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英国脊骨神经医学专业学生疼痛神经生理学知识与应用的相关性:一项横断面研究。

Association of pain neurophysiology knowledge and application amongst UK chiropractic students: A cross-sectional study.

作者信息

Nordbo Kajsa, Dewhurst Philip

出版信息

J Chiropr Educ. 2023 Oct 1;37(2):82-89. doi: 10.7899/JCE-22-27.

Abstract

OBJECTIVE

To investigate if chiropractic placement students in the United Kingdom are aware of current pain evidence and how they relate this to the management of chronic pain patients. Moreover, to gain an understanding of how this can lead to improved pain education planning and engagement in the future.

METHODS

The revised Neurophysiology of Pain Questionnaire and the researchers' own questionnaire were administered online to chiropractic placement students. The aggregated total number of correct responses and the individual mean scores were calculated. Statistical analysis included tests of normality and difference using the Kolmogorov-Smirnov, Mann-Whitney U, Kruskal-Wallis, and Χ2 tests.

RESULTS

There was an overall response rate of 21.6% (n = 50). The mean score achieved on the revised neurophysiology of pain questionnaire was 37.8%. A significant difference between individual mean scores on the revised Neurophysiology of Pain Questionnaire was observed between male and female participants. No differences in mean score were observed between age, number of chronic pain patients seen, and previous qualifications. For the study-specific questionnaire, statistically significant differences were found in mean score for previous qualifications, number of patients seen, and sex.

CONCLUSION

Chiropractic placement students in the United Kingdom appear to have a lower level of pain knowledge than other health care professionals and education institutions may wish to consider how to best address this within their curricula.

摘要

目的

调查英国整脊实习学生是否了解当前的疼痛证据,以及他们如何将这些证据应用于慢性疼痛患者的管理。此外,了解这如何能够在未来改进疼痛教育规划并提高参与度。

方法

通过在线方式向整脊实习学生发放修订后的《疼痛神经生理学问卷》以及研究人员自己设计的问卷。计算正确回答的汇总总数和个人平均得分。统计分析包括使用柯尔莫哥洛夫-斯米尔诺夫检验、曼-惠特尼U检验、克鲁斯卡尔-沃利斯检验和卡方检验进行正态性和差异性检验。

结果

总体回复率为21.6%(n = 50)。修订后的疼痛神经生理学问卷的平均得分率为37.8%。在修订后的疼痛神经生理学问卷的个人平均得分上,男性和女性参与者之间存在显著差异。在年龄、看过的慢性疼痛患者数量和先前学历方面,未观察到平均得分的差异。对于特定研究问卷,在先前学历、看过的患者数量和性别方面的平均得分存在统计学显著差异。

结论

英国整脊实习学生的疼痛知识水平似乎低于其他医疗保健专业人员,教育机构可能希望考虑如何在其课程中最好地解决这一问题。

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本文引用的文献

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Does pain neuroscience education improve pain knowledge, beliefs and attitudes in undergraduate physiotherapy students?
Physiother Res Int. 2021 Apr;26(2):e1898. doi: 10.1002/pri.1898. Epub 2021 Feb 2.
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