关键词: CHRONIC PAIN Complex Regional Pain Syndromes Methods Pain Management

来  源:   DOI:10.1136/rapm-2024-105548

Abstract:
BACKGROUND: Chronic pelvic pain syndrome is a complex multifactorial condition with an increasing prevalence probably due to a rising awareness. Chronic pelvic pain syndrome is pain in the pelvic area and often accompanied with complaints in other organ systems of the lesser pelvis. Patients with chronic pelvic pain syndrome who present at our center are evaluated in a standardized care pathway with an integrated multidisciplinary consultation. The team works in a single center and consists of gynecologists, pain specialists, urologists, a pelvic floor physiotherapist and a psychologist. The aim of this interview study is to evaluate the value of the multidisciplinary consultation from the patient\'s perspectives.
METHODS: In a qualitative study, we evaluated the experiences and perspectives of patients with chronic pelvic pain syndrome concerning the multidisciplinary consultation at the Radboud University Medical Center. Semistructured interviews were conducted with patients with chronic pelvic pain syndrome who attended a multidisciplinary consultation between 2019 and 2022. All interviews were transcribed verbatim, coded and analyzed via ATLAS.ti with the conventional content analysis.
RESULTS: Data saturation was reached after seven interviews, followed by three confirmative interviews. In total, 10 patients (22-76 years) participated in the study. Three relevant themes were identified in the interviews: the deleterious effects of pain on overall health, the importance of the design of the multidisciplinary consultation, and the performance of healthcare professionals (knowledge, skills and interaction with patients and colleagues). Participants suggested that although the consultation did not improve their pain experience, there was value in having a comprehensive assessment of their disease. Patients preferred the consultation to occur at the beginning of the care. Additionally, they acknowledged the performance of healthcare providers and having their complaints recognized. However, some participants suggested the need for additional attention to mental health issues during the multidisciplinary consultation.
CONCLUSIONS: Even though patients did not perceive the multidisciplinary consultation to improve their pain experience, they appreciated the sense of recognition by this team.
CONCLUSIONS: A multidisciplinary consultation is of value from the patients\' perspective. A suggestion for improvement emerged where the multidisciplinary consultation should occur at the beginning of the patient journey.
摘要:
背景:慢性盆腔疼痛综合征是一种复杂的多因素疾病,其患病率增加可能是由于认识的提高。慢性盆腔疼痛综合征是盆腔区域的疼痛,通常伴有小骨盆其他器官系统的不适。在我们中心就诊的慢性盆腔疼痛综合征患者通过综合多学科咨询以标准化护理路径进行评估。该团队在一个中心工作,由妇科医生组成,疼痛专家,泌尿科医师,盆底理疗师和心理学家.这项访谈研究的目的是从患者的角度评估多学科咨询的价值。
方法:在一项定性研究中,我们评估了慢性盆腔疼痛综合征患者在Radboud大学医学中心进行多学科会诊的经验和观点.对2019年至2022年期间参加多学科咨询的慢性盆腔疼痛综合征患者进行半结构化访谈。所有采访都是逐字抄写的,通过ATLAS编码和分析。ti与传统的内容分析。
结果:经过七次访谈后,数据达到饱和,随后进行了三次确认性采访。总的来说,10名患者(22-76岁)参加了该研究。采访中确定了三个相关主题:疼痛对整体健康的有害影响,多学科咨询设计的重要性,以及医疗保健专业人员的表现(知识,技能和与患者和同事的互动)。参与者建议,尽管咨询并未改善他们的疼痛体验,对他们的疾病进行全面评估是有价值的。患者更喜欢在护理开始时进行咨询。此外,他们承认医疗保健提供者的表现,并承认他们的投诉。然而,一些与会者建议在多学科咨询期间需要更多关注心理健康问题。
结论:尽管患者没有意识到多学科咨询可以改善他们的疼痛体验,他们欣赏这个团队的认可感。
结论:从患者的角度来看,多学科咨询是有价值的。在患者旅程开始时进行多学科咨询的地方,出现了改进建议。
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