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在初级保健中治疗慢性肌肉骨疼痛的"学习和移动"计划:试点研究

Víctor Ortíz-Mallasén¹, Irene Llagostera-Reverter¹, Laura Andreu-Pejó¹

¹Nursing Research Group (GIENF Code 241), Nursing Department, Universitat Jaume I, Avinguda de Vicent Sos Baynat, s/n, 12071 Castellón de La Plana, Castellón, Spain.

Healthcare (Basel, Switzerland)

|February 27, 2026

概括

结合疼痛神经科学教育和运动的群体物理治疗计划改善了慢性肌肉骨疼痛患者的生活质量并减少了疼痛. 这种方法在初级保健机构中被证明是可行的和有效的,在六个月后的持续效益.

科学领域:

物理治疗物理治疗
疼痛管理疼痛管理
主要护理是指初级护理.

背景情况:

慢性肌肉骨疼痛影响了许多初级保健人员,影响了生活质量和医疗保健使用.
推多式物理治疗,包括疼痛神经科学教育和治疗性炼,但在西班牙研究不足.
关于这种方案在西班牙初级保健中的可行性和中期有效性的证据有限.

研究的目的:

评估基于小组的多模式物理治疗计划的实用性.
评估对健康相关生活质量和其他临床结果的影响.
确定初级保健的可行性和中期有效性.

主要方法:

一个多中心的,准实验性的试点研究,随访6个月.
患有慢性肌肉骨疼痛 (≥6个月) 的成年人接受了为期12周的小组干预.
结果包括生活质量 (SF-36),疼痛 (VAS),灾难化 (PCS),运动恐惧症 (TSK-11),中央敏感化 (CSI) 和医疗保健使用.

主要成果:

37名参与者完成了高坚持率 (>80%) 和没有不良事件的计划.
在所有测量结果中,在6个月后出现了显著的改善,效果大小为中等到大.
54-78%的参与者获得了最小的临床重要差异;在随访时,改善得到了维持.

结论:

一个以小组为基础的多式物理治疗方案是可行的管理慢性肌肉骨疼痛在初级保健.
该计划在改善患者结果方面展示了潜在的有效性.
建议进行更大规模的受控试验来证实这些发现.

关键词:

慢性疼痛是一种慢性疼痛.运动疗法运动疗法神经科学神经科学患者教育作为一个主题.物理治疗专业的物理治疗专业初级医疗保健是一项主要的医疗保健服务.人们的生活质量.

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