慢性背痛综合治疗策略:一篇文学评论与临床建议
Nina H Russin1, Alexis M Koskan1, Lesley Manson1
1College of Health Solutions, Arizona State University, 425 N. 5th St., Phoenix, AZ 85004, USA.
International journal of environmental research and public health
|February 26, 2025
概括
心理教育是治疗慢性背痛 (CBP) 的关键. 整合行为干预和患者教育可以改善疼痛,功能和生活质量.
科学领域:
- 疼痛管理 疼痛管理
- 行为健康 行为健康
- 综合医学是一个整体的医学.
背景情况:
- 慢性背痛 (CBP) 是导致残疾和医疗负担的主要原因.
- 药物治疗本身不足以有效管理CBP.
- 综合行为健康干预,包括精神教育,对于可持续的CBP治疗至关重要.
研究的目的:
- 审查包括精神教育在内的CBP治疗方法.
- 突出心理教育在提高患者对CBP管理的自我效能方面的作用.
主要方法:
- 在2024年秋季在谷歌学者,PubMed和Scopus上进行的文献搜索.
- 搜索术语包括"慢性背痛"和"综合行为干预".
- 选择标准优先考虑了最近出版的文章和开创性的文章.
主要成果:
- 有效的CBP精神教育需要采用多式模式的方法,解决生物心理社会因素.
- 组件包括认知行为策略,疼痛神经科学教育和生活方式行为教育 (活动,睡眠,营养,压力).
- 在初级保健中整合患者教育和行为干预措施可以改善参与度,疼痛强度,功能和生活质量.
结论:
- 心理教育是综合性CBP管理计划的基本要素.
- 多模式精神教育使患者有能力进行自我管理.
- 整合到初级保健中可以改善慢性背痛的治疗结果.
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