Flower A, Naxon E, Jones R E, Mooney V
Am J Occup Ther. 1981 Apr;35(4):243-8. doi: 10.5014/ajot.35.4.243.
This paper describes a multidisciplinary approach to the evaluation and treatment of the patient with chronic spinal pain with particular emphasis on the cooperative roles of the physical disabilities occupational therapist and the psychosocial occupational therapist. The goal of the total program is to help patients progress from a sick role of dependent, painful behavior to a less pain-centered, more productive role--one in which they have begun to assume control over the way they feel and function. The success of the program is measured by the patient's increased activity level and improved ability to cope with the demands of home and job. A review of patient records after one year of operation showed that only 4 of 54 patients who completed both phases of the program were returning to the orthopedic back clinic as outpatients.
本文描述了一种多学科方法，用于评估和治疗慢性脊柱疼痛患者，特别强调身体残疾职业治疗师和心理社会职业治疗师的协作作用。整个项目的目标是帮助患者从依赖、痛苦行为的患病角色，转变为以疼痛为中心程度较低、更有成效的角色——即他们开始掌控自己的感觉和功能的方式。该项目的成功通过患者活动水平的提高以及应对家庭和工作需求能力的改善来衡量。对项目运行一年后的患者记录进行审查发现，在完成项目两个阶段的54名患者中，只有4名作为门诊患者返回骨科背部诊所。
