Polatin P B, Mayer T G
Department of Psychiatry, University of Texas, Southwestern Medical Center, Dallas, USA.
Orthop Clin North Am. 1996 Oct;27(4):881-90.
Chronic pain affects a small proportion of patients with an occupational injury but can result in astronomical costs for future medical care, indemnity, and social service utilization. To provide adequate treatment, medical practitioners must make a conceptual shift from the disease-intervention model to visualizing chronic pain as a multifactorial syndrome with alterable components. Focusing on deconditioning and disability provides a means to subjective and objective improvement for these patients and gives a better measure of therapeutic success.
慢性疼痛仅影响一小部分职业损伤患者，但会导致未来医疗护理、赔偿和社会服务利用方面的巨额费用。为了提供充分的治疗，医生必须从疾病干预模式进行观念转变，将慢性疼痛视为一种具有可改变因素的多因素综合征。关注身体机能减退和残疾为这些患者的主观和客观改善提供了一种方法，并能更好地衡量治疗效果。
