改善波兰疼痛门诊患者的精神福祉:一项可行性混合方法研究
Maciej Wiktor Klimasiński1, Ewa Baum2, Katarzyna Wieczorowska-Tobis1
1Katedra Medycyny Paliatywnej, Uniwersytet Medyczny w Poznaniu, 61-701 Poznań, Poland.
Journal of clinical medicine
|June 27, 2024
概括
医生主导的精神护理显著改善了慢性疼痛患者的精神健康. 这种非宗教方法增强了和平和应对能力,证明了其在整体疼痛管理中的价值.
科学领域:
- 疼痛管理 疼痛管理
- 精神病学和心理学 精神病学和心理学
- 整体医学是一个整体的医学.
背景情况:
- 慢性疼痛和精神健康之间的双向关系在整体医学中越来越被认可.
- 低精神健康可以加剧疼痛感知,并阻碍应对机制.
- 精神护理被认为是全面患者治疗的重要组成部分.
研究的目的:
- 为慢性疼痛患者开发和评估一种非宗教精神护理模式.
- 评估医生主导的精神护理对患者精神健康的影响.
- 探索患者在临床环境中与精神护理干预的经验.
主要方法:
- 在12名慢性疼痛患者中采用混合方法方法.
- 在干预之前和之后,使用FACIT-Sp-12问卷评估精神健康.
- 干预包括医生主导的积极倾听,同情的反应,以及关于生活经验和信仰的开放式问题.
主要成果:
- 在干预后的12名患者中,有9名患者观察到精神健康的统计显著增加 (p <0.05).
- 在FACIT-Sp-12的"和平"分级表现出了最大的改善.
- 定性数据表明患者报告的好处包括个人发展,感恩,满意度,支持和希望.
结论:
- 与医生建立治疗关系对患者的精神健康产生了积极的影响.
- 开发的非宗教精神护理模式建议用于慢性疼痛诊所的医生.
- 整合精神护理可以增强整体疼痛管理策略.
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