Recover Injury Research Centre, NHMRC CRE in Road Traffic Injury, The University of Queensland, Herston, Australia; Menzies Health Institute Queensland, Griffith University, Gold Coast, Australia.
Recover Injury Research Centre, NHMRC CRE in Road Traffic Injury, The University of Queensland, Herston, Australia; Menzies Health Institute Queensland, Griffith University, Gold Coast, Australia.
Musculoskelet Sci Pract. 2018 Feb;33:29-34. doi: 10.1016/j.msksp.2017.10.009. Epub 2017 Oct 17.
Whiplash associated disorders (WAD) result in significant personal and economic costs. Patient education and reassurance are recommended treatments for acute WAD but the information needs of patients have not been investigated.
To determine what information whiplash-injured patients believe is important to help recovery in the acute stage of injury.
A Delphi design survey series with three rounds.
Thirty-three participants who had sustained a whiplash injury within the last three years were invited to participate. Participants were asked to provide five statements, in response to an open-ended question, regarding what they believed was the most important information to provide to patients following a whiplash injury. Nineteen patients responded and 85 statements were collected and reviewed independently by two of the authors to remove duplicates. The importance of the remaining items was rated by the participants in the second survey round. Items rated by >50% of participants as important were included in the third survey round. To be deemed key information, >80% of participants had to rate an item as important in this final round.
Eighteen items met the criteria for key information. These points addressed four areas: assessment and treatment, recovery and symptoms, patient attitudes during treatment and relationships with health practitioners.
The key information points endorsed by patients in this study may provide useful information to constitute a basis for reassurance and education provided to patients with WAD. The results also suggest that improved relationships between patients with whiplash and health practitioners is required.
挥鞭伤相关疾病（WAD）会导致重大的个人和经济成本。患者教育和安慰被推荐用于急性 WAD 的治疗，但患者的信息需求尚未得到调查。
确定挥鞭伤患者认为哪些信息对受伤急性期的康复很重要。
一项具有三个轮次的 Delphi 设计调查系列。
邀请了 33 名在过去三年内遭受过挥鞭伤的参与者参加。参与者被要求针对一个开放式问题提供五条陈述，内容是他们认为在挥鞭伤后向患者提供哪些信息最重要。19 名患者做出了回应，收集并由两位作者独立审查了 85 条陈述以去除重复项。在第二轮调查中，参与者对剩余项目的重要性进行了评分。在这最后一轮中，>50%的参与者将项目评为重要的，则被认为是关键信息。
有 18 项符合关键信息的标准。这些要点涉及四个方面：评估和治疗、恢复和症状、患者在治疗过程中的态度以及与健康从业者的关系。
本研究中患者认可的关键信息要点可以为向 WAD 患者提供安慰和教育提供有用的信息基础。研究结果还表明，需要改善挥鞭伤患者与健康从业者之间的关系。
