在等待疼痛管理的同时,心理痛苦的持续性
Lydia V Tidmarsh1, Richard Harrison2, Harriet Wilkinson3
1School of Psychology and Clinical Language Sciences, University of Reading, UK.
British journal of pain
|September 15, 2025
概括
慢性疼痛患者在等待治疗时会经历持续的心理痛苦. 年轻人和症状严重的人面临更高的风险,需要通过预康复早些时候得到支持.
科学领域:
- 疼痛管理 疼痛管理
- 心理健康 心理健康
- 医疗服务研究 医疗服务研究
背景情况:
- 在全球范围内,疼痛管理服务的大量等待列表给患者和提供者带来了负担.
- 了解治疗延迟对心理的影响对于有效的患者护理至关重要.
研究的目的:
- 检查长期治疗延迟期间患有慢性疼痛 (PLwCP) 的人的心理概况.
- 在等待名单上的PLwCP中识别风险小组的人口特征.
主要方法:
- 一项纵向调查设计跟踪了在疼痛管理等待名单上的211名PLwCP的心理健康状况.
- 疼痛自我效能,抑郁,焦虑和疼痛灾难性的测量是在基线,3个月和6个月收集的.
主要成果:
- 在整个等待期内,临床上显著的抑郁,焦虑和疼痛灾难性的水平仍然很高.
- 疼痛自我有效性略有增加,但仍处于临床严重范围,表明持续的痛苦.
- 老年人和年轻人在等待时表现出不同的心理社会福祉模式.
结论:
- 在疼痛管理等待名单上的PLwCP患者中,临床心理痛苦是持久的,这凸显了早期支持的必要性.
- 预康复被提议作为早期干预的框架,针对风险小组,如年轻人和那些最初出现严重症状的人.
- 这些发现对改善疼痛管理实践和患者的治疗结果有重大影响.
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