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慢性背痛老年患者的益处:定性研究。

The Benefits of for Older Adults with Chronic Back Pain: A Qualitative Study.

机构信息

Department of Child, Family and Population Health Nursing, University of Washington, Seattle, WA, USA.

Kaiser Permanente WA Health Research Institute, Seattle, WA, USA.

出版信息

J Altern Complement Med. 2020 Jun;26(6):456-462. doi: 10.1089/acm.2019.0455. Epub 2020 May 5.

Abstract

To determine the perceived benefits of in older adults with chronic low-back pain (cLBP). A qualitative analysis from a randomized controlled feasibility trial. Eighteen participants (65+ years old) with cLBP of at least moderate intensity. A 36-week intervention beginning with twice weekly classes for 12 weeks, weekly classes for 6 weeks, biweekly classes for 6 weeks, and monthly classes for 12 weeks. Participants were asked to practice at home on nonclass days and videos were provided to assist in that process. Participants in the focus groups were asked to provide feedback on their experiences with the study as well as the benefits of their practice. We used demographic and class attendance data to describe the sample. Regarding the benefits of practice, five major themes were identified: functional benefits, pain reduction/pain relief, psychospiritual benefits, the importance of social support in learning , and the integration of into daily activities. The most common functional benefits were improvements in balance, flexibility, leg strength, and posture. Some reported pain reduction or pain relief, but others did not. Increased relaxation, mindfulness, and a sense of connectedness were subthemes that emerged from psychospiritual benefits. Social support benefits included motivation to attend class and group support while learning a new skill. Finally, improved body awareness allowed participants to integrate skills into their daily activities. This qualitative analysis demonstrates the multifaceted benefits of for older adults living with cLBP.

摘要

为了确定在患有慢性下腰痛(cLBP)的老年人中对[疗法名称]的感知益处。一项随机对照可行性试验的定性分析。18 名参与者(65 岁以上)患有至少中度强度的 cLBP。为期 36 周的干预措施,从每周两次的 12 周课程开始,然后是每周一次的 6 周课程、每两周一次的 6 周课程和每月一次的 12 周课程。要求参与者在非上课日在家练习,并提供视频以协助该过程。焦点小组的参与者被要求提供对研究体验以及[疗法名称]练习益处的反馈。我们使用人口统计学和课程出勤率数据来描述样本。关于[疗法名称]练习的益处,确定了五个主要主题:功能益处、减轻疼痛/缓解疼痛、心理精神益处、学习中社会支持的重要性以及将[疗法名称]融入日常生活。最常见的功能益处是改善平衡、灵活性、腿部力量和姿势。一些人报告说疼痛减轻或缓解,但其他人没有。增加放松、正念和联系感是心理精神益处中出现的子主题。社会支持的好处包括参加课程的动力和学习新技能时的团体支持。最后,改善身体意识使参与者能够将[疗法名称]技能融入日常生活。这项定性分析表明,[疗法名称]对患有慢性下腰痛的老年人有多种益处。

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引用本文的文献

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1
for Chronic Low Back Pain in Older Adults: A Feasibility Trial.老年人慢性下腰痛的治疗:一项可行性试验。
J Altern Complement Med. 2020 Mar;26(3):176-189. doi: 10.1089/acm.2019.0438. Epub 2020 Feb 3.

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