Impact of a multicomponent program with nonpharmacological therapies for patients with chronic pain

Copyright © 2024 FECA. Publicado por Elsevier España, S.L.U. All rights reserved..

INTRODUCTION: 25.9% of Spanish people suffer from chronic pain. An integrated, interdisciplinary approach is recommended, with pharmacological and non-pharmacological therapies, involving patients in their self-care.

OBJECTIVE: To evaluate the effectiveness and impact on resources of a program with non-pharmacological therapies in the control of non-oncological chronic pain in the short and medium term.

MATERIAL AND METHODS: Quasi-experimental before-after study, follow-up 3-6 months, measuring: pain, well-being, quality of life, self-esteem, resilience, anxiety/depression (validated scales); patient-reported outcomes of workshop impact on pain management, habits and mood; ED and office visits; drug consumption and employment status.

RESULTS: One hundred and forty-two patients completed the program; 131 (92.3%) were women, age: 56.0. Decreased: pain (scale 0-10) (start: 6.0; end of workshop: 4.0; 3 months: 5.0); anxiety (12.9; 10.4; 8.8) and depression (12.3; 7.23; 6.47) (scales 0-21). They increased: well-being (scale 0-10) (4.0; 6.0; 4.0); quality of life (scale 0-1) (0.418; 0.580; 0.536); health status (scale 0-100) (47.5; 60.0; 60.0); self-esteem (scale 9-36) (24.1; 27.5; 26.7); resilience (scale 6-30) (14.8; 17.4; 18.6). Patient-reported outcomes were performed by 136 patients at the end of the workshop and 79 at 3 months: pain decreased (end of program: 104, 76.5%; 3 months: 66, 83.5%); medication decreased (96, 76.2%; 60, 78.9%); habits improved (112, 88.2%; 69, 90.8%). Forty patients (37.4%) reduced visits to the emergency room, 40 (37.4%) reduced scheduled visits. Overall satisfaction: 9.8 out of 10.

CONCLUSIONS: Patients learn to mitigate their pain, participate in their self-care and improve their quality of life, self-esteem and emotional state. The effects remained for 3-6 months.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:39

Enthalten in:

Journal of healthcare quality research - 39(2024), 2 vom: 06. März, Seite 109-119

Sprache:

Spanisch

Weiterer Titel:

Impacto de un programa multicomponente con terapias no farmacológicas para pacientes con dolor crónico

Beteiligte Personen:

Ruiz Romer, M V [VerfasserIn]
Porrúa Del Saz, A [VerfasserIn]
Gómez Hernández, M B [VerfasserIn]
Lobato Parra, E [VerfasserIn]
Soler Jiménez, A [VerfasserIn]
Pereira Delgado, C [VerfasserIn]

Links:

Volltext

Themen:

Calidad de vida
Chronic pain
Dolor crónico
Efectividad
Effectiveness
English Abstract
Journal Article
Multicomponent program
Non-pharmacological therapies
Quality of life
Taller multicomponente
Terapias no farmacológicas
Use of health resources
Uso de recursos sanitarios

Anmerkungen:

Date Completed 11.03.2024

Date Revised 11.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jhqr.2024.01.005

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM368920690