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正念干预对管理慢性疼痛的退伍军人的可行性。

Feasibility of Mindfulness-Based Intervention for Veterans Managing Chronic Pain.

出版信息

Can J Occup Ther. 2023 Sep;90(3):303-314. doi: 10.1177/00084174231156276. Epub 2023 Feb 14.

Abstract

Chronic pain impacts people's activity participation, productivity, mental health, and sense of wellbeing. This study aimed to (1) evaluate the feasibility of the Mindfulness-Based Chronic Pain Management (MBCPM) program on reducing pain perception and enhancing the quality of life, and (2) understand veterans' experience with the program. The pretest-posttest single-group, mixed-methods design was used. Thirty-one veterans were offered the 12-week intervention. The Pain Catastrophizing Scale (PCS) and the Patient-Reported Outcomes Measurement Information System-29 were administered before and after the program. Focus groups and individual interviews were conducted to understand the experience. Participants' PCS scores improved ( = -3.116,  = .002), but the pain intensity did not change significantly. Themes from qualitative data include: (1) We are not alone! (2) I have a sense of awareness, choices, and control; and (3) It does work! The study shows preliminary feasibility of MBCPM for veterans. This promising effect supports future rigorous testing of this intervention.

摘要

慢性疼痛会影响人们的活动参与度、生产力、心理健康和幸福感。本研究旨在:(1)评估基于正念的慢性疼痛管理(MBCPM)方案在降低疼痛感知和提高生活质量方面的可行性;(2)了解退伍军人对该方案的体验。采用了预测试-后测试单组混合方法设计。31 名退伍军人参加了为期 12 周的干预。在项目前后,使用疼痛灾难化量表(PCS)和患者报告的结局测量信息系统-29 进行评估。进行焦点小组和个人访谈以了解体验。参与者的 PCS 评分有所改善( = -3.116, = .002),但疼痛强度无明显变化。定性数据的主题包括:(1)我们并不孤单!(2)我有了一种意识、选择和控制感;(3)它确实有效!该研究表明 MBCPM 对退伍军人具有初步的可行性。这一有希望的效果支持了对该干预措施的未来严格测试。

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