临床候诊室的周期性叹息可能会减轻疼痛:一项随机对照试验的结果。

IF 2.8 3区 医学 Q2 PSYCHOLOGY, CLINICAL
Journal of Behavioral Medicine Pub Date : 2025-04-01 Epub Date: 2025-02-04 DOI:10.1007/s10865-024-00548-5
Adam W Hanley, Allison Davis, Phillip Worts, Steven Pratscher
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引用次数: 0

摘要

疼痛是一种常见的医疗体验,患者获得疼痛管理可以改善与新的干预形式。新出现的证据表明,在诊所候诊室提供的简短、非同步、单次干预措施可以改善患者的预后,但迄今为止仅对少数治疗方式进行了研究。呼吸法是一种很有前途的治疗急性临床疼痛的方法,可以在临床候诊室异步传递。然而,呼吸干预(例如,短暂的周期性叹气)对患者在诊所候诊室等待时的疼痛和心理困扰(例如,焦虑和抑郁症状)的直接影响仍未得到检验。这项单点、试点、随机对照试验研究了4分钟、非同步、循环叹气干预对参与者在无预约骨科诊所x线候诊室急性临床症状的影响,相对于时间和注意力匹配的损伤管理控制条件。在研究中测量了疼痛不愉快、疼痛强度、焦虑症状和抑郁症状。与对照组相比,接受周期性叹气干预的参与者在等待x光检查时报告的疼痛、不愉快和疼痛强度明显减少。焦虑症状和抑郁症状没有因病情而异。这项随机对照试验的结果表明,一个简短的、异步的、循环的叹气干预可能能够迅速减少候诊室的疼痛。现在需要继续调查,以确定在诊所候诊室植入简短、不同步、循环的叹气干预是否有可能帮助经历急性疼痛的人更快地感觉好起来。临床试验注册:nct06292793。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cyclic sighing in the clinic waiting room may decrease pain: results from a pilot randomized controlled trial.

Pain is a common medical experience, and patient access to pain management could be improved with novel intervention formats. Emerging evidence indicates brief, asynchronous, single-session interventions delivered in the clinic waiting room can improve patient outcomes, but only a few treatment modalities have been investigated to date. Breathwork is a promising approach to managing acute clinical pain that could be delivered asynchronously in the clinic waiting room. However, the direct impact of a breathwork intervention (e.g., brief cyclic sighing) on patients' pain and psychological distress (e.g., anxiety and depression symptoms) while waiting in the clinic waiting room remains unexamined. This single-site, pilot, randomized controlled trial examined the impact of a 4-minute, asynchronous, cyclic sighing intervention on participants' acute clinical symptoms in the x-ray waiting room of a walk-in orthopedic clinic relative to a time- and attention-matched injury management control condition. Pain unpleasantness, pain intensity, anxiety symptoms, and depression symptoms were measured in the study. Participants receiving the cyclic sighing intervention reported significantly less pain unpleasantness and pain intensity while waiting for an x-ray relative to controls. Anxiety symptoms and depression symptoms were not found to differ by condition. Results from this RCT indicate a brief, asynchronous, cyclic sighing intervention may be capable of quickly decreasing pain in the waiting room. Continued investigation is now needed to determine if embedding brief, asynchronous, cyclic sighing interventions in clinic waiting rooms has the potential to help people experiencing acute pain feel better faster. CLINICAL TRIAL REGISTRATIONS: NCT06292793.

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来源期刊
Journal of Behavioral Medicine
Journal of Behavioral Medicine PSYCHOLOGY, CLINICAL-
CiteScore
5.70
自引率
3.20%
发文量
112
期刊介绍: The Journal of Behavioral Medicine is a broadly conceived interdisciplinary publication devoted to furthering understanding of physical health and illness through the knowledge, methods, and techniques of behavioral science. A significant function of the journal is the application of this knowledge to prevention, treatment, and rehabilitation and to the promotion of health at the individual, community, and population levels.The content of the journal spans all areas of basic and applied behavioral medicine research, conducted in and informed by all related disciplines including but not limited to: psychology, medicine, the public health sciences, sociology, anthropology, health economics, nursing, and biostatistics. Topics welcomed include but are not limited to: prevention of disease and health promotion; the effects of psychological stress on physical and psychological functioning; sociocultural influences on health and illness; adherence to medical regimens; the study of health related behaviors including tobacco use, substance use, sexual behavior, physical activity, and obesity; health services research; and behavioral factors in the prevention and treatment of somatic disorders.  Reports of interdisciplinary approaches to research are particularly welcomed.
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