"去检查一下":探讨出于腰部疼痛而去急诊的决定
Holly Whitcomb1, Lisa C Roberts2, Clare Ryan3
1School of Health Sciences, University of Southampton, UK.
Musculoskeletal science & practice
|April 25, 2025
概括
由于医疗保健专业人员和信任的人的建议,患者因腰部疼痛访问急诊室,同时对疼痛严重程度和不确定性感到个人焦虑. 需要更明确的指导来管理这些因素,并优化紧急护理资源.
科学领域:
- 紧急医疗 紧急医疗
- 定性研究是一种定性研究.
- 医疗服务研究 医疗服务研究
背景情况:
- 腰部疼痛 (LBP) 显著影响个人和医疗保健系统,导致紧张的急诊室 (EDs).
- 虽然个人因素影响LBP的ED访问,但外部咨询的作用仍未得到充分研究.
- 有效的LBP管理策略对于改善患者的治疗结果和减少医疗保健系统负担至关重要.
研究的目的:
- 调查为低背部疼痛访问急诊室背后的多方面的动机.
- 探索医疗保健专业人员,社交网络和个人对寻求LBP紧急护理的看法的影响.
- 确定导致ED资源过度使用的关键因素,用于非出现的腰部疼痛.
主要方法:
- 从一个多站点研究中获得的定性数据的二次分析,使用微妙的现实主义方法.
- 半结构化的在线访谈对47名患者进行主题分析,这些患者向英语EDs提出背部疼痛.
- 2021年8月至12月期间收集的数据,捕捉了各种社会人口统计和LBP特征.
主要成果:
- 出现了三个主要主题,影响了参加ED的决定:医疗保健专业人员,信任的其他人和个人的看法.
- 患者报告说,当医疗保健专业人员决定时,他们感到无能为力.
- 值得信赖的其他人充当了盟友,提供了可变的支持,而个人焦虑和对疼痛严重程度的不确定性是重要的驱动因素.
结论:
- 医疗保健专业人员必须提供更明确的指导,以适当的ED访问标准为腰部疼痛.
- 与疼痛相关的焦虑和不确定性显著导致ED访问,通常与既定的临床指导方针有所不同.
- 优化ED资源配置要求医疗保健提供者解决患者的担忧,并提供有针对性的LBP管理策略.
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