灾难性疼痛和慢性疼痛接受在状细胞中的相互作用
Nadine Matthie1, Ronald Friend2, Kim D Jones1
1Emory University, Nell Hodgson Woodruff School of Nursing, Atlanta, GA.
概括
在状细胞疾病中治疗慢性疼痛需要解决痛苦的灾难化和接受. 干预措施在促进功能参与以获得更好的结果之前,应该针对认知框架.
科学领域:
- 医学研究 医学研究
- 心理学 心理学 心理学
- 疼痛管理 疼痛管理
背景情况:
- 状细胞疾病 (SCD) 中的慢性疼痛带来了独特的管理挑战.
- 了解心理因素对于有效的疼痛评估和SCD治疗至关重要.
研究的目的:
- 调查疼痛接受和疼痛灾难化在SCD慢性疼痛中的作用.
- 检查它们对SCD成人疼痛强度和残疾的综合影响.
主要方法:
- 对170名患有SCD的成年人进行横截面调查数据的二次分析.
- 使用多重回归来评估疼痛强度和残疾的预测因素.
- 专注于疼痛灾难化和疼痛接受子尺度 (活动参与,疼痛意愿).
主要成果:
- 疼痛灾难化显著预测了更高的疼痛强度和残疾.
- 活动参与,而不是痛苦的意愿,与残疾相关.
- 一个相互作用效应显示了与较低的残疾相关的低灾难性和高活动参与度.
结论:
- 在SCD中最佳的慢性疼痛管理可能涉及顺序干预.
- 在活动参与之前解决灾难性疼痛可能会改善结果.
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