Cooper Kay, Smith Blair H, Hancock Elizabeth
School of Health Sciences, The Robert Gordon University, Garthdee Road, Aberdeen AB10 7QG, UK.
Physiotherapy. 2009 Mar;95(1):43-50. doi: 10.1016/j.physio.2008.08.005. Epub 2008 Oct 23.
To explore the extent to which physiotherapy facilitated chronic low back pain (CLBP) patients to self-manage following discharge, and to explore patients' perceptions of their need for self-management interventions or support and their preferences in terms of delivery.
Qualitative study using semi-structured interviews to explore patients' perceptions of various aspects of physiotherapy management of CLBP.
Physiotherapy departments in one geographical area of the UK National Health Service.
Twenty-five people who had received physiotherapy for CLBP within the previous 6 months.
Adoption of self-management strategies was not achieved consistently in this group of participants. There was a strongly perceived need for self-management support following discharge from physiotherapy. Exercises were reportedly the most common self-management strategy in use. However, it was common for participants to perceive that physiotherapy had little influence on their CLBP management following discharge.
These results suggest that CLBP patients could be better facilitated to manage their condition. Providing self-management education in addition to the patient information and education provided traditionally, and providing self-management support in the form of direct access and/or review appointments or telephone calls is worthy of further investigation in this patient group.
探讨物理治疗在多大程度上促进慢性下腰痛（CLBP）患者出院后进行自我管理，并探讨患者对自我管理干预措施或支持的需求认知，以及他们在服务提供方式上的偏好。
采用半结构式访谈的定性研究，以探讨患者对CLBP物理治疗各方面的认知。
英国国民医疗服务体系一个地理区域内的物理治疗科室。
在过去6个月内接受过CLBP物理治疗的25人。
在这组参与者中，自我管理策略的采用情况并不一致。患者强烈认为在物理治疗出院后需要自我管理支持。据报道，锻炼是最常用的自我管理策略。然而，参与者普遍认为物理治疗对他们出院后的CLBP管理影响不大。
这些结果表明，可以更好地促进CLBP患者管理自身病情。除了传统提供的患者信息和教育外，提供自我管理教育，并以直接预约复诊和/或电话随访的形式提供自我管理支持，值得在该患者群体中进一步研究。
