Jankus W R, Park T J, VanKeulen M, Weisensel M
Valley Pain Clinic, Menasha, WI 54952, USA.
Wis Med J. 1995;94(5):244-9.
The purpose of this study was two-fold: (1) to determine long-term efficacy of an outpatient interdisciplinary pain treatment and management program for injured workers with chronic pain, and (2) to determine if those referred earlier after injury are more likely to benefit. Ninety-one questionnaires were completed a median of 36 months following program completion. Ninety-three percent of patients reported improvement in pain symptoms at the time of program discharge and 76% reported maintenance or improvement of pain level between discharge and the time of survey. Of those not working at the time of initial evaluation, 74% reported return to work or current involvement in a retraining program. Patients referred < or = 12 months after injury reported greater mean pain improvement and were significantly more likely to return to work. We conclude that the interdisciplinary pain treatment and management approach is effective in treating injured workers with chronic pain and that early referral enhances outcome.
（1）确定针对患有慢性疼痛的受伤工人的门诊多学科疼痛治疗与管理计划的长期疗效，以及（2）确定受伤后较早转诊的患者是否更有可能从中受益。在该计划完成后的中位时间36个月，完成了91份问卷。93%的患者报告在计划出院时疼痛症状有所改善，76%的患者报告在出院至调查期间疼痛水平保持或有所改善。在初次评估时未工作的患者中，74%报告已重返工作岗位或目前正在参加再培训计划。受伤后≤12个月转诊的患者平均疼痛改善更大，且重返工作岗位的可能性显著更高。我们得出结论，多学科疼痛治疗与管理方法在治疗患有慢性疼痛的受伤工人方面是有效的，并且早期转诊可改善治疗效果。
