Department of Research and Development, Region Norrbotten and Department of Community Medicine and Rehabilitation, Umeå University , Rehabilitation Medicin, 90187 Umeå, Sweden.
J Rehabil Med. 2018 Jul 17;50(7):619-628. doi: 10.2340/16501977-2352.
To evaluate patient-reported outcome measures in 2 different multimodal pain rehabilitation programmes and to determine whether outcomes are related to sex or age at 1-year follow-up.
Longitudinal retrospective study.
Patients who had participated in 1 of 2 multimodal pain rehabilitation programmes at 2 rehabilitation centres. A total of 356 women and 83 men, divided into 3 age groups.
Data from the Swedish Quality Registry for Pain Rehabilitation regarding activity and physical functions, pain intensity, health status and emotional functions analysed with descriptive statistics.
Significant improvements in activity and physical functions, pain intensity and emotional func-tions were found in both multimodal pain rehabilitation programmes. Women improved more than men. The older group improved in all emotional functions (depression, anxiety, mental component summary), while the younger group improved only in depression. The intermediate group improved in all variables except anxiety.
Patients improved regardless of the design of the multimodal pain rehabilitation programme. Although only small differences were found between men and women and among the 3 age groups in terms of the measured variables, these findings may have clinical relevance and indicate a need to vary the design of the interventions in multimodal rehabilitation programmes for these subgroups.
评估 2 种不同多模式疼痛康复方案中的患者报告结局测量指标,并确定 1 年随访时结局是否与性别或年龄有关。
纵向回顾性研究。
2 个康复中心的 2 种多模式疼痛康复方案中的患者。共 356 名女性和 83 名男性,分为 3 个年龄组。
使用瑞典疼痛康复质量登记处的数据,对活动和身体功能、疼痛强度、健康状况和情绪功能进行描述性统计分析。
2 种多模式疼痛康复方案均显著改善了活动和身体功能、疼痛强度和情绪功能。女性的改善程度大于男性。年龄较大的组在所有情绪功能(抑郁、焦虑、心理成分综合评分)方面均有改善,而年龄较小的组仅在抑郁方面有所改善。年龄中等组除焦虑外,在所有变量方面均有改善。
无论多模式疼痛康复方案的设计如何,患者都有改善。尽管在测量变量方面,男性和女性以及 3 个年龄组之间仅发现了微小差异,但这些发现可能具有临床意义,表明需要针对这些亚组的多模式康复方案设计进行干预。