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患者对慢性疼痛康复的个人意义体验与幸福感的蓬勃发展之间的正相关关系。

Positive Association between Patients' Perception of Chronic Pain Rehabilitation as a Personally Meaningful Experience and the Flourishing Aspect of Well-Being.

作者信息

Liddiard Katrina J, Brown Cary A, Raynor Annette J

机构信息

School of Medical and Health Sciences, Edith Cowan University, Joondalup, WA 6027, Australia.

Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB T6G 2R3, Canada.

出版信息

Healthcare (Basel). 2024 Aug 20;12(16):1655. doi: 10.3390/healthcare12161655.

DOI:10.3390/healthcare12161655
PMID:39201213
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11353923/
Abstract

Chronic pain rehabilitation helps to reduce pain and restore valued life roles. Patients may have more positive outcomes when they perceive rehabilitation to be personally meaningful. This study examined associations between self-reported, personally meaningful rehabilitation and well-being. A pilot study was conducted using an online survey of people with chronic pain and experiences of rehabilitation. The PROMIS Pain Interference Short Form 8a and The Flourishing Scale were used to explore well-being. A modified self-report measure, the Meaningfulness in Rehabilitation Scale, was pilot-tested for construct validity and used in the survey. Of the 48 participants (81% female; 19% male), most attended a generalist therapy practice (62%) once per week (33%) or once per fortnight (29%). No statistically significant relationship was found between self-reported meaningfulness in rehabilitation and pain interference or other patient and therapy characteristics (duration of chronic pain category, type of therapy practice, resolution of rehabilitation category, and frequency of appointments). The nonparametric analysis identified a statistically significant moderate positive correlation between self-reported meaningfulness in rehabilitation and the flourishing aspect of well-being. This raises important questions and suggests that patients' perception of rehabilitation as meaningful warrants further research. This pilot study provides valuable guidance to inform a larger investigation.

摘要

慢性疼痛康复有助于减轻疼痛并恢复有价值的生活角色。当患者认为康复对个人有意义时,可能会有更积极的结果。本研究调查了自我报告的、个人认为有意义的康复与幸福感之间的关联。采用在线调查的方式,对患有慢性疼痛且有康复经历的人群进行了一项试点研究。使用患者报告结果测量信息系统疼痛干扰简表8a和繁荣量表来探究幸福感。一种经过修改的自我报告测量工具——康复意义量表,进行了结构效度的预测试并用于该调查。在48名参与者中(81%为女性;19%为男性),大多数人(62%)在综合治疗机构接受治疗,每周一次(33%)或每两周一次(29%)。在自我报告的康复意义与疼痛干扰或其他患者及治疗特征(慢性疼痛类别持续时间、治疗机构类型、康复类别解决情况以及预约频率)之间未发现统计学上的显著关系。非参数分析确定,自我报告的康复意义与幸福感的繁荣方面之间存在统计学上显著的中度正相关。这引发了重要问题,并表明患者对康复意义的认知值得进一步研究。这项试点研究为开展更大规模的调查提供了有价值的指导。

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本文引用的文献

1
Occupational Therapists' Beliefs and Experiences Managing Chronic Pain, Wellness, and Occupational Performance.职业治疗师对慢性疼痛、健康及职业表现管理的信念与经验
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The experience of meaningful rehabilitation as perceived by people with chronic pain: A phenomenological study.慢性疼痛患者对有意义康复体验的看法:一项现象学研究。
Work. 2023;75(2):689-701. doi: 10.3233/WOR-220119.
3
Patients' experiences with rehabilitation care: a qualitative study to inform patient-centred outcomes.患者对康复护理的体验:一项旨在为以患者为中心的结果提供信息的定性研究。
Disabil Rehabil. 2023 Apr;45(8):1307-1314. doi: 10.1080/09638288.2022.2057597. Epub 2022 Apr 17.
4
Physiotherapists Both Reproduce and Resist Biomedical Dominance when Working With People With Low Back Pain: A Qualitative Study Towards New Praxis.物理治疗师在治疗腰痛患者时既复制又抵制生物医学主导地位:迈向新实践的定性研究。
Qual Health Res. 2022 May;32(6):902-915. doi: 10.1177/10497323221084358. Epub 2022 Mar 26.
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Setting meaningful goals in rehabilitation: A qualitative study on the experiences of clients and clinicians in working with a practical tool.设定康复治疗中的有意义目标:一项关于客户和临床医生使用实用工具的经验的定性研究。
Clin Rehabil. 2022 Mar;36(3):415-428. doi: 10.1177/02692155211046463. Epub 2021 Nov 3.
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The Meaning Making Model Applied to Community-Dwelling Adults with Chronic Pain.意义建构模型应用于患有慢性疼痛的社区居住成年人。
J Pain Res. 2021 Jul 28;14:2295-2311. doi: 10.2147/JPR.S308607. eCollection 2021.
7
Collaborative Relationship-Focused Occupational Therapy: Evolving Lexicon and Practice.以协作关系为导向的作业治疗:不断发展的词汇和实践。
Can J Occup Ther. 2021 Sep;88(3):220-230. doi: 10.1177/00084174211022889. Epub 2021 Jul 9.
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How chronic pain changes a person's life story in relation to participation in occupational roles: A narrative exploration.慢性疼痛如何改变一个人与职业角色参与相关的人生故事:叙事探索。
Scand J Occup Ther. 2022 Oct;29(7):578-586. doi: 10.1080/11038128.2021.1945677. Epub 2021 Jul 5.
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Living well with chronic pain: the role of pain-management programmes.与慢性疼痛和谐共处:疼痛管理项目的作用。
BJA Educ. 2018 Jan;18(1):3-7. doi: 10.1016/j.bjae.2017.09.001. Epub 2017 Nov 21.
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What Is the Effectiveness of Different Duration Interdisciplinary Treatment Programs in Patients with Chronic Pain? A Large-Scale Longitudinal Register Study.不同疗程的跨学科治疗方案对慢性疼痛患者的疗效如何?一项大规模纵向登记研究。
J Clin Med. 2020 Aug 29;9(9):2788. doi: 10.3390/jcm9092788.