化痛为利：初级保健中多学科慢性疼痛管理方案的评估。
Turning Pain into Gain: Evaluation of a Multidisciplinary Chronic Pain Management Program in Primary Care.
机构信息
School of Pharmacy and Pharmacology, Gold Coast Campus, Griffith University, Queensland 4222, Australia and Menzies Health Institute Queensland, Gold Coast Campus, Griffith University, Queensland, Australia.
出版信息
Pain Med. 2019 May 1;20(5):925-933. doi: 10.1093/pm/pny241.
OBJECTIVE
To measure the impact of the multidisciplinary Turning Pain Into Gain program in people experiencing chronic pain of any etiology.
METHODS
A mixed-methods observational study of 252 participants was used to explore the impact of Turning Pain Into Gain on medication use; quality of life and functioning, as measured by the Pain Self-Efficacy Questionnaire; and self-reported hospitalizations between 2015 and 2016.
RESULTS
Responses from 178 participants showed an increased alignment with Australian pain medication guidelines (e.g., a 7.3% reduction in paracetamol duplication was reported with a concurrent 5.1% rise in the administration of sustained-release paracetamol formulations); improved Pain Self-Efficacy Questionnaire scores from 23.1 (out of a possible score of 60) preprogram to 35.3 postprogram; and a reduction in self-reported hospitalizations from 50 cases in the 12 months preprogram to 11 cases in the 12 months postprogram.
CONCLUSIONS
Positive medication, Pain Self-Efficacy Questionnaire, and hospitalization changes provide evidence for the broader implementation of similar patient-centered programs to promote more holistic management of diverse types of chronic pain in primary care. Reduced hospitalization reflects potential for this intervention to be cost-effective, which could be investigated further.
目的
测量多学科“将疼痛转化为收益”项目对各种病因慢性疼痛患者的影响。
方法
采用混合方法观察性研究，对 252 名参与者进行研究，以探讨“将疼痛转化为收益”对药物使用的影响；采用疼痛自我效能问卷测量生活质量和功能；并报告 2015 年至 2016 年期间的住院情况。
结果
178 名参与者的回复显示，他们更加遵循澳大利亚的疼痛药物治疗指南（例如，报告扑热息痛重复用药减少了 7.3%，同时使用控释扑热息痛制剂增加了 5.1%）；疼痛自我效能问卷评分从项目前的 23.1（满分为 60）提高到项目后的 35.3；自我报告的住院情况从项目前的 12 个月内 50 例减少到项目后的 11 例。
结论
积极的药物治疗、疼痛自我效能问卷和住院情况的变化为在初级保健中更广泛地实施类似以患者为中心的项目提供了证据，以促进对各种类型慢性疼痛的更全面管理。住院人数的减少反映了这种干预措施具有成本效益的潜力，这可以进一步研究。
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