Björnsdóttir Sigrún Vala, Triebel Jan, Arnljótsdóttir Margrét, Tómasson Gunnar, Valdimarsdóttir Unnur Anna
a Centre of Public Health Sciences, Faculty of Medicine , University of Iceland , Reykjavík , Iceland.
b HNLFI Rehabilitation Clinic , Hveragerði , Iceland.
Disabil Rehabil. 2018 Jul;40(15):1764-1772. doi: 10.1080/09638288.2017.1312565. Epub 2017 Apr 14.
To determine whether observed health-related quality-of-life improvements after four-week traditional multidisciplinary pain management program and additional neuroscience education and mindfulness-based cognitive therapy for chronic pain are sustained at six-month follow-up.
This observational longitudinal follow-up study, with complete follow-up of 75 women, 61.5% of initial traditional approach group (treated 2001-2005) and 56 (62.2%) receiving the new approach (treated 2006-2009). Pain intensity and quality of life were measured at baseline and six months after interventions. Analysis of variance (ANOVA) and paired samples t-tests were used for statistical analysis.
Both groups showed sustained improvements in pain intensity (traditional approach = -10.6 [p < 0.001]; new approach = -14.5 [p < 0.001]) and quality of life (traditional approach = 6.4 [p < 0.001]; new approach = 6.9 [p < 0.001]). Sleep was not sustained among traditional approach group (change = 2.4 [p = 0.066]), whereas all other domains among both groups were sustained. Significant decline was observed from discharge to six month among both groups with the exception of the sleep domain among the traditional approach group, pain intensity among the new approach and financial status among both groups. No baseline differences were revealed between responders and nonresponders.
Multidisciplinary interventions for women with chronic pain conditions improved quality of life and pain intensity with lasting improvements observed half a year after treatment completion. Implications for rehabilitation Intensive multidisciplinary biopsychosocial rehabilitation is essential for chronic pain conditions. This follow-up study shows sustained improvement in health-related quality of life and pain intensity six months after such rehabilitation was completed. Emphasizing mindfulness-based cognitive therapy and neuroscience patient education may contribute to less decline in pain intensity from discharge to six-month follow-up compared with a more traditional approach.
确定在为期四周的传统多学科疼痛管理项目以及针对慢性疼痛的额外神经科学教育和基于正念的认知疗法后观察到的与健康相关的生活质量改善在六个月随访时是否持续存在。
这项观察性纵向随访研究，对75名女性进行了完整随访，其中61.5%来自初始传统治疗组（2001 - 2005年接受治疗），56名（62.2%）接受新治疗方法（2006 - 2009年接受治疗）。在基线和干预后六个月测量疼痛强度和生活质量。采用方差分析（ANOVA）和配对样本t检验进行统计分析。
两组在疼痛强度（传统方法=-10.6 [p < 0.001]；新方法=-14.5 [p < 0.001]）和生活质量（传统方法=6.4 [p < 0.001]；新方法=6.9 [p < 0.001]）方面均显示出持续改善。传统治疗组的睡眠改善未持续（变化=2.4 [p = 0.066]），而两组的所有其他领域的改善均持续。除传统治疗组的睡眠领域、新治疗方法组的疼痛强度以及两组的财务状况外，两组从出院到六个月均观察到显著下降。应答者和非应答者之间未发现基线差异。
对患有慢性疼痛疾病的女性进行多学科干预可改善生活质量和疼痛强度，在治疗完成半年后观察到持续改善。康复意义 强化多学科生物心理社会康复对于慢性疼痛疾病至关重要。这项随访研究表明，在完成此类康复六个月后，与健康相关的生活质量和疼痛强度持续改善。与更传统的方法相比，强调基于正念的认知疗法和神经科学患者教育可能有助于减少从出院到六个月随访期间疼痛强度的下降。
