ビデオを用いた患者教育による術後痛および破局的思考の改善効果

DOI Web Site 参考文献14件
  • 平川 善之
    福岡リハビリテーション病院 リハビリテーション部 畿央大学大学院 健康科学研究科
  • 原 道也
    福岡リハビリテーション病院 整形外科
  • 藤原 明
    福岡リハビリテーション病院 整形外科
  • 花田 弘文
    福岡リハビリテーション病院 整形外科
  • 問田 純一
    福岡リハビリテーション病院 リハビリテーション部
  • 平賀 勇貴
    福岡リハビリテーション病院 リハビリテーション部
  • 森岡 周
    畿央大学大学院 健康科学研究科

書誌事項

タイトル別名
  • For improvement of catastrophic thinking and postoperative pain by using the video-based patient education

この論文をさがす

抄録

   We previously reported on how patients catastrophize pain after total knee arthroplasty (TKA), indicating the importance of patient education in preventing pain catastrophizing. This study aimed to examine whether patient education reduces postoperative pain catastrophizing and to assess the effectiveness of video–based postoperative patient education.<br>   TKA was performed at the Fukuoka Rehabilitation Hospital between October 2012 and December 2013. We established a control group comprising patients who had undergone TKA between October 2012 and December 2013 and underwent normal postoperative rehabilitation, and a video group comprising TKA patients who had undergone TKA between June 2013 and December 2013 and underwent preoperative and postoperative (3 and 5 weeks postoperatively) patient education in addition to their normal rehabilitation. Their education comprised a 7–minute video, followed by an explanation by their physical therapist (PT), who also provided appropriate responses to the patients’ questions. The video covered topics such as early–stage post­operative rehabilitation (expanding range of motion and muscle strengthening), and indoor and outdoor walking practice, as well as showed actual patients undergoing rehabilitation. The pain catastrophizing scale (PCS) was used to assess preoperative and postoperative (3 and 5 weeks after surgery) pain catastrophizing, and the numerical rating scale (NRS) was used for postoperative assessments. The total PCS score was defined as the sum of PCS scores in the following subscales: rumination, helplessness, and magnification. The validity of the differences in PCS and visual analog scale scores was compared using 2–way analysis of variance and post hoc Bonferroni correction. The statistical significance level was set at < 5%.<br>   No significant differences in preoperative and postoperative total PCS scores or in the PCS scores in the magnification and helplessness subscales in both postoperative periods were noted between the two groups. However, the video group had significantly lower PCS scores for rumination in both postoperative periods. In addition, the video group generally had significantly lower pain scores at postoperative 5 weeks.<br>   Based on our findings, patients may concretely predict their pain by viewing the video provided by their PT during patient education. The video may reflect whether patients should allow their psychological condition to dictate their physical functions, given their present pain or condition. The influence of the patient’s psychological condition may be related to pain allevia­tion at postoperative 5 weeks. Thus, video–based patient education is an effective modality for stabilizing patients’ postoperative psychological conditions and alleviating postoperative pain.

収録刊行物

  • PAIN RESEARCH

    PAIN RESEARCH 30 (3), 158-166, 2015

    日本疼痛学会

参考文献 (14)*注記

もっと見る

関連プロジェクト

もっと見る

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ