■这项研究提供了有关艾伯塔省补充健康整合项目(ABCHIP)临床结果的真实证据,利用针灸解决艾伯塔省两个脆弱人群的疼痛和心理健康问题:青年(24岁及以下)和老年人(55岁及以上)。
■超过282天,共有606例患者接受了5,424例针灸治疗。针对每个患者的特定疼痛和心理健康问题,选择了个性化的治疗计划,遵循持续1至3个月的标准治疗方案。对患者进行了至少两次评估:最初和完成治疗后。主要治疗结果使用各种措施进行评估,包括简短疼痛清单(BPI),匹兹堡睡眠质量指数(PSQI)患者健康问卷9(PHQ9),PROMIS焦虑8a及其儿科形式PROMIS焦虑-儿科,PROMIS简表v1.0疲劳8a及其儿科对应的PROMIS儿科简表v2.0疲劳10a,PROMIS简表v1.1愤怒5a及其版本PROMISSFv2.05a,和EQ-5D-5L。这些措施测量了疼痛的减轻,改善睡眠质量,减少抑郁,焦虑,疲劳,愤怒,和生活质量,分别。
■通过ABCHIP接受至少6次针灸治疗的500名患者的数据分析显示,临床结果有统计学意义的改善。在这个群体中,接受至少12个疗程的235名患者的亚组显示出最有利的治疗结果,包括疼痛严重程度降低75.5%,睡眠质量改善了53.1%,抑郁症下降了78.4%,焦虑下降41.1%,疲劳减少43.7%,愤怒减少38.2%,整体生活质量改善42.6%。
■将针灸与常规护理相结合证明了增强心理健康的希望,缓解慢性和全身疼痛,提高整体生活质量。研究结果表明,综合计划,比如ABCHIP,提出一种有效的方法来解决弱势群体的疼痛和心理健康问题,为未来的医疗干预提供有价值的见解。
UNASSIGNED: This study presents real-world evidence on the clinical outcomes of the Alberta Complementary Health Integration Project (ABCHIP), which utilized acupuncture to address pain and mental health issues in two vulnerable populations in Alberta: youth (aged 24 and below) and elderly (aged 55 and above).
UNASSIGNED: Over 282 days, a total of 606 patients received 5,424 acupuncture treatments. Tailored to each patients\' specific pain and mental health concerns, an individualized treatment plan was selected, following a standard treatment protocol lasting 1 to 3 months. Patients were evaluated at least twice: initially and upon completing therapy. Primary treatment outcomes were assessed using various measures, including the Brief Pain Inventory (BPI), Pittsburgh Sleep Quality Index (PSQI), Patient Health Questionnaire 9 (PHQ9), PROMIS Anxiety 8a and its pediatric form PROMIS Anxiety-Pediatric, PROMIS Short Form v1.0 Fatigue 8a and its pediatric counterpart PROMIS Pediatric Short Form v2.0 Fatigue 10a, PROMIS Short Form v1.1 Anger 5a and its version PROMIS SF v2.0 5a, and EQ-5D-5L. These measures gauged pain reduction, improved sleep quality, reduced depression, anxiety, fatigue, anger, and quality of life, respectively.
UNASSIGNED: Analysis of data from 500 patients who received at least 6 acupuncture sessions through ABCHIP showed statistically significant improvements in clinical outcomes. Among this group, the subgroup of 235 patients who received at least 12 sessions demonstrated the most favorable treatment outcomes, including an 75.5% reduction in pain severity, a 53.1% improvement in sleep quality, a 78.4% drop in depression, a 41.1% decline in anxiety, a 43.7% decrease in fatigue, a 38.2% decrease in anger, and a 42.6% improvement in overall quality of life.
UNASSIGNED: Integrating acupuncture with usual care demonstrates promise in enhancing mental health, alleviating chronic and general pain, and improving overall quality of life. The findings suggest that integrative programs, such as ABCHIP, present an effective approach to addressing pain and mental health concerns in vulnerable populations, providing valuable insights for future healthcare interventions.