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首页> 外文期刊>Journal of the American Academy of Nurse Practitioners. >Groyp cognitive behavioral therapy to improve the...quality of care to opioid-treatecl patients with chronic noncancer pain:A practice improvement project
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Groyp cognitive behavioral therapy to improve the...quality of care to opioid-treatecl patients with chronic noncancer pain:A practice improvement project

机译：团体认知行为疗法可改善阿片类药物治疗的慢性非癌性疼痛患者的护理质量：一项实践改进项目

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Purpose: To enhance outcomes of patients with chronic noncancer pain (CNCP) treated with opioids in a primary care setting by implementing an evidence-based quality improvement project.Data sources: The project consisted of the implementation of a 6-week cognitive behavioral therapy (CBT) program. Twenty-two patients with CNCP completed the program. Impact of the project was evaluated by comparing pre- and postintervention participant self-reports of mood on the Beck Depression Inventory and functional status on the Brief Pain Inventory and Short Form-36. Patient perception of treatment benefit was also measured using the Patient Global Impression of Change. Qualitative provider perceptions of the program were also collected. Paired t-test statistics were used to analyze the data. Conclusions: Mood (including negative attitude, performance difficulty, and physical complaints), and patient impression of treatment benefit improved significantly after CBT was added. Primary care providers reported that the CBT supported their overall management of these complex patients. Implications for practice: The addition of a CBT program improved selected outcomes in this self-selected sample of patients with CNCP treated with opioids.
机译：目的：通过实施循证质量改进项目，以提高在初级保健机构中使用阿片类药物治疗的慢性非癌性疼痛（CNCP）患者的疗效。数据来源：该项目包括实施为期6周的认知行为疗法（ CBT）计划。 22名CNCP患者完成了该程序。通过比较干预前和干预后参与者对贝克抑郁量表的情绪自我报告以及简短疼痛量表和简短表格36上的功能状态，评估了该项目的影响。还使用“患者总体变化印象”来衡量患者对治疗益处的看法。还收集了该程序的定性提供者看法。配对的t检验统计数据用于分析数据。结论：加入CBT后，情绪（包括消极的态度，表现困难和身体不适）以及患者对治疗的印象明显改善。初级保健提供者报告说，CBT支持他们对这些复杂患者的整体治疗。实践的意义：添加了CBT程序改善了在阿片类药物治疗的CNCP患者的自我选择样本中的特定结局。

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