Medina-Mirapeix Francesc, Escolar-Reina Pilar, Gascón-Cánovas Juan J, Montilla-Herrador Joaquina, Collins Sean M
Departamento de Fisioterapia, Facultad de Medicina, Universidad de Murcia, Campus de Espinardo, ES-30100, Murcia, Spain.
J Rehabil Med. 2009 Apr;41(5):347-52. doi: 10.2340/16501977-0338.
To identify the beliefs and perceptions of patients with chronic neck and low back pain that influence adherence to home exercise during exacerbation and/or remission of pain.
Qualitative study using a focus group technique.
Thirty-four patients (23 women, age range 26-70 years) with chronic neck or low back pain who had participated in a home exercise programme.
Seven focus groups were formed. Participants were sampled purposefully from all patients with chronic neck or low back pain who attended for physiotherapy at 4 primary healthcare centres. Patients were interviewed about how they perceived their adherence to a home exercise programme during chronic pain. Data were analysed using a phenomenographic method.
Several themes about patients' beliefs and perceptions were identified as factors related to adherence. These factors change when pain or disabilities appear, decrease or disappear for an extended period. Beliefs about illness and treatment are more likely when pain is present and when pain disappears for an extended period. However, patients consider perceptions about barriers, social support and physical environment when pain decreases.
These findings may represent an important potential for improving the adherence of patients with chronic pain to home exercise programmes.
确定慢性颈痛和腰痛患者在疼痛加剧和/或缓解期间影响其坚持家庭锻炼的信念和认知。
采用焦点小组技术的定性研究。
34名参与家庭锻炼计划的慢性颈痛或腰痛患者（23名女性，年龄范围26 - 70岁）。
组成了7个焦点小组。从4个初级医疗保健中心接受物理治疗的所有慢性颈痛或腰痛患者中进行有目的抽样。就患者在慢性疼痛期间如何看待自己坚持家庭锻炼计划的情况进行访谈。采用现象学方法分析数据。
确定了几个关于患者信念和认知的主题，这些主题是与坚持相关的因素。当疼痛或残疾出现、长期减轻或消失时，这些因素会发生变化。当疼痛存在以及疼痛长期消失时，对疾病和治疗的信念更有可能出现。然而，当疼痛减轻时，患者会考虑对障碍、社会支持和物理环境的认知。
这些发现可能代表了提高慢性疼痛患者坚持家庭锻炼计划的重要潜力。
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