在初级医疗保健中添加一个后期护理套餐;一个基于社区的集群随机试验
Ali Ahmadzadeh Amiri1, Stéphane Genevay2, Amir Ahmadzadeh Amiri1
1Sports Medicine Research Center, Neuroscience institute, Tehran University of Medical Sciences, Tehran, Iran.
一个初级医疗保健干预有效地降低了慢性腰痛 (CLBP) 的流行率和发病率. 这种以社区为基础的背部护理包,包括运动和教育,证明可以实现预防CLBP.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 初级卫生保健干预措施 初级卫生保健干预措施
背景情况:
- 腰部疼痛 (LBP) 是一个复杂的临床挑战,慢性性比预期的更高.
- 支持为患有LBP的普通人群提供特定干预措施的证据仍然不足.
研究的目的:
- 评估通过初级医疗保健提供的社区背部护理套餐在减少慢性腰部疼痛 (CLBP) 中的有效性.
主要方法:
- 一个集群随机试验,涉及11个初级医疗保健单位和3521名参与者.
- 干预包括运动和教育小册子,在基线,3个月和9个月收集数据.
- 使用通用估计方程 (GEE) 的逻辑回归分析了LBP流行率和CLBP发生率.
主要成果:
- 在9个月后,干预组与对照组相比,LBP患病率 (OR=0.44) 和CLBP发病率 (OR=0.48) 显著降低.
- 在两种结果中,统计学意义得到了P < 0.001的实现.
结论:
- 一个以人口为基础的干预措施,包括通过初级医疗保健进行运动和教育,有效地降低了LBP的患病率和CLBP的发生率.
- 通过可访问的初级医疗保健套餐预防CLBP是一个可行的策略.
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