缓解治疗临床医师应该知道的关于持续性疼痛的行为疼痛管理的十大要点。
Top Ten Tips Palliative Care Clinicians Should Know About Behavioral Pain Management for Persistent Pain.
机构信息
Department of Psychology, Central Michigan University, Mount Pleasant, Michigan, USA.
Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina, USA.
出版信息
J Palliat Med. 2023 Jul;26(7):992-998. doi: 10.1089/jpm.2022.0571. Epub 2023 Jan 27.
Seriously ill patients often experience persistent pain. As a part of a comprehensive repertoire of pain interventions, palliative care clinicians can help by using behavioral pain management. Behavioral pain management refers to evidence-based psychosocial interventions to reduce pain intensity and enhance functional outcomes and quality of life. Conceptualized using the biopsychosocial model, techniques involve promoting helpful behaviors (e.g., activity pacing, stretching, and relaxation exercises) and modifying underlying patterns of thinking, feeling, and communicating that can exacerbate pain. The authors have expertise in pain management, clinical health psychology, geropsychology, behavioral science, and palliative medicine. The article reviews the current evidence for behavioral interventions for persistent pain and provides 10 recommendations for behavioral pain management.
重症患者常经历持续性疼痛。姑息治疗临床医生可以通过使用行为疼痛管理来提供帮助，这是疼痛干预综合方案的一部分。行为疼痛管理是指基于证据的心理社会干预措施，以减轻疼痛强度，提高功能结局和生活质量。该方法基于身心社会模式概念化，涉及促进有益行为（如活动 pacing、伸展和放松练习），并改变可能加重疼痛的潜在思维、感觉和沟通模式。作者在疼痛管理、临床健康心理学、老年心理学、行为科学和姑息医学方面具有专业知识。本文回顾了针对持续性疼痛的行为干预的现有证据，并提供了 10 条行为疼痛管理建议。
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