首页|疼痛灾难化对慢性疼痛患者不良健康结局影响的研究进展

疼痛灾难化对慢性疼痛患者不良健康结局影响的研究进展

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疼痛是继体温、脉搏、呼吸、血压之后的第五大生命体征,全世界近1/2的成年人都经历过某种身体上的疼痛,每年因慢性疼痛导致的经济损失为560亿~635亿美元。根据疼痛的病程,将其分为急性疼痛和慢性疼痛。慢性疼痛被国际疼痛研究学会定义为超过正常组织愈合时间,持续3个月以上的疼痛。疼痛是生理、心理和社会因素共同作用的结果,而疼痛灾难化被认为是与疼痛最相关的心理影响因素,是近年欧美学者在疼痛心理学领域的研究热点。疼痛灾难化的个体会对实际或潜在的疼痛反应过度,会更多关注疼痛以及经历更高程度的疼痛,如出现疼痛相关残疾,还会导致治疗效果不佳等,与患者临床结局紧密联系。本研究围绕疼痛灾难化对不良健康结局的影响,以及干预措施进行综述,以引起国内医护人员对疼痛灾难化的重视,为改善患者临床结局和慢性疼痛管理效果提供依据。
Research progress on the impact of pain catastrophizing on adverse health outcomes in patients with chronic pain
Pain is the fifth most important vital sign after body temperature,pulse,respiration,and blood pressure.Nearly half of the world's adults have experienced some form of physical pain,resulting in economic losses of $56 billion to $63.5 billion annually due to chronic pain.According to the course of pain,it is divided into acute pain and chronic pain.Chronic pain is defined by the International Society for Pain Research as pain that exceeds the normal tissue healing time and lasts for more than 3 months.Pain is the result of a combination of physiological,psychological,and social factors,and the catas-trophic nature of pain is considered the most relevant psychological influencing factor related to pain,which has become a research hotspot in the field of pain psychology among European and American scholars in recent years.Individuals experi-encing catastrophic pain may overreact to actual or potential pain,focusing more on pain and experiencing higher levels of pain.If pain related disabilities occur,it can also lead to poor treatment outcomes,which are closely related to the patient's clinical outcomes.This research reviews the impact of catastrophic pain on adverse health outcomes and intervention mea-sures,in order to raise awareness among domestic healthcare professionals about catastrophic pain and provide a basis for improving patient clinical outcomes and chronic pain management.

PainPain catastrophizingAdverse health outcomesReview

李若祎、韩欢

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康复大学青岛医院 青岛市市立医院疼痛科,山东青岛 266071

疼痛 疼痛灾难化 不良健康结局 综述

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(7)
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