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跨学科疼痛康复治疗,针对有慢性疼痛且需要语言翻译服务的移民。

Interdisciplinary pain rehabilitation for immigrants with chronic pain who need language interpretation.

机构信息

Karolinska Institutet, Department of Clinical Sciences, Division of Rehabilitation Medicine, Danderyd Hospital, Stockholm, Sweden; Danderyd University Hospital, Department of Rehabilitation Medicine, Stockholm, Sweden.

Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Stockholm Health Care Services, Region Stockholm, Transcultural Centre, Region Stockholm, Sweden.

出版信息

J Rehabil Med. 2024 Feb 26;56:jrm13466. doi: 10.2340/jrm.v56.13466.

Abstract

OBJECTIVE

To investigate outcomes in patients with chronic pain after participation in an interdisciplinary pain rehabilitation programme with language interpreters, and to investigate the outcomes in women and men separately.

DESIGN

Prospective multi-centre cohort study.

PATIENTS

Ninety-five patients in Sweden with chronic pain who have insufficient knowledge of the Swedish language.

METHODS

Duration and intensity of pain, anxiety and depression, health-related quality of life and fear of movement were evaluated before and after the programme. Patients were compared with a reference group comprising Swedish-speaking patients participating in an ordinary interdisciplinary pain rehabilitation programme.

RESULTS

Before the interdisciplinary pain rehabilitation programme with language interpreters, all variables except pain duration differed significantly to the detriment of the studied group. The studied group showed significant improvements after the interdisciplinary pain rehabilitation programme with language interpreters, with regards to pain intensity, depression and fear of movement. The reference group improved significantly for all variables. The women in the studied group showed significant improvements for the same variables as the whole group, while the men in the studied group did not improve in any of the variables.

CONCLUSION

This study indicates that patients with chronic pain, and especially women, who have insufficient knowledge of Swedish seem to benefit from participating in an interdisciplinary pain rehabilitation programme with language interpreters. The result may be of value for the further development of rehabilitation programmes with language interpreters.

摘要

目的

探讨在有语言翻译的跨学科疼痛康复计划中参与的慢性疼痛患者的结局,并分别探讨女性和男性患者的结局。

设计

前瞻性多中心队列研究。

患者

95 名瑞典慢性疼痛患者,他们对瑞典语的了解不足。

方法

在项目前后评估疼痛持续时间和强度、焦虑和抑郁、健康相关生活质量以及对运动的恐惧。将患者与参加普通跨学科疼痛康复计划的讲瑞典语的患者参考组进行比较。

结果

在有语言翻译的跨学科疼痛康复计划之前,除了疼痛持续时间外,所有变量都明显对研究组不利。研究组在有语言翻译的跨学科疼痛康复计划后,疼痛强度、抑郁和对运动的恐惧均有显著改善。参考组所有变量均显著改善。研究组中的女性在与整个组相同的变量上有显著改善,而研究组中的男性在任何变量上都没有改善。

结论

本研究表明,对瑞典语了解不足的慢性疼痛患者,尤其是女性,似乎从有语言翻译的跨学科疼痛康复计划中受益。这一结果可能对进一步开发语言翻译康复计划具有重要意义。

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