What Does It Take? Comparing Intensive Rehabilitation to Outpatient Treatment for Children With Significant Pain-Related Disability
What Does It Take? Comparing Intensive Rehabilitation to Outpatient Treatment for Children With Significant Pain-Related Disability
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DOI：
10.1093/jpepsy/jss109
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发表时间：
2013-03-01
影响因子：
3.6
通讯作者：
Logan, Deirdre E.
中科院分区：
文献类型：
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作者：
Simons, Laura E.;Sieberg, Christine B.;Logan, Deirdre E.
目的本研究比较日间医院疼痛康复患者和门诊多学科疼痛治疗患者的结果。方法本研究包括100名儿童谁提出的初步三级保健疼痛临床评价。50名患者参加了强化日间医院疼痛康复治疗，50名患者接受了门诊多学科治疗。在2个时间点，儿童完成了功能障碍，疼痛相关的恐惧和准备改变的措施，父母完成了疼痛相关的恐惧和准备改变的措施。结果在两种治疗方式中，患者和父母报告了改善。参加强化疼痛康复的患者在功能障碍、疼痛相关恐惧和改变准备方面有显著的改善。与门诊患者相比，日间医院患者的家长报告称，与儿童疼痛相关的恐惧下降幅度更大，并且改变的准备程度更高。讨论对于疼痛相关残疾和痛苦程度高的患者，强化疼痛康复可快速、显著改善功能。
Objectives This study compared outcomes between day hospital pain rehabilitation patients and patients engaged in outpatient multidisciplinary pain treatment. Methods This study included 100 children who presented for an initial tertiary care pain clinic evaluation. 50 patients enrolled in intensive day hospital pain rehabilitation and 50 patients pursued outpatient multidisciplinary treatment. Across 2 time points, children completed measures of functional disability, pain-related fear, and readiness to change and parents completed measures of pain-related fear and readiness to change. Results Across both treatment modalities, patients and parents reported improvements. Patients enrolled in intensive pain rehabilitation had significantly larger improvements in functional disability, pain-related fear, and readiness to change. Parents of day hospital patients reported larger declines in child pain-related fear and increased readiness to change compared with their outpatient counterparts. Discussion For patients with high levels of pain-related disability and distress, intensive pain rehabilitation provides rapid, dramatic improvements in functioning.