在全科医院治疗腰部疼痛的叙事方法:深入的患者访谈研究
Guillaume Dalle1,2, Camila Aloiso Alves3,4, Pascal Clerc1,2,5,6
1Department of Family Medicine, Faculty of Health Sciences Simone Veil, University Versailles Saint-Quentin, Montigny le Bretonneux, France.
The European journal of general practice
|July 2, 2025
概括
腰部疼痛 (LBP) 患者表现出不同的应对风格:一些人尽管疼痛仍坚持独立,而另一些人寻求意义并调整生活方式. 了解这些患者的经验可以改善LBP管理.
科学领域:
- 定性研究是一种定性研究.
- 患者为中心的护理
- 生物医学和社会科学.
背景情况:
- 腰部疼痛 (LBP) 的定义和风险因素往往对全科医生缺乏相关性.
- 腰痛管理的复杂性需要对患者体验有更深入的了解.
研究的目的:
- 探索LBP患者的生活经历.
- 了解患者的感受,需求和应对/治疗资源.
主要方法:
- 综合的定性,传记的方法.
- 个人生活故事分析,然后对共同主题进行联合分析.
- 探索患者生活事件及其社会起源.
主要成果:
- 确定了两种患者行动概况:"冒险" (尽管疼痛,但优先考虑独立) 和"寻找意义" (对生活方式的反思和疼痛的调整).
- 患者的个人独立欲望和疼痛引起的反思显著影响了他们对LBP的方法.
结论:
- 考虑患者的社会和个人背景的整体方法对于有效的LBP护理至关重要.
- 一般医生应该将身体症状与患者的关系,环境,工作,限制和价值观相结合,以改善管理策略.
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