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慢性疼痛治疗的行为方法:患者自我报告测量的不准确性。

Behavioral approaches to treatment of chronic pain: the inaccuracy of patient self-report measures.

作者信息

Kremer E F, Block A, Gaylor M S

出版信息

Arch Phys Med Rehabil. 1981 Apr;62(4):188-91.

PMID:7235905
Abstract

This study was designed to examine the accuracy of patient self-report of physical activity and social behavior and a 3X daily log of pain intensity. Concomitantly, staff members made unobtrusive, hourly observations of patient activity and social behavior. Results showed that some patients report significantly lower levels of physical activity and social behavior than observed by staff despite reporting decreased levels of pain. These results suggest that the efficacy of therapeutic intervention is best determined by systematic observational data rather than patient self-report.

摘要

本研究旨在检验患者自我报告的身体活动和社会行为的准确性,以及疼痛强度的每日三次记录。与此同时,工作人员对患者的活动和社会行为进行了不引人注意的每小时观察。结果显示,尽管一些患者报告疼痛程度有所减轻,但他们报告的身体活动和社会行为水平明显低于工作人员的观察结果。这些结果表明,治疗干预的效果最好通过系统的观察数据而非患者自我报告来确定。

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