Kessler Klara, Hüppe Michael, Roesner Adrian
Institut für Gesundheitswissenschaften, Studiengang Physiotherapie, Pain and Exercise Research Lübeck (P.E.R.L), Universität zu Lübeck, Ratzeburger Allee 160, 23562, Lübeck, Deutschland.
Klinik für Anästhesiologie und Intensivmedizin, Universität zu Lübeck, Lübeck, Deutschland.
Schmerz. 2023 Aug;37(4):274-280. doi: 10.1007/s00482-023-00726-5. Epub 2023 Jun 6.
Interdisciplinary multimodal pain treatment (IMPT) is an essential element in the treatment of people with chronic pain. Although IMST is defined in terms of content, it is evident that its practical design is very heterogeneous. This refers not only to the composition of the contents of the treatment but also to the concrete distribution of tasks among the professions involved. This article deals with the attribution of the effect of the activities of the three professional groups involved in IMPT: medicine, psychology and physiotherapy. The aim of this work is to examine how the professions of medicine, psychology and physiotherapy assess the effectiveness of their work and the effectiveness of the other two disciplines in the care of chronic pain patients.
A newly designed questionnaire with 19 items was used. Each item describes a possible effect that treatment by the professions of medicine, psychology and physiotherapy can have. Based on factor analysis, items were combined for which the three effect attributions had the same items. The restriction to factor analysis areas was intended to avoid redundancies in the presentation and interpretation of results. The evaluation was carried out by means of a variance analysis for the impact areas with the factors "profession" and "attribution of impact".
A total of 233 participants from the 3 disciplines (medicine, n = 78; psychology, n = 76; physiotherapy, n = 79) answered the questionnaire. The three areas of effect "pain reduction", "strength and movement" and "functional pain coping" could be identified by factor analysis. The impact areas attributed to the different professions are largely reflected in the participants' answers. The variance analysis revealed significant main effects for the two factors "profession" and "attribution of impact" and for their interactions.
Professionals in medicine, psychology and physiotherapy have clear expectations of their own and the other professions mentioned here with respect to their effectiveness in certain areas of change. Overall, the three professions agree in their assessment of the contribution of medicine, psychology and physiotherapy to the areas of pain reduction, gain in strength and movement and functional pain coping.
跨学科多模式疼痛治疗（IMPT）是慢性疼痛患者治疗的重要组成部分。尽管IMPT在内容方面有明确界定，但很明显其实际设计存在很大差异。这不仅涉及治疗内容的构成，还涉及相关专业之间任务的具体分配。本文探讨了参与IMPT的三个专业群体（医学、心理学和物理治疗）活动效果的归因。这项工作的目的是研究医学、心理学和物理治疗专业如何评估其工作效果以及其他两个学科在慢性疼痛患者护理中的效果。
使用了一份新设计的包含19个条目的问卷。每个条目描述了医学、心理学和物理治疗专业治疗可能产生的一种效果。基于因子分析，将三个效果归因具有相同条目的条目进行合并。对因子分析区域的限制旨在避免结果呈现和解释中的冗余。通过对“专业”和“影响归因”因素的影响区域进行方差分析来进行评估。
来自三个学科（医学，n = 78；心理学，n = 76；物理治疗，n = 79）的233名参与者回答了问卷。通过因子分析可以确定“疼痛减轻”“力量和运动”以及“功能性疼痛应对”这三个效果领域。不同专业的影响领域在参与者的回答中得到了很大程度的体现。方差分析显示“专业”和“影响归因”这两个因素及其相互作用具有显著的主效应。
医学、心理学和物理治疗专业人员对自身以及此处提到的其他专业在某些变化领域的有效性有明确期望。总体而言，这三个专业在评估医学、心理学和物理治疗对疼痛减轻、力量和运动增强以及功能性疼痛应对领域的贡献方面达成了一致。
