复杂性区域疼痛综合征:一项关于长期躯体症状、残疾和心理健康的横断面研究。

IF 3.4 Q2 NEUROSCIENCES
Pain Reports Pub Date : 2024-09-20 eCollection Date: 2024-10-01 DOI:10.1097/PR9.0000000000001180
Ellen Lyckegård Finn, Astrid Parinder, Erika Nyman, Lars B Dahlin
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引用次数: 0

摘要

简介:对复杂性区域疼痛综合征(CRPS)的长期残留症状、残疾和心理健康的了解十分有限:关于复杂性区域疼痛综合征(CRPS)的长期残留症状、残疾和心理健康的知识十分有限:目的:通过一项横断面调查研究,重点评估 CRPS 患者的身体症状、残疾和心理健康情况:方法:通过病历确定确诊为 CRPS 的患者,并向其发送经过验证的调查表(手臂、肩部和手部残疾--快速版、手部手术特殊性问卷-8 个问题、EuroQol 5 维度 3 个等级、生活满意度问卷-11、医院焦虑和抑郁量表、疼痛灾难化量表和连贯感-29)和补充问题:应答者(应答率:99/238,42%;CR99/238,42%;CRPS 1 型:72%;CRPS 2 型:28%;诊断时间中位数:59 [34-94] 个月):59[34-94]个月)报告了剩余症状和残疾情况(手臂、肩部和手部残疾--快速版评分:45[20-70]分),1 型比 2 型有更多改善。只有 9% 的 CRPS 患者表示没有遗留疼痛或不适。约 60% 的患者在日常活动中遇到困难,49% 的患者有睡眠问题,90% 的患者有中度至重度疼痛,23% 的患者仍在休病假。医院焦虑和抑郁量表调查显示,他们的得分明显高于瑞典参照人群。一致性感低和疼痛灾难化程度高的人残疾情况更严重,对生活和身心健康的满意度也更低。随着时间的推移,受教育程度越低、焦虑程度越高,残疾情况越严重:结论:CRPS 患者长期受疼痛、睡眠问题、日常活动受限以及焦虑和抑郁的困扰,导致他们对生活的许多方面都不满意。低一致性感和高疼痛灾难化与较差的预后有关。在临床实践中应关注生物心理社会方面的问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Complex Regional Pain Syndrome: a cross-sectional study of physical symptoms, disability, and psychological health in long term.

Introduction: Knowledge about long-time residual symptoms, disabilities, and psychological health in complex regional pain syndrome (CRPS) is limited.

Objectives: The aim was to evaluate outcome, focusing on physical symptoms, disability, and psychological health, in individuals with CRPS through a cross-sectional survey study.

Methods: Individuals with a confirmed diagnosis of CRPS were identified through medical charts and sent validated survey forms (Disabilities of the Arm, Shoulder and Hand-Quick version, Specific Hand Surgery Questionnaire-8 questions, EuroQol 5 Dimensions 3 levels, Life Satisfaction Questionnaire-11, Hospital Anxiety and Depression Scale, Pain Catastrophizing Scale, and Sense of Coherence-29) and complementary questions.

Results: Responders (response rate: 99/238, 42%; CRPS type 1: 72%; CRPS type 2: 28%; time since diagnosis median: 59 [34-94] months) reported remaining symptoms and disability (Disabilities of the Arm, Shoulder and Hand-Quick version score: 45 [20-70]) and more improvement in type 1 than in type 2. Only 9% of individuals with CRPS reported no residual pain or discomfort. Approximately 60% had problems in daily activities, 49% had sleeping problems, and 90% experienced moderate-extreme pain with 23% still on sick leave. The Hospital Anxiety and Depression Scale survey revealed significantly higher scores than a Swedish reference population. Individuals with a low Sense of Coherence and high pain catastrophizing had worse disability and were less satisfied with their lives and physical and psychological health. A lower level of education and more anxiety were associated with worsened disability over time.

Conclusion: Individuals with CRPS suffer in the long term from pain, sleeping problems, and limitations in daily activities with occurrence of anxiety and depression, resulting in dissatisfaction with many aspects of their lives. A low Sense of Coherence and high pain catastrophizing are associated with a worse outcome. Biopsychosocial aspects should be addressed in clinical practice.

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来源期刊
Pain Reports
Pain Reports Medicine-Anesthesiology and Pain Medicine
CiteScore
7.50
自引率
2.10%
发文量
93
审稿时长
8 weeks
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