British pain clinic practitioners' recognition and use of the bio-psychosocial pain management model for patients when physical interventions are ineffective or inappropriate: results of a qualitative study
British pain clinic practitioners' recognition and use of the bio-psychosocial pain management model for patients when physical interventions are ineffective or inappropriate: results of a qualitative study
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DOI：
10.1186/1471-2474-11-51
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发表时间：
2010-03-18
影响因子：
2.3
通讯作者：
Underwood, Martin
中科院分区：
文献类型：
--
作者：
Harding, Geoffrey;Campbell, John;Underwood, Martin
背景资料：探讨慢性肌肉骨骼疼痛是如何管理的多学科疼痛诊所的患者的物理干预是不适当的或effective.Methods：一个定性研究进行了半结构化的采访，25名成员的疼痛管理团队来自七个疼痛诊所和一个疼痛管理单位位于英国各地。然而，慢性疼痛管理策略实际上侧重于心理方法，而不是物理方法。这些方法被所有从业人员使用，无论他们的纪律。考虑社会因素，如访问社会支持网络，以支持患者在管理他们的慢性疼痛是显着缺席的approaches used.Conclusion：疼痛诊所从业人员欣然接受认知/行为为基础的管理策略，但相对较少的考虑社会因素在管理慢性疼痛的影响。因此，多学科疼痛诊所支持疼痛管理的生物心理社会模型可能无法发挥其最大潜力。
Background: To explore how chronic musculoskeletal pain is managed in multidisciplinary pain clinics for patients for whom physical interventions are inappropriate or ineffective.Methods: A qualitative study was undertaken using semi-structured interviews with twenty five members of the pain management team drawn from seven pain clinics and one pain management unit located across the UK.Results: All clinics reported using a multidisciplinary bio-psychosocial model. However the chronic pain management strategy actually focussed on psychological approaches in preference to physical approaches. These approaches were utilised by all practitioners irrespective of their discipline. Consideration of social elements such as access to social support networks to support patients in managing their chronic pain was conspicuously absent from the approaches used.Conclusion: Pain clinic practitioners readily embraced cognitive/behavioural based management strategies but relatively little consideration to the impact social factors played in managing chronic pain was reported. Consequently multidisciplinary pain clinics espousing a bio-psychosocial model of pain management may not be achieving their maximum potential.