Brain Katherine, Burrows Tracy, Rollo Megan E, Hayes Chris, Hodson Fiona J, Collins Clare E
School Health Science, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW 2305, Australia.
Priority Research Centre in Physical Activity and Nutrition, University of Newcastle, Callaghan, NSW 2305, Australia.
Healthcare (Basel). 2017 Jun 14;5(2):28. doi: 10.3390/healthcare5020028.
We describe the characteristics of patients attending an Australian tertiary multidisciplinary pain service and identify areas for nutrition interventions. This cross-sectional study targets patients experiencing chronic pain who attended the service between June-December 2014. Self-reported data was captured from: (1) an Electronic Persistent Pain Outcomes Collaboration (ePPOC) referral questionnaire, incorporating demographics, pain status, and mental health; (2) a Pain Assessment and Recovery Plan (PARP), which documents patients' perceived problems associated with pain and personal treatment goals. The ePPOC referral questionnaire was completed by 166 patients and the PARP by 153. The mean (SD) patient age was 53 ± 13 years, with almost 60% experiencing pain for >5 years. Forty-five percent of patients were classified as obese (BMI ≥ 30 kg/m², mean (SD) BMI was 31 ± 7 kg/m²), with a mean waist circumference of 104 ± 19.4 cm (SD). The most frequent patient nominated treatment goals related to physical activity (39%), followed by nutritional goals (23%). Traditionally, pain management programs have included physical, psychosocial, and medical, but not nutritional, interventions. By contrast, patients identified and reported important nutrition-related treatment goals. There is a need to test nutrition treatment pathways, including an evaluation of dietary intake and nutrition support. This will help to optimize dietary behaviors and establish nutrition as an important component of multidisciplinary chronic pain management.
我们描述了澳大利亚一家三级多学科疼痛服务机构患者的特征，并确定了营养干预的领域。这项横断面研究的对象是2014年6月至12月期间在该服务机构就诊的慢性疼痛患者。自我报告的数据来自：（1）电子持续性疼痛结果协作组织（ePPOC）转诊问卷，包括人口统计学、疼痛状况和心理健康；（2）疼痛评估与康复计划（PARP），该计划记录了患者认为与疼痛相关的问题和个人治疗目标。166名患者完成了ePPOC转诊问卷，153名患者完成了PARP。患者的平均（标准差）年龄为53±13岁，近60%的患者疼痛时间超过5年。45%的患者被归类为肥胖（BMI≥30kg/m²，平均（标准差）BMI为31±7kg/m²），平均腰围为104±19.4cm（标准差）。患者最常提到的治疗目标与体育活动有关（39%），其次是营养目标（23%）。传统上，疼痛管理项目包括身体、心理社会和医学干预，但不包括营养干预。相比之下，患者确定并报告了与营养相关的重要治疗目标。有必要测试营养治疗途径，包括评估饮食摄入和营养支持。这将有助于优化饮食行为，并将营养确立为多学科慢性疼痛管理的重要组成部分。
