最佳实践的感知,疼痛科学和针对旋转手套相关的肩部疼痛的结构性教育:随机实验的定性数据的内容分析
Zixin Zhang1,2, Giovanni E Ferreira3,2, Ryan Muller4
1Institute for Musculoskeletal Health, Sydney Local Health District, Camperdown, New South Wales, Australia zixin.zhang@sydney.edu.au.
BMJ open
|February 6, 2026
概括
不同的旋转袖子教育方法会影响患者的感受和治疗需求. 最佳实践教育鼓励自我管理,而以结构为重点的教育导致人们更喜欢被动治疗.
科学领域:
- 整形外科和运动医学
- 患者教育和健康心理学
背景情况:
- 旋转手套相关的肩部疼痛 (RCRSP) 影响着大量患者群体.
- 了解患者对教育干预措施的看法对于优化治疗结果至关重要.
- 目前RCRSP的教育策略各不相同,需要对其相对有效性的研究.
研究的目的:
- 为了调查患者对不同教育方法的认知,用于旋转手套相关的肩部疼痛.
- 分析各种教育格式引起的情绪反应和感知治疗需求.
- 为了比较最佳实践教育,疼痛科学信息和以结构为中心的教育对患者期望的影响.
主要方法:
- 来自一个随机实验的定性数据的内容分析,涉及2237名RCRSP参与者.
- 参与者接受了三种教育干预之一:最佳实践教育,最佳实践教育加上疼痛科学信息,或以结构为重点的教育.
- 干预后,参与者回答了关于唤起的感觉和想要的治疗问题的问题.
主要成果:
- 最佳实践教育小组报告了更多的自我管理偏好和更少的请求,潜在的不必要的治疗,如成像或手术.
- 增加疼痛科学信息增强了验证和被关心的感觉.
- 结构性教育与对临床医生的专业知识,药物和被动干预的感知需求更大,对运动的考虑较少.
结论:
- 教育内容显著影响患者的情绪反应和治疗偏好在旋转手套相关的肩部疼痛.
- 最佳实践教育,特别是当结合疼痛科学时,似乎更有效地促进自我管理,减少对不必要干预的依赖.
- 结构性教育可能无意中培养被动的治疗期望,强调了定制教育策略的重要性.
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