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慢性下背痛患者的综合多学科康复方案。

An Integrated Multidisciplinary Rehabilitation Program Experienced by Patients with Chronic Low Back Pain.

机构信息

Department of Public Health, Faculty of Health, Aarhus University, Aarhus C, Denmark.

Sano, Højbjerg, Denmark.

出版信息

Clin Med Res. 2021 Dec;19(4):192-202. doi: 10.3121/cmr.2021.1602.

Abstract

To examine how an integrated, multidisciplinary rehabilitation program was experienced by patients with chronic low back pain and to gain insight into how these patients integrated knowledge, skills, and behaviors obtained by the program into their everyday lives. A phenomenological hermeneutic design using Ricoeur's interpretation theory was used in the analysis. Data were generated through nine semi-structured interviews in patients with chronic low back pain. The study adhered to the Consolidated criteria for reporting qualitative research (COREQ) checklist. Standardized rehabilitation efforts adapted to individual needs and provided by a highly professional healthcare team in a combination of inpatient stay and home-based activities was experienced as beneficial, because the patients were able to integrate the obtained knowledge, skills, and behaviors into their everyday lives. The findings revealed that the multidisciplinary holistic approach led to higher bodily awareness, greater mental health, and increased social interaction, which improved happiness and quality of life among the patients. This study emphasizes and highlights a rehabilitation approach that promotes home-based activities to provide a base for co-creation across professions regarding rehabilitation initiatives for patients with chronic low back pain.

摘要

本研究旨在探讨慢性下背痛患者对综合多学科康复方案的体验,并深入了解这些患者如何将方案中获得的知识、技能和行为融入日常生活。研究采用了现象学解释学设计,并使用了 Ricoeur 的解释理论进行分析。数据来自 9 名慢性下背痛患者的半结构化访谈。研究遵循了定性研究报告的统一标准(COREQ)清单。个体化的标准化康复方案,由高度专业化的医疗团队提供,结合住院和家庭活动,被患者体验为有益的,因为他们能够将获得的知识、技能和行为融入日常生活。研究结果表明,多学科整体方法提高了身体意识、心理健康水平和社会互动,从而提高了患者的幸福感和生活质量。本研究强调并突出了一种促进家庭活动的康复方法,为跨专业合作提供了基础,共同制定针对慢性下背痛患者的康复计划。

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本文引用的文献

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Low back pain.腰痛。
Nat Rev Dis Primers. 2018 Dec 13;4(1):52. doi: 10.1038/s41572-018-0052-1.
6
What low back pain is and why we need to pay attention.什么是下背痛以及为什么我们需要关注它。
Lancet. 2018 Jun 9;391(10137):2356-2367. doi: 10.1016/S0140-6736(18)30480-X. Epub 2018 Mar 21.

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