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阿根廷人对下背痛的信念和态度:一项使用社交媒体的横断面调查。

Beliefs and attitudes about low back pain in Argentina: A cross-sectional survey using social media.

机构信息

Physical Therapy Unit, Durand Hospital, Buenos Aires City, Argentina; KINÉ- Kinesiología Deportiva y Funcional Sports Clinic, Buenos Aires City, Argentina; University of Buenos Aires, Argentina.

Physical Therapy Unit, Durand Hospital, Buenos Aires City, Argentina; KINÉ- Kinesiología Deportiva y Funcional Sports Clinic, Buenos Aires City, Argentina; University of Buenos Aires, Argentina.

出版信息

Musculoskelet Sci Pract. 2020 Oct;49:102183. doi: 10.1016/j.msksp.2020.102183. Epub 2020 May 14.

DOI:10.1016/j.msksp.2020.102183
PMID:32861356
Abstract

BACKGROUND

low back pain (LBP) is highly prevalent, very disabling and carries an enormous economic burden. The multifactorial nature of LBP often does not allow identification of a single pathoanatomic driver of pain. Unhelpful beliefs are associated with elevated levels of pain and may have a negative impact on the recovery of an episode of LBP. Beliefs about the back and back pain have not been evaluated in the Argentine general population.

OBJECTIVE

to assess the beliefs about the back and back pain of the Argentine population. The secondary objective was to compare the beliefs between respondents with and without LBP and between those who had and had not seen a health care professional (HCP).

STUDY DESIGN

cross-sectional study.

METHOD

we included Argentinians aged 18 years or more with or without LBP. The Argentine version of Back Pain Attitudes Questionnaire (Back-PAQ) was used to assess back beliefs.

RESULTS

one thousand and ninety-two participants responded the survey. Current LBP was reported by 42.3% (95% CI 39.3-45.2) of respondents and the life-time prevalence was 88.4% (95% CI 82.6-94.5). The mean Back-PAQ score was 111.7 (95% CI 111-112.5). Significant differences were found when comparing means scores of the current pain group with past and never LBP groups (p < 0.001). There were no difference in mean scores between respondents who were and were not exposed to a HCP.

CONCLUSION

Survey respondents sampled from the Argentine population had in general negative beliefs about back pain. Respondents with current pain had more unhelpful beliefs than pain free respondents in relation to the prognosis and recovery of an episode of LBP. Small differences were found in the beliefs of respondents who had received care for LBP from a HCP and those who did not seek care.

摘要

背景

下背痛(LBP)的发病率极高,致残性强,且经济负担巨大。LBP 的多因素性质通常无法确定单一的疼痛病理驱动因素。无益的信念与疼痛程度升高有关,可能对 LBP 发作的恢复产生负面影响。阿根廷普通人群中尚未评估对背部和背部疼痛的信念。

目的

评估阿根廷人群对背部和背部疼痛的信念。次要目的是比较有和没有 LBP 的受访者以及看过和没有看过医疗保健提供者(HCP)的受访者之间的信念。

研究设计

横断面研究。

方法

我们纳入了 18 岁及以上有或没有 LBP 的阿根廷人。使用阿根廷版下背痛态度问卷(Back-PAQ)评估背部信念。

结果

1092 名参与者回答了调查。42.3%(95%CI 39.3-45.2)的受访者报告当前存在 LBP,终生患病率为 88.4%(95%CI 82.6-94.5)。Back-PAQ 平均得分为 111.7(95%CI 111-112.5)。当前疼痛组与过去和从未有过 LBP 的组相比,平均得分存在显著差异(p<0.001)。有和没有接触过 HCP 的受访者的平均得分之间没有差异。

结论

从阿根廷人群中抽样的调查受访者普遍对下背痛持负面信念。与无疼痛受访者相比,当前有疼痛的受访者对 LBP 发作的预后和恢复持更无益的信念。接受 HCP 治疗 LBP 的受访者和未寻求治疗的受访者的信念存在微小差异。

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