了解患者对不复杂的腰部疼痛的看法:使用常识自我调节模型进行基于理论的定性研究
Shannon M Ruzycki1,2, Yamile Jasaui3, Sameh Mortazhejri4,5
1Department of Medicine, Cumming School of Medicine, University of Calgary, Alberta, Canada. Shannon.Ruzycki@ucalgary.ca.
BMC primary care
|March 26, 2025
概括
大多数没有并发症的腰部疼痛 (LBP) 的患者不要求诊断成像,与常见的假设相反. 干预措施应侧重于患者的理解和验证,而不仅仅是减少成像请求.
科学领域:
- 主要护理是指初级护理.
- 健康心理学 心理健康心理学
- 肌肉骨系统疾病 肌肉骨系统疾病
背景情况:
- 不复杂的腰部疼痛 (LBP) 是普遍存在的和具有挑战性的,由于成本和缺乏益处,指导方针不鼓励诊断成像.
- 尽管有建议,但对非复杂的LBP的诊断成像被过度使用,患者的期望被认为是其中的一个因素.
- 了解患者对不复杂的LBP的看法对于开发干预措施来制不必要的成像是至关重要的.
研究的目的:
- 探索患者对非复杂的腰痛 (LBP) 的理解和经验.
- 确定与患者相关的驱动因素,影响寻求无并发性LBP诊断成像的决定.
- 为旨在减少初级保健机构不必要的诊断成像的干预措施的设计提供信息.
主要方法:
- 这是一项定性研究,采用半结构化采访,对患有不复杂腰痛的人进行了调查.
- 常识 - 自律模型 (CS-SRM) 引导面试开发和数据分析.
- 框架分析被用来确定与患者关于LBP和诊断成像的感知和行为相关的主题.
主要成果:
- 共有13名参与者,他们的LBP持续时间中位数为5年.
- 大多数参与者将不复杂的腰痛视为慢性疾病,影响情绪健康和生活事件.
- 虽然大多数人看过医生并接受成像检查,但他们通常没有报告要求测试,而是经常寻求验证和建议.
结论:
- 与一些假设相反,这项研究中的大多数患者没有要求对无并发性LBP进行诊断成像.
- 面向患者的干预措施应该包含同情心,痛苦的验证,以及对LBP原因和自我管理的明确解释.
- 解决患者的疾病概念是有效减少不必要的诊断成像的关键.
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