讨论患者报告的结果措施是否会增加骨科访问时的疼痛自效性? 一个前性的,顺序的,比较的系列
Emily A Schultz1, Giselle I Gomez1, Michael J Gardner1
1VOICES Health Policy Research Center, Department of Orthopaedic Surgery, Stanford University, Redwood City, CA, USA.
Clinical orthopaedics and related research
|November 26, 2024
概括
在骨科手术访问期间讨论患者报告的结果措施 (PROM) 并没有显著增加疼痛自我有效性. 需要进一步的研究来探索是否收集PROM或纵向讨论会影响患者的结果.
科学领域:
- 整形外科手术 整形外科手术
- 患者报告的结果措施 (PROMs)
- 疼痛 自我有效性 疼痛 自我有效性
背景情况:
- 疼痛自我效能影响了骨科手术患者的功能.
- 共享决策和PROM可以增强疼痛自我效能.
- 在骨科患者中,PROMs对疼痛自我有效性的影响还未得到充分研究.
研究的目的:
- 为了确定讨论PROM结果是否会增加新骨科患者的疼痛自我有效性.
- 调查患者的弹性,决策参与和疼痛自我效能的变化之间的相关性.
主要方法:
- 128名骨科患者的前性比较研究 (2023年2月至10月).
- 第1组 (n=64):标准的护理. 第二组 (n=64):标准护理加上PROMIS PF-SF10a分数的讨论.
- 评估疼痛自我有效性 (PSEQ),弹性 (BRS) 和参与决策 (OPTION-5).
主要成果:
- 两组之间疼痛自我有效性变化没有显著差异 (PSEQ分数).
- 类似比例的患者在两组中都显示出疼痛自我效能增加 (56%对59%).
- 在两组中都没有发现PSEQ变化与弹性 (BRS) 或参与决策 (OPTION-5) 之间的相关性.
结论:
- 立即讨论PROMs (PROMIS PF-SF10a) 并没有在一次访问中增强疼痛自我有效性.
- 外科医生可能不需要讨论PROM得分,仅仅是为了影响疼痛自我效能.
- 进一步的研究应该探索PROM收集和纵向讨论对疼痛自我有效性的影响.
更多相关视频
06:28Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
Published on: December 13, 2024
432
12:20Use of the Operant Orofacial Pain Assessment Device OPAD to Measure Changes in Nociceptive Behavior
Published on: June 10, 2013
21.1K
相关概念视频
01:11Guidelines for Writing Outcome
2.7K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
2.7K
01:54The Placebo Effect
6.1K
The placebo effect occurs when people's expectations or beliefs influence or determine their experience in a given situation. In other words, simply expecting something to happen can actually make it happen.
6.1K
01:25Analgesia and Pain Management
513
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
513