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急性背痛:行为管理方法与传统管理方法的对照组比较

Acute back pain: a control-group comparison of behavioral vs traditional management methods.

作者信息

Fordyce W E, Brockway J A, Bergman J A, Spengler D

出版信息

J Behav Med. 1986 Apr;9(2):127-40. doi: 10.1007/BF00848473.

DOI:10.1007/BF00848473
PMID:2940370
Abstract

Back-pain patients with onset in the preceding 1-10 days and comparable on a back examination were randomly assigned to traditional management (A regimen) and behavioral treatment methods (B regimen). Patients were compared at 6 weeks and 9-12 months on a set of "Sick/Well" scores derived from patient reported vocational status (V), health-care utilization (HCU), claimed impairment (CI), and pain drawings (D) and on two measures of activity level. No differences were found at 6 weeks, but at 9-12 months, A-group S's were more "sick." No A/B differences were found on activity-level measures. Group A S's showed significant increases in claimed impairment from preonset to follow-up, whereas Group B S's had returned at follow-up to preonset levels.

摘要

背痛发作时间在之前1至10天且背部检查结果相当的患者被随机分配到传统治疗组(A方案)和行为治疗组(B方案)。在6周以及9至12个月时,对患者基于患者报告的职业状况(V)、医疗保健利用情况(HCU)、声称的损伤(CI)和疼痛绘图(D)得出的一组“患病/健康”评分以及两项活动水平指标进行比较。6周时未发现差异,但在9至12个月时,A组患者更“患病”。在活动水平指标上未发现A/B组差异。A组患者从发病前到随访期间声称的损伤显著增加,而B组患者在随访时已恢复到发病前水平。

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