Universidade Federal Fluminense (UFF), Escola de Enfermagem Aurora de Afonso Costa, Departamento de Fundamentos de Enfermagem e Administração. Niterói, Rio de Janeiro, Brasil.
Universidade Federal do Maranhão (UFMA), Programa de Pós-graduação em Ciências da Saúde. São Luís, Maranhão, Brasil.
Rev Gaucha Enferm. 2021 Dec 6;42:e20200180. doi: 10.1590/1983-1447.2021.20200180. eCollection 2021.
To test the effect of interventions to chronic low back pain developed by nurses in the Program to Increase Self-efficacy and Reduce the Fear of Pain and Avoidance of Movement.
Clinical trial, with 81 patients, carried out in 2016, at the Pain Outpatient Clinic in São Luís, Maranhão, Brazil. The groups received: A (education and exposure), B (education) and C (control). Chi-square, Fisher's Exact, ANOVA and Kruskal Wallis tests were performed.
Patients in groups A and B improved self-efficacy, anxiety, depression, and disability, compared to group C. The reduction in fear of pain and avoidance of movement was greater in Group A, which also showed a decrease in current pain and overall scores compared to Group B and C.
Education was effective in increasing the Self-Efficacy Belief. For the Belief of Fear of Pain and Avoidance of Movement and pain intensity, the association with exposure showed better results.
测试护士在“提高自我效能和减轻疼痛恐惧及运动回避计划”中制定的干预措施对慢性下腰痛的效果。
这是一项临床试验，于 2016 年在巴西马拉尼昂州圣路易斯的疼痛门诊进行，共有 81 名患者入组。各组接受以下干预：A 组（教育和暴露）、B 组（教育）和 C 组（对照组）。进行了卡方检验、Fisher 确切检验、方差分析和 Kruskal Wallis 检验。
与 C 组相比，A 组和 B 组的自我效能、焦虑、抑郁和残疾均得到改善。与 B 组和 C 组相比，A 组对疼痛恐惧和运动回避的恐惧减少更为明显，并且与 B 组和 C 组相比，A 组的当前疼痛和总体评分也有所下降。
教育可有效提高自我效能信念。对于疼痛恐惧和运动回避信念及疼痛强度，暴露联合教育的效果更好。
