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三级护理脊柱中心的风险分层:STarTBack和OSPRO-YF查工具之间的比较

Susan Robarts^1,2,3, Helen Razmjou^1,2,3, Albert Yee^2,4,5

¹From the: Bone and Joint Program, Holland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.

Physiotherapy Canada. Physiotherapie Canada

|September 22, 2023

概括

开始背部查工具和OSPRO-YF是有效的查工具,用于脊柱患者的心理痛苦. 他们的总分数显示没有底线或天花板的影响,有助于评估和管理.

科学领域:

脊柱护理脊柱护理脊柱护理
心理查心理查
临床评估临床评估

背景情况:

使用STarT背部查工具 (STarTBack) 和OSPRO-YF进行持续疼痛和残疾风险评估.
它们在第三级护理脊柱中心的有效性和可靠性需要进一步调查.
了解心理困扰对于有效的背痛管理至关重要.

研究的目的:

为了比较STarTBack和OSPRO-YF尺度的构造融合和已知组有效性.
评估这些查工具在第三级护理脊柱中心人群中的天花板和地板效应 (CFE).
评估这些工具在腰部疼痛患者中识别心理痛苦的能力.

主要方法:

一项横截面研究比较了STarTBack和OSPRO-YF在有和没有工作相关背部损伤的患者中.
使用医院焦虑和抑郁量表 (HADS) 评估了收的有效性.
已知群体有效性检查了基于补偿状态,非有机标志和工作状态的差异化. 已经计算出了CFE.

主要成果:

无论是STarTBack还是OSPRO-YF,都显示了与HADS抑郁症得分 (0.69-0.77) 的中度至高相关性.
STarTBack的类别根据受伤,非有机症状和工作状态 (p<0.001) 来区分患者.
OSPRO-YF的身体活动和恐惧回避构造表现优于其他构造 (p<0.001);然而,STarTBack的心理子得分和OSPRO-YF的负面影响域显示CFE.

结论:

STarTBack和OSPRO-YF具有可接受的收性和已知的组有效性,用于第三级脊柱护理中的查.
无论是STarTBack还是OSPRO-YF的总分数都没有地板和天花板的影响.
这些工具可以帮助识别,评估和管理脊柱患者的心理痛苦.

关键词:

腰部疼痛腰部疼痛腰部疼痛验证研究的验证研究.工人的工人赔偿.

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