...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Pain Studies and Treatment >A Descriptive Longitudinal Study of Chronic Pain Outcomes and Gender Differences in a Multidisciplinary Pain Management Centre
【24h】

A Descriptive Longitudinal Study of Chronic Pain Outcomes and Gender Differences in a Multidisciplinary Pain Management Centre

机译：多学科疼痛管理中心对慢性疼痛结局和性别差异的描述性纵向研究

获取原文
   

获取外文期刊封面封底 >>

       
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background: The long-term outcomes of patients with chronic pain treated in a multidisciplinary pain management center remain variable. Objective: This study aims to evaluate the changes in outcomes of patient’s self-reported pain, psychosocial status, health related quality of life and gender differences following treatment in amultidisciplinary pain management centre. Design: A prospective longitudinal cross-sectional study uses questionnaires. Treatment Setting: A pragmatic and individualized patient centered approach in a tertiary level multidisciplinary pain management center. Subjects: Patients with chronic pain referred to the centre from 2004-2010. Outcome Measures: Pain Numerical Rating Scale (NRS), Pain Temporal Description (1 - 6), Pain Self- Efficacy Questionnaire (PSEQ), Depression Anxiety Stress Scales (DASS-21) and Short Form-36 (SF- 36). Follow-up questionnaires were sent at 6 and 12 months after initial assessment. Results: Mean duration of baseline chronic pain was 8.1 years and 61% of chronic pains were involving the musculoskeletal system. At 6 and 12 month follow-ups, 273 and 180 participants had been surveyed respectively. At 6-month follow-up, there were significant improvements on pain intensity (Cohen’s d = 0.8), pain self-efficacy (Cohen’s d = 0.47), depression and stress scores (Cohen’s d = 0.16) and six out of eight domains of SF-36 (Cohen’s d = 0.2 - 0.4). At 12-month follow-up, improvements were maintained on pain intensity, self-efficacy and three out of eight domains of SF-36. There were distinctive pre- and post-treatment gender differences in these outcomes and overall females showed better short- and long-term outcomes than males. Conclusion: Multidisciplinary pain management using an individualized patient centered approach remains an effective treatment for chronic pain in both the short- (6 month) and long-term (12 month). The distinctive pre- and post-treatment gender differences particularly in the psychological outcomes, suggest that it may be beneficial to further delineate and better manage vulnerable patient subgroups.
机译：背景：在多学科疼痛管理中心治疗的慢性疼痛患者的长期预后仍然存在差异。目的：本研究旨在评估在多学科疼痛管理中心治疗后患者自我报告的疼痛，心理状态，健康相关的生活质量以及性别差异的结果变化。设计：前瞻性纵向横截面研究使用问卷。治疗设置：在三级多学科疼痛管理中心中，以务实且个性化的以患者为中心的方法。研究对象：2004年至2010年间，慢性疼痛患者转诊至该中心。结果测量：疼痛数字量表（NRS），疼痛时间描述（1-6），疼痛自我效能问卷（PSEQ），抑郁焦虑压力量表（DASS-21）和简短表格36（SF-36）。在初始评估后的6和12个月发送了后续调查表。结果：基线慢性疼痛的平均持续时间为8.1年，其中61％的慢性疼痛累及肌肉骨骼系统。在6和12个月的随访中，分别对273名和180名参与者进行了调查。在6个月的随访中，疼痛强度（Cohen d = 0.8），疼痛自我效能感（Cohen d = 0.47），抑郁和压力评分（Cohen d = 0.16）和八个方面的六个方面都有显着改善。 SF-36（科恩氏d = 0.2-0.4）。在12个月的随访中，疼痛强度，自我效能以及SF-36八个领域中的三个领域都得到了改善。在这些结果中，治疗前和治疗后的性别存在显着差异，总体而言，女性的短期和长期结果均优于男性。结论：使用个性化的以患者为中心的方法进行多学科疼痛管理在短期（6个月）和长期（12个月）中仍然是治疗慢性疼痛的有效方法。治疗前和治疗后的性别差异特别是心理结果方面的独特差异表明，进一步描述和更好地管理弱势患者亚组可能是有益的。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号