Patterson D R
Department of Rehabilitation Medicine, University of Washington, Seattle.
J Burn Care Rehabil. 1992 Jan-Feb;13(1):13-8. doi: 10.1097/00004630-199201000-00005.
Psychological techniques can serve as useful adjuncts to opioid drugs in the control of pain from severe burns. The lack of research on the use of such interventions may reflect our failure to realize how often we apply psychological principles in everyday management of burn pain. Psychological techniques with burn pain can be divided into cognitive (avoidant and reappraisal), preparatory (sensory and procedural), behavioral (respondent and operant), and hypnotherapy categories. The manner in which each of these types of interventions can be applied to patients in the burn unit is discussed.
心理技术在控制严重烧伤疼痛方面可作为阿片类药物的有益辅助手段。对这类干预措施使用情况的研究不足,可能反映出我们未能意识到在烧伤疼痛的日常管理中,我们是多么频繁地应用心理原则。针对烧伤疼痛的心理技术可分为认知(回避和重新评估)、准备(感觉和程序)、行为(应答性和操作性)以及催眠疗法等类别。本文讨论了如何将这些类型的干预措施应用于烧伤病房的患者。