Medical Social Work Intervention In The Exploratory Research Of Chronic Pain Patients

The pain has been identified as the "fifth vital signs" after the blood pressure, respiration, pulse and body temperature.Acute pain, as a warning signal, remind people to avoid risk, and it is of great significance for people’s survival.But chronic pain has lost its signal warning role.It bring people tend to be long-term pain torment.Due to chronic pain produced by combining the results of the physical, psychological and social factors.In fact in the treatment of chronic pain,however, most people tend to focus on pathogenesis of physiological factors,and psychological and social factors that may have a greater influence on pain experience are ignored.In patients with chronic pain suffered persistent pain, accompanied by variations of cognitive biases, social function as well as the damage phenomenon, which, in turn, will affect the treatment of pain.This is a vicious cycle, ang greatly reduce the pain of therapeutic effect. What’s more, patients with chronic pain brought suffering to individual.At the same time it give family members a huge psychological pressure, and caused a serious economic burden.In addition, it makes people concern social harmony and stability of planted.Review of previous studies, the author found that most of the studies of chronic pain from medicine and psychology.The former focuses on the assessment of pain, medical care and treatment, etc.The latter from the Angle of psychology, study of chronic pain, focus on the patient’s anxiety and depression, quality of life condition, attachment mode, etc.The medical social work intervention in chronic pain of study is less, the more focus on cancer, AIDS, bioethical issues surrounding hospice care, etc.Therefore, the author based on the interdisciplinary research Angle of view, will be combined with psychology, social work intervention in patients with chronic pain for exploratory research.This study pain outpatient and hospitalized patien in nanjing gulou hospitalts as the research object.Research mainly divided into three parts:The first part is the interview research. We do a semi-structured interview on 12 patients with chronic pain.And we found that chronic pain psychological social factors (emotional experience, cognitive evaluation, attention bias, social function and attribution) and pain feeling is influence each other through the interview data coding and analysis.The second part is the intervention study.In the process of interview we found that patients with chronic pain is generally more attention on pain stimulation.They are highly sensitive to pain stimulation.Research has shown that Attention Bias Modification is to relieve the pain.So, we choose 40 patients with chronic pain.They were randomly divided into two groups, a group of real attention bias correction, another group of implementing virtual attention bias correction.Then,we evaluate the effect after intervention from explicit and implicit.Results show that the Attention Bias Modification is effective for pain relief, and its effect was more marked the implicit level.The third part is the consideration of medical social work intervention in chronic pain patients. Based on the former two parts, the author will pay attention to the bias correction combined with social work methods, and reflect on medical social work intervention in chronic pain patients respectively from case work and group work which is expected to provide reference for future research and using for reference.