Psychology Service, VA Connecticut Healthcare System, West Haven, CT USA.
Transl Behav Med. 2013 Mar;3(1):39-46. doi: 10.1007/s13142-012-0158-z.
Practice guidelines and empirical research related to pain management encourage clinicians to take active roles in providing education about self management and promoting adoption of a self-management approach. The purpose of the study was to review the relevant literature, summarize aspects of the patient-provider interaction that influence patient engagement in self management for chronic pain, and outline practice recommendations in this area. Review of the literature on aspects of the patient-provider interaction that promote engagement in pain self-management was used. Findings are synthesized into recommendations for providers. Patients benefit from a biopsychosocial and patient-centered approach. Patients are more likely to fully disclose when providers respond empathically, which can improve conceptualization and treatment. Patient education and motivation play important roles in engaging patients in self management. Self management is influenced in part by the patient-provider communication process. Suggestions for communication strategies to facilitate patient engagement in self-management techniques, including empathic discussion of barriers and motivation enhancement, are provided.
实践指南和与疼痛管理相关的实证研究鼓励临床医生在提供自我管理教育和促进自我管理方法的采用方面发挥积极作用。本研究的目的是回顾相关文献，总结影响患者参与慢性疼痛自我管理的医患互动方面，并概述该领域的实践建议。对促进患者参与疼痛自我管理的医患互动方面的文献进行了回顾。研究结果综合为提供者的建议。患者从生物心理社会和以患者为中心的方法中受益。当提供者以同理心回应时，患者更有可能充分披露，这可以改善概念化和治疗。患者教育和动机在患者参与自我管理中起着重要作用。自我管理在一定程度上受到医患沟通过程的影响。提供了促进患者参与自我管理技术的沟通策略建议，包括对障碍的同理心讨论和动机增强。
