促进和障碍推迟成像的急性腰痛:一个定性研究
Carly A Robinson1, Melissa M Gosdin1,2, Camille S Cipri1,2
1School of Medicine, University of California, Davis, Sacramento, CA, USA.
BMC primary care
|July 3, 2025
概括
患者经常期望对急性腰痛进行早期成像,即使在医学上不必要时也是如此. 建立信任和提供明确的疼痛管理指导是鼓励警等待而不是早期成像的关键.
科学领域:
- 医疗成像医学成像
- 定性研究是指质量研究.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 对于急性腰痛的早期成像缺乏诊断益处,但很常见.
- 近四分之一的急性背痛初级保健访问导致早期成像.
- 了解患者和临床医生的观点对于改善护理指南至关重要.
研究的目的:
- 检查患者和临床医生的观点,推迟急性腰痛早期成像.
- 确定采取警等待策略的促进者和障碍者.
- 探索有效的沟通策略,以鼓励延迟成像.
主要方法:
- 使用焦点小组对30名患者和9名医生进行面试的定性研究.
- 采用了以有根据的理论为指导的主题分析.
- 收集关于成像期望,护理感知和沟通策略的数据.
主要成果:
- 超过一半的患者接受了早期成像检查;大多数人希望从医生那里得到明确的理由.
- 患者通常对成像伤害和价值感同情疼痛管理指导的信息不相信.
- 医生们发现,在短期访问期间建立信任是很有挑战性的,特别是在新病人身上.
结论:
- 由于患者的期望和对危害信息的怀疑,推迟急性腰部疼痛的早期成像面临挑战.
- 患者和医生之间缺乏建立的信任是一个重要的障碍.
- 富有同情心的指导和强大的患者与医生的关系对于成功推迟低价值成像至关重要.
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