Blew A F, Patterson D R, Quested K A
Children's Hospital of Los Angeles, California.
Burns Incl Therm Inj. 1989 Feb;15(1):20-2. doi: 10.1016/0305-4179(89)90063-6.
Cognitive and behavioural pain control coping techniques were studied in a sample of burn clinic outpatients. Forty-four subjects of generally low socioeconomic status were recruited for the study. TBSA average 8 per cent, the mean subject age was 38.1 years, and subjects reported experiencing pain during half their waking hours the previous week. The Burn Pain Questionnaire (BPQ) was used to assess the reported frequency of use and effectiveness of eight behavioural and seven cognitive coping strategies for average and severe levels of pain. The BPQ was also used to assess pain duration as a correlate of the efficacy of coping techniques. The results indicated that three behavioural techniques (listening to TV/radio/stereo, sleeping, talking about pain) and one cognitive technique (thinking about something else) were rated as effective by the majority of subjects for average levels of pain. None of the techniques were rated by subjects as useful with sever pain. Use of two behavioural approaches (use of TV/radio/stereo, talking) and two cognitive approaches (concentrating attention, imagining self elsewhere) were significantly correlated with increased pain duration. Results are discussed in terms of tailoring psychological pain control techniques to the individual needs of the patient.
在烧伤门诊患者样本中研究了认知和行为疼痛控制应对技巧。招募了44名社会经济地位普遍较低的受试者参与该研究。总体表面积平均为8%，受试者的平均年龄为38.1岁，且受试者报告称前一周在其清醒时间的一半时间里都经历着疼痛。使用烧伤疼痛问卷（BPQ）来评估报告的针对平均和严重疼痛水平的八种行为和七种认知应对策略的使用频率及有效性。BPQ还用于评估疼痛持续时间，作为应对技巧疗效的一个相关因素。结果表明，对于平均疼痛水平，大多数受试者将三种行为技巧（听电视/广播/立体声、睡觉、谈论疼痛）和一种认知技巧（想其他事情）评为有效。对于严重疼痛，没有一种技巧被受试者评为有用。两种行为方法（使用电视/广播/立体声、交谈）和两种认知方法（集中注意力、想象自己在别处）的使用与疼痛持续时间增加显著相关。根据根据患者的个体需求定制心理疼痛控制技巧对结果进行了讨论。
