基于证据的腰椎间盘切除术后宣传册干预措施的制定：一项德尔菲共识研究。
Evidence-based development of a post-surgical lumbar discectomy leaflet intervention: a Delphi consensus study.
作者信息
Goodwin P C, Wright C C, Allan C, Crowther L, Darley C, Heap A, Paul E, White L, Rushton A
机构信息
Department of Health Professions, Manchester Metropolitan University, Manchester, UK.
School of Sport, Exercise and Rehabilitation Sciences, College of Life and Environmental Sciences, University of Birmingham, Birmingham, UK.
出版信息
BMJ Open. 2015 Mar 11;5(3):e006069. doi: 10.1136/bmjopen-2014-006069.
OBJECTIVE
To produce free, expert-informed postoperative information for lumbar discectomy patients, satisfying UK National Health Service Information Standards.
DESIGN
A mixed methods approach utilising the Delphi technique and focus groups.
SETTING
Five spinal centres across the UK.
PARTICIPANTS
Panel members included 23 physiotherapists, 11 patients and 17 spinal surgeons.
INTERVENTION
Three rounds of questionnaires including open and closed questions and attendance at a clinician/patient focus group.
RESULTS
Response rates of 85%, 26% and 35% were achieved for the Delphi rounds. Ten clinicians and six patients participated in the focus groups. Consensus for leaflet sections was achieved in round 1 and content in round 3. The focus groups informed further revisions.
CONCLUSIONS
A consensually agreed, Information Standard compliant, patient lumbar discectomy leaflet was produced containing: (1) normal spine anatomy; (2) anatomy disc herniation and surgery; (3) back protection strategies and (4) frequently asked questions. Illustrations of exercises enable tailoring to the individual patient.
目的
为腰椎间盘切除术患者提供免费的、有专家指导的术后信息，以符合英国国家医疗服务体系的信息标准。
设计
采用德尔菲技术和焦点小组的混合方法。
地点
英国的五个脊柱中心。
参与者
小组成员包括23名物理治疗师、11名患者和17名脊柱外科医生。
干预措施
三轮问卷调查，包括开放式和封闭式问题，并参加临床医生/患者焦点小组。
结果
德尔菲法三轮调查的回复率分别为85%、26%和35%。10名临床医生和6名患者参加了焦点小组。在第一轮达成了关于传单章节的共识，在第三轮确定了内容。焦点小组为进一步修订提供了信息。
结论
制作了一份经各方同意、符合信息标准的患者腰椎间盘切除传单，内容包括：（1）正常脊柱解剖结构；（2）椎间盘突出及手术的解剖结构；（3）背部保护策略；（4）常见问题解答。运动插图有助于根据个体患者情况进行调整。
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