Shin Ji Cheol, Kim Na Young, Chang Shin Hye, Lee Jae Joong, Park Han Kyul
Department of Rehabilitation Medicine and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Korea.
Ann Rehabil Med. 2017 Aug;41(4):621-630. doi: 10.5535/arm.2017.41.4.621. Epub 2017 Aug 31.
To determine whether providing education about the disease pathophysiology and drug mechanisms and side effects, would be effective for reducing the use of pain medication while appropriately managing neurogenic pain in spinal cord injury (SCI) patients.
In this prospective study, 109 patients with an SCI and neuropathic pain, participated in an educational pain management program. This comprehensive program was specifically created, for patients with an SCI and neuropathic pain. It consisted of 6 sessions, including educational training, over a 6-week period.
Of 109 patients, 79 (72.5%) initially took more than two types of pain medication, and this decreased to 36 (33.0%) after the educational pain management program was completed. The mean pain scale score and the number of pain medications decreased, compared to the baseline values. Compared to the non-response group, the response group had a shorter duration of pain onset (p=0.004), and a higher initial number of different medications (p<0.001) and certain types of medications.
This study results imply that an educational pain management program, can be a valuable complement to the treatment of spinal cord injured patients with neuropathic pain. Early intervention is important, to prevent patients from developing chronic SCI-related pain.
确定提供有关疾病病理生理学、药物作用机制及副作用的教育，对于减少脊髓损伤（SCI）患者神经源性疼痛时的止痛药物使用是否有效。
在这项前瞻性研究中，109例患有SCI和神经性疼痛的患者参与了一个疼痛管理教育项目。这个综合项目是专门为患有SCI和神经性疼痛的患者设计的。它在6周内由6次课程组成，包括教育培训。
109例患者中，79例（72.5%）最初服用两种以上类型的止痛药物，在完成疼痛管理教育项目后，这一比例降至36例（33.0%）。与基线值相比，平均疼痛量表评分和止痛药物数量均有所下降。与无反应组相比，反应组的疼痛发作持续时间较短（p = 0.004），初始使用的不同药物数量较多（p < 0.001）以及某些类型的药物。
本研究结果表明，疼痛管理教育项目可以成为治疗患有神经性疼痛的脊髓损伤患者的一项有价值的补充措施。早期干预对于防止患者发展为慢性SCI相关疼痛很重要。
