Department of Physical Therapy, University of Granada, Granada, Spain.
Department of Physical Therapy, University of Granada, Granada, Spain.
Maturitas. 2020 Jul;137:18-23. doi: 10.1016/j.maturitas.2020.04.005. Epub 2020 Apr 25.
To evaluate the effects of a patient-centered intervention including the cumulative-complexity model on quality of life related to health, coping behaviors, pain, self-perceived occupational performance and activity levels.
Randomized controlled trial. Forty-four women with a clinical diagnosis of chronic pelvic pain were randomized into two groups. Patients in the experimental group (n = 22) were included in a patient-centered intervention that involved relevant activities proposed by participants. Patients in the control group (n = 22) received a leaflet with information about chronic pelvic pain, physical activity, fear of movement, false beliefs, active lifestyle and behavioral advice.
The primary outcome measures were health-related quality of life assessed with the EuroQol-5D and coping behavior using the Coping Strategies Questionnaires. Secondary outcomes included severity of pain using a Visual Analogue Scale, self-perception of occupational performance using the Canadian Occupational Performance Measure and physical activity levels assessed by the International Physical Activity Questionnaire.
An analysis of variance with repeated measures showed, in the experimental group compared with the control group, significantly greater improvement from baseline to post-intervention in health-related quality of life (EuroQol-5D Visual Analog Scale values of 70.06 ± 16.44 vs. 57.38 ± 16.40, p = 0.026) and coping behavior (adaptive coping 113.00 ± 31.89 vs. 83.24 ± 16.69, p = 0.002). Pain, self-perception of performance and physical activity levels also significantly improved.
A patient-centered intervention considering the workload of patients and their capacity for performing health behaviors provides benefits regarding quality of life and coping behavior. Additionally, pain, self-perceived performance of relevant tasks and physical activity levels improved.
评估以患者为中心的干预措施（包括累积复杂度模型）对与健康相关的生活质量、应对行为、疼痛、自我感知职业表现和活动水平的影响。
随机对照试验。44 名患有慢性盆腔疼痛的女性患者被随机分为两组。实验组（n=22）的患者参与了一项以患者为中心的干预措施，其中包括患者提出的相关活动。对照组（n=22）的患者收到了一份有关慢性盆腔疼痛、身体活动、运动恐惧、错误信念、积极生活方式和行为建议的传单。
主要结局测量是使用 EuroQol-5D 评估健康相关生活质量和使用应对策略问卷评估应对行为。次要结局包括使用视觉模拟量表评估疼痛严重程度、使用加拿大职业表现量表评估自我感知职业表现和使用国际体力活动问卷评估体力活动水平。
重复测量方差分析显示，与对照组相比，实验组从基线到干预后的健康相关生活质量（EuroQol-5D 视觉模拟量表值为 70.06±16.44 对 57.38±16.40，p=0.026）和应对行为（适应性应对 113.00±31.89 对 83.24±16.69，p=0.002）有显著改善。疼痛、自我感知的表现和体力活动水平也显著改善。
考虑到患者的工作量和执行健康行为的能力的以患者为中心的干预措施可改善生活质量和应对行为。此外，疼痛、自我感知的相关任务表现和体力活动水平也得到了改善。
