医生同情心和慢性疼痛的结果
John C Licciardone1, Yen Tran2, Khang Ngo2
1Department of Family Medicine, University of North Texas Health Science Center at Fort Worth, Fort Worth.
JAMA network open
|April 11, 2024
概括
医生同情显著改善慢性疼痛的结果. 医生更高的同情心与减少疼痛强度,更好的功能和改善慢性腰痛患者的生活质量有关.
科学领域:
- 疼痛医学 医学 疼痛医学
- 患者与医生的关系
- 健康 结果 研究 研究 结果
背景情况:
- 在患者与医生的互动中,同理心至关重要,特别是对于那些管理慢性疼痛的人来说.
- 了解医生同情心对慢性疼痛患者的影响对于改善护理至关重要.
研究的目的:
- 评估医生同情和患者结果之间的关联,包括疼痛,功能和与健康有关的生活质量 (HRQOL).
- 为了研究这些关联,特别是在患有慢性腰痛的成年人中.
主要方法:
- 一项涉及国家疼痛研究注册表成年注册人的队列研究.
- 医生同理心是使用咨询和关系同理心 (CARE) 尺度来衡量的.
- 患者报告的结果 (疼痛强度,残疾,HRQOL缺陷) 被收集了12个月,并使用概括估计方程进行分析.
主要成果:
- 更大的医生同情心与疼痛强度,背部相关残疾和HRQOL缺陷相反相关.
- 与那些同情度较低的医生相比,有高度同情心的医生的患者报告说,疼痛,残疾和HRQOL问题明显降低.
- 这些关联在临床上是相关的,并且证明了与非药物治疗,阿片类药物治疗和手术相比的好处.
结论:
- 医生的同情心与慢性疼痛管理中改善的患者结果有显著的关联.
- 提高医生的同情能力可能会导致患者更好的疼痛控制,功能和生活质量.
- 培养医生同情心的努力是有必要的,以优化慢性疼痛护理.
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