从全科医院寻求护理的青少年中自我管理腰部疼痛的能力 - 一项定性研究
Christian Lund Straszek1,2,3, Lotte Stausgaard Skrubbeltrang4, Kieran O'Sullivan5,6,7
1Center for General Practice at Aalborg University, Aalborg, Denmark. cst@dcm.aau.dk.
BMC primary care
|November 29, 2023
概括
患有腰痛 (LBP) 的青少年寻求医疗护理来治疗疼痛发作,但需要更好的自我管理指导. 改善患者和提供者之间的沟通对于有效的LBP自我管理策略至关重要.
科学领域:
- 青少年健康 青少年健康
- 肌肉骨系统疾病 肌肉骨系统疾病
- 医疗服务研究 医疗服务研究
背景情况:
- 对于患有腰部疼痛 (LBP) 的青少年的医疗保健相互作用的了解有限.
- 这种知识差距阻碍了为患有LBP的年轻患者制定有效的支持策略.
- 青少年需要量身定制的方法来管理LBP和导航医疗保健系统.
研究的目的:
- 调查LBP青少年之间的医疗互动的时间和性质.
- 确定这些青少年使用的健康素养能力和自我管理策略.
- 了解关于LBP管理的患者-提供者关系中的障碍和促进者.
主要方法:
- 进行了10次半结构化的在线访谈,对15-18岁的青少年进行了LBP.
- 面试时间从20到40分钟不等,疼痛持续时间从9个月到5年.
- 对定性数据进行了语义和潜在主题分析.
主要成果:
- 出现了三个主要主题:自我管理,疼痛和功能以及沟通.
- 由于LBP,青少年经历了功能限制,主要寻求疼痛加剧的护理.
- 与医疗保健提供者的沟通挑战是常见的,许多青少年觉得没有被听到或不被认真对待.
结论:
- 患有LBP的青少年在疼痛恶化时寻求护理,但往往缺乏足够的自我管理策略.
- 虽然青少年渴望自我管理,但他们也需要医疗保健提供者的加强指导.
- 不有效的沟通是青少年LBP协作自我管理努力的重要障碍.
相关概念视频
Assessment of the Cardiovascular System I: Subjective Data
343
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
343
Treatment Strategies for Psychological Disorders
137
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
137
Stress Prevention and Stress Management Techniques I
50
Stress prevention and management are crucial for maintaining well-being and building resilience. Techniques to manage stress include cultivating qualities like conscientiousness, a sense of personal control, and self-efficacy. Each of these traits significantly reduces stress and promotes healthier lifestyle choices and outcomes.
Conscientiousness
Conscientious individuals tend to be organized, responsible, and disciplined. They prioritize completing tasks and following structured routines,...
Conscientiousness
Conscientious individuals tend to be organized, responsible, and disciplined. They prioritize completing tasks and following structured routines,...
50
Influence of Parents and Peers on Identity
58
Adolescence is a pivotal period of identity formation, during which individuals begin to answer questions central to their sense of self, such as "Who am I?" and "Who do I hope to become?" Both parents and peers play critical roles in guiding adolescents through this complex developmental phase.
Parental Influence on Identity Development
Parents serve as primary guides and managers in an adolescent's life, offering support instrumental in decision-making and personal growth....
Parental Influence on Identity Development
Parents serve as primary guides and managers in an adolescent's life, offering support instrumental in decision-making and personal growth....
58


