Magalhães Maurício O, Costa Leonardo O P, Cabral Cristina M N, Machado Luciana A C
Universidade da Cidade de São Paulo, São Paulo, SP, Brazil.
Rev Bras Fisioter. 2012 Jun;16(3):248-53. doi: 10.1590/s1413-35552012005000014. Epub 2012 Apr 5.
To measure the attitudes and beliefs of Brazilian physical therapists about chronic low back pain and to identify the sociodemographic characteristics that are more likely to influence these attitudes and beliefs.
We conducted a cross-sectional study with 100 Brazilian physical therapists who routinely work with chronic low back pain patients. The attitudes and beliefs were measured by the Pain Attitudes and Beliefs Scale for Physiotherapists (PABS.PT) and the Health Care Providers' Pain and Impairment Relationship Scale (HC-PAIRS). Multivariate linear regression models were built to identify sociodemographic characteristics that could be associated with physical therapists' attitudes and beliefs.
Mean scores on the biomedical and biopsychosocial factors of PABS.PT were 27.06 (SD 7.19) and 24.34 (SD 6.31), respectively, and the mean score on HC-PAIRS was 45.45 (SD 10.45). The score on PABS.PT(biomedical) was associated with gender and years of professional experience. No variable was associated with the score on PABS.PT(biopsychosocial). The score on HC-PAIRS was significantly associated with the number of back pain patients seen by the physical therapist each month. These results indicate that male and less experienced physical therapists tend to follow a biomedical approach to the treatment of chronic low back pain patients, and that the lower the professional experience the stronger the belief in the relationship between pain and disability.
Brazilian physical therapists are uncertain of the factors involved in the development and maintenance of chronic low back pain and about the relationship between pain and disability in these patients.
评估巴西物理治疗师对慢性下腰痛的态度和信念，并确定更有可能影响这些态度和信念的社会人口学特征。
我们对100名经常治疗慢性下腰痛患者的巴西物理治疗师进行了一项横断面研究。态度和信念通过物理治疗师疼痛态度和信念量表（PABS.PT）以及医疗服务提供者疼痛与损伤关系量表（HC-PAIRS）进行测量。建立多元线性回归模型以确定可能与物理治疗师的态度和信念相关的社会人口学特征。
PABS.PT生物医学因素和生物心理社会因素的平均得分分别为27.06（标准差7.19）和24.34（标准差6.31），HC-PAIRS的平均得分为45.45（标准差10.45）。PABS.PT（生物医学）得分与性别和专业经验年限相关。没有变量与PABS.PT（生物心理社会）得分相关。HC-PAIRS得分与物理治疗师每月接诊的背痛患者数量显著相关。这些结果表明，男性和经验较少的物理治疗师倾向于采用生物医学方法治疗慢性下腰痛患者，并且专业经验越少，对疼痛与残疾之间关系的信念越强。
巴西物理治疗师不确定慢性下腰痛发生和维持的相关因素以及这些患者疼痛与残疾之间的关系。
