Rhee Taeho Greg, Leininger Brent D, Ghildayal Neha, Evans Roni L, Dusek Jeffery A, Johnson Pamela Jo
Integrative Health & Wellbeing Research Program, Center for Spirituality & Healing, Academic Health Center, University of Minnesota, Minneapolis, MN, United States; Department of Pharmaceutical Care and Health Systems, College of Pharmacy, University of Minnesota, Minneapolis, MN, United States.
Integrative Health & Wellbeing Research Program, Center for Spirituality & Healing, Academic Health Center, University of Minnesota, Minneapolis, MN, United States.
Complement Ther Med. 2016 Feb;24:7-12. doi: 10.1016/j.ctim.2015.11.002. Epub 2015 Nov 25.
Complementary and integrative healthcare (CIH) is commonly used to treat low back pain (LBP). While the use of CIH within hospitals is increasing, little is known regarding the delivery of these services within inpatient settings. We examine the patterns of CIH services among inpatients with mechanical LBP in a hospital setting.
This is a retrospective, practice-based study conducted at Abbot Northwestern hospital in Minnesota. Using electronic health record data from July 2009 to December 2012, 8095 inpatients with mechanical LBP were identified using ICD-9 codes. We classified patients by reason for hospitalization. We examined demographic and clinical characteristics by receipt of CIH services. Then, we estimated the prevalence of types of CIH delivered and clinical foci for CIH visits among inpatients with mechanical LBP.
Most inpatients with mechanical LBP (>90%) were hospitalized for surgical procedures. Overall, 14.2% received inpatient CIH services. All demographic and clinical characteristics differed by receipt of CIH (P<0.001), except race/ethnicity. CIH recipients were in poorer health than those who did not. Most commonly delivered CIH services were massage (62.1%), relaxation techniques (42.0%) and acupuncture (25.7%). Pain (45.1%), relaxation (17.5%), and comfort (8.2%) were the top three reasons for CIH visits.
There are important differences between CIH recipients and non-CIH recipients among patients with mechanical LBP within a hospital setting. The reasons documented for CIH visits included addressing physical, emotional and/or mental conditions of patients. Future studies are needed to determine the effectiveness of CIH services health and wellbeing outcomes in this population.
补充和综合医疗保健（CIH）常用于治疗腰痛（LBP）。虽然医院内部对CIH的使用正在增加，但对于这些服务在住院环境中的提供情况知之甚少。我们研究了医院环境中机械性LBP住院患者的CIH服务模式。
这是一项在明尼苏达州雅培西北医院进行的基于实践的回顾性研究。利用2009年7月至2012年12月的电子健康记录数据，使用ICD-9编码识别出8095例机械性LBP住院患者。我们按住院原因对患者进行分类。我们通过CIH服务的接受情况检查人口统计学和临床特征。然后，我们估计了机械性LBP住院患者中提供的CIH类型的患病率以及CIH就诊的临床重点。
大多数机械性LBP住院患者（>90%）因外科手术住院。总体而言，14.2%的患者接受了住院CIH服务。除种族/民族外，所有人口统计学和临床特征在是否接受CIH方面均存在差异（P<0.001）。接受CIH治疗的患者健康状况比未接受者差。最常提供的CIH服务是按摩（62.1%）、放松技巧（42.0%）和针灸（25.7%）。疼痛（45.1%）、放松（17.5%）和舒适（8.2%）是CIH就诊的前三大原因。
在医院环境中，机械性LBP患者中接受CIH治疗者与未接受者之间存在重要差异。记录的CIH就诊原因包括解决患者的身体、情感和/或心理状况。未来需要进行研究以确定CIH服务对该人群健康和幸福结局的有效性。
