为非特异性疾病患者提供保证——使用指南。
Reassurance for patients with non-specific conditions - a user's guide.
机构信息
Neuroscience Research Australia, Prince of Wales Clinical School, University of New South Wales, Sydney, Australia.
Neuroscience Research Australia, Prince of Wales Clinical School, University of New South Wales, Sydney, Australia.
出版信息
Braz J Phys Ther. 2017 Jan-Feb;21(1):1-6. doi: 10.1016/j.bjpt.2016.12.007. Epub 2017 Jan 14.
INTRODUCTION
Reassurance is the removal of fears and concerns about illness. In practice reassurance for non-specific conditions, where a diagnosis is unclear or unavailable, is difficult and can have unexpected effects. Many clinical guidelines for non-specific conditions such as low back pain recommend reassurance. Until recently, there was little evidence on how to reassure patients effectively.
RESULTS
High distress causes patients to consult more often for low back pain. To reduce distress, clinicians should provide structured education, which is effective in the short- and long-term. A newly developed online prognostic tool has the potential to improve the quality of reassurance and reduce the number of inappropriate interventions provided for low back pain.
CONCLUSION
Targeted reassurance, including enhanced, prognosis-specific education, could optimize reassurance and possibly prevent disabling symptoms.
简介
安慰是消除对疾病的恐惧和担忧。在实践中，对于诊断不明确或无法提供的非特异性疾病进行安慰是困难的，并且可能会产生意想不到的效果。许多针对非特异性疾病（如腰痛）的临床指南都建议进行安慰。直到最近，关于如何有效地安慰患者的证据还很少。
结果
高度的痛苦会导致患者更频繁地因腰痛而就诊。为了减轻痛苦，临床医生应该提供结构化的教育，这种教育在短期和长期都有效。一种新开发的在线预后工具有可能提高安慰的质量，并减少对腰痛提供的不当干预措施的数量。
结论
有针对性的安慰，包括增强的、特定于预后的教育，可能会优化安慰，并可能预防致残症状。
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