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健康生活方式护理与基于指南的腰部疼痛护理:一项随机临床试验

Emma Mudd^1,2, Simon R E Davidson^1,2, Steven J Kamper^3,4

¹University Centre for Rural Health, School of Health Sciences, University of Sydney, Lismore, New South Wales, Australia.

JAMA network open

|January 10, 2025

概括

将健康生活方式的支持融入腰部疼痛护理中,改善了患者的治疗结果. 与标准护理相比,健康生活方式计划 (HeLP) 显示在残疾,体重和生活质量方面有好处.

科学领域:

健康科学卫生科学卫生科学
临床试验临床试验
康复医学康复医学康复医学

背景情况:

不健康的生活方式与慢性腰痛的发展和持续性有关.
关于生活方式干预是否改善腰部疼痛管理结果的证据尚不确定.

研究的目的:

评估健康生活方式计划 (HeLP) 与低背部疼痛残疾的指导方针护理的有效性.

主要方法:

一个优越性,评估者盲目的随机临床试验,涉及346名患有慢性腰痛和生活方式风险的参与者.
参与者接受了HeLP (整合生活方式支持与物理治疗和饮食) 或基于指南的物理治疗护理6个月.

主要成果:

在26周 (-1.3分;P=.03) 后,HeLP组显示了腰部疼痛残疾的统计显著减少 (罗兰·莫里斯残疾问卷得分).
符合HeLP组的合规者经历了临床上有意义的残疾福利 (-5.4分;P=.01),更大的体重减轻 (-1.6公斤;P=.049) 和改善的生活质量 (P=.04).

结论:

结合健康生活方式管理和基于指导方针的慢性腰部疼痛护理,在残疾,体重和生活质量方面提供了小但显著的改善.
针对慢性腰痛管理中的生活方式风险是安全的,并且提供了超越当前标准护理的额外健康益处.

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