探索患者对LBP的感知和应对策略
Amanda Hall1, Andrea Pike1, Krystal Bursey1
1Primary Healthcare Research Unit, Faculty of Medicine, Memorial University, St. John's, NL, Canada.
PloS one
|June 9, 2025
概括
寻求治疗腰部疼痛 (LBP) 的患者通常对诊断和治疗,包括成像的作用,有未满足的期望和误解. 这突显了患者需求和在初级机构提供的护理之间的差距.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者体验 患者体验
- 肌肉骨健康 肌肉骨健康
背景情况:
- 低腰痛 (LBP) 管理的基于证据的指导方针在初级保健中未得到充分利用.
- 患者对LBP的理解,情绪和期望显著影响寻求医疗保健的行为.
- 医生遵守指南的障碍往往来自患者相关的因素,例如对成像的需求.
研究的目的:
- 探索患者对LBP的看法,他们的应对机制,以及他们在寻求家庭医生护理时的期望.
- 了解成像在患者治疗期望和感知的必要性中的作用.
- 调查患者对初级保健和相关卫生专业人员进行LBP管理的经验.
主要方法:
- 使用半结构面试进行的定性探索性研究.
- 根据常识自我调节模型 (CSM) 进行问题开发和数据分析.
- 包括来自纽芬兰和拉布拉多的农村和城市环境的成年人 (18+),他们在过去一年内咨询了LBP的家庭医生.
主要成果:
- 患者寻求治疗新的,严重的或持续的LBP,主要是为了咨询,诊断或成像转诊.
- 关于成像对诊断和治疗的必要性的信念是常见的,尽管对其有效性的意见各不相同.
- 患者报告了负面情绪 (恐惧,压力) 和各种应对策略,结果往往令人失望;许多人发现家庭医生访问的好处很小.
结论:
- 患者的期望与获得的LBP护理之间存在重大不匹配.
- 患者表现出缺乏有关LBP原因的知识,成像的实用性,并经历了医生与患者的沟通不良.
- 解决患者的看法和改善沟通对于在初级保健中更好地管理LBP至关重要.
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