Tavafian Sedigheh Sadat, Jamshidi Ahmadreza, Mohammad Kazem, Montazeri Ali
Iranian Institute for Health Sciences Research, Tehran, Iran.
BMC Musculoskelet Disord. 2007 Feb 28;8:21. doi: 10.1186/1471-2474-8-21.
Different interventions can reduce the burden of the chronic low back pain. One example is the use of a 'Back School Programme'. This is a brief therapy that uses a health education method to empower participants through a procedure of assessment, education and skill development. This study aimed to evaluate to what extent the programme could improve quality of life in those who suffer from the condition.
This was a randomized controlled trial. One-hundred and two female patients with low back pain (n = 102) were randomly allocated into two groups, matched in terms of age, weight, education, socioeconomic status, occupation and some aspects of risk behavior. Group 1 (back school group, n = 50) but not group 2 (clinic group, n = 52) received the 'Back School Programme'. Then quality of life using the Short Form Health Survey (SF-36) was assessed at two time points: at baseline and at three months follow-up. The findings were compared both within and between two groups.
The 'Back School Programme' was effective in improving patients' quality of life; significant differences were found on all eight subscales of the SF-36 for group 1. In the clinic group (group 2), improvement was observed on three scales (bodily pain, vitality and mental health) but these improvements were less than in group 1. The mean improvement over all eight subscales of the SF-36 was significantly better for the 'Back School Programme' group.
The 'Back School Programme' is an effective intervention and might improve the quality of life over a period of 3 months in patients who experience chronic low back pain.
不同的干预措施可以减轻慢性腰痛的负担。一个例子是使用“背部学校计划”。这是一种简短的治疗方法，采用健康教育方法，通过评估、教育和技能发展程序增强参与者的能力。本研究旨在评估该计划在多大程度上可以改善患有这种疾病的人的生活质量。
这是一项随机对照试验。102名患有腰痛的女性患者（n = 102）被随机分为两组，在年龄、体重、教育程度、社会经济地位、职业和一些风险行为方面进行匹配。第1组（背部学校组，n = 50）接受了“背部学校计划”，而第2组（诊所组，n = 52）没有接受。然后在两个时间点使用简短健康调查问卷（SF - 36）评估生活质量：基线时和随访3个月时。对两组内部和两组之间的结果进行了比较。
“背部学校计划”在改善患者生活质量方面有效；在SF - 36的所有八个子量表上，第1组都发现了显著差异。在诊所组（第2组）中，在三个量表（身体疼痛、活力和心理健康）上观察到了改善，但这些改善不如第1组明显。“背部学校计划”组在SF - 36的所有八个子量表上的平均改善明显更好。
“背部学校计划”是一种有效的干预措施，可能会在3个月内改善慢性腰痛患者的生活质量。
