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Patienten mit chronischen Schmerzsyndromen

Einfluss einer ambulanten individuellen Therapie auf Schmerzen und gesundheitsbezogene Lebensqualität

Patients with chronic pain syndromes

Impact of an individual outpatient therapy program on pain and health-related quality of life

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Zusammenfassung

Hintergrund

Multimodale Gruppentherapieverfahren zeigen einen positiven Einfluss auf Schmerzsymptomatik und gesundheitsbezogene Lebensqualität chronischer Schmerzpatienten. In der vorliegenden Untersuchung sollte geprüft werden, ob eine individuelle ambulante Therapie, erarbeitet im Rahmen eines multimodalen, interdisziplinären Assessments, ebenfalls zu einer Verbesserung der Schmerzsymptomatik beiträgt.

Material und Methoden

Es erhielten 50 Patienten nach einem ärztlich-psychologischen Assessment in einer interdisziplinären Schmerzambulanz einen individuellen Therapieplan, der eigenständig ambulant umgesetzt werden sollte. Vor Therapiebeginn sowie nach 3 Monaten wurden alle Patienten mittels DGSS-Fragebogen, dem Freiburger Fragebogen zur Erfassung der Motivation zur Bewältigung chronischer Schmerzen (FF-STABS) und durch ein Interview zur Therapiecompliance evaluiert.

Ergebnisse

Es zeigten sich lediglich geringgradige Verbesserungen der Hauptschmerzintensität sowie einiger Aspekte des SF 36. Vor Therapiebeginn waren 82% der Patienten im FF-STABS-Stadium der Sorglosigkeit oder der Vorbereitung. Die Therapiecompliance variierte stark zwischen unterschiedlichen Therapien.

Schlussfolgerungen

Eine ambulante individuelle Therapie nach interdisziplinärem Assessment führt nicht zu einer durchgreifenden Verbesserung von Schmerz und gesundheitsbezogener Lebensqualität. Patienten mit langjähriger chronischer Schmerzproblematik sollten daher bei entsprechender Therapiemotivation möglichst an einer multimodalen Gruppentherapie teilnehmen.

Abstract

Background

The study was performed to reveal the effect of an individualized personal outpatient therapy program, based on a multidisciplinary assessment, on pain and health-related quality of life in patients with chronic pain.

Methods

Fifty patients were prospectively evaluated before and 3 months after establishment of an individualized outpatient therapy program. Health-related quality of life, pain and pain-related disability, depression and motivation to adopt self-management of chronic pain were assessed. Therapy adherence was tested with a structured interview.

Results

Only marginal improvements were observed in terms of pain and health-related quality of life. Therapy adherence varied between the different therapies.

Conclusions

An individualized personal outpatient therapy program has only marginal effects on pain and health-related quality of life in patients with chronic pain.

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Authors and Affiliations

  1. Klinik für Anaesthesiologie, Ludwig-Maximilians-Universität München, Campus Grosshadern, Marchioninistr. 15, 81377, München, Deutschland

    V. Huge, E. Müller, A. Beyer & S.C. Azad

  2. Klinik für Physikalische Medizin und Rehabilitation, Ludwig-Maximilians-Universität München, München, Deutschland

    E. Kraft

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  1. V. Huge
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  2. E. Müller
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  3. A. Beyer
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Correspondence to V. Huge.

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Huge, V., Müller, E., Beyer, A. et al. Patienten mit chronischen Schmerzsyndromen. Schmerz 24, 459–467 (2010). https://doi.org/10.1007/s00482-010-0968-1

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