Department of Anesthesiology, University of Michigan Medical School, Ann Arbor, MI, USA.
Department of Anesthesiology, Perioperative, and Pain Medicine, Stanford University, Palo Alto, CA, USA; Department of Pain Management and Rehabilitation Services, Stanford Health Care, Redwood City, CA, USA.
Best Pract Res Clin Rheumatol. 2024 Mar;38(1):101934. doi: 10.1016/j.berh.2024.101934. Epub 2024 Feb 9.
Effective management of chronic pain necessitates multidisciplinary approaches including medical treatment, physical therapy, lifestyle interventions, and behavioral or mental health therapy. Medical providers regularly report high levels of stress and challenge when treating patients with chronic pain, which recur in part due to improper education on contributors to pain and misalignment in patient and provider goals and expectations for treatment. The current paper reviews common challenges and misconceptions in the setting of chronic pain management as well as strategies for effective patient education and goal setting related to these issues. The paper also outlines key aspects of provider burnout, its relevance for medical providers in chronic pain management, and recommendations for burnout prevention in navigating issues of patient education and treatment planning.
有效管理慢性疼痛需要多学科方法，包括医疗、物理治疗、生活方式干预以及行为或心理健康治疗。医疗服务提供者在治疗慢性疼痛患者时经常报告压力大和面临挑战大，这在一定程度上是由于对疼痛的促成因素以及患者和提供者对治疗目标和期望的不一致缺乏适当的教育。本文回顾了慢性疼痛管理中常见的挑战和误解，以及与这些问题相关的有效患者教育和目标设定策略。本文还概述了提供者倦怠的关键方面、其与慢性疼痛管理中的医疗服务提供者的相关性，以及在解决患者教育和治疗计划问题时预防倦怠的建议。
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