論文

2014年

岡山大学病院における難治性慢性痛に対する新しい試み — 痛みリエゾン外来 —

中国・四国整形外科学会雑誌
  • 鉄永 倫子
  • 宮脇 卓也
  • 太田 晴之
  • 田中 雅人
  • 尾﨑 敏文
  • 西江 宏行
  • 石川 慎一
  • 溝渕 知司
  • 井上 真一郎
  • 小田 幸治
  • 流王 雄太
  • 全て表示

26
1
開始ページ
23
終了ページ
29
記述言語
日本語
掲載種別
DOI
10.11360/jcsoa.26.23
出版者・発行元
中国・四国整形外科学会

Background : A multidisciplinary approach has been shown to be effective for treatment of intractable pain. However, few hospitals in Japan have established liaison clinics for such patients. We investigated the short-term results of a liaison clinic for patients with intractable chronic pain.<br>Methods : This study included 32 outpatients (11 males, 21 females) with intractable chronic pain who visited to our hospital between April 2012 and June 2012. At the baseline, patients completed a self-reported questionnaire and provided demographic and clinical information. Experts in various fields (anesthesia, orthopaedic surgery, psychiatry, physical therapy, and nursing) examined the patients and attended the conference once a week. At the conference we discussed the physical, psychological, and social problem of the patients and decided on courses of treatment. The degree of catastrophizing was measured using the Pain Catastrophizing Scale (PCS). Psychological co-morbidity was evaluated using the Hospital Anxiety Depression Scale (HADS) , and functional disability was measured using both the Pain Disability Assessment Scale (PDAS) and the Oswestry Disability Index (ODI). Clinical severity was assessed using the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ) and the Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire (JOACMEQ).<br>Results : After a follow-up period of three months, there was no significant change in the scores for the PDAS, HADS for depression, ODI or JOACMEQ. Both PCS and HADS for anxiety were significantly decreased after three months of treatment. Lumbar function assessed by the JOABPEQ was significantly improved after three months of treatment.<br>Conclusions : This liaison clinic for patients with intractable chronic pain was able to improve the patients' lumbar function and anxiety.

リンク情報
DOI
https://doi.org/10.11360/jcsoa.26.23
CiNii Articles
http://ci.nii.ac.jp/naid/130005137693
URL
http://search.jamas.or.jp/link/ui/2014365457
ID情報
  • DOI : 10.11360/jcsoa.26.23
  • ISSN : 0915-2695
  • CiNii Articles ID : 130005137693

エクスポート
BibTeX RIS