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Learning to Combat Chronic Pain: Exploring the Effectiveness of a Six-week Patient Psychoeducation Course Teaching Self-management of Chronic Pain

机译:学会对抗慢性疼痛:探索为期六周的患者心理教育课程的有效性教学慢性疼痛的自我管理

摘要

Abstract Chronic pain is a highly prevalent health problem in the U.S. and poses a large economic and temporal cost to the medical system (Institute of Medicine, 2011; Marcus, 2003). Patients with chronic pain typically report a decrease in emotional, social, and economic functioning (Bair et. al, 2009; Breen, 2002; Kang, Backstrand, u26 Parker, 2013). This study investigated the efficacy of a 6-week evidence-based group psychoeducation course for the self-management of chronic pain. Pre- and post-test measures were utilized to assess results of the course. Data were analyzed using a paired sample t-test in order to explore the relationship and degree of effect preand post-intervention, as well as comparing the treatment and control group results. Due to the small sample size, many of the results were not statistically significant. However, there was significant improvement in reported wellbeing within the treatment group. Moreover, there were observable changes in the control group- specifically an increased sense of pain disability and decreased sense of wellbeing- but these results were not statistically significant. Through the implementation of this study, several limitations and barriers to intervention were discovered. These discoveries provide valuable information for future applications of chronic pain management groups. If developers of these groups consider the insights gained in this study, the programs would prove to be a highly valuable resource to the medical and psychological community, in turn reducing the burden on primary care providers and improving patient wellbeing.
机译:摘要慢性疼痛在美国是一个非常普遍的健康问题,对医疗系统造成了巨大的经济和时间成本(Institute of Medicine,2011; Marcus,2003)。患有慢性疼痛的患者通常会报告情绪,社交和经济功能下降(Bair等,2009; Breen,2002; Kang,Backstrand,u26 Parker,2013)。这项研究调查了为期6周的循证小组心理教育课程对慢性疼痛自我管理的功效。测试前和测试后的措施被用来评估课程的结果。使用配对样本t检验分析数据,以探讨干预前后效果的关系和程度,并比较治疗组和对照组的结果。由于样本量小,许多结果在统计上都不显着。但是,治疗组的健康状况有了显着改善。此外,对照组有明显的变化-特别是疼痛残疾感增加和幸福感下降-但这些结果在统计学上并不显着。通过实施这项研究,发现了一些限制和干预的障碍。这些发现为慢性疼痛管理小组的未来应用提供了有价值的信息。如果这些小组的开发人员考虑在这项研究中获得的见解,那么该计划将被证明对医学和心理界来说是非常有价值的资源,从而减轻了初级保健提供者的负担并改善了患者的健康。

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    Backstrand Serita;

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  • 年度 2015
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