赋予持久性疼痛患者权力: 认知功能治疗在跨学科护理中的潜力: 一个单一病例实验设计
Simone Zingg1, Maurice de Graaf2, Roger Hilfiker3
1School of Health Professions, Division of Physiotherapy, Bern University of Applied Sciences, Bern, Switzerland.
Journal of bodywork and movement therapies
|May 19, 2024
概括
跨学科护理中的认知功能疗法 (CFT) 有效地减少了持续肌肉骨疼痛的患者的疼痛和残疾. 这项为期一年的干预措施使大多数参与者的生活质量和工作状况得到了显著改善.
科学领域:
- 疼痛管理 疼痛管理
- 康复医学 康复医学 康复医学
- 临床心理学 临床心理学
背景情况:
- 持续的肌肉骨疼痛 (PMP) 带来了重大的社会和财务负担.
- 整合PMP的多因素管理仍然是一个临床挑战.
- 高影响力PMP影响腰椎,肩膀和膝盖,需要有效的治疗方法.
研究的目的:
- 评估认知功能治疗 (CFT) 在PMP跨学科护理模式中的潜力.
- 详细说明患者在整个CFT干预过程中的临床旅程.
- 在一年内评估疼痛,残疾,运动行为,生活质量和工作状态的变化.
主要方法:
- 采用单个病例实验设计,对三名患有高影响性PMP的患者进行了实验.
- 认知功能疗法 (CFT) 在一年内分六个模块进行.
- 监测了包括疼痛,残疾,运动行为,生活质量和工作状态在内的结果指标.
主要成果:
- 在干预后的所有结果措施中观察到系统的,中等到大变化 (0.67-1).
- 在结果测量的变化之间发现了并发和大关联 (r ≥0.50).
- 所有结果措施都超过了临床上重要的最小差异值,两名患者实现了重新工作.
结论:
- 在跨学科环境中的认知功能疗法 (CFT) 在PMP患者的所有测量结果中被证明是有效的.
- 干预的延长时间使得持续改善的时间长达12个月.
- 详细的临床过程描述旨在提高持续性肌肉骨疼痛的临床护理.
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