MScMed (PMgt), BAppSc (Phty) Hons, APA Titled Pain Physiotherapist, Hunter Integrated Pain Service, NSW.
FFPMANZCA, MMed, Specialist Pain Medicine Physician, Director, Hunter Integrated Pain Service, NSW.
Aust J Gen Pract. 2019 Oct;48(10):689-692. doi: 10.31128/AJGP-06-19-4966.
Chronic non-cancer pain (CNCP) frequently co-occurs with other chronic conditions, resulting in multimorbidity.
The aim of this article is to summarise current approaches to CNCP management and explore areas of specificity and overlap with chronic conditions in general.
The biomedical component of the management of chronic conditions may be condition-specific. However, mind-body, connection, activity and nutrition components entail significant overlap and are helpful across conditions. Effective practice avoids overemphasis on medical treatments at the expense of evidence-based, multidimensional lifestyle approaches. CNCP management illustrates the case for reconceptualising chronic condition management using a generic lifestyle-based approach. This capitalises on overlapping treatments, creates system efficiency and allows patients with multimorbidity to be treated more effectively in primary care, with only a small subgroup referred to condition-specific tertiary services.
慢性非癌痛（CNCP）常与其他慢性疾病同时发生，导致共病现象。
本文旨在总结 CNCP 管理的当前方法，并探讨其与一般慢性疾病的特异性和重叠领域。
慢性疾病管理的生物医学部分可能是针对具体疾病的。然而，身心、联系、活动和营养成分存在显著的重叠，并对各种疾病都有帮助。有效的实践避免过度强调医疗治疗，而忽视基于证据的多维生活方式方法。CNCP 管理说明了使用通用的基于生活方式的方法重新概念化慢性疾病管理的案例。这利用了重叠的治疗方法，创造了系统效率，并使患有多种疾病的患者在初级保健中得到更有效的治疗，只有一小部分患者被转诊到特定的三级服务。
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