PREVAIL Center for Chronic Pain, Salem, VA Health Care System, Salem, Virginia; Virginia Tech Carilion School of Medicine, Salem, Virginia.
NYU Grossman School of Medicine/NYU Langone Health, New York, New York.
Pain Manag Nurs. 2024 Feb;25(1):69-74. doi: 10.1016/j.pmn.2023.09.010. Epub 2023 Oct 13.
Chronic pain affects over 50 million Americans per year and costs society billions of dollars annually. It is widely accepted that the biomedical model is outdated and research on the biopsychosocial model of chronic pain has increased in recent years, concurrent with investigations into self-management of chronic pain. The Veterans Health Administration (VHA) has incorporated both of these approaches into their Whole Health System. This work describes the VHA Whole Health System, reviews the literature on alignment between the Whole Health System's Circle of Health and chronic pain, and explains how the VHA Whole Health model may be used as a method for organizing self-management strategies within a personal health plan in the context of chronic pain. Given the infusion of nurses throughout the healthcare system, nurses are in a unique position to champion this biopsychosocial-spiritual approach to care.
慢性疼痛每年影响超过 5000 万美国人，给社会造成数十亿美元的损失。人们普遍认为生物医学模式已经过时，近年来，随着对慢性疼痛的自我管理的研究增加，对慢性疼痛的生物心理社会模型的研究也有所增加。退伍军人健康管理局（VHA）已经将这两种方法纳入他们的整体健康系统。这项工作描述了 VHA 整体健康系统，回顾了整体健康系统的健康圈与慢性疼痛之间的一致性的文献，并解释了如何在慢性疼痛的背景下，将 VHA 整体健康模型用作在个人健康计划中组织自我管理策略的方法。鉴于护士在整个医疗体系中的渗透，护士处于倡导这种身心社会精神护理方法的独特地位。
