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急诊科下腰痛患者的依从性。一项随机试验。

Compliance for low-back pain patients in the emergency department. A randomized trial.

作者信息

Jones S L, Jones P K, Katz J

机构信息

School of Nursing, Kent State University, Ohio.

出版信息

Spine (Phila Pa 1976). 1988 May;13(5):553-6. doi: 10.1097/00007632-198805000-00020.

DOI:10.1097/00007632-198805000-00020
PMID:2973132
Abstract

A randomized trial was used to evaluate two forms of a Health Belief Model (HBM) intervention aimed at increasing compliance among low-back pain (LBP) patients visiting an Emergency Department (ED). Patients who received an HBM clinical intervention administered in the ED, HBM phone intervention made 1 to 2 days post-ED visit, or both interventions were much more likely than control patients to both schedule and keep a follow-up referral appointment. Both the phone and clinical interventions were designed to increase patients' perceived susceptibility to complications of the LBP, seriousness of the complications, and benefits and costs of action through a follow-up referral appointment. Other factors predicting compliance included persistence of pain symptoms, previous treatment of LBP by a health care provider, and an unmet need for child care.

摘要

一项随机试验用于评估两种形式的健康信念模式(HBM)干预措施,旨在提高到急诊科(ED)就诊的腰痛(LBP)患者的依从性。在急诊科接受HBM临床干预、在急诊就诊后1至2天进行HBM电话干预或接受两种干预措施的患者,比对照患者更有可能安排并遵守后续转诊预约。电话干预和临床干预均旨在通过后续转诊预约,提高患者对腰痛并发症的易感性、并发症的严重性以及行动的益处和成本的认知。其他预测依从性的因素包括疼痛症状的持续时间、医疗保健提供者先前对腰痛的治疗以及未满足的儿童护理需求。

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