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- Title
Effect of Patient Education on Reducing Medication in Spinal Cord Injury Patients With Neuropathic Pain.
- Authors
Ji Cheol Shin; Na Young Kim; Shin Hye Chang; Jae Joong Lee; Han Kyul Park
- 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.
- Subjects
PATHOLOGICAL physiology; DRUG side effects; SPINAL cord injuries; PREVENTIVE medicine; PAIN; NEURALGIA; PREVENTION
- Publication
Annals of Rehabilitation Medicine, 2017, Vol 41, Issue 4, p621
- ISSN
2234-0645
- Publication type
Article
- DOI
10.5535/arm.2017.41.4.621