补充和整合性健康疗法和疼痛:通过退伍军人事务和社区护理提供
Collin Calvert1,2, Stephanie L Taylor3,4, Juli Olson5
1Center for Care Delivery and Outcomes Research, Minneapolis VA Health Care System, Minneapolis, MN, USA.
Global advances in integrative medicine and health
|July 14, 2025
概括
补充和整合性健康 (CIH) 服务有效地减少退伍军人的慢性疼痛. 在VA提供的针和手术治疗比社区护理更有好处,而社区医疗按摩治疗比VA提供的服务更有效.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 综合医学是一个整体医学.
- 疼痛管理 疼痛管理
背景情况:
- 补充和整合性健康 (CIH) 是退伍军人事务部 (VA) 管理慢性疼痛的优先事项.
- 退伍军人可以通过VA诊所或VA资助的社区护理 (CC) 获得CIH服务.
- 这项研究比较了针,手术和通过VA直接护理提供的医学按摩疗法的有效性与CC.
研究的目的:
- 为了比较VA-delivered与社区护理 (CC) 在三项CIH服务中降低退伍军人慢性疼痛的有效性.
- 评估CIH访问数量与疼痛严重程度和干扰的改善之间的关联.
主要方法:
- 从补充和整合性健康治疗患者体验调查中分析数据.
- 使用混合模型来评估CIH访问 (VA与CC) 与疼痛结果之间的关系.
- 检查了原始访问次数和临床上有意义的访问分组.
主要成果:
- 增加CIH访问与退伍军人的疼痛严重程度和干扰减少相关.
- 与CC相比,VA提供的针和手术护理显示出与疼痛减轻的积极关联性更强.
- 社区护理 (CC) 医疗按摩疗法比VA提供的医疗按摩更有好处.
结论:
- 对CIH疗法的VA和CC交付模型都能有效地减少退伍军人的慢性疼痛.
- 特定的CIH疗法的比较有效性可能在VA和CC设置之间有所不同.
- 观察数据的局限性使得人们无法对治疗交付模式做出因果推断.
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