从儿科跨学科慢性疼痛诊所的磨损:利用"儿科电子持续疼痛结果协作 (PaedePPOC) 数据库"
Kristen Tiong1,2, Andrew Gorrie1,2, Greta M Palmer3,4,5
1Department of Pain, Sydney Children's Hospital, Randwick.
The Clinical journal of pain
|May 27, 2025
概括
几乎五分之一的慢性疼痛儿童在专门诊所没有完成治疗. 诸如老年和更高的护理人员负担等因素预测早期离职,影响疼痛管理结果.
科学领域:
- 儿科疼痛管理 儿科疼痛管理
- 临床心理学 临床心理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 儿童慢性疼痛诊所的消耗可能会阻碍获得基于证据的干预措施.
- 这可能会导致持续的疼痛和年轻患者持续的功能和心理社会挑战.
研究的目的:
- 确定从跨学科儿科门诊慢性疼痛诊所患者消耗的流行率.
- 为了确定与这种消耗相关的患者和护理人员因素.
主要方法:
- 在儿科电子持续疼痛结果协作 (PaedePPOC) 数据库中,对来自10家澳大利亚/新西兰诊所的纵向数据进行了回顾性分析.
- 使用后勤回归分析来评估患者/护理人员因素与消耗之间的关联.
主要成果:
- 在该队列中,患者消耗率为19.3% (N=1051),发生在11个月内.
- 疼痛持续时间较长 (> 12 个月) 的患者更有可能出现磨损.
- 较老的患者年龄和治疗开始时更高的护理人员心理社会负担与消耗有显著的关联.
结论:
- 大约五分之一的患者没有完成跨学科的儿科慢性疼痛治疗.
- 预防干预查以确定疼痛持续时间较长,年龄较大和护理人员负担较高的患者至关重要.
- 针对这些人提供有针对性的支持可能会最大限度地减少消耗并提高服务效率.
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