Vekhter Daniel, Robbins Matthew S, Minen Mia, Buse Dawn C
Department of Neurology, Hackensack Meridian School of Medicine at Seton Hall University, Hackensack, NJ, USA.
Department of Neurology, Weill Cornell Medicine, New York, NY, USA.
Curr Pain Headache Rep. 2020 Sep 26;24(10):66. doi: 10.1007/s11916-020-00899-z.
This narrative review examines the use of behavioral interventions for acute treatment of headache and pain in the emergency department (ED)/urgent care (UC) and inpatient settings.
Behavioral interventions demonstrate reductions of pain and associated disability in headache, migraine, and other conditions in the outpatient setting. Behavioral treatments may be a useful addition for patients presenting with acute pain to hospitals and emergency departments. We review challenges and limitations and offer suggestions for implementation of behavioral interventions in the acute setting. Some evidence exists for relaxation-based treatments, mindfulness-based treatments, hypnosis/self-hypnosis, and immersive virtual reality for acute pain, migraine, and headache. There are few high-quality studies on behavioral treatments in the inpatient and emergency department settings. Further research is warranted to determine the efficacy and cost-effectiveness of these interventions. Given the general safety and cost-effectiveness of behavioral interventions, healthcare professionals may want to include these therapies in treatment plans.
本叙述性综述探讨了行为干预在急诊科（ED）/紧急护理（UC）和住院环境中对头痛和疼痛进行急性治疗的应用。
行为干预在门诊环境中可减轻头痛、偏头痛和其他病症的疼痛及相关残疾。行为治疗对于前往医院和急诊科就诊的急性疼痛患者可能是一种有用的补充。我们回顾了挑战和局限性，并为在急性环境中实施行为干预提供建议。有证据表明基于放松的治疗、基于正念的治疗、催眠/自我催眠以及沉浸式虚拟现实对急性疼痛、偏头痛和头痛有效。关于住院部和急诊科环境中行为治疗的高质量研究较少。有必要进一步研究以确定这些干预措施的疗效和成本效益。鉴于行为干预总体上具有安全性和成本效益，医疗保健专业人员可能希望将这些疗法纳入治疗计划。
