OCCUPATIONAL PERFORMANCE AND FACTORS ASSOCIATED WITH OUTCOMES IN PATIENTS PARTICIPATING IN A MUSCULOSKELETAL PAIN REHABILITATION PROGRAMME
OCCUPATIONAL PERFORMANCE AND FACTORS ASSOCIATED WITH OUTCOMES IN PATIENTS PARTICIPATING IN A MUSCULOSKELETAL PAIN REHABILITATION PROGRAMME
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DOI：
10.2340/16501977-1810
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发表时间：
2014-06-01
影响因子：
3.5
通讯作者：
Eklund, Mona
中科院分区：
文献类型：
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作者：
Persson, Elisabeth;Lexell, Jan;Eklund, Mona
目的：从职业表现和职业表现满意度方面评估疼痛康复计划后的结果，并调查社会人口因素和疼痛相关因素是否与随访结果相关。方法：对555名完成疼痛康复计划的肌肉骨骼疼痛患者进行测试前和测试后的研究。加拿大职业绩效测量（COPM）被用作主要结果测量。采用背景调查问卷、残疾评分指数（DRI）和多维疼痛量表（MPI）收集社会人口学和疼痛相关因素。数据采用多元逻辑回归分析。结果：1年随访中，职业绩效和职业绩效满意度均有显著改善。女性、更少的严重残疾、更少的生活干扰和更多的生活控制预示着项目一年后的改善。职业表现和绩效满意度的高初始分数预示着这些方面的改进可能性降低。结论：对于大多数参与者来说，疼痛康复计划可以影响职业表现和对表现的满意度。男性和那些有更严重的疼痛相关后果的人可能需要额外的或改良的康复干预，以提高他们的职业表现和对职业表现的满意度。
Objectives: To assess outcomes after a pain rehabilitation programme in terms of occupational performance and satisfaction with occupational performance, and to investigate whether socio-demographic factors and pain-related factors were associated with outcomes at follow-up.Methods: A pre- and post-test study of 555 participants with musculoskeletal pain who completed a pain rehabilitation programme. The Canadian Occupational Performance Measure (COPM) was used as the primary outcome measure. Socio-demographic and pain-related factors were collected using background questionnaires, the Disability Rating Index (DRI) and the Multidimensional Pain Inventory (MPI). Data were analysed using multivariate logistic regression analyses.Results: Statistically significant improvements were seen on occupational performance and satisfaction with occupational performance at the 1-year follow-up. Female gender, less severe disability, less life interference and more life control predicted improvements 1 year after the programme. High initial scores on occupational performance and satisfaction with performance predicted reduced possibilities for improvements in these respects.Conclusion: A pain rehabilitation programme can, for a majority of participants, affect occupational performance and satisfaction with performance. Men and those with more severe pain-related consequences may need additional or modified rehabilitation interventions in order to improve their occupational performance and satisfaction with occupational performance.