Ghadyani Leila, Tavafian Sedigheh Sadat, Kazemnejad Anoshirvan, Wagner Joan
Department of Health Education, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Department of Statistics, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Asian Spine J. 2017 Jun;11(3):396-404. doi: 10.4184/asj.2017.11.3.396. Epub 2017 Jun 15.
Clinical trial.
To evaluate the effectiveness of a multidisciplinary group-based intervention on improving pain and disability among Iranian nurses with chronic low back pain in Tehran, Iran.
Although low back pain (LBP) is one of the most important health problems, the challenge remains on how to find an effective intervention to reduce pain and related disabilities.
Overall, 136 eligible nurses with chronic mechanical LBP were classified into two groups. The intervention group (n=66 participants) participated in a physiotherapy educational program (for 120 minutes) plus a health educational program based on predictive constructs of the social cognitive theory (for 120 minutes). These interventions were delivered by a physiotherapist and a health education specialist. The control group (n=70 participants) participated in a physiotherapy educational program (for 120 minutes). Disability rate, pain severity, and back pain prevention behavior were measured initially and at 3- and 6-month follow-up visits using the visual analogue scale, Roland-Morris Disability, and Nursing Low Back Pain Preventive Behaviors Questionnaire. Data were analyzed by SPSS ver. 16.
There were statistically significant differences between the two groups in the main outcome measures immediately after the educational program and at 3- and 6-month follow-up visits. Preventive behaviors of participants in the intervention group were improved at 3- and 6- month follow-up visits (<0.001). The mean scores of predictive constructs regarding LBP preventive behaviors in the intervention group were improved after 3 and 6 months (<0.001). Finally, in the intervention group, pain severity and disability were decreased significantly.
This study showed that a multidisciplinary educational program intervention can be an effective approach for reducing LBP and related disabilities among nurses.
临床试验。
评估基于多学科小组的干预措施对改善伊朗德黑兰患有慢性腰痛的护士的疼痛和残疾状况的有效性。
尽管腰痛（LBP）是最重要的健康问题之一，但如何找到一种有效的干预措施来减轻疼痛和相关残疾仍然是一个挑战。
总体而言，136名符合条件的患有慢性机械性腰痛的护士被分为两组。干预组（n = 66名参与者）参加了一个物理治疗教育项目（120分钟）以及一个基于社会认知理论预测结构的健康教育项目（120分钟）。这些干预措施由一名物理治疗师和一名健康教育专家实施。对照组（n = 70名参与者）参加了一个物理治疗教育项目（120分钟）。使用视觉模拟量表、罗兰-莫里斯残疾量表和护士腰痛预防行为问卷在初始阶段以及3个月和6个月的随访中测量残疾率、疼痛严重程度和腰痛预防行为。数据使用SPSS 16版进行分析。
在教育项目结束后立即以及3个月和6个月的随访中，两组在主要结局指标上存在统计学显著差异。干预组参与者的预防行为在3个月和6个月的随访中得到改善（<0.001）。干预组中关于腰痛预防行为的预测结构的平均得分在3个月和6个月后得到改善（<0.001）。最后，在干预组中，疼痛严重程度和残疾状况显著降低。
本研究表明，多学科教育项目干预可以是减少护士腰痛及相关残疾的有效方法。
