当前位置: X-MOL 学术Journal of Consulting and Clinical Psychology › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
To be mindful of the breath or pain: Comparing two brief preoperative mindfulness techniques for total joint arthroplasty patients.
Journal of Consulting and Clinical Psychology ( IF 7.156 ) Pub Date : 2021-06-24 , DOI: 10.1037/ccp0000657
Adam W Hanley 1 , Jeremy Gililland 2 , Eric L Garland 1
Affiliation  

OBJECTIVE Total joint arthroplasty (TJA) often reduces pain and improves function, but it is also a risk factor for the development of chronic pain and postoperative opioid use. To protect against these untoward postsurgical outcomes, TJA patients need better, non-pharmacological pain management strategies. This study compared two, promising, mindfulness-based pain management techniques. METHOD We conducted a single-site, three-arm, parallel-group randomized controlled study conducted at an orthopedic clinic among patients undergoing TJA of the knee or hip. TJA patients (N = 118, M age = 65, female = 73, Caucasian = 110) were randomized to either a preoperative mindfulness of breath (MoB), mindfulness of pain (MoP), or cognitive-behavioral pain psychoeducation (CB) intervention, approximately 3 weeks before surgery. Each intervention was delivered in a single, 20-min session during a 2-hr, preoperative education program. Change in pain intensity was the sole preoperative outcome. The postoperative outcomes, pain intensity, pain interference, and opioid use were assessed on the 2nd, 3rd, 7th, 14th, 21st, and 28th postoperative days. RESULTS MoB was found to most effectively decrease preoperative pain scores, F(2, 89) = 5.28, p = .007, while MoP resulted in the least amount of postoperative pain intensity, F(8, 94) = 3.21, p = .003, and interference, F(8, 94) = 2.52, p = .016). Both MoB and MoP decreased postoperative opioid use relative to CB, F(8, 83) = 16.66, p < .001. CONCLUSION A brief preoperative MBI may be able to prevent both postoperative pain and opioid use. Moreover, the MBIs used in this study are highly feasible, capable of being delivered by nearly any healthcare provider, and requiring minimal clinic time given their brevity. As such, embedding MBIs in surgical care pathways has considerable potential. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

中文翻译:

注意呼吸或疼痛:比较两种简短的术前正念技术用于全关节置换术患者。

目的 全关节置换术 (TJA) 通常可减轻疼痛并改善功能,但它也是发生慢性疼痛和术后阿片类药物使用的危险因素。为了防止这些不良的术后结果,TJA 患者需要更好的非药物疼痛管理策略。这项研究比较了两种有前途的基于正念的疼痛管理技术。方法 我们在一家骨科诊所对接受膝关节或髋关节 TJA 的患者进行了一项单点、三臂、平行组随机对照研究。TJA 患者(N = 118,M 年龄 = 65,女性 = 73,白种人 = 110)随机接受术前正念呼吸 (MoB)、正念疼痛 (MoP) 或认知行为疼痛心理教育 (CB) 干预,大约在手术前 3 周。在 2 小时的术前教育计划中,每次干预都在一个 20 分钟的课程中进行。疼痛强度的变化是唯一的术前结果。在术后第 2、3、7、14、21 和 28 天评估术后结果、疼痛强度、疼痛干扰和阿片类药物使用情况。结果发现 MoB 最有效地降低了术前疼痛评分,F(2, 89) = 5.28, p = .007,而 MoP 导致术后疼痛强度最小,F(8, 94) = 3.21, p = . 003 和干扰,F(8, 94) = 2.52, p = .016)。相对于 CB,MoB 和 MoP 都减少了术后阿片类药物的使用,F(8, 83) = 16.66, p < .001。结论 简短的术前 MBI 可能能够预防术后疼痛和阿片类药物的使用。此外,本研究中使用的 MBI 是高度可行的,几乎可以由任何医疗保健提供者提供,并且考虑到它们的简洁性,需要最少的诊所时间。因此,将 MBI 嵌入外科护理路径具有相当大的潜力。(PsycInfo 数据库记录 (c) 2021 APA,保留所有权利)。
更新日期:2021-06-24
down
wechat
bug