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社区疼痛服务以解决方案为导向的疼痛管理计划的五年:扩展数据与思考

Five years of a community pain service solution-focused pain management programme: extended data and reflections.

作者信息

Simm Rebecca, Barker Chris

机构信息

Southport and Ormskirk Hospital NHS Trust, Southport, UK.

出版信息

Br J Pain. 2018 May;12(2):113-121. doi: 10.1177/2049463717744358. Epub 2017 Dec 5.

DOI:10.1177/2049463717744358
PMID:29796263
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5958514/
Abstract
  1. This article aims to provide a long-term update 2 years on from our initial paper and summarises service evaluation data collected from 21 pain management programmes, using a solution-focused approach in a community pain service. 2. An examination of the larger baseline and subsequent follow-up data suggests an improvement in participants' function, pain self-efficacy and mental well-being following CPS PMP, and corroborates the findings of the earlier dataset. 3. Additional findings suggest that CPS PMP may help pain interfere less in participants' lives (post-PMP and at 10-week follow-up) and that improvements in mental well-being and self-efficacy are maintained on a long-term basis (at 6- and 12-month follow-up). Limitations of the data are discussed. 4. The article also discusses the nature of community healthcare services for chronic pain, including how we view PMP treatment intensity, deliver cost effectiveness, measure outcomes and support patients post-PMP. 5. It is suggested that effective, meaningful PMPs can be facilitated successfully by multi-professional teams in the community, at arguably lower cost than secondary/tertiary settings, while enabling convenient and long-lasting integration of self-management into people's lives.
摘要
  1. 本文旨在对我们的初始论文进行两年后的长期更新,并总结从21个疼痛管理项目收集的服务评估数据,该评估采用以问题为导向的方法,针对社区疼痛服务。2. 对更大规模的基线数据和后续随访数据进行的检查表明,社区疼痛服务疼痛管理项目开展后,参与者的功能、疼痛自我效能感和心理健康状况有所改善,这与早期数据集的研究结果一致。3. 其他研究结果表明,社区疼痛服务疼痛管理项目可能有助于疼痛对参与者生活的干扰减少(项目开展后及10周随访时),且心理健康和自我效能感的改善在长期内得以维持(6个月和12个月随访时)。文中讨论了数据的局限性。4. 本文还讨论了慢性疼痛社区医疗服务的性质,包括我们如何看待疼痛管理项目的治疗强度、实现成本效益、衡量治疗效果以及在项目开展后为患者提供支持。5. 研究表明,社区中的多专业团队能够成功推动有效且有意义的疼痛管理项目,其成本可能低于二级/三级医疗机构,同时能使自我管理方便且持久地融入人们的生活。

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Br J Pain. 2016 Aug;10(3):124-34. doi: 10.1177/2049463716638368. Epub 2016 Mar 22.
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A community pain service solution-focused pain management programme: delivery and preliminary outcome data.一项以社区疼痛服务为重点、以解决问题为导向的疼痛管理计划:实施情况及初步结果数据。
Br J Pain. 2014 Feb;8(1):49-56. doi: 10.1177/2049463713507910.
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Br J Pain. 2014 Feb;8(1):34-42. doi: 10.1177/2049463713516755.
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