Malaty Adham, Sabharwal Josephine, Lirette Lesley Smallwood, Chaiban Gassan, Eissa Hazem, Tolba Reda
Department of Psychiatry, Cleveland Clinic, Cleveland, OH.
Department of Pain Management, Ochsner Clinic Foundation, New Orleans, LA.
Ochsner J. 2014 Spring;14(1):96-100.
Chronic pain is a debilitating condition that affects people all over the world. To effectively treat chronic pain patients, assignment to patient-centered functional restoration and psychological pain rehabilitation programs at an early stage is essential.
This article describes the initial patient screening and evaluation process for an interdisciplinary chronic pain rehabilitation program and highlights the relevant points that should be covered in each section of the initial assessment.
A thorough, detailed history that includes an evaluation of the patient's pain, functional limitations, prior medications, prior procedures/interventions, substance abuse, and psychiatric disorders, as well as the patient's social, legal, and developmental histories, are key to the proper screening and appropriate treatment of patients with chronic pain.
Thorough initial evaluation of patients is essential for proper enrollment in a chronic pain rehabilitation program. Such programs allow early treatment and reduce unnecessary health costs. Future prospective studies are needed to identify additional screening methods and triage tools to allow early admission of appropriate patients to these rehabilitation programs.
慢性疼痛是一种使人衰弱的病症，影响着全世界的人们。为了有效治疗慢性疼痛患者，早期将其分配到以患者为中心的功能恢复和心理疼痛康复项目至关重要。
本文描述了一个跨学科慢性疼痛康复项目的初始患者筛查和评估过程，并强调了初始评估各部分应涵盖的相关要点。
一份全面、详细的病史，包括对患者疼痛、功能限制、既往用药、既往手术/干预、药物滥用和精神障碍的评估，以及患者的社会、法律和发育史，对于慢性疼痛患者的正确筛查和适当治疗至关重要。
对患者进行全面的初始评估对于慢性疼痛康复项目的正确登记至关重要。此类项目可实现早期治疗并降低不必要的医疗成本。需要未来的前瞻性研究来确定额外的筛查方法和分诊工具，以便将合适的患者尽早纳入这些康复项目。
