估计在患有持续脊柱疼痛的患者中,短期疼痛清单的最小重要变化
Jacob S Gandløse1, Jonathan Vela2, Thorvaldur S Palsson1
1Department of Physiotherapy and Occupational Therapy, Aalborg University Hospital, Aalborg, 9000, Denmark; Aalborg University, Department of Clinical Medicine, Aalborg, 9000, Denmark.
Musculoskeletal science & practice
|September 7, 2025
概括
这项研究确定了持续性脊柱疼痛患者的简要疼痛目录-丹麦语 (BPI-DK) 的最小重要变化 (MIC). 建议BPI-DK的2点改善是临床上有意义的.
科学领域:
- 评估和测量疼痛的评估和测量.
- 在疼痛管理中的临床意义.
- 患者报告的结果衡量结果.
背景情况:
- 简要的疼痛清单 (BPI) 是一种验证的评估疼痛的工具,与生物心理社会模型相一致.
- 虽然在持续的脊柱疼痛中得到了验证,但BPI-DK的最小重要变化 (MIC) 在这个人群中仍然未被探索.
- 了解MIC对于解释治疗效果和患者感知到的有意义的变化至关重要.
研究的目的:
- 在患有持续脊柱疼痛的患者中,估计简要疼痛目录-丹麦语 (BPI-DK) 的最小重要变化 (MIC).
- 为这个特定的患者群体提供有意义的疼痛改善的定量衡量.
- 提高BPI-DK在评估治疗疗效方面的临床实用性.
主要方法:
- 采用了基于和基于分布的方法来估计MIC.
- 基于的MIC使用平均BPI-DK分量级变化计算,患者报告在全球变化评级 (GROC) 尺度上有所改善.
- 基于分布的MIC确定为标准测量误差的1.96倍.
主要成果:
- 总共有135名患者完成了基线和3个月后续评估.
- 在所有BPI-DK子尺度中确定了统计学上显著的MIC得分.
- 估计的MIC值因子尺度和方法而异,从1.08到3.11不等.
结论:
- 这项研究确定了持续性脊柱疼痛患者BPI-DK的MIC值.
- 基于分布的估计表明变化超过了测量不确定性,表明真正的患者感知变化.
- 建议对BPI-DK进行2个点的改善,因为这对这个人群来说具有临床意义.
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