Internet-based rehabilitation for individuals with chronic pain and burnout: a randomized trial

Internet-based rehabilitation for individuals with chronic pain and burnout: a randomized trial
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DOI:
10.1097/01.mrr.0000210055.17291.f5
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发表时间:
2006-09-01
影响因子:
1.7
通讯作者:
Brattberg, Gunilla
Brattberg, Gunilla
中科院分区:
医学4区
文献类型:
--
作者:
Brattberg, Gunilla

文献摘要

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本研究调查了长期病假慢性疼痛和/或倦怠患者的康复利用互联网。55人被随机分为两组:治疗组(n = 27)通过互联网参加康复课程,而等候组(n = 28)。目标是改善参与者的健康和提高生活质量,对于那些没有领取永久性残疾养恤金的人,尽可能提高他们的工作能力。一个为期20周的项目,以19部不同主题的电影为基础,辅以书面材料和互联网上的苏格拉底对话。在康复课程完成后,与等候名单组相比,治疗组在抑郁、疼痛、活力、社会功能、由于身体疾病和压力症状而涉及工作或其他活动的表现问题等变量上观察到统计学上的显著改善。23人中有13人(57%)也提高了工作能力。从焦虑和抑郁中恢复需要治疗的人数是2。为了增加工作能力,需要治疗的人数为3人。通过网络开展长期病假人员康复工作,是对其他康复工作的良好补充。
This study investigates utilization of the Internet in the rehabilitation of people on long-term sick leave with chronic pain and/or burnout. Fifty-five people were randomly assigned to two groups: a treatment group (n = 27) that participated in a rehabilitation course over the Internet and a waiting list group (n = 28). The goals were to improve participants' health and increase quality of life, and, for those who were not on permanent disability pensions, to increase work capacity, if possible. A 20-week program, based on 19 films on different themes, was supplemented with written material and a Socratic dialogue over the Internet Upon completion of the rehabilitation course, statistically significant improvements were observed in the treatment group in comparison to the waiting list group, for variables such as depression, pain, vitality, social function, performance problems involving work or other activities due to physical illness and the presence of stress symptoms. Thirteen of 23 individuals (57%) also increased their work capacity. The number needed to treat regarding recovering from anxiety and depression was 2. For increased work capacity, the number needed to treat was 3. Rehabilitation of people on long-term sick leave carried out over the Internet is a good complement to other rehabilitation programs.