Craner Julia R, Skipper Rosei R, Gilliam Wesley P, Morrison Eleshia J, Sperry Jeannie A
a Mayo Clinic , Rochester , MN , USA.
Curr Med Res Opin. 2016 May;32(5):879-83. doi: 10.1185/03007995.2016.1149053. Epub 2016 Feb 26.
Objective Research supports the effectiveness of comprehensive approaches to chronic pain treatment, including behavioral management and physical reconditioning. However, less is known about patients' perceptions of this treatment approach. The current study evaluated patient perceptions and treatment outcomes utilizing both qualitative and quantitative data collection. Methods A total of 498 adult patients (≥18 years of age; Mage = 49.1) completed an intensive outpatient interdisciplinary chronic pain rehabilitation program, completed survey measures at admission and discharge, and were asked open-ended questions about their treatment experience at discharge. Results Patients reported significant decreases in pain severity, t(488) = 23.08, p < .001, and pain-related interference, t(488) = 24.28, p < .001, at discharge. Patients endorsed self-management strategies, particularly relaxation skills (85%), moderation and/or modification (47%), and exercise, stretching and/or physical therapy (39%) as the most important aspects of treatment. Conclusions Patients perceive behavioral skills to manage pain and physical reconditioning to be important components of a successful pain rehabilitation program. These findings can inform conversations with both physicians and patients about the importance of biopsychosocial approaches to pain management. Key limitations include a lack of racial/ethnic diversity, use of anonymous data that cannot be linked directly to patient outcomes, and reliance on self-report data.
目的 研究支持慢性疼痛综合治疗方法的有效性,包括行为管理和身体康复。然而,对于患者对这种治疗方法的看法了解较少。本研究利用定性和定量数据收集方法评估了患者的看法和治疗结果。方法 共有498名成年患者(≥18岁;平均年龄=49.1岁)完成了强化门诊跨学科慢性疼痛康复项目,在入院和出院时完成了调查测量,并在出院时被问及关于他们治疗经历的开放式问题。结果 患者报告出院时疼痛严重程度显著降低,t(488)=23.08,p<.001,以及疼痛相关干扰显著降低,t(488)=24.28,p<.001。患者认可自我管理策略,特别是放松技巧(85%)、适度和/或调整(47%)以及锻炼、伸展和/或物理治疗(39%)是治疗最重要的方面。结论 患者认为管理疼痛的行为技能和身体康复是成功的疼痛康复项目的重要组成部分。这些发现可以为医生和患者之间关于生物心理社会疼痛管理方法重要性的对话提供信息。主要局限性包括缺乏种族/民族多样性、使用无法直接与患者结果相关联的匿名数据以及依赖自我报告数据。