- 期刊
Psychological Profiles of Patients in a Multidisciplinary Chronic Pain Management Program in Central Taiwan
摘要
Many studies have suggested that multidisciplinary care is an effective pain management method; however, this care mode is still not commonly seen in Taiwan. The current study focused on patients within the first multidisciplinary pain management program in Taiwan. The first aim of this study was to investigate the effectiveness of the first multidisciplinary pain management program in Taiwan in terms of improving chronic pain patients' mood, sleep quality, and pain. The second aim was to determine whether improvement in mood or sleep quality was predictive of improvement in pain, and vice versa. Patients from a pain clinic were invited to join a multidisciplinary pain management program. They were assessed each month for improvement in mood, pain, and sleep quality. This study reviewed the medical records of these patients. Twenty male and thirteen female chronic non-malignant pain patients aged between 23 and 64 from a pain clinic. During the first visit, a clinical psychologist assessed the mental health of patients before patients undertook education delivered by nine other professionals in the program. Participants' mood, pain, and sleep quality were assessed monthly. The study used repeated measures analysis of variance to identify changes in patients' mood, pain, and sleep quality after three months of multidisciplinary care. We used linear regression to assess whether changes in mood or sleep quality could predict improvement in pain, and vice versa. The level of anxiety decreased, and sleep quality improved significantly, over the duration of care. The severities of depression and sleep disturbance decreased as the least pain experienced in the past week showed improvement. Improvement in sleep quality was predictive of improvement in least pain. The multidisciplinary pain management program was effective in improving patients' anxiety and sleep quality. Decreased pain brought about improvement in mood. We also found a reciprocal association between improvements in the least pain experienced in the past week and sleep quality.
延伸閱讀
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