[多模式疼痛管理中的精神干预]。

IF 1.1 4区 医学 Q3 ANESTHESIOLOGY
Schmerz Pub Date : 2024-10-01 Epub Date: 2024-01-15 DOI:10.1007/s00482-024-00788-z
Kristin Kieselbach, Ursula Frede
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引用次数: 0

摘要

如果我们不仅将慢性疼痛理解为一种疾病,还将其理解为一种生存危机,那么在治疗过程中考虑精神方面的问题似乎是合情合理的。灵性被理解为所有赋予人们生活意义和重要性的活动和体验的总称,与宗教信仰无关。迄今为止,人们主要在姑息治疗中考虑精神方面的问题。根据目前对疼痛患者进行的调查研究,在治疗中纳入精神主题可提高患者的生活质量和疼痛耐受力,而且这些患者也明确希望在治疗中纳入精神主题。在生物-心理-社会-精神概念的意义上,多模式治疗方法的持续扩展尚未实施。以下基本态度和行为与实际实施相关:对精神主题和真实性持开放态度、了解精神历史、倾听、坚定立场、激活价值观、利用宗教、神话和艺术的动机。专业能力一般涉及所有从业人员,但也可能需要合格的专业人员提供专门援助。将真实的精神援助融入多模式疼痛治疗,应有助于通过激活资源和识别沉重的精神信仰,稳定患者的自尊和身份体验。关于多模式疼痛治疗中精神干预的详细整合和效率调查还需要进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

[Spiritual interventions in multimodal pain management].

[Spiritual interventions in multimodal pain management].

If we understand chronic pain not only as a disease but also as an existential crisis, it seems logical and reasonable to consider spiritual aspects in the treatment process. Spirituality is understood as an umbrella term for all activities and experiences that give meaning and significance to people's lives-irrespective of their religious affiliation. So far, spiritual aspects have been considered therapeutically mainly in the palliative context. According to current survey-based studies of pain patients, the inclusion of spiritual themes in therapy leads to an improvement in quality of life and pain tolerance and is moreover explicitly desired by those patients. A consistent expansion of multimodal treatment approaches in the sense of a biopsychosocial-spiritual concept has not yet been implemented. The following basic attitudes and behaviors are relevant for practical implementation: openness to spiritual themes and authenticity, taking a spiritual history, listening, standing firm, activation of values, use of motives from religion, mythology, and art. Professional competence generally involves all practitioners, but may also require qualified professionals for specialized assistance. The integration of authentic spiritual assistance into multimodal pain management should help to stabilize self-esteem and the experience of identity of the patients through resource activation and identification of burdensome spiritual beliefs. The detailed integration and investigation of the efficiency of spiritual interventions in multimodal pain therapy require further research.

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来源期刊
Schmerz
Schmerz 医学-临床神经学
CiteScore
2.00
自引率
20.00%
发文量
64
审稿时长
6-12 weeks
期刊介绍: Der Schmerz is an internationally recognized journal and addresses all scientists, practitioners and psychologists, dealing with the treatment of pain patients or working in pain research. The aim of the journal is to enhance the treatment of pain patients in the long run. Review articles provide an overview on selected topics and offer the reader a summary of current findings from all fields of pain research, pain management and pain symptom management. Freely submitted original papers allow the presentation of important clinical studies and serve the scientific exchange. Case reports feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. Review articles under the rubric ''Continuing Medical Education'' present verified results of scientific research and their integration into daily practice.
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