将自我护理补充和整合性健康 (CIH) 疗法添加到慢性疼痛的护理中 - - 评估疼痛,患者报告结果和补充健康 (APPROACH) 研究
Steven B Zeliadt1,2, Scott S Coggeshall1, Barbara Bokhour3
1VA Center of Innovation (COIN) for Veteran-Centered and Value-Driven Care, VA Puget Sound Healthcare System, Seattle, WA.
结合从业者提供的和自我护理的补充和整合性健康 (CIH) 疗法,与从业者单独提供的CIH相比,疼痛干扰改善没有显著差异. 然而,更多接受这两种治疗的患者报告了感知到的健康益处.
科学领域:
- 综合医学是一个整体的医学.
- 疼痛管理 疼痛管理
- 医疗服务研究 医疗服务研究
背景情况:
- 医疗保健系统越来越多地涵盖慢性疼痛的补充和整合性健康 (CIH) 疗法.
- 覆盖范围扩展到从业人员提供的和自我护理模式.
研究的目的:
- 为了比较医生交付和自我护理CIH (PD/SC-CIH) 联合治疗与医生交付CIH (PD-CIH) 单独治疗慢性疼痛的有效性.
- 评估与疼痛相关的功能干扰和以患者为中心的健康结果的改善.
主要方法:
- 一项实用非随机试验,涉及3306名患有慢性肌肉骨疼痛的退伍军人.
- 干预包括针,手术护理或按摩治疗 (PD-CIH),在PD/SC-CIH组中增加了,正念和/或太极拳/青功.
- 在6个月后测量结果,重点关注与疼痛相关的功能干扰.
主要成果:
- 两种PD-CIH和PD/SC-CIH方法都导致疼痛干扰的类似改善.
- 在两组之间的主要结果中没有发现统计学上显著的差异.
- 在PD/SC-CIH研究组中,更高比例的参与者报告说,他们感觉到疼痛,疲劳,心理健康和整体幸福感有所改善.
结论:
- 这两种用于提供CIH治疗的策略在改善慢性肌肉骨疼痛中的疼痛干扰方面同样有效.
- 将自我护理CIH疗法与从业者提供的选择相结合,可以提高患者对多个健康维度的益处的感知.
- 建议在慢性疼痛患者中鼓励自我护理CIH,并扩大医疗保健系统的可用性.
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