Kerssens J J, Sluijs E M, Verhaak P F, Knibbe H J, Hermans I M
Netherlands Institute of Primary Health Care, Utrecht.
Phys Ther. 1999 Mar;79(3):286-95.
The treatment of people with low back pain often includes giving a variety of instructions about back care. The objective of our study was to explore the content and sequence of these instructions.
Our database contained information on 1,151 therapy sessions for 132 patients who were treated by 21 therapists.
Hierarchical linear modeling was used to establish trends in instructions during the course of treatment. Instructions were measured by means of a registration form.
Pain management instructions were given at the start of treatment and then decreased in later sessions. Instructions about taking care of the back in daily activities followed the same course. Exercise instructions were introduced after the start of treatment and were spread evenly across the visits. The number of recommendations about general fitness decreased during treatment.
The majority of back care instructions were spread evenly across therapy visits. Relatively little variation in instructions among patients was seen, which may indicate a lack of individualization of the back care programs.
下腰痛患者的治疗通常包括给予各种关于背部护理的指导。我们研究的目的是探究这些指导的内容和顺序。
我们的数据库包含了21名治疗师对132名患者进行的1151次治疗疗程的信息。
采用分层线性模型来确定治疗过程中指导的趋势。指导通过一份登记表进行测量。
疼痛管理指导在治疗开始时给出，随后在后续疗程中减少。关于日常活动中背部护理的指导遵循相同的过程。运动指导在治疗开始后引入，并在各次就诊中均匀分布。关于总体健康的建议数量在治疗期间减少。
大多数背部护理指导在各次治疗就诊中均匀分布。患者之间指导的差异相对较小，这可能表明背部护理计划缺乏个性化。
