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调查慢性腰痛中的功能障碍:从患者和专家的角度进行定性研究

Arturo Cuomo¹, Franco Marinangeli², Alberto Magni³

¹Division of Anesthesia and Pain Medicine, Istituto Nazionale Tumori, IRCCS, "Fondazione G. Pascale", 80131 Naples, Italy.

Journal of personalized medicine

|June 28, 2023

概括

了解慢性腰部疼痛 (cLBP) 的功能是关键. 专家和患者对功能障碍有不同的看法,强调尽管有可用的工具,但需要进行一致的评估.

科学领域:

疼痛管理疼痛管理
康复医学康复医学康复医学
医疗保健服务研究医疗服务研究

背景情况:

慢性腰部疼痛 (cLBP) 需要有效的治疗,以防止残疾和医疗费用.
焦点正在转移,不仅仅是缓解疼痛,而是恢复功能,包括工作能力,日常活动,移动性和生活质量.
在慢性疼痛中对功能性的统一定义仍然难以捉摸.

研究的目的:

探索医疗保健专家和患者如何在慢性腰部疼痛 (cLBP) 的背景下解释"功能性".
确定各种医疗专业人员和患有cLBP的个人对功能障碍的观点.
了解功能评估在临床实践中的感知重要性和应用.

主要方法:

进行了一项定性采访研究.
采访涉及治疗cLBP的各种专家 (全科医生,骨科医生,疼痛治疗师,物理医生).
我们还采访了患有cLBP的患者,以收集他们的观点.

主要成果:

所有采访的专家都同意在临床实践中评估功能的重要性.
在专家和患者之间观察到关于"功能障碍"的含义的意见有显著分歧.
尽管有可用工具来评估功能,但指出缺乏标准化的评估实践.

结论:

关于功能评估的必要性,cLBP专家之间存在共识.
医疗保健提供者和患者对功能性的不同解释对一致的管理构成挑战.
需要进一步的研究和达成共识,以标准化在cLBP护理中的功能性评估和应用.

关键词:

慢性下背部疼痛慢性下背部疼痛慢性疼痛是一种慢性疼痛.身体残疾就是残疾.的功能性功能.肌肉骨疾病肌肉骨疾病这是一种阿片类阿片类药物.疼痛疼痛疼痛疼痛治疗治疗治疗疼痛的方法人们的生活质量.社会成本社会成本.

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