使用医学讲故事来传达问题和解决方案在腰部疼痛难题:一个基于证据的双胞胎的故事
Donald R Murphy1, Brian D Justice2, Jeffrey Borkan3
1Department of Family Medicine, Alpert Medical School of Brown University, 133 Dellwood Road, Cranston, RI, 02920, USA. CRISP4PSP@gmail.com.
Chiropractic & manual therapies
|August 8, 2023
概括
腰部疼痛 (LBP) 管理显著影响患者的结果. 不适当的医疗护理处理可能导致慢性腰痛,而适当的护理可以确保更快的恢复,强调需要系统性改进.
科学领域:
- 医疗保健创新 医疗保健创新
- 医学叙事叙事的医学叙事.
- 患者为中心的护理
背景情况:
- 腰部疼痛 (LBP) 是全球导致残疾的主要原因之一,也是医疗保健方面的重大开支.
- 目前的LBP管理往往导致不必要的患者痛苦和社会成本.
- 在LBP护理中,急需以患者为中心的创新.
研究的目的:
- 用医学故事来说明LBP管理中的常见问题.
- 提出创新的解决方案,包括叙事干预,以改善LBP护理.
- 突出医疗保健系统处理对LBP患者结果的影响.
主要方法:
- 利用医学讲故事来创建一个比较场景,假设双胞胎患者经历相同的LBP发作.
- 一个双胞胎接受了适当的LBP管理,而另一个则接受了不适当的管理.
- 专注于说明医疗保健系统内的分歧途径.
主要成果:
- 尽管LBP条件相同,但一个双胞胎患有慢性疼痛,而另一个双胞胎实现了快速解决.
- 该研究表明,医疗保健系统干预措施的适当性对患者的结果有很大影响.
- 突出了来自相同临床表现的截然不同的结果.
结论:
- 慢性LBP往往不是不可避免的,并且通常是医疗保健系统处理的结果.
- 医疗叙述可以作为一种创新,揭露LBP管理问题.
- 提供了建议,以取消不适当的做法,并实施更有效的方法来LBP护理.
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