Berman Rebecca L H, Iris Madelyn A, Bode Rita, Drengenberg Carol
Leonard Schanfield Research Institute, CJE SeniorLife, Chicago, Illinois 60645, USA.
J Pain. 2009 Jan;10(1):68-79. doi: 10.1016/j.jpain.2008.07.006. Epub 2008 Sep 5.
The Self-care Pain Management Project assessed the feasibility and efficacy of delivering online mind-body self-care techniques to 78 adults aged 55 and older with chronic pain. To assess feasibility, the study monitored use of the intervention and documented participant satisfaction. A randomized trial with intervention (n = 41) and waiting list comparison groups (n = 37) was used to assess changes in pain intensity, limitations due to pain, pain self-efficacy, depression, anxiety, and awareness of responses to pain from baseline to follow-up at 6 weeks. There were statistically significant results for between-group difference in awareness of responses to pain, improvements in pain intensity and pain interference for both groups, and increases in confidence with using nonmedical self-care techniques to manage pain for the intervention group. Reductions in mean pain scores reported by the intervention group at log on and log off also suggest that the intervention may have an immediate impact on reducing pain. Findings document the feasibility of a relatively short-term, online mind-body pain management intervention that can have benefits for participants. The characteristics of those who volunteered for an online self-care pain management intervention also have implications for identifying target populations for such interventions.
This article documents the outcomes of an Internet-based self-care pain management intervention that focused on mind-body exercises. The study suggests that the Internet can be an efficient mode for delivering self-care education to older adults with chronic pain and has potential benefits that complement clinical care.
自我护理疼痛管理项目评估了向78名55岁及以上患有慢性疼痛的成年人提供在线身心自我护理技术的可行性和有效性。为评估可行性，该研究监测了干预措施的使用情况并记录了参与者的满意度。采用随机试验，将干预组（n = 41）和等待名单对照组（n = 37）用于评估从基线到6周随访时疼痛强度、疼痛导致的活动受限、疼痛自我效能、抑郁、焦虑以及对疼痛反应的认知的变化。在对疼痛反应的认知方面，两组之间存在统计学显著差异；两组的疼痛强度和疼痛干扰均有改善；干预组使用非医疗自我护理技术管理疼痛的信心增加。干预组在登录和注销时报告的平均疼痛评分降低也表明该干预可能对减轻疼痛有即时影响。研究结果证明了一种相对短期的在线身心疼痛管理干预的可行性，该干预对参与者可能有益。自愿参加在线自我护理疼痛管理干预的人群特征也对确定此类干预的目标人群具有启示意义。
本文记录了一项基于互联网的自我护理疼痛管理干预的结果，该干预侧重于身心锻炼。该研究表明，互联网可以成为向患有慢性疼痛的老年人提供自我护理教育的有效方式，并且具有补充临床护理的潜在益处。
