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Chronic low back pain: early interventions.

J Faucett

    Annual Review of Nursing Research
    |July 27, 1999
    PubMed
    Summary
    This summary is machine-generated.

    Nursing interventions can improve outcomes for chronic low back pain (CLBP). Early activity, goal setting, and work modifications help patients return to work and reduce disability.

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    Area of Science:

    • Nursing Research
    • Chronic Pain Management
    • Low Back Pain (LBP)

    Background:

    • Low back pain (LBP) is a significant societal issue with substantial costs.
    • Long-term outcomes of chronic low back pain (CLBP), including occupational and social function, are influenced by nursing interventions.
    • Understanding early indicators and patient adaptation is crucial for effective nursing care.

    Purpose of the Study:

    • To review research from 1990-1998 on low back pain (LBP).
    • To identify early indicators of chronic pain and disability.
    • To explore patient adaptation to chronic pain and the effectiveness of early nursing interventions.

    Main Methods:

    • Systematic review of 16 quantitative studies on LBP natural history and outcomes.

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  • Inclusion of 6 qualitative studies on patient perspectives.
  • Analysis of 10 randomized clinical trials evaluating acute and subchronic phase interventions.

    • Main Results:

    • Interventions including activity advice, goal setting, reinforcement, and physical conditioning improved return-to-work rates and reduced pain/disability.
    • Worksite communication and job modification interventions facilitated faster return to work.
    • Research in this area is emerging, requiring refinement in subject selection, intervention timing, and implementation reliability.

    Conclusions:

    • Early nursing interventions focusing on activity, goal setting, and functional improvement are effective for LBP.
    • Workplace-focused interventions significantly aid return-to-work.
    • Integrating nursing theories of chronic pain with clinical intervention research is vital for patient benefit.