从急性到慢性:PREVENT协议用于了解急诊室访问后的疼痛进展
Michael Ray1, Andrew C Meltzer1, Timothy C McCall2
1Department of Emergency Medicine, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USA.
Primary health care research & development
|September 11, 2025
概括
这项研究确定了预测部或背部受伤紧急护理后慢性疼痛的认知和行为因素. 这些发现将有助于制定有针对性的干预措施,以预防长期的肌肉骨疼痛.
科学领域:
- 治疗疼痛的药物 疼痛的药物
- 肌肉骨健康 肌肉骨健康
- 紧急医疗 紧急医疗
背景情况:
- 慢性肌肉骨疼痛 (CMP) 是导致残疾的主要原因,早期风险因素的了解很少,特别是在急诊室 (ED).
- 这项研究调查了在ED治疗急性部或背部疼痛后创伤的患者中CMP发展的预测因素.
研究的目的:
- 为了确定慢性肌肉骨疼痛 (CMP) 在ED治疗急性部或背部疼痛后发展的认知,行为和与治疗相关的预测因素.
- 探索疼痛信念,灾难性思维,恐惧回避,体育活动,恢复期望和自我有效性在CMP开发中的作用.
- 为设计基于ED的查和针对慢性疼痛的干预策略提供信息.
主要方法:
- 对246名患有创伤后急性部或背部疼痛的成年患者进行前性观察性研究.
- 通过问卷测量疼痛信念作为主要的独立变量;调解变量包括心理和行为因素.
- 主要结果是六个月的CMP;次要目标包括认知面试以验证问卷的有效性.
主要成果:
- 这项研究旨在确定慢性疼痛发展的预测因素.
- 分析将使用多变量逻辑回归,调解和相互作用测试来检查疼痛信念对CMP的影响.
- 结果将突出导致ED环境中疼痛慢性化的关键因素.
结论:
- 这项研究是首次研究ED中疼痛慢性化的认知和行为预测因素.
- 结果将指导针对性查和干预策略的开发,可能适应查,简短干预和转诊治疗 (SBIRT) 模型.
- 结果将被传播,以告知临床实践和未来的疼痛管理研究.
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