Leininger Brent D, Evans Roni, Bronfort Gert
Research Fellow, Integrative Health & Wellbeing Research Program, Center for Spirituality & Healing, University of Minnesota, Minneapolis, MN.
Associate Professor, Integrative Health & Wellbeing Research Program, Center for Spirituality & Healing, University of Minnesota, Minneapolis, MN.
J Manipulative Physiol Ther. 2014 Oct;37(8):593-601. doi: 10.1016/j.jmpt.2014.08.005. Epub 2014 Sep 8.
The purpose of this study was to assess satisfaction with specific aspects of care for acute neck pain and explore the relationship between satisfaction with care, neck pain, and global satisfaction.
This study was a secondary analysis of patient satisfaction from a randomized trial of spinal manipulation therapy (SMT) delivered by doctors of chiropractic, home exercise and advice (HEA) delivered by exercise therapists, and medication (MED) prescribed by a medical doctors for acute/subacute neck pain. Differences in satisfaction with specific aspects of care were analyzed using a linear mixed model. The relationship between specific aspects of care and (1) change in neck pain (primary outcome of the randomized trial) and (2) global satisfaction were assessed using Pearson's correlation and multiple linear regression.
Individuals receiving SMT or HEA were more satisfied with the information and general care received than MED group participants. Spinal manipulation therapy and HEA groups reported similar satisfaction with information provided during treatment; however, the SMT group was more satisfied with general care. Satisfaction with general care (r = -0.75 to -0.77; R(2) = 0.55-0.56) had a stronger relationship with global satisfaction compared with satisfaction with information provided (r = -0.65 to 0.67; R(2) = 0.39-0.46). The relationship between satisfaction with care and neck pain was weak (r = 0.17-0.38; R(2) = 0.08-0.21).
Individuals with acute/subacute neck pain were more satisfied with specific aspects of care received during spinal manipulation therapy or home exercise interventions compared to receiving medication. The relationship between neck pain and satisfaction with care was weak.
本研究旨在评估急性颈部疼痛患者对特定护理方面的满意度，并探讨护理满意度、颈部疼痛和总体满意度之间的关系。
本研究是对一项随机试验中患者满意度的二次分析，该试验涉及脊椎按摩疗法（SMT）、运动治疗师提供的家庭锻炼与建议（HEA）以及医生为急性/亚急性颈部疼痛开具的药物治疗（MED）。使用线性混合模型分析对特定护理方面的满意度差异。使用Pearson相关性分析和多元线性回归评估特定护理方面与（1）颈部疼痛变化（随机试验的主要结果）和（2）总体满意度之间的关系。
接受脊椎按摩疗法或家庭锻炼与建议的个体比接受药物治疗组的参与者对所获得的信息和一般护理更满意。脊椎按摩疗法组和家庭锻炼与建议组对治疗期间提供的信息满意度相似；然而，脊椎按摩疗法组对一般护理更满意。与对提供信息的满意度相比，对一般护理的满意度（r = -0.75至-0.77；R(2) = 0.55 - 0.56）与总体满意度的关系更强（r = -0.65至0.67；R(2) = 0.39 - 0.46）。护理满意度与颈部疼痛之间的关系较弱（r = 0.17 - 0.38；R(2) = 0.08 - 0.21）。
与接受药物治疗相比，急性/亚急性颈部疼痛患者对脊椎按摩疗法或家庭锻炼干预期间所接受的特定护理方面更满意。颈部疼痛与护理满意度之间的关系较弱。
