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慢性疼痛的行为矫正:一个多学科团队的治疗方案。

Behavior modification of chronic pain: a treatment program by a multidisciplinary team.

作者信息

Anderson T P, Cole T M, Gullickson G, Hudgens A, Roberts A H

出版信息

Clin Orthop Relat Res. 1977 Nov-Dec(129):96-100.

PMID:608300
Abstract

A treatment program for chronic pain is reported which focuses on modification of patient pain behavior. After an outpatient pain clinic screening by a multidisciplinary team, the patient with chronic pain (duration of 6 months or longer) is admitted for a 7--8 week inpatient program followed by a 4-week outpatient period. The first week of the inpatient program is used for evaluation of pain behaviors, recording use of pain medications, activity levels, and tolerance for special conditioning exercises. The program is aimed at extinguishing pain behaviors and use of pain medications, increasing activity level, reinforcing well behaviors, and returning patients to full active lives, normal for their sex and age. Of the 34 patients completing the program and returning to full active normal lives, 74% (25) have maintained this attained goal at the time of follow-up from 6 months to 7 years later.

摘要

据报道,有一个针对慢性疼痛的治疗方案,该方案着重于改变患者的疼痛行为。在经过多学科团队对门诊疼痛诊所的筛查后,患有慢性疼痛(病程6个月或更长时间)的患者会被收治进入一个为期7至8周的住院项目,随后是为期4周的门诊阶段。住院项目的第一周用于评估疼痛行为、记录止痛药的使用情况、活动水平以及对特殊适应性锻炼的耐受性。该方案旨在消除疼痛行为和止痛药的使用,提高活动水平,强化良好行为,并使患者恢复到完全积极的生活状态,达到与其性别和年龄相符的正常状态。在完成该方案并恢复到完全积极正常生活的34名患者中,74%(25名)在6个月至7年后的随访时维持了这一既定目标。

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Behavior modification of chronic pain: a treatment program by a multidisciplinary team.慢性疼痛的行为矫正:一个多学科团队的治疗方案。
Clin Orthop Relat Res. 1977 Nov-Dec(129):96-100.
2
Multidisciplinary treatment of physical and psychosocial disabilities in chronic pain patients: a follow-up report.慢性疼痛患者身体和心理社会残疾的多学科治疗:一份随访报告。
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Reducing medication use in a chronic pain management program.在慢性疼痛管理项目中减少药物使用。
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Effectiveness of a multimodal inpatient treatment for pediatric chronic pain: a comparison between children and adolescents.多模式住院治疗儿科慢性疼痛的疗效:儿童和青少年的比较。
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Pain management: long-term follow-up of an inpatient program.疼痛管理:一项住院项目的长期随访
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Can a rural community-based work-related activity program make a difference for chronic pain-disabled injured workers?一个基于农村社区的与工作相关的活动项目能否对患有慢性疼痛的残疾受伤工人产生影响?
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[Multidisplinary approach to chronic back pain: postrehabilitation resumption of work the same 3-4 years later as after 6 months].[慢性背痛的多学科治疗方法:康复后3至4年恢复工作的情况与6个月后相同]
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The effectiveness of a multidisciplinary pain management programme managing chronic pain.多学科疼痛管理方案对慢性疼痛的管理效果。
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An empirical examination of the "pain-behavior" construct.对“疼痛行为”概念的实证研究。
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