认知行为疗法作为脊柱外科手术中的心理优化策略:一个范围审查
Rafael Garcia Andujar1, Kari Odland1, Cale Hendricks1
1Department of Orthopedic Surgery, University of Minnesota, Minneapolis, MN, United States 55455.
Pain medicine (Malden, Mass.)
|July 22, 2025
概括
认知行为疗法 (CBT) 可以通过减少残疾和增强疼痛应对来改善脊柱手术恢复. 然而,各种各样的实施策略需要标准化的协议,以获得一致的长期效益.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 心理干预 心理干预
- 康复科学 康复科学 康复科学
背景情况:
- 心理社会因素会对脊柱手术结果产生负面影响.
- 认知行为疗法 (CBT) 对肌肉骨疼痛有效,但在脊柱手术中未得到充分利用.
- 对手术脊柱患者的CBT的作用和实施存在变化.
研究的目的:
- 在脊椎外科手术中对CBT应用进行范围审查.
- 综合有关患者报告结果,阿片类药物使用和康复的研究结果.
- 评估CBT在手术脊柱群体中的有效性.
主要方法:
- 在主要数据库 (Ovid Medline,PubMed,Scopus) 中进行全面的文献搜索.
- 包括接受手术前或手术后CBT的成年脊柱手术患者.
- 对报告功能,心理或阿片类药物相关结果的研究进行分析.
主要成果:
- 术前或术后进行的CBT,减少了残疾和改善了疼痛应对.
- 在某些情况下,远程医疗CBT显示出可行性和有效性.
- 观察到不一致的长期益处 (超过6-12个月),以及交付方法的大量异质性.
结论:
- 认知认知治疗是脊柱手术恢复的宝贵补充,特别是在高风险人群中.
- 在CBT实施中的异质性需要标准化的协议.
- 需要进一步的研究来评估长期结果.
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