对患有慢性疼痛的退伍军人的授权退伍军人计划的评估

Uche
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引用次数: 3

摘要

目的:本质量改进项目的目的是提取和分析先前收集的数据,这些数据来自参加由美国东北部退伍军人管理局提供的授权退伍军人计划(EVP)的患有严重慢性疼痛的退伍军人。方法:本质量改进项目使用了2017年8月至2019年8月期间完成退伍军人医疗机构EVP的慢性疼痛退伍军人的数据。采用配对t检验比较干预前后疼痛强度、疼痛干扰、生活质量和疼痛灾变的数据。结果:虽然数据来自115名患者,但最终样本包括67名完成干预前和干预后问卷的患者。完成者和未完成者的基线测量相似。在Bonferroni校正的基础上,完成者前后平均得分的比较显示有统计学意义(P = 0.004)。中等和较大的效应量(Cohen’s d)表明,完成该计划的退伍军人在临床上有显著的改善。退伍军人对这个项目的满意度很高。结论:患有慢性高影响性非癌性疼痛的退伍军人在完成EVP后,疼痛强度、疼痛干扰、疼痛灾难化降低,生活质量和健康满意度提高。
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Evaluation of the Empower Veterans Program for Military Veterans With Chronic Pain
Objective: The purpose of this quality improvement project was to abstract and analyze previously collected data from veterans with high-impact chronic pain who attended the Empower Veterans Program (EVP) offered by a Veterans Administration facility in the northeastern United States. Methods: This quality improvement project used data collected from veterans with chronic pain who completed the veterans health care facility’s EVP between August 2017 and August 2019. Preand postintervention data on pain intensity, pain interference, quality of life, and pain catastrophizing were compared using paired t-tests. Results: Although data were abstracted from 115 patients, the final sample included 67 patients who completed both pre-and postintervention questionnaires. Baseline measures of completers and noncompleters were similar. Comparison of pre and post mean scores on completers showed statistically significant findings (P = .004) based on the Bonferroni correction. The medium and large effect sizes (Cohen’s d) indicated clinically significant improvements for veterans who completed the program. Veterans reported high levels of satisfaction with the program. Conclusion: Veterans with chronic high-impact noncancer pain who completed the EVP had reduced pain intensity, pain interference, pain catastrophizing as well as improved quality of life and satisfaction with their health.
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