Liddle Sarah Dianne, Baxter G David, Gracey Jacqueline H
Health and Rehabilitation Sciences Research Institute, University of Ulster, Northern Ireland, UK.
Disabil Rehabil. 2007 Dec 30;29(24):1899-909. doi: 10.1080/09638280701189895. Epub 2007 May 4.
To explore the experiences, opinions and treatment expectations of chronic low back pain (LBP) patients in order to identify what components of treatment they consider as being of most value.
Three stand-alone focus groups were convened. All participants were experiencing chronic non-specific LBP (>3 months). Each group was facilitated by an independent moderator, and guided by a series of pre-determined questions. Participants were encouraged to freely air their personal opinions during the discussion. Transcribed data were organized into a series of 'categories' using the Qualitative Solutions for Researchers Nudist 6 package from which five common themes emerged.
Each participant had typically experienced a variety of failed treatment approaches. Whilst the value of advice and exercise was recognized, participants typically questioned the appropriateness of such treatment given the fact that a precise diagnosis was rarely given, and symptoms often recurred. As a result, poor adherence with advice and exercise appeared to be a key factor limiting the potential effectiveness of long-term self-management strategies.
Participants considered appropriate exercise (despite pain) and activity modification as important components for effective long-term self-management of symptoms. To enhance treatment effectiveness, participants welcomed the introduction of individually tailored advice and exercise programmes, with supervision and follow-up support, along with a better understanding of the physical and emotional impact of chronic LBP by practitioners.
探讨慢性下腰痛（LBP）患者的经历、意见和治疗期望，以确定他们认为治疗中最有价值的组成部分。
召开了三个独立的焦点小组。所有参与者都患有慢性非特异性下腰痛（超过3个月）。每个小组由一名独立的主持人主持，并由一系列预先确定的问题引导。鼓励参与者在讨论中自由表达个人意见。使用研究人员定性解决方案Nudist 6软件包将转录数据整理成一系列“类别”，从中出现了五个共同主题。
每个参与者通常都经历过各种失败的治疗方法。虽然认识到建议和锻炼的价值，但鉴于很少能得到精确诊断且症状经常复发，参与者通常会质疑此类治疗的适当性。因此，对建议和锻炼的依从性差似乎是限制长期自我管理策略潜在效果的关键因素。
参与者认为适当的锻炼（尽管疼痛）和活动调整是有效长期自我管理症状的重要组成部分。为了提高治疗效果，参与者欢迎引入个性化的建议和锻炼计划，并提供监督和后续支持，同时从业者要更好地理解慢性下腰痛对身体和情绪的影响。
