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患者在非特异性下腰痛物理治疗管理中对运动处方和教育的体验

Patients' Experiences About Exercise Prescription and Education in the Physiotherapy Management of Nonspecific Low-Back Pain.

作者信息

Ogwumike Omoyemi O, Bashir-Bello Fatima, Kaka Bashir

机构信息

Department of Physiotherapy, College of Medicine, University of Ibadan, Nigeria.

Department of Physiotherapy, University College Hospital, Ibadan, Nigeria.

出版信息

J Patient Exp. 2020 Dec;7(6):1458-1465. doi: 10.1177/2374373520968997. Epub 2020 Nov 2.

Abstract

Low-back pain (LBP) is highly prevalent in the society, and its socioeconomic consequences are quite evident. Physiotherapists play a prominent role in the management of individuals with this condition, and it is, therefore, of utmost importance that physiotherapists engage in the most efficient and effective management practices available. For perceptions of good performance and quality health care, patient experience is an important indicator of effective care and management. A mixed-methods research design-a cross-sectional survey (quantitative research) and a focus group discussion (FGD; qualitative research)-was employed in this study, investigating patients' experience in physiotherapy management of nonspecific LBP. An adapted questionnaire was used for data collection from purposively selected participants recruited from 3 hospitals in Kubwa, Abuja, from April to August 2018. The FGD involved 6 patients recruited by simple random sampling using the fishbowl technique. Descriptive and thematic analyses were done on data collected. A total of 126 patients (male = 41, female = 85) were included, with a mean age of 51.0 ± 14.6 years, while the modal age-group was 60 to 69 years. Of these, 41 (32.5%) had nonspecific LBP for less than a year, and the 2 most applied interventions were exercise and heat therapy, followed by education/advice. In all, 110 (87.3%) reported positive experience about education, while 119 (94.4%) reported positive experience about exercise prescription. The result from the qualitative research is in conformity with that of the quantitative analysis. Patients with nonspecific LBP received adequate education regarding their condition and had good experience in the course of their physiotherapy management.

摘要

下背痛(LBP)在社会中非常普遍,其社会经济后果也十分明显。物理治疗师在管理患有这种疾病的个体方面发挥着重要作用,因此,物理治疗师采用最有效且高效的管理方法至关重要。对于良好的医疗表现和优质医疗保健的认知而言,患者体验是有效护理和管理的重要指标。本研究采用了混合方法研究设计——横断面调查(定量研究)和焦点小组讨论(FGD;定性研究),调查患者在非特异性下背痛物理治疗管理中的体验。采用一份经过改编的问卷,从2018年4月至8月在阿布贾库布瓦的3家医院有目的地选取参与者收集数据。FGD涉及通过使用鱼缸技术简单随机抽样招募的6名患者。对收集到的数据进行了描述性和主题分析。总共纳入了126名患者(男性 = 41名,女性 = 85名),平均年龄为51.0 ± 14.6岁,而最常见的年龄组为60至69岁。其中,41名(32.5%)患有非特异性下背痛不到一年,最常用的两种干预措施是运动和热疗,其次是教育/建议。总体而言,110名(87.3%)报告对教育有积极体验,而119名(94.4%)报告对运动处方有积极体验。定性研究的结果与定量分析的结果一致。非特异性下背痛患者对自身病情接受了充分的教育,并且在物理治疗管理过程中有良好的体验。

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Patient involvement in health care decision making: a review.患者参与医疗保健决策:一项综述。
Iran Red Crescent Med J. 2014 Jan;16(1):e12454. doi: 10.5812/ircmj.12454. Epub 2014 Jan 5.

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