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81.
周文 《医学与哲学(人文社会医学版)》2010,(12):65-66
从早期止痛的意义,早期止痛的依据以及传统止痛观念的成因等三个方面论述急腹症早期止痛的必要性和合理性,并探讨早期止痛的策略。提醒医务人员要更新观念,对急腹症患者应尽早实施止痛干预。 相似文献
82.
83.
疼痛是一种受多重因素影响的复杂主观感受。临床上,疼痛测量主要依赖于患者的主观评价。然而,这种传统的疼痛测量方法具有多方面的局限。近年来,研究者借助生理记录、脑电和功能磁共振等技术,揭示疼痛的神经生理、心理机制,挖掘与疼痛相关的神经生理指标,进而构建有效、客观和精确的疼痛评价体系。在基础研究和临床实践中,这些技术有望弥补传统疼痛测量方法的不足,从而极大推动疼痛测量及其治疗等相关领域研究的发展。 相似文献
84.
This study explores the utility of a pain IAT for the assessment of dysfunctional cognitive beliefs in chronic pain patients before and after a cognitive behaviour therapy. A patient group suffering from chronic pain (N=25) treated with a 4-week cognitive behavioural psychotherapy is compared with an untreated healthy control group (N=27) at two points in time. In addition, both groups completed a self-esteem questionnaire (Rosenberg-scale) and a self-esteem IAT. In the clinical group a questionnaire assessing self-reported pain cognitions was administered. The pain IAT was able to differentiate between chronic pain patients and healthy controls before the treatment. Most important, pain-related implicit associations could be shown to change over the course of treatment in the clinical group of chronic pain patients. Results provide first evidence for an application of the IAT in chronic pain research. 相似文献
85.
Gerhard Andersson 《Journal of religion and health》2008,47(2):176-187
In the present study a Swedish sample of 118 persons with chronic pain completed online tests on two occasions in association
with treatment trials. A three item subscale measuring praying as a coping strategy was derived from the Coping Strategies
Questionnaire (CSQ), but adapted to refer to “a higher power” instead of “God”. Measures of pain and anxiety/depression were
also included. Results revealed significant associations between praying and pain interference and impairment. Praying was
also associated with anxiety and depression scores. Results also showed that prayer predicted depression scores at follow-up,
and that follow-up prayer was predicted by pain interference at first measurement occasion. Overall, if prayer had any relation
with the other variables it was in the negative direction of more distress being associated with more praying both concurrently
and prospectively.
相似文献
Gerhard AnderssonEmail: Email: |
86.
Silviana Braz de Oliveira Silvia Regina Dowgan Tesseroli de Siqueira Ana Rosa Sanvovski Lúcia Maria Thompson Barros do Amaral José Tadeu Tesseroli de Siqueira 《Journal of clinical psychology in medical settings》2008,15(4):338-343
The objective of the current study was to evaluate disease-related beliefs, adherence to treatment, quality of life, coping
strategies and cognitive status in a group of Brazilian patients with Temporomandibular Disorder (TMD). Thirty patients were
evaluated with a semi-directed interview, the Coping Strategies Inventory, and a Mini-Mental State Examination. Although half
(50%) of the patients had known their diagnosis long term, 40% of the sample were not correctly following proposed treatment.
All patients had a similar pattern of pain behavior related to TMD, while disease-related beliefs, quality of life and coping
strategies were variable. Expectations about treatment also had significant association with treatment adherence. The findings
of this study suggest that a more thorough understanding of individual differences in TMD is warranted. 相似文献
87.
辅助镇痛药物最初的用途都不是镇痛,但对癌痛患者却能起到缓解疼痛、降低麻醉药品用量、减轻大剂量麻醉药品带来的药物不良反应的作用。尤其适用于那些对阿片类药物不敏感或不仅对阿片类药物敏感的癌病病人。遗憾的是临床上通常在阿片类药物镇痛效果不理想的时候才考虑添加辅助用药,癌痛治疗还存在用药过于单一的弊端。因此,为了加强止痛治疗效果、优化治疗策略,必须充分重视癌痛治疗中的辅助用药。 相似文献
88.
Edith L. B. Turner 《Zygon》2006,41(4):933-940
This discussion focuses on the details of the wellsprings of altruism. The preceding articles in this section portray how spirit figures in various cultural guises appear in human lives with the gift of altruism, in a kind of seeding of the willing healer with the spirit's presence and its accompanying power of love, altruism, and healing. The word altruism is related to the French autre and autrui, “other,” with a special meaning here implying a relationship of identification. 相似文献
89.
黄莛庭 《医学与哲学(人文社会医学版)》2006,27(2):23-25
慢性腹痛病史较长,性质不定。引起慢性腹痛的原因很多,除器质性疾病外,一些功能性疾病也引起,如最终找不出具体原因,则可称之为功能性腹痛综合征。诊断比较困难,也容易误诊,甚至误治,外科医生应特别慎重。误诊的思维原因包括对引起慢性腹痛的原因认识不全面,思维惰性,辩证思维不周密和思维简化等。 相似文献
90.
重视专科思维的局限,提倡多学科协同发展的应用 总被引:3,自引:3,他引:0
由于医学分科越来越细,临床工作中易逐渐形成专科思维。从一个病例就诊18次心血管专家门诊,分析表现为心血管症状和其他学科分科思维的局限性,并进一步阐明多学科协同发展的必要性。提倡在临床决策中,多进行跨学科的分析与思考。 相似文献