西班牙物理治疗师的慢性疼痛管理方法:影响,实践,障碍和挑战
Ángeles Díaz-Fernández1, Irene Cortés-Pérez1, Esteban Obrero-Gaitán1
1Department of Health Sciences, University of Jaen, Campus las Lagunillas s/n, 23071 Jaen, Spain.
Journal of personalized medicine
|September 28, 2024
概括
西班牙物理治疗师更喜欢生物心理社会模式的慢性疼痛管理,但面临的应用障碍. 弥合这一差距需要有针对性的培训和系统性改革,以改善患者的治疗结果.
科学领域:
- 康复科学 康复科学 康复科学
- 疼痛管理 疼痛管理
- 健康心理学 心理健康心理学
背景情况:
- 慢性疼痛管理越来越多地采用生物心理社会方法.
- 了解医疗保健专业人员的方向对于有效实施至关重要.
研究的目的:
- 评估西班牙物理治疗师对慢性疼痛生物心理社会和生物医学模型的倾向.
- 确定影响这些方向的因素和生物心理社会模型应用的障碍.
主要方法:
- 对447名西班牙物理治疗师进行了横截面调查.
- 经过验证的问卷评估了知识,态度和信仰.
- 使用了多变量协变量分析 (MANCOVA) 和顺序回归.
主要成果:
- 超过50%的人倾向于生物心理社会模型,受跨学科环境和疼痛知识的影响.
- 生物医学方法更常见于教育程度较低,疼痛知识较少的人.
- 尽管有理论上的偏好,但频繁的生物心理社会应用率很低 (总是9.8%,频繁为40.7%).
- 关键障碍包括心理技能不足,协调问题,时间限制和患者的误解.
结论:
- 西班牙的物理治疗师在理论上更倾向于生物心理社会模型.
- 在理论知识和生物心理社会方法的实际应用之间存在很大的差距.
- 通过培训和系统变化解决障碍对于改善慢性疼痛管理至关重要.
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