Alcantara Joel, Nazarenko Andrea Lamont, Ohm Jeanne, Alcantara Junjoe
1 The International Chiropractic Pediatric Association , Media, PA.
2 Department of Research, Life Chiropractic College West , Hayward, CA.
J Altern Complement Med. 2018 Jan;24(1):90-98. doi: 10.1089/acm.2017.0162. Epub 2017 Dec 20.
To quantify the quality of life (QoL) and visit-specific satisfaction of pregnant women.
A prospective cohort within a practice-based research network (PBRN). Setting/Locations: Individual chiropractic offices.
Pregnant women (age ≥18 years) attending chiropractic care.
INTERVENTION(S): Chiropractic care (i.e., The Webster Technique, spinal adjustments, and adjunctive therapies).
The RAND VSQ9 to measure visit-specific satisfaction and the Patient Reported Outcomes Measurement Information System (PROMIS)-29 to measure QoL.
A convenience sample of 343 pregnant patients (average age = 30.96 years) comprised their study population. They were highly educated with 75% attaining a 2-year associate's degree or higher. The pregnant patients presented for chiropractic care with a mean week of gestation of 25.67 weeks (median = 28 weeks; range = 0-42 weeks) and parity (i.e., the number of live births) of 0.92 live births (median = 1; range = 0-6). From baseline (i.e., at study entrance with minimum first visit) and comparative (i.e., following a course of chiropractic care), the VSQ9 measurements revealed increasingly high satisfaction on the part of the subjects (i.e., the mean difference of baseline minus comparative measures = -0.7322; p < 0.005). The median number of visits (i.e., visits attended) at baseline and comparative measures was 1.00 (standard deviation [SD] = 22.69) and 3.30 (SD = 22.71), respectively. Across outcomes, QoL improved from baseline to comparative measurement after holding constant for visit number and time lapse, trimester of pregnancy, and care provider type. There was a reduction in mean T scores associated with fatigue (p < 0.05), pain interference (p < 0.05), sleep disturbance (p < 0.05), and an improvement in satisfaction with social roles (p < 0.05). A significant decrease was also found with pain interference (p < 0.05). No evidence was found that anxiety (p = 0.1404) or depression (p = 0.8785) changed.
A PBRN study was successfully implemented among chiropractors to find pregnant patients highly satisfied and their QoL scores improving with care beyond chance.
量化孕妇的生活质量（QoL）和特定就诊满意度。
基于实践的研究网络（PBRN）中的前瞻性队列研究。设置/地点：个体整脊诊所。
接受整脊治疗的孕妇（年龄≥18岁）。
整脊治疗（即韦伯斯特技术、脊柱调整和辅助疗法）。
使用RAND VSQ9量表测量特定就诊满意度，使用患者报告结局测量信息系统（PROMIS）-29量表测量生活质量。
343名孕妇（平均年龄=30.96岁）的便利样本构成了研究人群。她们受教育程度较高，75%的人获得了两年制副学士学位或更高学历。孕妇接受整脊治疗时的平均孕周为25.67周（中位数=28周；范围=0-42周），产次（即活产数）为0.92次活产（中位数=1；范围=0-6）。从基线（即研究开始时，首次就诊最少）到对照期（即接受一个整脊治疗疗程后），VSQ9量表测量结果显示受试者的满意度越来越高（即基线测量值减去对照期测量值的平均差值=-0.7322；p<0.005）。基线期和对照期的就诊次数中位数（即实际就诊次数）分别为1.00次（标准差[SD]=22.69）和3.30次（SD=22.71）。在所有结局指标中，在对就诊次数、时间间隔、妊娠 trimester和护理提供者类型进行校正后，生活质量从基线期到对照期测量有所改善。与疲劳相关的平均T分数降低（p<0.05），疼痛干扰（p<0.05）、睡眠障碍（p<0.05），社会角色满意度提高（p<0.05）。疼痛干扰也有显著下降（p<0.05）。未发现焦虑（p=0.1404）或抑郁（p=0.8785）有变化。
在整脊师中成功实施了一项PBRN研究，发现孕妇对治疗高度满意，且她们的生活质量得分在接受治疗后有非偶然的改善。
