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疼痛研究、教育和治疗的未来:国际医学科学院组织报告《缓解美国的疼痛:预防、护理、教育和研究改革蓝图》的总结

The future of pain research, education, and treatment: a summary of the IOM report "Relieving pain in America: a blueprint for transforming prevention, care, education, and research".

机构信息

Department of Preventive Medicine, Northwestern University, 680 North Lake Shore Drive, Suite 1220, Chicago, IL 60611 USA.

出版信息

Transl Behav Med. 2012 Mar;2(1):6-8. doi: 10.1007/s13142-012-0110-2.

Abstract

The fifth column on Evidence-Based Behavioral Medicine is focused on the Institute of Medicine's (IOM) report entitled "Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research." The IOM has reported that chronic pain affects 116 million American adults, which is greater than the total of heart disease, cancer, and diabetes combined. It is recommended that data collection takes place at regular intervals using standardized questions, survey protocols, and electronic medical records with the aim of the identifying the following: subpopulations at risk; characteristics of acute and chronic pain; health consequences of pain, including death, disease, and disability; and longitudinal trends of pain. In addition, health education programs should be redesigned to include information about self-management, actions to prevent injuries at the individual and community level, advocacy for pain treatment, and support for improved prevention and control policies. Through teamwork between various professions, from physicians, nurses, and psychologists to physical therapists, pharmacists, and policy makers, advancements in pain awareness, education, research, and treatment should begin to materialize.

摘要

循证行为医学的第五期专栏重点关注了美国国家医学研究院(IOM)题为“减轻美国的疼痛:预防、护理、教育和研究改革蓝图”的报告。IOM 报告称,慢性疼痛影响了 1.16 亿美国成年人,这一数字超过了心脏病、癌症和糖尿病的总和。建议使用标准化问题、调查协议和电子病历定期进行数据收集,旨在确定以下内容:处于危险中的亚人群;急性和慢性疼痛的特征;疼痛的健康后果,包括死亡、疾病和残疾;以及疼痛的纵向趋势。此外,应重新设计健康教育计划,包括有关自我管理的信息、在个人和社区层面预防伤害的措施、倡导疼痛治疗以及支持改进预防和控制政策。通过来自医生、护士、心理学家到物理治疗师、药剂师和政策制定者等各种专业人员的团队合作,疼痛意识、教育、研究和治疗方面的进展应该开始显现。

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