疼痛教育悖论和验证差距的矛盾
Asaf Weisman1, Monica Noy2, Youssef Masharawi1
1Spinal Research Laboratory, Department of Physical Therapy, Stanley Steyer School of Health Professions, the Gray Faculty of Medical and Health Sciences, Tel Aviv University, Israel.
Musculoskeletal science & practice
|December 26, 2025
概括
医疗保健专业人员需要更好的疼痛教育,以验证从业者的能力并改善患者的治疗结果. 这篇论文提出了诚实的疼痛管理的四个基本能力,超越了过时的生物机械模型.
科学领域:
- 疼痛科学和医学教育.
- 医疗保健专业发展.
背景情况:
- 疼痛是医疗保健专业人员管理的常见投诉,但疼痛教育不足,占课程时间的不到1%.
- 目前的疼痛教育缺乏验证,因为从业者知识和改善患者结果之间的联系尚未确立.
- 现有课程面临着关于必要的从业者能力,有效的教学方法以及能力对患者康复的影响的验证危机.
研究的目的:
- 在多个层面上解决疼痛教育的验证危机:定义基本能力,评估教学方法和评估能力对患者康复的影响.
- 批判性地检查商业疼痛神经科学教育计划,以模糊从业者和患者的教育,掩盖验证差距.
- 介绍疼痛管理的四个基本能力:理解疼痛术语,整合神经科学,批判性评估和区分疼痛机制与患者支持.
主要方法:
- 对现有的疼痛教育范式进行批判性分析.
- 商业疼痛神经科学教育计划的检查.
- 开发一个基础疼痛管理能力的框架.
主要成果:
- 确定了疼痛教育的验证危机,医生的能力不清楚,与患者结果的联系未经证实.
- 突出了一些程序如何通过循环推理掩盖验证差距,并将从业者和患者教育结合起来.
- 提出了四个核心竞争力:疼痛术语,当代神经科学整合,以认识系统的谦卑进行批判性评估,并将疼痛机制治疗与患者支持区分开来.
结论:
- 挑战医疗保健专业人员在疼痛管理方面超越毫无根据的基于证据的说法,转向对不确定性的彻底诚实.
- 敦促诸如物理治疗,手术和骨科手术等学科将当代疼痛科学融入生物机械模型之外的领域.
- 倡导从业人员认识到干预局限性,转诊需求,并管理期望以科学诚信为患者服务.
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