Zimmermann Katrin, Dannemann Stephanie, Prate Katja, Keller Anne, Blaue Nathalie, Weidner Kerstin, Ettrich Uwe
Klinik und Poliklinik für Psychosomatik und Psychotherapie, Universitätsklinikum C. G. Carus, Fetscherstr. 74, 01307, Dresden, Deutschland.
Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitätsklinikum C. G. Carus, Fetscherstr. 74, 01307, Dresden, Deutschland.
Schmerz. 2024 Jun;38(3):190-197. doi: 10.1007/s00482-022-00681-7. Epub 2022 Dec 2.
Apart from rehabilitation research, there have been no studies regarding the expectations of patients with chronic back pain in terms of inpatient multimodal pain therapy. The aim of this naturalistic longitudinal study is to explore treatment expectations, their fulfilment, and influence on the treatment success of inpatient multimodal pain therapy.
This study included 118 patients with chronic back pain who were physically examined and assessed for their psychological comorbidity. They were interviewed pre and post pain therapy. Treatment expectations were recorded via the questionnaire for assessing rehabilitational expectations and motivations (FREM-17), and further variables via the Pain Disability Index (PDI, german version) and the german Hospital Anxiety and Depression Scale (HADS-D).
The results show that treatment expectations have an impact on therapy success or failure. In particular, patients' expectations of coping with illness and recovery could be met by inpatient multimodal pain therapy, whereas health and pension-related expectations remained unfulfilled. In addition to the treatment expectations, the therapy result was primarily determined by the patient's ability to perform before the therapy.
From the clinical side, treatment expectations should be explored and checked for feasibility to avoid patient disappointment.
除康复研究外，尚无关于慢性背痛患者对住院多模式疼痛治疗期望的研究。这项自然主义纵向研究的目的是探讨治疗期望、期望的实现情况以及对住院多模式疼痛治疗成功的影响。
本研究纳入了118例慢性背痛患者，对其进行了体格检查并评估了心理合并症。在疼痛治疗前后对他们进行了访谈。通过评估康复期望和动机问卷（FREM - 17）记录治疗期望，通过疼痛残疾指数（PDI，德文版）和德国医院焦虑抑郁量表（HADS - D）记录其他变量。
结果表明，治疗期望对治疗成功与否有影响。特别是，住院多模式疼痛治疗能够满足患者应对疾病和康复的期望，而与健康和养老金相关的期望仍未实现。除治疗期望外，治疗结果主要取决于患者治疗前的执行能力。
从临床角度来看，应探索治疗期望并检查其可行性，以避免患者失望。
