Bücker B, Butzlaff M, Isfort J, Koneczny N, Vollmar H C, Lange S, Lutz G, Rieger M A
Institut für Allgemeinmedizin und Familienmedizin, Fakultät für Medizin, Universität Witten/Herdecke, 58448 Witten.
Gesundheitswesen. 2010 Dec;72(12):e78-88. doi: 10.1055/s-0029-1246174. Epub 2010 Mar 3.
If patients return early in the course of acute, uncomplicated back pain to their normal activities, their symptoms improve more quickly. Written detailed patient information can have a positive effect on knowledge and can increase physical activity. In this study the effect of a short evidence-based back pain leaflet on knowledge, function and patients' beliefs was investigated.
A randomised controlled trial was carried out in 12 primary care practices. Patients with acute, uncomplicated back pain received either the back-pain specific information (intervention) or a leaflet without content regarding back pain (control). Participants' data were inquired before consultation of the general practitioner, as well as 1 week and 3 months later. Outcome measures were SF-36, FABQ-D, FFbH-R, knowledge concerning back pain, frequency of use of the leaflet, usefulness of the information and change of behaviour.
The included patients totaled 174. The response rates were 74.7% (1 week) and 67% (3 months). Patients receiving the intervention leaflet showed better knowledge at 1 week and greater improvement in function scores at 3 months. There was no effect on patients' beliefs. Patients of the intervention group reported more activity in everyday life.
Short written information may have small, in total possibly positive effects on knowledge, support of activity and function in patients with acute, uncomplicated back pain.
如果急性非复杂性背痛患者在病程早期就恢复正常活动，其症状会改善得更快。书面的详细患者信息对知识水平有积极影响，并能增加身体活动。在本研究中，调查了一份简短的循证背痛宣传册对知识、功能和患者信念的影响。
在12家基层医疗诊所进行了一项随机对照试验。急性非复杂性背痛患者要么收到背痛特定信息（干预组），要么收到一份没有背痛相关内容的宣传册（对照组）。在患者咨询全科医生之前以及1周和3个月后询问参与者的数据。结局指标包括SF-36、FABQ-D、FFbH-R、关于背痛的知识、宣传册的使用频率、信息的有用性以及行为变化。
纳入患者共174例。1周时的回复率为74.7%，3个月时为67%。接受干预宣传册的患者在1周时知识水平更高，在3个月时功能评分改善更大。对患者的信念没有影响。干预组患者报告在日常生活中活动更多。
简短的书面信息可能对急性非复杂性背痛患者的知识、活动支持和功能有微小的总体可能是积极的影响。
