Impacto de un programa multicomponente con terapias no farmacológicas para pacientes con dolor crónico

IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES
M.V. Ruiz Romer , A. Porrúa del Saz , M.B. Gómez Hernández , E. Lobato Parra , A. Soler Jiménez , C. Pereira Delgado
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引用次数: 0

Abstract

Introduction

25.9% of Spanish people suffer from chronic pain. An integrated, interdisciplinary approach is recommended, with pharmacological and non-pharmacological therapies, involving patients in their self-care.

Objective

To evaluate the effectiveness and impact on resources of a program with non-pharmacological therapies in the control of non-oncological chronic pain in the short and medium term.

Material and methods

Quasi-experimental before-after study, follow-up 3-6 months, measuring: pain, well-being, quality of life, self-esteem, resilience, anxiety/depression (validated scales); patient-reported outcomes of workshop impact on pain management, habits and mood; ED and office visits; drug consumption and employment status.

Results

One hundred and forty-two patients completed the program; 131 (92.3%) were women, age: 56.0. Decreased: pain (scale 0-10) (start: 6.0; end of workshop: 4.0; 3 months: 5.0); anxiety (12.9; 10.4; 8.8) and depression (12.3; 7.23; 6.47) (scales 0-21). They increased: well-being (scale 0-10) (4.0; 6.0; 4.0); quality of life (scale 0-1) (0.418; 0.580; 0.536); health status (scale 0-100) (47.5; 60.0; 60.0); self-esteem (scale 9-36) (24.1; 27.5; 26.7); resilience (scale 6-30) (14.8; 17.4; 18.6). Patient-reported outcomes were performed by 136 patients at the end of the workshop and 79 at 3 months: pain decreased (end of program: 104, 76.5%; 3 months: 66, 83.5%); medication decreased (96, 76.2%; 60, 78.9%); habits improved (112, 88.2%; 69, 90.8%). Forty patients (37.4%) reduced visits to the emergency room, 40 (37.4%) reduced scheduled visits. Overall satisfaction: 9.8 out of 10.

Conclusions

Patients learn to mitigate their pain, participate in their self-care and improve their quality of life, self-esteem and emotional state. The effects remained for 3-6 months.

[非药物疗法对慢性疼痛患者的影响]。
导言:25.9%的西班牙人患有慢性疼痛。建议采用跨学科的综合方法,包括药物疗法和非药物疗法,让患者参与自我护理:评估非药物疗法对控制非肿瘤性慢性疼痛的中短期疗效和对资源的影响:准实验性前后研究,随访 3-6 个月,测量:疼痛、幸福感、生活质量、自尊、复原力、焦虑/抑郁(有效量表);患者报告的研讨会对疼痛控制、习惯和情绪的影响结果;急诊室和诊室就诊情况;药物消耗和就业状况:142名患者完成了该计划,其中131人(92.3%)为女性,年龄为56.0岁。他们在以下方面有所下降:疼痛(0-10 分)(开始时:6.0 分;研讨会结束时:4.0 分;3 个月:5.0 分);焦虑(12.9 分;10.4 分;8.8 分)和抑郁(12.3 分;7.23 分;6.47 分)(0-21 分)。他们提高了:幸福感(0-10 分)(4.0;6.0;4.0);生活质量(0-1 分)(0.418;0.580;0.536);健康状况(0-100 分)(47.5;60.0;60.0);自尊(9-36 分)(24.1;27.5;26.7);复原力(6-30 分)(14.8;17.4;18.6)。136 名患者在研修班结束时和 79 名患者在 3 个月后分别进行了患者报告:疼痛减轻(研修班结束时:104 人,76.5%;3 个月后:66 人,83.5%);用药减少(96 人,76.2%;60 人,78.9%);习惯改善(112 人,88.2%;69 人,90.8%)。40 名患者(37.4%)减少了去急诊室的次数,40 名患者(37.4%)减少了预约就诊次数。总体满意度:9.8 分(满分 10 分):患者学会了减轻疼痛、参与自我护理,并提高了生活质量、自尊和情绪状态。疗效可保持 3-6 个月。
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来源期刊
CiteScore
1.70
自引率
8.30%
发文量
83
审稿时长
57 days
期刊介绍: Revista de Calidad Asistencial (Quality Healthcare) (RCA) is the official Journal of the Spanish Society of Quality Healthcare (Sociedad Española de Calidad Asistencial) (SECA) and is a tool for the dissemination of knowledge and reflection for the quality management of health services in Primary Care, as well as in Hospitals. It publishes articles associated with any aspect of research in the field of public health and health administration, including health education, epidemiology, medical statistics, health information, health economics, quality management, and health policies. The Journal publishes 6 issues, exclusively in electronic format. The Journal publishes, in Spanish, Original works, Special and Review Articles, as well as other sections. Articles are subjected to a rigorous, double blind, review process (peer review)
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