当出现急性腰部横移时,适应不良的应对行为:一个案例研究
Kevin Percuoco1, Keith Walder1, Thomas Klopcic1
1Palmer Chiropractic Clinics, Palmer College of Chiropractic, Davenport, IA, USA.
The Journal of manual & manipulative therapy
|June 3, 2025
概括
适应不良的应对行为显著恶化了急性腰部横移,延长了疼痛和残疾. 结合手动校正和分级练习的生物心理社会方法有效地减少了对其他治疗不耐药的患者的疼痛和灾难化.
科学领域:
- 整形外科的护理 整形外科的护理
- 疼痛管理 疼痛管理
- 生物心理社会健康
背景情况:
- 带有腰部横向偏移的急性腰部疼痛可能很难管理.
- 受认知和情绪因素影响的被动应对行为可能会阻碍恢复.
- 以前的治疗方法,包括手术护理和药物治疗,对该患者无效.
研究的目的:
- 描述适应不良的应对行为对急性腰部横移的临床表现和管理的影响.
- 突出生物心理社会方法在处理此类病例中的有效性.
主要方法:
- 一个39岁的男性的案例研究,患有急性腰部疼痛和腰部横向偏移.
- 实施生物心理社会疼痛模型.
- 整合手动调节和分级曝光练习的整合.
- 利用修订的奥斯韦斯特低腰痛残疾指数和黄旗风险表进行评估.
主要成果:
- 在五天内观察到疼痛和疼痛灾难性的显著减少.
- 残疾分数从82%提高到退院时的0%和六个月后的2%.
- 黄旗风险得分从出院时的96下降到8和6个月后的34,表明心理社会风险降低.
结论:
- 手动转移校正是腰部横向转移的有效生物医学程序.
- 适应不良的应对行为显著影响腰部横移的表现和管理.
- 生物心理社会方法与有针对性的炼相结合,为患有腰部横移和相关心理社会因素的患者提供了有利的结果.
相关概念视频
Coping Strategies: Problem Focused
428
Coping strategies are methods people use to manage, tolerate, or reduce the effects of stressors. These strategies involve both behavioral and psychological actions to handle stressful situations. One common approach is problem-focused coping, which aims to change or eliminate the source of stress rather than merely addressing its consequences. This method involves taking direct action to resolve the issue causing stress.
For example, consider a student who struggles to understand their...
For example, consider a student who struggles to understand their...
428
Coping Strategies: Emotion Focused
444
Emotion-focused coping refers to a set of strategies aimed at managing the emotional impact of stressors, rather than directly addressing their causes. This approach involves altering one's emotional response to stressful situations to reduce their psychological effects. For example, individuals might talk with a friend or engage in activities like journaling to express their feelings. Such actions can help achieve emotional clarity or release, providing the psychological stability needed...
444
Lazarus's Cognitive Appraisal Theory
1.7K
Cognitive psychologist Richard Lazarus proposed the cognitive-mediational theory of emotions, which emphasizes how individuals' assessments of stressors significantly affect their experience of stress. According to Lazarus, the stress response is determined by a two-step appraisal process: primary appraisal and secondary appraisal. These cognitive appraisals help individuals evaluate the potential impact of a stressor and determine the adequacy of their coping resources.
Primary Appraisal:...
Primary Appraisal:...
1.7K


