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Long-term effectiveness of a comprehensive pain management program: strengthening the case for interdisciplinary care

机译:全面疼痛管理计划的长期有效性:加强跨学科治疗

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摘要

Chronic pain, a debilitating medical condition affecting approximately 15% of the US population, leads to individual suffering and costs to society in terms of health care dollars and lost productivity. To examine the effectiveness of a comprehensive pain management program, data from 108 program participants were evaluated. Preprogram, postprogram, and 6-month follow-up data were collected from 80 participants, and preprogram, postprogram, and 1-year data were collected from 46 participants. Outcomes data from several domains were assessed: pain severity, emotional distress, interference of pain on function, perceived control of pain, treatment helpfulness, and number of hours resting. Within-subject repeated-measure analyses of variance found statistically significant findings on the six outcome measures utilized in this study for both the 6-month and 1-year samples. Examination of 95% confidence intervals revealed no overlap in pretreatment scores with 6-month and 1-year outcomes in five of the six domains studied. Mean scores on emotional distress did not maintain statistical significance in the 6-month or 1-year review. Overall, this study strengthens the case for interdisciplinary care for chronic pain management and provides evidence for the long-term effectiveness of this therapy. Furthermore, this study lends support to the notion that interdisciplinary treatments are effective in targeting multiple domains affected by the pain condition.
机译:慢性疼痛是一种使约15%的美国人口衰弱的医学疾病,会给个人带来痛苦,并在医疗保健费用和生产力损失方面给社会带来成本。为了检查综合疼痛管理计划的有效性,评估了来自108个计划参与者的数据。从80名参与者中收集了程序前,程序后和6个月的随访数据,并从46名参与者中收集了程序前,程序后和1年数据。评估了来自多个领域的结果数据:疼痛严重程度,情绪困扰,疼痛对功能的干扰,疼痛的知觉控制,治疗帮助和休息时间。受试者内部重复测量方差分析发现,对本研究中使用的六个月和一年样本的六个结果测量值,在统计学上具有重要意义。 95%置信区间的检查显示,在所研究的六个领域中,有五个领域的预处理得分与6个月和1年结果没有重叠。在6个月或1年的回顾中,情绪困扰的平均评分未保持统计学意义。总体而言,这项研究加强了针对慢性疼痛管理的跨学科治疗,并为该疗法的长期有效性提供了证据。此外,这项研究为跨学科治疗有效针对受疼痛状况影响的多个领域提供了支持。

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