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Effect of Patient Education on Reducing Medication in Spinal Cord Injury Patients With Neuropathic Pain
Annals of Rehabilitation Medicine ; : 621-630, 2017.
Artigo em Inglês | WPRIM | ID: wpr-52023
ABSTRACT

OBJECTIVE:

To determine whether providing education about the disease pathophysiology and drug mechanisms and side effects, would be effective for reducing the use of pain medication while appropriately managing neurogenic pain in spinal cord injury (SCI) patients.

METHODS:

In this prospective study, 109 patients with an SCI and neuropathic pain, participated in an educational pain management program. This comprehensive program was specifically created, for patients with an SCI and neuropathic pain. It consisted of 6 sessions, including educational training, over a 6-week period.

RESULTS:

Of 109 patients, 79 (72.5%) initially took more than two types of pain medication, and this decreased to 36 (33.0%) after the educational pain management program was completed. The mean pain scale score and the number of pain medications decreased, compared to the baseline values. Compared to the non-response group, the response group had a shorter duration of pain onset (p=0.004), and a higher initial number of different medications (p<0.001) and certain types of medications.

CONCLUSION:

This study results imply that an educational pain management program, can be a valuable complement to the treatment of spinal cord injured patients with neuropathic pain. Early intervention is important, to prevent patients from developing chronic SCI-related pain.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Medula Espinal / Traumatismos da Medula Espinal / Proteínas do Sistema Complemento / Educação de Pacientes como Assunto / Estudos Prospectivos / Intervenção Educacional Precoce / Educação / Manejo da Dor / Neuralgia Tipo de estudo: Estudo observacional Limite: Humanos Idioma: Inglês Revista: Annals of Rehabilitation Medicine Ano de publicação: 2017 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Medula Espinal / Traumatismos da Medula Espinal / Proteínas do Sistema Complemento / Educação de Pacientes como Assunto / Estudos Prospectivos / Intervenção Educacional Precoce / Educação / Manejo da Dor / Neuralgia Tipo de estudo: Estudo observacional Limite: Humanos Idioma: Inglês Revista: Annals of Rehabilitation Medicine Ano de publicação: 2017 Tipo de documento: Artigo