[患者受益于信息:门诊环境中的疼痛神经科学教育]。

IF 0.5
Markus Schneider
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引用次数: 0

摘要

背景:在过去的20-30年里,在理解疼痛的原因方面发生了重大的范式转变。从历史上看,强调组织损伤和疼痛强度之间直接关系的生物医学模型占主导地位。然而,人们越来越认识到疼痛感知是一个涉及生物、心理和社会因素的高度复杂的系统,挑战了先前的理解。专利教育:虽然强化多模式治疗为患者教育提供了充足的时间,但这方面在门诊环境中经常被忽视。门诊疼痛神经科学教育(PNE)的关键要素包括提高对疼痛的理解,区分急性和慢性疼痛,解释中枢和外周敏感化,解决恐惧和回避行为,并展示支持内源性疼痛抑制的策略。目的:教育的目的是用简单的语言传达这些高度复杂的疼痛生理学概念,使用患者易于理解的图像和隐喻。PNE不仅对慢性疼痛的治疗有积极的影响,而且对术前教育也有积极的影响,从而改善了术后预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Patients benefit from information : Pain neuroscience education in an outpatient setting].

Background: In the past 20-30 years, there has been a significant paradigm shift in understanding the causes of pain. Historically, the biomedical model, which emphasized a direct relationship between tissue damage and pain intensity, was dominant. However, it is increasingly recognized that pain perception is a highly complex system involving biological, psychological, and social factors, challenging the earlier understanding.

Patent education: While intensive multimodal therapy provides sufficient time for patient education, this aspect is often neglected in outpatient settings. Key elements of outpatient pain neuroscience education (PNE) include improving the understanding of pain, differentiating between acute and chronic pain, explaining central and peripheral sensitization, addressing fear and avoidance behaviors, and demonstrating strategies to support endogenous pain inhibition.

Goal: The goal of education is to convey these highly complex pain physiology concepts in simple language, using images and metaphors that are accessible to the patient. PNE can positively influence not only the treatment of chronic pain but also preoperative education, thereby improving postoperative outcomes.

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