儿科非药物强化跨学科疼痛治疗:对症状,日常功能和家庭单位的影响
Jessica Campanile1, Becky Wu2,3, Maitry Sonagra4,5,6,7
1Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
Children (Basel, Switzerland)
|February 24, 2024
概括
这项研究发现,非药物密集型跨学科疼痛治疗 (IIPT) 计划显著改善了慢性异常性疼痛的青少年及其家属的健康相关生活质量 (HRQoL). 对疼痛和功能的积极影响在随访时持续存在.
科学领域:
- 儿科疼痛管理 儿科疼痛管理
- 生活质量研究 研究 生命质量研究
- 非药理干预措施 非药理干预
背景情况:
- 慢性异常性疼痛显著影响年轻人和他们的家人.
- 现有的治疗方法往往侧重于药理学方法,需要探索替代方案.
- 与健康相关的生活质量 (HRQoL) 是儿科慢性疼痛的关键结果指标.
研究的目的:
- 评估非药物强化跨学科疼痛治疗 (IIPT) 计划的有效性.
- 评估儿科患者及其家属HRQoL的变化.
- 确定与改善患者水平HRQoL相关的因素.
主要方法:
- 对115名患有慢性异常性疼痛的青少年进行了回顾性队列研究.
- 使用儿科生活质量库存 (PedsQL) 进行患者和家庭HRQoL评估.
- 使用威尔科克森签名等级测试和多变量线性回归来进行数据分析.
主要成果:
- 患者和家属在计划后的所有领域报告了HRQoL的显著改善.
- 在计划完成后和3个月的随访后,观察到持续改善的疼痛和全体肌痛.
- 多变量分析确定了与患者HRQoL增强相关的因素.
结论:
- 非药物IIPT计划为儿科慢性异常性疼痛提供了有价值的治疗选择.
- 该计划为患者和家庭单位展示了积极的结果,改善了身体,情感,社会和认知功能.
- 这种方法为管理青少年慢性疼痛提供了一个令人信服的,基于证据的替代方案.
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