社会处方能否为长期肌肉骨骼疾病患者的生物-心理-社会管理注入 "社会 "元素?

IF 1.5 Q3 RHEUMATOLOGY Musculoskeletal Care Pub Date : 2023-12-01 Epub Date: 2023-08-28 DOI:10.1002/msc.1810
Declan J O'Sullivan, Lindsay M Bearne, Janas M Harrington, Joseph G McVeigh
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引用次数: 0

摘要

背景:慢性肌肉骨骼疾病(MSD)对个人的生活质量和社会造成了沉重负担,并且由于多病共存而变得更加复杂。建议针对 MSD 的干预措施应具有可持续性、公平性,并纳入生物-心理-社会护理模式(BPS)。目的:对生物-心理-社会护理模式的批评是,该模式中的社会因素在管理长期 MSD 患者的过程中没有得到充分考虑,理论与实施之间存在差距。本文讨论了如何利用社会处方(SP)作为一种干预措施来弥补这一差距:社会处方是一种非医疗性的以人为本的整体福利方法,它利用联系工作者(LW)为社区中的长期病患者提供支持。社会处方转介由初级医疗保健从业人员转介给联系工作者,转介范围从就业或财务咨询的轻触式指路,到针对肥胖、体力活动减少和心理健康需求等长期病症的强化支持:有证据表明,SP 干预措施在管理 LTC 方面是有效的;但是,由于高质量的证据很少,因此很难得出结论。建议进行大规模随机对照试验,以支持在长寿老人管理中使用 SP 干预措施。
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Can social prescribing put the 'social' into the biopsychosocial management of people with long-term musculoskeletal disorders?

Background: Chronic musculoskeletal disorders (MSD) are a significant burden on individuals' quality of life and society and are made more complex by the presence of multimorbidity. It is recommended that interventions targeting MSD be sustainable, equitable and incorporate the biopsychosocial model of care (BPS).

Aims: A criticism of the BPS approach is that the social component of this model is not addressed adequately during the management of people with long-term MSD and that a gap exists between theory and implementation. The use of social prescribing (SP) as an intervention to bridge this gap is discussed.

Results and discussion: Social prescribing is a holistic non-medical person-centered approach to well-being that utilizes link workers (LW) to support individuals with long-term conditions (LTC) in the community. Social prescribing referrals are received from primary healthcare practitioners to LW and range from light touch signposting for employment or financial advice to more intensive support for LTC such as obesity, decreased physical activity and mental health needs.

Conclusion: There is evidence to suggest that SP interventions are effective in the management of LTC; however, due to the paucity of high-quality evidence, it is difficult to be conclusive. Large-scale randomised controlled trials are recommended to support the use of SP interventions in the management of LTC.

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来源期刊
Musculoskeletal Care
Musculoskeletal Care RHEUMATOLOGY-
CiteScore
2.30
自引率
7.70%
发文量
88
期刊介绍: Musculoskeletal Care is a peer-reviewed journal for all health professionals committed to the clinical delivery of high quality care for people with musculoskeletal conditions and providing knowledge to support decision making by professionals, patients and policy makers. This journal publishes papers on original research, applied research, review articles and clinical guidelines. Regular topics include patient education, psychological and social impact, patient experiences of health care, clinical up dates and the effectiveness of therapy.
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