Jain Shikha, Jha Shivani, Shetty Gautam, Ram C S
QI Spine Clinic, Delhi, India.
I.T.S College of Physiotherapy, Ghaziabad, Uttar Pradesh, India.
J Patient Exp. 2021 Jul 31;8:23743735211034076. doi: 10.1177/23743735211034076. eCollection 2021.
Despite high prevalence of spine pain among the Indian population, patient expectations regarding consultation and its treatment are unknown. We aimed to determine consultation and treatment expectations among patients visiting a spine rehabilitation clinic in urban India. We included 194 consecutive patients who completed a consultation expectation (CE) and treatment outcome expectation (OE) questionnaires and the Patient-Centered Outcome Questionnaire (PCOQ). To learn about the most suitable treatment for their problem (98%), and to know what kind of activities they could do and should avoid (96%) were the most important CEs, and to achieve complete relief of symptoms (96%), and prevent recurrence of pain (95%) were the most important OEs. For successful treatment, patients expected PCOQ pain levels of 2.0 (96.5% reduction) and interference levels of 1.5 (96% reduction). Patients expected to know the most suitable treatment, activities they could do and avoid after consultation, and to achieve complete relief of symptoms and prevent recurrence after treatment. Incorporating and addressing these expectations may help improve outcomes and satisfaction with the consultation and treatment of spine pain.
尽管脊柱疼痛在印度人群中普遍存在，但患者对咨询及其治疗的期望尚不清楚。我们旨在确定印度城市一家脊柱康复诊所患者的咨询和治疗期望。我们纳入了194名连续的患者，他们完成了咨询期望（CE）、治疗结果期望（OE）问卷以及以患者为中心的结果问卷（PCOQ）。了解针对其问题最合适的治疗方法（98%）以及知晓他们可以进行和应避免的活动类型（96%）是最重要的咨询期望，实现症状完全缓解（96%）以及预防疼痛复发（95%）是最重要的治疗结果期望。对于成功治疗，患者期望PCOQ疼痛水平为2.0（降低96.5%），干扰水平为1.5（降低96%）。患者期望在咨询后了解最合适的治疗方法、可以进行和避免的活动，并在治疗后实现症状完全缓解和预防复发。纳入并满足这些期望可能有助于改善脊柱疼痛咨询和治疗的结果及满意度。
