疼痛是一种个体体验,应纳入以患者为中心的护理。这项研究旨在纳入患者观点,以扩大急诊科(ED)疼痛的非药物治疗选择。
■在这项对患有肌肉骨骼颈部的ED成年患者的横断面研究中,回来,或者四肢疼痛,收集患者报告的结果,包括尝试的意愿和先前使用各种非药物疼痛治疗,社会人口统计学,临床特征,功能结果,心理困扰,和非肌肉骨骼症状.最小绝对收缩和选择算子回归确定了与(1)尝试意愿和(2)先前尝试过非药物治疗相关的变量。
■分析了206名成年人的反应,平均年龄为45.4(SD16.4)岁。大多数(90.3%)的ED患者愿意尝试至少一种形式的非药物疼痛治疗,70.4%,81.6%,70.9%的人愿意尝试各自的活跃子类别(例如,锻炼),被动(例如,heat),和社会心理(例如,祈祷)方式。只有56.3%的患者以前尝试过任何,35.0%,52.4%,41.3%的人尝试过活跃,被动,和社会心理模式,分别。与意愿相关的患者水平因素包括上背部疼痛,更严重的疼痛相关症状,和功能障碍。与治疗使用最相关的因素是卫生保健提供者鼓励这样做。
■ED患者表示愿意尝试非药物治疗疼痛。较高的疼痛严重程度和干扰可能表明更大的意愿,而医疗保健提供者的鼓励与治疗使用相关。这些发现可能为将来增加ED非药物治疗的策略提供信息。
UNASSIGNED: Pain is an individual experience that should incorporate patient-centered care. This study seeks to incorporate patient perspectives toward expanding nonpharmacologic treatment options for pain from the emergency department (ED).
UNASSIGNED: In this cross-sectional study of adult patients in ED with musculoskeletal neck, back, or extremity pain, patient-reported outcomes were collected including willingness to try and prior use of various nonpharmacologic pain treatments, sociodemographics, clinical characteristics, functional outcomes, psychological distress, and nonmusculoskeletal symptoms. Least absolute shrinkage and selection operator regression identified variables associated with (1) willingness to try and (2) having previously tried nonpharmacologic treatments.
UNASSIGNED: Responses were analyzed from 206 adults, with a mean age of 45.4 (SD 16.4) years. The majority (90.3%) of patients in ED were willing to try at least one form of nonpharmacologic pain treatment, with 70.4%, 81.6%, and 70.9% willing to try respective subcategories of active (eg, exercise), passive (eg, heat), and psychosocial (eg, prayer) modalities. Only 56.3% of patients had previously tried any, with 35.0%, 52.4%, and 41.3% having tried active, passive, and psychosocial modalities, respectively. Patient-level factors associated with willingness included pain in upper back, more severe pain-related symptoms, and functional impairments. The factor most consistently associated with treatment use was health care provider encouragement to do so.
UNASSIGNED: Patients in ED report high willingness to try nonpharmacologic treatments for pain. Higher pain severity and interference may indicate greater willingness, while health care provider encouragement correlated with treatment use. These findings may inform future strategies to increase the introduction of nonpharmacologic treatments from the ED.