Evaluation of an Educational Program for Patients with Chronic Pain Due to Work-Related Accidents

Jennifer Baeza, Carla Adaos, Jaime Vasconcello, Josefina Bunster, Carlos Lehuedé
Purpose:

To determine the effect of the educational intervention on pain level, biopsychosocial factors, and quality of life in patients diagnosed with musculoskeletal chronic pain following a work-related accident.To determine the effect of the educational intervention on pain level, biopsychosocial factors, and quality of life in patients diagnosed with musculoskeletal chronic pain following a work-related accident.

Methods:

This retrospective observational study included patients over 18 years of age with chronic pain due to musculoskeletal injuries who participated in a 6-week educational program between October 2022 and December 2023. Weekly 3-hour sessions were conducted, covering topics such as emotional management, mindfulness, nutrition, return to work, physical exercise, and pain reconceptualization. The educational sessions were conducted by a multidisciplinary team including social workers, psychiatrists, psychologists, speech therapists, nutritionists, occupational therapists, and physical therapists. To assess the program's effect, outcomes were measured at the beginning and end of the program using the Verbal Numeric Pain Scale (VNP), the Kinesiophobia Scale (TSK-11), the Pain Catastrophizing Scale (PCS-13), and the Quality of Life questionnaire (SF-36).

Results:

Data from 37 patients with an average age of 47.5±9.9 years were analyzed, 65% were women. Fifty-one percent had lower extremity injuries and 46% had upper extremity injuries. Significant changes were found in the SF-36 scale (23 [IQR 17-29] vs 27 [IQR 19-34]; p0.05), VNP scale (7 [IQR 5-8] vs 6 [IQR 5-7]; p0.05), PCS-13 scale (40 [IQR 31-44] vs 34 [IQR 26-42]; p0.05), and TSK-11 (37 [IQR 30-40] vs 33 [IQR 29-37]; P=0.05).

Conclusion(s):

The educational program analyzed had significant positive effects on quality of life, pain, catastrophizing, and kinesiophobia related pain. he educational program analyzed had significant positive effects on quality of life, pain, catastrophizing, and kinesiophobia related pain. he educational program analyzed had significant positive effects on quality of life, pain, catastrophizing, and kinesiophobia related pain.

Implications:

Pain education is a low-cost tool that enables healthcare professionals, through a biopsychosocial and multidisciplinary approach, to treat patients with chronic pain. This intervention improves pain perception, promotes effective coping strategies, enhances patient self-efficacy, and has a positive impact on functionality and the return to daily life activities.

Funding acknowledgements:
this study was unfunded supported.
Keywords:
Chronic pain
Health education
Multidisciplinary
Primary topic:
Pain and pain management
Second topic:
Education
Third topic:
Disability and rehabilitation
Did this work require ethics approval?:
Yes
Name the institution and ethics committee that approved your work:
Comité Ético Científico Hospital del Trabajador.
Provide the ethics approval number:
2024-18
Has any of this material been/due to be published or presented at another national or international conference prior to the World Physiotherapy Congress 2025?:
No

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