探索疼痛概念化与慢性腰痛患者的结果相关:一项前性观察性研究
Iva Lončarić Kelečić1, Snježana Schuster
1Iva Lončarić Kelečić, Department for Physical Therapy, University Hospital Center Zagreb, Božidarevićeva 11, 10000 Zagreb, Croatia, iva.loncaric@kbc-zagreb.hr.
Croatian medical journal
|January 11, 2026
概括
疼痛概念化与经过物理治疗的慢性腰部疼痛 (CLBP) 患者的结果相关. 高等教育影响患者如何理解疼痛,这表明个性化沟通是康复成功的关键.
科学领域:
- 康复医学 康复医学 康复医学
- 疼痛管理 疼痛管理
- 健康心理学 心理健康心理学
背景情况:
- 慢性非特异性腰部疼痛 (CNSLBP) 显著影响患者的功能和生活质量.
- 了解患者如何概念化疼痛对于有效治疗至关重要.
- 物理治疗是CNSLBP的主要治疗方式.
研究的目的:
- 研究在接受物理治疗的CNSLBP患者的疼痛概念化和治疗结果之间的关联.
- 探索教育成就在塑造疼痛概念化中的作用.
- 在这个人群中评估克罗地亚版的成人疼痛概念清单 (COPI-Adult).
主要方法:
- 84名接受基于运动的物理治疗的成年CNSLBP患者的前性观察研究.
- 结果措施包括疼痛强度,残疾 (罗兰-莫里斯残疾问卷) 和与健康有关的生活质量 (EQ-5D-5L,EQ-VAS).
- 使用COPI-成人评估的疼痛概念化.
主要成果:
- 物理治疗后疼痛,残疾和生活质量的显著改善 (P<0.001).
- 较高的疼痛概念化得分 (COPI-成人) 与更好的结果 (疼痛/残疾减少,生活质量提高) 相对相关性较弱.
- 教育成就对疼痛概念化产生了积极的影响 (P=0.014).
结论:
- 疼痛概念化与结果有关,但不能预测物理治疗改善的程度.
- 教育水平影响疼痛的理解,需要在康复中量身定制的沟通.
- 克罗地亚COPI-成年人是评估CNSLBP护理中的疼痛概念的有效工具.
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