物理治疗师在疼痛管理中的作用:一个生物-心理-社会的视角

Q1 Social Sciences JOURNAL OF APPLIED BIOBEHAVIORAL RESEARCH Pub Date : 2019-06-06 DOI:10.1111/jabr.12170
Kara Edgerton, Jarod Hall, Michelle K. Bland, Blaine Marshall, Ryan Hulla, Robert J. Gatchel
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引用次数: 5

摘要

目的慢性疼痛患者在生理和心理两方面的生活质量都有所下降。对于慢性疼痛患者,常用的治疗方法是阿片类药物处方和手术,这可能对慢性疼痛患者的长期结果没有好处,实际上可能导致患者的整体健康状况下降。目的本综述将探讨物理治疗师在治疗慢性疼痛患者的生物心理社会模型中的作用。回顾慢性疼痛,通过生物心理社会的角度,筛选,评估,干预选择,并与方案依从性问题有关慢性疼痛患者在物理治疗将进行讨论。慢性疼痛的心理社会因素,包括对运动的恐惧和抑郁,也被研究了它们如何阻碍或干扰物理治疗、治疗和评估。结论在治疗慢性疼痛患者时,将生物心理社会观点应用于物理治疗,以恢复身体功能为重点,可以为慢性疼痛患者提供创伤最小的治疗方法,并获得最佳的治疗效果。
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A physical therapist’s role in pain management: A biopsychosocial perspective

Aim

People suffering with chronic pain have a decreased quality of life in both the physical and psychosocial dimensions. Popular treatment methods for a chronic pain patient are opioid prescriptions and surgery, which may not be beneficial to long-term outcomes in chronic pain patients, and may actually result in reducing a patient's overall health.

Purpose

This review will examine the role of the physical therapist in treating chronic pain patients in regard to the biopsychosocial model. Reviewing chronic pain through a biopsychosocial perspective, screening, evaluation, intervention selection, and problems with programs adherence in regard to chronic pain patients in physical therapy will be discussed. Psychosocial components of chronic pain including fear of movement and depression are also examined in how they can hinder or interfere with physical therapy treatment and evaluation.

Conclusion

When treating chronic pain patients, applying the biopsychosocial perspective to physical therapy with a focus on restoring physical function could provide the least invasive treatment for chronic pain patients with optimal outcomes.

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来源期刊
CiteScore
2.70
自引率
0.00%
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0
期刊介绍: The Journal of Applied Biobehavioral Research, launched in 1993, aims to disseminate findings of behavioral science research which have applications to current problems of society. By publishing relevant research and emphasizing the excellence of experimental design, as well as potential applicability of experimental results, the journal bridges the theoretical and applied areas of biobehavioral research. The Journal of Applied Biobehavioral Research serves as a means of communication among scientists, as well as between researchers and those engaged in the task of solving social and biomedical problems.
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