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公共卫生系统中的疼痛革命:慢性疼痛单元的积极应对策略

Pain revolution in the public health system: Active coping strategies for chronic pain unit.

作者信息

Montero-Cuadrado Federico, Barrero-Santiago Laura, Santos-Bermejo Manuel

机构信息

Unit for Active Coping Strategies for Pain in Primary Care, East-Valladolid Primary Care Management, Castilla and León Public Healthcare System (SACYL) 47011 Valladolid, Spain.

Unit for Active Coping Strategies for Pain in Primary Care, East-Valladolid Primary Care Management, Castilla and León Public Healthcare System (SACYL) 47011 Valladolid, Spain; Department of Cell Biology, Genetics, Histology and Pharmacology, Faculty of Medicine, University of Valladolid 47005, Valladolid, Spain.

出版信息

Braz J Phys Ther. 2025 Mar-Apr;29(2):101176. doi: 10.1016/j.bjpt.2025.101176. Epub 2025 Jan 31.

Abstract

BACKGROUND

Chronic pain represents a global health challenge demanding a transition from traditional biomedical to patient-centered biopsychosocial models. This masterclass explores active coping strategies for effective chronic pain management within healthcare systems. It describes the Unit of Active Coping Strategies for Chronic Pain (UAAD - Unidad de Afrontamiento Activo para el Dolor) in Primary Care in Valladolid, Spain, as a successful example of implementing a biopsychosocial care model for treating chronic pain.

OBJECTIVE

To provide tools that allow the application of active coping strategies in the treatment of patients with chronic pain and how to implement the UAAD units in other healthcare systems.

METHODS

This masterclass describes the UAAD's innovative approach, starting with its comprehensive and personalized methodology. This includes a referral system, a thorough assessment encompassing biological, psychological, and social factors, and a functional categorization system. These elements guide personalized treatment plans delivered through group and individual programs grounded in therapeutic exercise and pain science education. Four key pillars are highlighted: clinical care, teaching, resource management, research and dissemination.

CONCLUSION

Embracing this model empowers healthcare providers to address the growing burden of chronic pain. It also enables patients to take an active role in their recovery and self-management.

摘要

背景

慢性疼痛是一项全球性的健康挑战,需要从传统的生物医学模式转变为以患者为中心的生物心理社会模式。本次大师班探讨了在医疗系统中有效管理慢性疼痛的积极应对策略。它介绍了西班牙巴利亚多利德初级保健中的慢性疼痛积极应对策略单元(UAAD - Unidad de Afrontamiento Activo para el Dolor),作为实施生物心理社会护理模式治疗慢性疼痛的成功范例。

目的

提供工具,以便在慢性疼痛患者的治疗中应用积极应对策略,以及如何在其他医疗系统中实施UAAD单元。

方法

本次大师班介绍了UAAD的创新方法,首先是其全面且个性化的方法。这包括一个转诊系统、一个涵盖生物、心理和社会因素的全面评估,以及一个功能分类系统。这些要素指导通过基于治疗性运动和疼痛科学教育的团体和个人项目提供个性化治疗计划。突出了四个关键支柱:临床护理、教学、资源管理、研究与传播。

结论

采用这种模式使医疗服务提供者能够应对日益加重的慢性疼痛负担。它还使患者能够在康复和自我管理中发挥积极作用。

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