一个跨学科的多模式整合医疗保健计划,用于慢性脊柱疼痛和并发性精神障碍
Jaap Wijnen1, Marciano Wilhelmina Henricus Geijselaers, Marc Lucas Pont
1From the Intergrin Academy, Geleen, The Netherlands (Wijnen, Geijselaers, van 't Hullenaar, de Jong), Spine, Head and Pain Research Unit Ghent, Department of Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium (Wijnen, Van Oosterwijck), Pain in Motion Internationl Research Group, (Wijnen, Van Oosterwijck), Center for InterProfessional Collaboration in Education Research and Practice (IPC-ERP UGent), Faculty of Medicine and Health Sciences (Van Oosterwijck), and Reakira Recovery College, Sittard, the Netherlands (de Jong).
这项研究表明,综合性医疗保健计划显著改善了慢性脊柱疼痛和精神健康状况的患者的生活质量,并减少了疼痛障碍. 这种干预有效地解决了疲劳,对运动的恐惧和灾难性的疼痛.
科学领域:
- 综合医学是一个整体的医学.
- 疼痛管理 疼痛管理
- 心理健康 心理健康
背景情况:
- 慢性脊柱疼痛通常与精神健康障碍同时发生,但许多干预措施排除了这些患者.
- 之前对脊柱疼痛多式干预措施的研究对伴随性精神健康状况有局限性.
研究的目的:
- 评估门诊,二级护理,跨学科多模式整合性医疗保健计划的有效性.
- 评估该计划对同时出现慢性脊柱疼痛和精神障碍的个体的影响.
主要方法:
- 一组944名患有慢性脊柱疼痛和并发性精神障碍的患者参与了这项研究.
- 主要结局包括生活质量 (RAND-36) 和疼痛残疾 (QBPDS).
- 在20周的治疗和12个月的随访期间,在四个时间点收集了数据,并使用多级回归分析了数据.
主要成果:
- 在20周治疗后,在心理和身体健康得分 (RAND-36) 和减少疼痛残疾 (QBPDS) 中观察到显著改善.
- 之前存在的问题,如疲劳,动力恐惧症和疼痛灾难化,在12个月的计划结束时得到解决.
- 该干预措施对所有主要和次要结果措施产生了积极影响.
结论:
- 一个跨学科的多式联络整合医疗保健计划是有效的管理慢性脊髓疼痛的患者,并发性精神障碍.
- 这些发现支持将心理健康护理纳入疼痛管理计划.
- 这种方法为复杂的患者群体提供了可行的解决方案,这些患者群体通常被传统治疗排除在外.
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