Klaber Moffett Jennifer A., Newbronner Elizabeth, Waddell Gordon, Croucher Karen, Spear Steven
Institute of Rehabilitation, University of Hull, 215 Anlaby Road, Hull, HU3 2PG, UK; York Health Economics Consortium, University of York, York, YO10 5 DD, UK; Glasgow Nuffield Hospital, Beaconsfield Road, Glasgow, G12 0PJ, UK; York Health Economics Consortium, University of York, York, YO10 5DD, UK; South Derbyshire Health Authority, Derby, DE1 2FZ, UK.
Health Expect. 2000 Sep;3(3):161-168. doi: 10.1046/j.1369-6513.2000.00091.x.
To compare public perceptions and patient perceptions about back pain and its management with current clinical guidelines. DESIGN: A survey using a quota sampling technique. SETTING: On-the-street in South Derbyshire in the UK. SUBJECTS: 507 members of the general population aged between 20 and 60 years, including a representative subsample of 40% who had experienced back pain in the previous year. SURVEY: To test knowledge and perceptions of back pain and its best management using statements based on The Back Book which was produced in conjunction with the Royal College of General Practitioners and based on best available evidence. In addition expectations of back pain management and outcome were investigated. RESULTS: Forty percent of this sample had experienced back pain during the previous year, more than half of whom had consulted their GP. More than half believed the spine is one of the strongest part of the body, but nearly two thirds incorrectly believed that back pain is often due to a slipped disc or trapped nerve. Two thirds expected a GP to be able to tell them exactly what was wrong with their back, although slightly fewer among those who had consulted. Most expected to have an X-ray, especially if they had consulted. Most recognised that the most important thing a GP can do is offer reassurance and advice. The responses were not related to age, gender or social class. Those who had consulted appeared to have slightly more misconceptions: this could be partly due to people with more severe problems or more misconceptions being more likely to consult, but also suggests either that GPs are still giving inaccurate information or at least failing to correct these misconceptions. CONCLUSIONS: The problem of managing back pain might be reduced by closing the gap between the public's expectations and what is recommended in the guidelines through the promotion of appropriate health education messages. Further professional education of GPs also appears to be needed to update them in the most effective approach to managing back pain.
比较公众和患者对背痛及其治疗与当前临床指南的看法。
采用配额抽样技术进行的一项调查。
英国南德比郡的街头。
507名年龄在20至60岁之间的普通人群，包括40%的具有代表性的子样本，这些人在前一年经历过背痛。
使用基于与皇家全科医师学院联合编写的《背部手册》中的陈述来测试对背痛及其最佳治疗的知识和看法，该手册基于现有最佳证据。此外，还调查了对背痛治疗和结果的期望。
该样本中有40%的人在前一年经历过背痛，其中一半以上咨询过全科医生。超过一半的人认为脊柱是身体最强壮的部位之一，但近三分之二的人错误地认为背痛通常是由椎间盘突出或神经受压引起的。三分之二的人期望全科医生能够确切告知他们背部的问题所在，尽管咨询过的人中这一比例略低。大多数人期望进行X光检查，尤其是咨询过的人。大多数人认识到全科医生能做的最重要的事情是给予安慰和建议。这些回答与年龄、性别或社会阶层无关。咨询过的人似乎有更多的误解：这可能部分是由于问题更严重或误解更多的人更有可能咨询，但也表明要么全科医生仍在提供不准确的信息，要么至少未能纠正这些误解。
通过推广适当的健康教育信息，缩小公众期望与指南建议之间的差距，可能会减少背痛治疗的问题。似乎还需要对全科医生进行进一步的专业教育，以使他们了解管理背痛的最有效方法。
