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跨学科强化门诊疼痛项目与改善患者的积极性和关键结果有关。

An interdisciplinary intensive outpatient pain program is associated with improved patient activation and key outcomes.

机构信息

US Army Medical Research & Development Command, 504 Scott Street, Fort Detrick, MD 21702, USA.

Department of Health Promotion, Education, & Behavior, Arnold School of Public Health, University of South Carolina, 915 Greene Street, Columbia, SC 29208, USA.

出版信息

Pain Manag. 2020 Sep;10(5):307-318. doi: 10.2217/pmt-2019-0058. Epub 2020 Aug 19.

Abstract

To examine the change in the Patient Activation Measure and physical and psychosocial outcome measures in a military interdisciplinary intensive outpatient program for persistent pain. Pre- and post-intervention measures, which were also stratified by gender and baseline activation, included patient-reported outcomes and physical function assessment, obtained from 2017 to 2018 program database. The majority of the participants were male (70.9%), with an average age of 29.18 years and pain duration of 4.78 years (n = 103). Patient activation, majority of the patient reported outcomes and functional assessments improved in the overall sample with fewer changes in females on the Defense and Veterans Pain Rating Scale. Improvements were noted on the Patient Activation Measure and majority of the other outcome measures suggesting that service members with persistent pain at any level of patient activation or baseline function, may benefit from an intensive outpatient program.

摘要

为了考察在一项针对持续性疼痛的军事跨学科强化门诊项目中,患者激活度量和身体及心理社会结果度量的变化。干预前后的测量指标,也按照性别和基线激活进行了分层,包括 2017 年至 2018 年项目数据库中获得的患者报告结果和身体功能评估。大多数参与者是男性(70.9%),平均年龄 29.18 岁,疼痛持续时间 4.78 年(n=103)。在整个样本中,患者激活、大多数患者报告的结果和功能评估都有所改善,而在国防和退伍军人疼痛评分量表上,女性的变化较少。患者激活度量和大多数其他结果度量都有所改善,这表明无论患者激活或基线功能水平如何,患有持续性疼痛的军人都可能受益于强化门诊项目。

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