疼痛神经科学教育:哪种疼痛神经科学教育比喻效果最好?

A. Louw, E. Puentedura, I. Diener, K. Zimney, Terry Cox
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引用次数: 30

摘要

背景:疼痛神经科学教育(PNE)在减轻疼痛、改善功能、降低恐惧和灾难化方面已被证明有效。疼痛神经科学教育利用各种故事和隐喻来帮助患者重新定义他们的疼痛体验。到目前为止,还没有一项个性化的研究着眼于哪些故事和隐喻可能最有效地实现使用PNE所发现的积极结果。目的:本研究考察了患者对腰椎神经根病手术患者在PNE过程中使用的各种故事和隐喻的有用性的反应。方法在之前的随机对照试验(RCT)中接受术前PNE治疗的27名参与者接受了为期1年的教育后调查,采用5分李克特量表(0 -“不记得”,4 -“非常有帮助”),评估PNE治疗期间使用的各种故事和隐喻的有用性。参与者的人口统计数据和结果数据(疼痛强度、功能和疼痛知识)利用之前的RCT进行分析和相关性。结果共回收问卷19份,回复率为70%。没有故事或比喻的平均分低于2——“中性”,最低平均分为2.53;11个故事或比喻中有6个得分在3分以上——“有用”。结论:在使用PNE的康复过程中,没有个体故事或隐喻在帮助中起主导作用。临床意义在PNE期间重新定义疼痛的整体信息可能比任何个人故事或比喻更重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pain neuroscience education: Which pain neuroscience education metaphor worked best?
Background The use of pain neuroscience education (PNE) has been shown to be effective in reducing pain, improving function and lowering fear and catastrophisation. Pain neuroscience education utilises various stories and metaphors to help patients reconceptualise their pain experience. To date no individualised study has looked at which stories and metaphors may be the most effective in achieving the positive outcomes found with the use of PNE. Objectives This study examined patient responses to the usefulness of the various stories and metaphors used during PNE for patients who underwent surgery for lumbar radiculopathy. Method Twenty-seven participants who received preoperative PNE from a previous randomised control trial (RCT) were surveyed 1-year post-education utilising a 5-point Likert scale (0 – ‘do not remember’, 4 – ‘very helpful’) on the usefulness of the various stories and metaphors used during the PNE session. Participant demographics and outcomes data (pain intensity, function and pain knowledge) were utilised from the previous RCT for analysis and correlations. Results Nineteen surveys were returned for a response rate of 70%. No story or metaphor mean was below 2 – ‘neutral’, lowest mean at 2.53; 6 of the 11 stories or metaphors scored a mean above 3 – ‘helpful’. Conclusion No individual story or metaphor stood out as being predominately important in being helpful in the recovery process through the use of PNE. Clinical implications The overall messages of reconceptualising pain during PNE may be more important than any individual story or metaphor.
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