Beekman Claire E, Axtell Lois, Noland Kathy Sivak, West Jaime Yee
Physical Therapy Department, Rancho Los Amigos Medical Center, 7601 E. Imperial Highway, Downey, CA 90242 U.S.A.
Pain. 1985 May;22(1):59-66. doi: 10.1016/0304-3959(85)90148-4.
Changes in self-concept were studied in 50 patients with chronic spinal pain who underwent a 4 week inpatient program. Treatment included increasing quotas for activity and walking, patient education, reduction in pain medications, and reinforcement of non-pain behaviors. The instrument used to measure change was the counseling form of the Tennessee Self-Concept Scale (TSCS). The test was administered upon admission to the program, at discharge, and at 1, 3, and 6 months following discharge. TSCS scores were also compared with those of patients who failed to complete the program and of a quasi-control group of patients with rheumatoid arthritis. The spinal pain group improved significantly on 8 scales of the TSCS, while scores for the arthritis patients were constant over the 6 month period. The program had a positive effect on self-concept and thus should be considered for patients with chronic spinal pain.
对50名患有慢性脊柱疼痛的患者进行了自我概念变化的研究，这些患者接受了为期4周的住院治疗项目。治疗措施包括增加活动和步行的配额、患者教育、减少止痛药物的使用以及强化非疼痛行为。用于测量变化的工具是田纳西自我概念量表（TSCS）的咨询表格。该测试在患者入院时、出院时以及出院后的1个月、3个月和6个月进行。TSCS分数还与未完成该项目的患者以及类风湿性关节炎患者的准对照组进行了比较。脊柱疼痛组在TSCS的8个量表上有显著改善，而关节炎患者的分数在6个月期间保持不变。该项目对自我概念有积极影响，因此对于慢性脊柱疼痛患者应予以考虑。
