导患者和外科医生制定有效的护理策略,以管理与症状相关的压力.
科学领域:
- 肌肉骨疾病 肌肉骨疾病
- 疼痛管理 疼痛管理
- 心理上的痛苦 心理上的痛苦
背景情况:
- 无助的想法,如灾难性思维和运动恐惧症,与疼痛强度和功能限制有关.
- 这项研究研究了上肢疼痛与非创伤状况和无助思维模式之间的关联.
研究的目的:
- 为了确定对侧 (相反) 肢体的疼痛强度是否与无助的想法有关.
- 探索对侧肢疼痛与无助思维水平之间的关系.
主要方法:
- 一项涉及152名上肢肌肉骨疾病患者的横截面研究.
- 患者完成了上肢功能的测量,疼痛强度 (涉及和对侧肢),无助的想法,关于症状的痛苦和抑郁.
- 用多变量统计来评估与疼痛强度和功能能力相关的因素.
主要成果:
- 在双变量分析中,对侧侧手臂疼痛与疼痛的痛苦有关,但在多变量分析中,这并不重要.
- 受影响四肢的疼痛强度更大独立地与增加的痛苦和没有先前的手术有关.
- 较高的上肢功能与较少的痛苦有关,已婚/伴侣,男性性别,并且没有先前的手术.
结论:
- 反侧肢的疼痛强度更大与症状的痛苦增加有关.
- 患者对对侧边四肢疼痛的担忧,以及其他痛苦指标,可以为与症状相关的压力提供基于证据的护理.
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