[用painDETECT®问卷对一家大学疼痛门诊的电子记录患者问卷进行回顾性评估]。

IF 1.1 4区 医学 Q3 ANESTHESIOLOGY Schmerz Pub Date : 2024-06-01 Epub Date: 2022-11-24 DOI:10.1007/s00482-022-00677-3
N Foadi, I Winkelmann, M Rhein, M Karst
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引用次数: 0

摘要

背景和目的:心理测试可为慢性疼痛患者的诊断和病情发展提供重要信息。2008 年至 2018 年期间,汉诺威医学院(MHH)疼痛门诊使用了电子系统 painDETECT®。这项回顾性研究的目的是评估使用painDETECT®记录的疼痛症状数据,以及在15个月内对患者队列进行检查时使用的治疗程序:对基线数据和随访数据进行了统计分析。分析包括使用painDETECT®系统记录的疼痛相关参数以及门诊记录:结果:共评估了 459 名患者(66% 为女性)的基线数据。最常见的临床症状是脊柱疼痛、头痛、面部疼痛和躯体形式障碍,其中大多数患者都曾接受过多年的治疗。约 40% 的患者有神经病理性疼痛或中枢敏化的迹象。平均疼痛强度为 VAS 6(0-10),主要表现为高度慢性化。约三分之一的患者表现出高度的疼痛相关功能障碍。略多于一半的患者表现出临床相关的抑郁。约 80% 的患者出现临床相关的睡眠障碍。有 145 名患者(31.6%)获得了随访数据。在观察期内,接受非药物治疗的患者比例增加了 44.1%(物理治疗)和 24.1%(心理治疗)。在观察期间,联合镇痛剂的使用增加了约30%:结论:在门诊环境中,延长慢性疼痛患者的治疗时间可以取得成功。与MHH的康复医学、心身医学和心理治疗诊所建立密切的结构性联系是实现这一目标的有利前提。
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[Retrospective evaluation of electronically recorded patient questionnaires of a university outpatient pain clinic with the painDETECT® questionnaire].

Background and objective: Psychometric tests can provide important information for diagnostics and progression in chronic pain patients. Between 2008 and 2018, the electronic system painDETECT® was used in the outpatient pain clinic of the Hannover Medical School (MHH). The aim of this retrospective study was to evaluate the pain symptomatology data recorded using painDETECT® and the treatment procedures used in the patient cohort examined over a period of 15 months.

Material and methods: A statistical analysis of baseline and follow-up data was performed. The analysis comprised pain-related parameters recorded by use of the painDETECT® system as well as outpatient records.

Results: Baseline data of 459 patients (66% women) could be evaluated. The most common clinical pictures were spinal pain, headache, facial pain, and somatoform disorders, mostly with many years of previous treatment. Approximately 40% showed evidence of neuropathic pain components or central sensitization. With a mean pain intensity of VAS 6 (0-10), a predominantly high degree of chronicity was present. Approximately one third showed a high degree of pain-related functional impairment. Slightly more than half showed evidence of clinically relevant depression. Approximately 80% showed clinically relevant sleep disturbances. Follow-up data were available for 145 patients (31.6%). The proportion of patients receiving a nonpharmacological form of treatment increased by 44.1% (physical therapy) and by 24.1% (psychotherapeutic procedures) during the observation period. The use of co-analgesics increased by approximately 30% over the course.

Conclusion: In the outpatient setting, an extension of treatment can be successful for high-grade chronic pain patients. Close structural networking with the clinics for rehabilitation medicine and for psychosomatics and psychotherapy at the MHH can be a favorable prerequisite for this.

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来源期刊
Schmerz
Schmerz 医学-临床神经学
CiteScore
2.00
自引率
20.00%
发文量
64
审稿时长
6-12 weeks
期刊介绍: Der Schmerz is an internationally recognized journal and addresses all scientists, practitioners and psychologists, dealing with the treatment of pain patients or working in pain research. The aim of the journal is to enhance the treatment of pain patients in the long run. Review articles provide an overview on selected topics and offer the reader a summary of current findings from all fields of pain research, pain management and pain symptom management. Freely submitted original papers allow the presentation of important clinical studies and serve the scientific exchange. Case reports feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. Review articles under the rubric ''Continuing Medical Education'' present verified results of scientific research and their integration into daily practice.
期刊最新文献
Mitteilungen der Deutschen Schmerzgesellschaft e.V. Mitteilungen der Österreichischen Schmerzgesellschaft. [Emotions in chronic pain : Changes in the course of day clinic interdisciplinary multimodal pain therapy]. [Pain-related stigma in patients with breast, colon, prostate or lung cancer : Results of a bicentric register-based cross-sectional study]. [Concept-dependent and -independent care effects of site-specific care concepts using "pain" as an example].
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