超越活动模式:在骨科创伤后患有慢性肌肉骨疼痛的个体中,活动管理的复杂过程
J Mbarga1, C Favre2, C Ribeiro1
1Department of Applied Research and Development, HESAV School of Health Sciences - HES-SO University of Applied Sciences and Arts Western Switzerland, Lausanne, Switzerland.
European journal of pain (London, England)
|January 31, 2024
概括
患有慢性疼痛的个体在回避,节奏和持久性活动模式之间动态切换. 他们的选择取决于背景,目标和自我感知,突出了适应性康复策略的需要.
科学领域:
- 康复医学 康复医学 康复医学
- 心理学 心理学 心理学
- 社会科学 社会科学 社会科学
背景情况:
- 慢性疼痛需要改变日常活动,避免,节奏和坚持是常见的模式.
- 现有的研究往往探索这些模式,但缺乏深入的因素影响其采用.
- 这项研究探讨了慢性肌肉骨疼痛患者及其活动行为之间的细微关系.
研究的目的:
- 探索慢性肌肉骨疼痛患者与他们选择的活动模式之间的关系.
- 确定影响慢性疼痛管理中采用特定活动行为的潜在因素.
- 了解引导活动选择的自我谈判过程.
主要方法:
- 一项定性研究涉及33名因慢性肌肉骨疼痛接受康复治疗的参与者.
- 通过观察职业研讨会和半结构面试收集数据.
- 来自社会科学,物理治疗,心理学和康复医学的跨学科研究小组.
主要成果:
- 个人根据背景,活动重要性,个人目标和自我感知,在避免,节奏和坚持策略之间流动交替.
- 活动行为决定是自我谈判的结果,受到环境,活动性质,感知重要性和自我效能的影响.
- 患者的声明和行动显示了活动模式选择中的因素的动态相互作用.
结论:
- 与活动的关系是复杂的,涉及物理,社会和上下文因素.
- 治疗干预应侧重于加强患者的反射过程和适应能力,而不是仅仅促进节奏.
- 康复可以通过专注于适应性技能来提高患者灵活活动管理的能力.
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