Pain management programme for Chinese patients: a 10-year outcome review.
Hong Kong Med J
; 21(4): 304-9, 2015 Aug.
Article
em En
| MEDLINE
| ID: mdl-25904291
ABSTRACT
OBJECTIVES:
To review the clinical and social benefits of a pain management programme in Hong Kong.DESIGN:
Prospective cohort study.SETTING:
Tertiary out-patient clinic, Hong Kong.PARTICIPANTS:
Patients with chronic non-cancer pain and prolonged (mean, 46 months) psychosocial disability who joined the Comprehensive Outpatient Pain Engagement programme between 2002 and 2012. INTERVENTION A structured 6-week out-patient pain rehabilitation course designed to improve function and reduce disability, regardless of the cause or severity of pain. MAIN OUTCOMEMEASURES:
Social outcomes included return-to-work rate, hospital admissions, and out-patient visits. Physical outcomes included tolerance to sitting and standing. Psychological constructs such as mood, catastrophisation, self-efficacy, quality of life, and perceived performances were used. Each measure was taken before and 1 year after the programme.RESULTS:
There was significant increase in return-to-work rate 1 year after commencement of the programme (35% after vs 17% before the programme; odds ratio=3.01), reduction in medical utilisation, and improvement in all physical and psychological measures. Pain intensity, psychological distress, and history of work-related injuries were not related to the likelihood of return to work. Shorter duration of pain and higher physical functioning score in 36-Item Short-Form Health Survey were prognostic indicators.CONCLUSIONS:
Patients with chronic pain who joined the Comprehensive Outpatient Pain Engagement programme showed significant functional improvement despite the long history of pain.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Avaliação de Programas e Projetos de Saúde
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Avaliação de Resultados em Cuidados de Saúde
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Avaliação da Deficiência
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Dor Crônica
/
Manejo da Dor
Tipo de estudo:
Evaluation_studies
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Observational_studies
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Prognostic_studies
/
Qualitative_research
Limite:
Adult
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Female
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Humans
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Male
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Middle aged
País/Região como assunto:
Asia
Idioma:
En
Revista:
Hong Kong Med J
Assunto da revista:
MEDICINA
Ano de publicação:
2015
Tipo de documento:
Article
País de afiliação:
Hong Kong