Department of Rehabilitation Medicine, Jan van Breemen Institute for Rheumatology and Rehabilitation, Amsterdam, The Netherlands.
J Rehabil Med. 2010 Jun;42(6):566-73. doi: 10.2340/16501977-0536.
To explore which factors led to drop-out in patients of Turkish and Moroccan origin with chronic non-specific low back pain who participated in a rehabilitation programme.
Patients of Turkish or Moroccan origin with chronic non-specific low back pain (n = 23) from 2 rehabilitation centres and 4 rehabilitation departments of general hospitals in the Netherlands.
In-depth semi-structured interviews were conducted with patients of Turkish and Moroccan origin (n = 23), rehabilitation physicians (n = 8) and rehabilitation therapists (n = 2). Interviews were transcribed or summarized and subsequently coded and analysed according to themes.
Most patients dropped out due to expectations of a specific medical diagnosis and pain relief as the main aims of rehabilitation treatment. Other reasons for drop-out detected in the interviews were: lack of acknowledgement of the patient's complaints, lack of trust in the rehabilitation physician, contradicting views to those of the physician from the patients' country of origin with regard to the cause and treatment of pain, and communication problems.
The major reason for drop-out was patients having different expectations, from those of their health providers, of the aim of treatment, as a result of a different view of the origin and treatment of low back pain.
探讨哪些因素导致参加康复计划的土耳其和摩洛哥裔慢性非特异性下腰痛患者中途退出。
来自荷兰 2 家康复中心和 4 家综合医院康复科的土耳其裔或摩洛哥裔慢性非特异性下腰痛患者（n=23）。
对土耳其裔或摩洛哥裔患者（n=23）、康复医师（n=8）和康复治疗师（n=2）进行深入的半结构化访谈。访谈内容被转录或总结，然后根据主题进行编码和分析。
大多数患者中途退出是因为他们期望康复治疗的主要目标是特定的医学诊断和缓解疼痛。访谈中还发现了其他中途退出的原因：患者的抱怨未得到认可、对康复医师缺乏信任、对疼痛的起因和治疗的看法与患者原籍国的医师观点相矛盾，以及沟通问题。
患者中途退出的主要原因是他们对治疗目标的期望与医疗服务提供者不同，这是由于对下腰痛的起因和治疗的看法不同所致。
