在初级保健中管理腰部疼痛患者的分层方法 (SPLIT计划):前后研究
Luís Antunes Gomes1,2,3, Rita Fernandes4,3, Carmen Caeiro3
1Comprehensive Health Research Centre (CHRC), NOVA Medical School, Universidade NOVA de Lisboa, Lisbon, Portugal ftluisgomes@gmail.com.
Annals of family medicine
|May 28, 2024
概括
针对腰部疼痛的分层初级护理 (SPLIT) 计划显著减少了患者的残疾和疼痛. 与通常的护理相比,这种方法改善了健康结果.
科学领域:
- 初级保健研究初级保健研究
- 肌肉骨健康 肌肉骨健康
- 基于证据的实践实践.
背景情况:
- 腰部疼痛 (LBP) 是初级保健机构中普遍存在的疾病.
- 目前对LBP的常规护理 (UC) 可能无法始终优化患者的治疗结果.
- 分层护理模式旨在根据患者的需要,将患者与适当的干预措施相匹配.
研究的目的:
- 评估低背部疼痛分层初级保健 (SPLIT) 计划的有效性.
- 评估SPLIT对减少初级保健患者背部相关残疾的影响.
- 为了比较SPLIT计划与常规护理之间的与健康有关的结果.
主要方法:
- 一个前后研究设计,比较两个独立的LBP患者队列.
- 实施SPLIT计划,使用STarT反向查工具进行患者分层.
- 在UC和SPLIT群体之间比较背部相关的残疾,疼痛,感知治疗效果和生活质量.
主要成果:
- 参与SPLIT计划的患者在与背部相关的残疾方面表现出显著更大的改善 (ß = -2.94,P ≤ .001).
- 该SPLIT计划导致疼痛显著减少 (ß = -0.88,P ≤ .001) 和增强感知治疗效果 (ß = 1.40,P ≤ .001).
- 与健康相关的生活质量也显示了与UC相比,SPLIT队列的显著改善 (ß = 0.11,P ≤ .001).
结论:
- 在初级保健中,SPLIT计划为腰部疼痛患者提供了卓越的健康相关结果.
- 在SPLIT计划中实施的分层护理是管理LBP的有效方法.
- 这些发现支持在初级保健中采用分层护理模型来管理LBP.
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