Ruiz Romer M V, Porrúa Del Saz A, Gómez Hernández M B, Lobato Parra E, Soler Jiménez A, Pereira Delgado C
Unidad de Calidad e Investigación, Hospital San Juan de Dios del Aljarafe (HSJDA), Bormujos (Sevilla), España.
Servicio de Rehabilitación, Hospital San Juan de Dios del Aljarafe (HSJDA), Bormujos (Sevilla), España.
J Healthc Qual Res. 2024 Mar-Apr;39(2):109-119. doi: 10.1016/j.jhqr.2024.01.005. Epub 2024 Feb 23.
25.9% of Spanish people suffer from chronic pain. An integrated, interdisciplinary approach is recommended, with pharmacological and non-pharmacological therapies, involving patients in their self-care.
To evaluate the effectiveness and impact on resources of a program with non-pharmacological therapies in the control of non-oncological chronic pain in the short and medium term.
Quasi-experimental before-after study, follow-up 3-6 months, measuring: pain, well-being, quality of life, self-esteem, resilience, anxiety/depression (validated scales); patient-reported outcomes of workshop impact on pain management, habits and mood; ED and office visits; drug consumption and employment status.
One hundred and forty-two patients completed the program; 131 (92.3%) were women, age: 56.0. Decreased: pain (scale 0-10) (start: 6.0; end of workshop: 4.0; 3 months: 5.0); anxiety (12.9; 10.4; 8.8) and depression (12.3; 7.23; 6.47) (scales 0-21). They increased: well-being (scale 0-10) (4.0; 6.0; 4.0); quality of life (scale 0-1) (0.418; 0.580; 0.536); health status (scale 0-100) (47.5; 60.0; 60.0); self-esteem (scale 9-36) (24.1; 27.5; 26.7); resilience (scale 6-30) (14.8; 17.4; 18.6). Patient-reported outcomes were performed by 136 patients at the end of the workshop and 79 at 3 months: pain decreased (end of program: 104, 76.5%; 3 months: 66, 83.5%); medication decreased (96, 76.2%; 60, 78.9%); habits improved (112, 88.2%; 69, 90.8%). Forty patients (37.4%) reduced visits to the emergency room, 40 (37.4%) reduced scheduled visits. Overall satisfaction: 9.8 out of 10.
Patients learn to mitigate their pain, participate in their self-care and improve their quality of life, self-esteem and emotional state. The effects remained for 3-6 months.
25.9%的西班牙人患有慢性疼痛。建议采用综合、跨学科的方法，结合药物和非药物疗法，让患者参与自我护理。
评估一项采用非药物疗法的项目在短期和中期控制非肿瘤性慢性疼痛方面的有效性及其对资源的影响。
前后对照的准实验研究，随访3 - 6个月，测量指标包括：疼痛、幸福感、生活质量、自尊、恢复力、焦虑/抑郁（经过验证的量表）；患者报告的关于工作坊对疼痛管理、习惯和情绪影响的结果；急诊和门诊就诊情况；药物消费和就业状况。
142名患者完成了该项目；其中131名（92.3%）为女性，年龄56.0岁。疼痛程度降低（0 - 10分制）（开始时：6.0分；工作坊结束时：4.0分；3个月时：5.0分）；焦虑程度（0 - 21分制）（分别为12.9分、10.4分、8.8分）和抑郁程度（分别为12.3分、7.23分、6.47分）降低。幸福感（0 - 10分制）（分别为4.0分、6.0分、4.0分）、生活质量（0 - 1分制）（分别为0.418分、0.580分、0.536分）、健康状况（0 - 100分制）（分别为47.5分、60.0分、60.0分）、自尊（9 - 36分制）（分别为24.1分、27.5分、26.7分）、恢复力（6 - 30分制）（分别为14.8分、17.4分、18.6分）提高。136名患者在工作坊结束时以及79名患者在3个月时报告了结果：疼痛减轻（项目结束时：104人，占76.5%；3个月时：66人，占83.5%）；药物使用减少（96人，占76.2%；60人，占78.9%）；习惯改善（112人，占88.2%；69人，占90.8%）。40名患者（37.4%）减少了急诊就诊次数，40名患者（37.4%）减少了预约就诊次数。总体满意度：10分制下为9.8分。
患者学会了减轻疼痛、参与自我护理并改善了生活质量、自尊和情绪状态。这些效果持续了3至6个月。
