Department of Neurosurgery, Universitair Ziekenhuis Brussel, Jette, Belgium.
Center for Neurosciences (C4N), Vrije Universiteit Brussel, Jette, Belgium.
Eur J Pain. 2021 Oct;25(9):1959-1970. doi: 10.1002/ejp.1814. Epub 2021 Jun 20.
Chronic pain is a major healthcare issue that often requires an interdisciplinary treatment approach. Defining relevant treatment goals is one of the crucial steps in creating successful rehabilitation schemes. Therefore, the first aim was to explore goals that patients suffering from chronic pain aim to achieve. The second aim was to translate those goals into measurable functional outcome variables which can be used to measure treatment success.
An online survey was developed and spread through local pain alliances in six European countries. Participants, patients suffering from chronic pain, were asked to report their most important goals, combined with a rank to denote the importance of each goal. For the highest ranked goals, participants were asked to decompose their goal into functional postures and the number of minutes per posture to achieve this goal.
We approached 1,494 persons, of which 487 effectively completed this survey. The highest ranked goals were taking part in family and social activities (72.55%), pain reduction (91.18%) and household tasks (68.14%). Obtaining pain reduction was most often ranked first (55.75%), followed by improving sleep (12.25%) and taking part in family or social activities (11.00%). For all goals, walking was a crucial component.
The goals of chronic pain patients are in line with previously explored expectations, denoting the importance of achieving pain relief combined with improvements on the level of activities and participation. This survey indicates that rehabilitation programs should definitely focus on improving walking ability, due to its importance in underpinning overall goal achievement.
Goals and expectations of chronic pain patients are in line with each other. Obtaining pain relief remains the highest ranked goal, however, goals on the level of activities and participation were also highly ranked. Walking seems to be the overall crucial component for goal achievement.
慢性疼痛是一个主要的医疗保健问题，通常需要采取跨学科的治疗方法。确定相关的治疗目标是制定成功康复方案的关键步骤之一。因此，第一个目标是探讨患有慢性疼痛的患者希望实现的目标。第二个目标是将这些目标转化为可衡量的功能结果变量，用于衡量治疗效果。
开发了一个在线调查，并通过六个欧洲国家的当地疼痛联盟进行了传播。要求参与者，即患有慢性疼痛的患者，报告他们最重要的目标，并结合排名表示每个目标的重要性。对于排名最高的目标，参与者被要求将其目标分解为功能姿势和实现该目标的每个姿势的分钟数。
我们联系了 1494 人，其中 487 人有效完成了这项调查。排名最高的目标是参加家庭和社会活动（72.55%）、减轻疼痛（91.18%）和家务（68.14%）。获得疼痛缓解通常被列为首要目标（55.75%），其次是改善睡眠（12.25%）和参加家庭或社会活动（11.00%）。对于所有目标，步行都是一个关键组成部分。
慢性疼痛患者的目标与之前探讨的预期相符，这表明实现疼痛缓解以及活动和参与水平的提高非常重要。这项调查表明，康复计划应重点提高步行能力，因为这对实现整体目标至关重要。
慢性疼痛患者的目标和期望是一致的。获得疼痛缓解仍然是排名最高的目标，但活动和参与水平的目标也得到了高度评价。步行似乎是实现目标的整体关键组成部分。
