为患有状细胞疾病的成年人开发,实施和接受床边正念干预措施
Jeffrey M Pavlacic1, Lindsay R Meredith1, Alice M Boylan2
1Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Psychology, health & medicine
|October 10, 2024
概括
正念干预可以帮助状细胞疾病 (SCD) 患者管理疼痛和痛苦. 这种床边计划改善了自我效能,并在急性发作期间增加了正念.
科学领域:
- 综合医学是一个整体的医学.
- 行为医学是一种行为医学.
- 血液学 血液学 血液学
背景情况:
- 状细胞疾病 (SCD) 经常导致严重的急性和慢性疼痛,严重影响患者的生活质量.
- 生物心理社会模型对于理解SCD疼痛至关重要,需要有针对性的行为干预.
- 正念是一种公认的技术,用于管理慢性疼痛和疾病相关的痛苦.
研究的目的:
- 为患有SCD的患者设计和实施床边正念干预.
- 为了提高患者在疼痛管理中的自我效能,并减少心理痛苦.
- 评估在急性血管封闭性发作 (VOE) 期间进行正念干预的可行性和可接受性.
主要方法:
- 在SCD诊所的质量改进项目中,开发了一种在输液疗程的床边正念干预措施.
- 专业间的协作和患者和提供者的定性反为干预的设计和应用提供了信息.
- 量化调查评估了可接受性,而采访探讨了患者对正念和非药物战略的兴趣.
主要成果:
- 定性数据显示,患者对正念感兴趣,需要个性化,非药物治疗.
- 定量反表明患者喜欢干预,并相信正念可以帮助管理与疾病相关的痛苦.
- 参与者报告说,干预后的正念在统计学上显著增加 (p=.005).
结论:
- 床边正念干预表明有望改善疼痛管理和减少SCD患者的痛苦.
- 这些发现支持为患有SCD的个人开发基于证据的,以正念为导向的服务.
- 针对性,以人为中心的方法对于SCD中有效的非药物疼痛管理至关重要.
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