医生和患者对腰部疼痛患者的成像治疗的看法:一种定性研究
Mariana M Barbosa1, Anna Julia M Dos Santos1, Nilva Galli1
1University of Western São Paulo (UNOESTE), Presidente Prudente, Brazil.
概括
巴西的患者和医生经常要求对腰部疼痛进行成像,以找到疼痛的来源. 教育是减少不必要的成像率和改善医疗保健的关键.
科学领域:
- 医疗保健管理的管理
- 医疗成像医学成像
- 疼痛管理 疼痛管理
背景情况:
- 低价值的护理,包括为腰部疼痛进行例行成像,严重负担医疗保健系统.
- 了解感知对于制定制不适当诊断实践的策略至关重要.
研究的目的:
- 探索巴西医生和患者对非特异性腰部疼痛成像的看法.
- 确定影响订购诊断成像决定的因素.
主要方法:
- 使用框架分析进行定性研究.
- 与15名患者和15名医生在初级和中级保健机构进行的采访.
- 数据收集包括社会人口统计信息和半结构面试.
主要成果:
- 患者和医生都认为成像是一种识别疼痛来源和监测治疗有效性的工具.
- 患者的期望和压力影响成像决策,尽管临床医生倾向于教育干预.
- 临床医生认为,教育是减少不必要的成像率的主要策略.
结论:
- 图像要求的关键驱动因素包括识别疼痛源,跟踪疾病进展和管理患者的期望.
- 建议采取教育策略,以减少对腰部疼痛的常规成像的使用.
- 解决患者和临床医生的看法对于优化腰部疼痛护理至关重要.
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