Department of Community Medicine and Rehabilitation, Rehabilitation Medicine, Umeå University, SE-901 87 Umeå, Sweden.
Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, SE-901 87 Umeå, Sweden.
Int J Environ Res Public Health. 2023 Mar 13;20(6):5051. doi: 10.3390/ijerph20065051.
Chronic pain is a major public health issue. Mounting evidence suggests that interdisciplinary multimodal pain rehabilitation programs (IMMRPs) performed in specialist pain care are an effective treatment for patients with chronic pain, but the effects of such treatment if performed in primary care settings have been less studied. The aims of this pragmatic study were to (1) describe characteristics of patients participating in IMMRPs in primary care; (2) examine whether IMMRPs in primary care improve pain, disability, quality of life, and sick leave 1-year post discharge in patients with chronic pain; and (3) investigate if outcomes differ between women and men. Data from 744 (645 women and 99 men, age range 18-65 years) patients with non-malignant chronic pain included in the Swedish Quality Registry for Pain Rehabilitation Primary Care were used to describe patient characteristics and changes in health and sick leave. At 1-year follow-up, the patients had improved significantly ( < 0.01) in all health outcome measures and had reduced sick leave except in men, where no significant change was shown in physical activity level. This study indicates that MMRPs in primary care improved pain and physical and emotional health and reduced sick leave, which was maintained at the 1-year follow-up.
慢性疼痛是一个主要的公共卫生问题。越来越多的证据表明，在专科疼痛护理中进行的跨学科多模式疼痛康复方案（IMMRP）是治疗慢性疼痛患者的有效方法，但在初级保健环境中进行这种治疗的效果研究较少。本实用研究的目的是：（1）描述在初级保健中接受 IMMRP 的患者的特征；（2）检验初级保健中的 IMMRP 是否能改善慢性疼痛患者的疼痛、残疾、生活质量和病假 1 年后的情况；（3）调查女性和男性之间的结果是否存在差异。该研究使用了瑞典疼痛康复初级保健质量登记处纳入的 744 名（645 名女性和 99 名男性，年龄 18-65 岁）非恶性慢性疼痛患者的数据，用于描述患者特征以及健康和病假的变化。在 1 年的随访中，所有健康结果测量均显著改善（<0.01），除了男性的体力活动水平没有显著变化外，病假也减少了。本研究表明，初级保健中的 MMRP 改善了疼痛以及身体和情绪健康，并减少了病假，这种改善在 1 年后的随访中得以维持。
