背部关联腿痛患者自我管理的障碍和促进因素:定性二次分析
Anna-Marie L Ziegler1,2,3,4, Don Thorpe5, Douglas Kennedy5
1Integrative Health and Wellbeing Research Program Earl E. Bakken Center for Spirituality & Healing, University of Minnesota, Mayo Memorial Building C504, 420 Delaware Street, Minneapolis, MN, 55414, USA. anna-marie.ziegler@va.gov.
Chiropractic & manual therapies
|May 5, 2025
概括
识别背部相关腿部疼痛 (BRLP) 自主管理的障碍和促进因素至关重要. 这项研究绘制了患者对干预要素的需求,为BRLP的未来自我管理策略提供了信息.
科学领域:
- 疼痛管理 疼痛管理
- 行为科学 行为科学
- 临床试验研究 临床试验研究
背景情况:
- 背部相关腿部疼痛 (BRLP) 是腰部疼痛的一个重要子集,其特点是疼痛增加,功能丧失和医疗费用.
- 患者自我管理虽然基于证据,但经常面临实施挑战.
- 了解自我管理的障碍和促进因素是改善患者治疗结果的关键.
研究的目的:
- 在临床试验环境中识别BRLP患者自我管理的障碍和促进因素.
- 将这些已识别的因素映射到基于理论的干预元素中.
- 引导一线医疗保健提供者设计和实施有效的自我管理干预措施.
主要方法:
- 一个双站点实用性随机临床试验的质量二次分析,将脊柱操纵疗法 (SMT) 与家庭炼和咨询 (HEA) 与单独的HEA进行比较.
- 演和归纳内容分析,以确定自我管理的障碍和促进者.
- 将结果映射到行为变化轮 (BCW) 框架中,以确定可修改的理论干预元素.
主要成果:
- 促进者包括运动轻松,条件知识,员工关系,治疗联盟,感知治疗有效性,疼痛减轻目标和继续炼的意图.
- 障碍包括时间限制,疼痛严重程度和缺乏治疗信心.
- 将障碍物映射到所有9个BCW干预功能中,其中"建模"和"教育"是最常见的. 识别的行为变化技术包括信息,反,自我监测,分级任务,重组,社会支持,目标设定,目标审查和行动计划.
结论:
- 这项研究成功地确定了影响BRLP群体自我管理参与的关键障碍和促进因素.
- 使用BCW框架的系统干预绘制过程提供了对患者需求和潜在支持策略的清晰理解.
- 这些发现为未来的发展提供了有价值的见解,理论驱动的自我管理干预措施的个人经历BRLP.
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