在初级保健中治疗腰部疼痛的一页患者实况表:一项随机临床试验
Christian Longtin1,2, Jeremy R Chang2,3,4, Jolyn Hersch3
1School of Rehabilitation, University of Sherbrooke, Sherbrooke, Quebec, Canada.
JAMA network open
|July 17, 2025
概括
详细介绍腰部疼痛管理选择的信息表提高了患者为共享决策做好准备的程度,而不是自我管理建议. 需要进一步的研究来确定这一发现的临床意义.
科学领域:
- 主要护理是指初级护理.
- 卫生沟通 卫生沟通
- 共享的决策方式
背景情况:
- 在腰部疼痛 (LBP) 的初级保健中,知情决策至关重要.
- 两种常见的方法包括提供附有管理信息的信息表或自我管理建议.
- 这些事实表类型对于LBP的比较有效性尚未得到充分证实.
研究的目的:
- 评估一页实况表对患者报告的为低腰痛患者共享决策做好准备的影响.
主要方法:
- 一个双组并行随机临床试验,涉及1080名最近没有并发症的腰部疼痛的成年人.
- 参与者收到了关于管理选择的1页信息表或关于自我管理的1页建议表.
- 干预后立即使用决策准备量表来评估决策准备程度.
主要成果:
- 与咨询表组相比,信息表组报告了对决策的准备程度更高 (平均差异4.7分;P=.01).
- 在患有慢性LBP的参与者中,观察到显著更大的效果.
- 两组之间使用推或非推干预的意图没有发现显著差异.
结论:
- 一页的信息表列出了管理选项,比自我管理咨询表更有效地提高了患者为腰部疼痛的共享决策做好准备.
- 这种加强准备的临床意义仍然不确定.
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