Satisfaction with treatment for chronic pain in a specialty service: preliminary prospective results
Satisfaction with treatment for chronic pain in a specialty service: preliminary prospective results
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DOI：
10.1016/s1090-3801(02)00042-3
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发表时间：
2002-01-01
期刊：
影响因子：
--
通讯作者：
Karapas, ET
中科院分区：
文献类型：
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作者：
McCracken, LM;Evon, D;Karapas, ET
治疗满意度是疼痛管理中越来越受欢迎的结局指标。虽然它是一个主观变量，但它仍然可以反映护理质量，并可以预测其他重要的患者行为。本研究的目的是前瞻性评估慢性疼痛治疗满意度的预测因素。受试者包括62名在社区专科诊所寻求疼痛治疗的成年人。治疗包括镇痛药物的组合（例如，阿片类药物，三环类抗抑郁药）和由麻醉师进行的操作（例如，硬膜外类固醇注射、小关节阻滞）。受试者在治疗前和6个月随访时完成了疼痛严重程度、抑郁、残疾和疼痛相关焦虑的测量。随访评估还包括治疗满意度和患者临床经验特征的测量，以及评估药物、程序和访视次数的图表审查。基线和随访数据的比较显示，疼痛（25%）和抑郁症在统计学上显著减少。大多数患者对他们接受的治疗感到满意（45.6%）或非常满意（43.9%）（10.5%比较满意，无不满意）。相关性分析显示，患者人口统计学变量不能预测治疗满意度。疼痛、抑郁和疼痛相关焦虑的变化与治疗满意度相关，但疼痛的变化是一个相对较弱的预测因素。患者临床经验的16个特征中有9个与治疗满意度相关。回归分析显示，治疗满意度最强的唯一预测因素是患者感觉他们的评估是完整的，相信他们得到了临床程序的解释，并发现治疗有助于他们改善日常活动，（C）2002年欧洲国际疼痛研究协会分会联合会。由Elsevier Science Ltd.出版，版权所有。
Treatment satisfaction is an increasingly popular outcome measure in pain management. While it is a subjective variable, it may nonetheless reflect the quality of care and it may predict other important patient behaviors. The purpose of this study was to prospectively evaluate predictors of satisfaction with treatment for chronic pain. Subjects included 62 adults seeking treatment for pain at a community-based, specialty clinic. Treatment included combinations of analgesic medications (e.g., opioids, tricyclic antidepressants) and procedures performed by anesthesiologists (e.g., epidural steroid injections, facet joint blocks). Subjects completed measures of pain severity, depression, disability, and pain-related anxiety, prior to treatment and at a 6-month follow-up. Follow-up assessment also included measures of treatment satisfaction and characteristics of the patient's clinic experience and a chart review to assess medications, procedures, and number of visits. Comparison of baseline and follow-up data showed statistically significant reductions in pain (25%) and depression. Most patients were satisfied (45.6%) or extremely satisfied (43.9%) with the treatment they received (10.5% was somewhat satisfied, none were dissatisfied). Correlation analyses showed that patient demographic variables did not predict treatment satisfaction. Changes in pain, depression, and pain-related anxiety were associated with treatment satisfaction but change in pain was a relatively Weak predictor. Nine of the 16 characteristics of the patient's clinic experience correlated with treatment satisfaction. Regression analyses showed that the strongest unique predictors of treatment satisfaction were the patients feeling their evaluation was complete, believing they received an explanation for clinic procedures, and finding that treatment helped them improve their daily activity, (C) 2002 European Federation of Chapters of the International Association for the Study of Pain. Published by Elsevier Science Ltd. All rights reserved.