在家庭实践环境中对慢性肌肉骨疼痛的评估和管理模式
Elisabeth F Callen1, Cory B Lutgen1, Elise Robertson1
1American Academy of Family Physicians, Leawood, KS, 66211, USA; DARTNet Institute, Aurora, CO, 80045, USA.
Journal of bodywork and movement therapies
|June 14, 2024
概括
在慢性疼痛评估中,初级保健医生经常专注于疼痛强度,忽视功能和生活质量. 改进综合性疼痛评估模型可以改善慢性肌肉骨疼痛患者的治疗结果.
科学领域:
- 疼痛管理 疼痛管理
- 主要护理医学 医疗保健
- 肌肉骨系统疾病 肌肉骨系统疾病
背景情况:
- 慢性疼痛影响了美国11%的人口,其中大多数人在初级环境中寻求护理.
- 有效的疼痛管理取决于准确的评估,但这仍然是临床医生面临的挑战.
- 疼痛强度与功能和生活质量一起被评估的程度还不太清楚.
研究的目的:
- 调查慢性肌肉骨疾病患者疼痛和功能评估的当前做法.
- 了解这些实践与综合性疼痛评估模型的一致性.
主要方法:
- 采用了一个横截面调查.
- 一项由42项组成的电子调查评估了临床医生的关于疼痛和功能评估的知识,信仰和做法.
- 该调查针对AAFP NRN和AAFP会员中的医生和非医生临床医生.
主要成果:
- 临床医生主张综合性慢性关节疼痛评估与既有模型保持一致.
- 尽管存在局限性,但疼痛强度仍然是指导治疗决策的主要焦点.
- 大多数临床医生认为家庭医学应该管理骨关节炎患者.
结论:
- 目前的疼痛评估主要依赖于强度尺度,可能导致患者的不理想结果.
- 提高对综合性疼痛评估模型,指导方针和验证仪器的认识和使用至关重要.
- 这些改进可以促进更全面的护理,特别是在初级保健中管理的骨关节炎患者.
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