Faculty of Medicine and Healthcare Sciences, Department of Rehabilitation Sciences, Occupational Therapy Research Group, Ghent University, Ghent, Belgium; STIMULUS Research Group, Vrije Universiteit Brussel, Jette, Belgium.
STIMULUS Research Group, Vrije Universiteit Brussel, Jette, Belgium; Center for Neurosciences (C4N), Vrije Universiteit Brussel, Jette, Belgium; Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Jette, Belgium; Department of Neurosurgery, Universitair Ziekenhuis Brussel, Jette, Belgium; Department of Radiology, Universitair Ziekenhuis Brussel, Jette, Belgium.
J Rehabil Med. 2024 Jan 16;56:jrm13454. doi: 10.2340/jrm.v56.13454.
To identify the essential attributes of biopsychosocial rehabilitation for chronic low back pain in the working population.
A concept analysis was conducted according to the 8-step method of Walker and Avant. This framework provides a clear concept and theoretical and operational definitions.
Five databases were searched, followed by a systematic screening. Subsequently, attributes, illustrative cases, antecedents, consequences and empirical referents were formulated.
Of the 3793 studies identified, 42 unique references were included. Eleven attributes were identified: therapeutic exercise, psychological support, education, personalization, self-management, participation, follow-up, practice standard, goal-setting, social support, and dietary advice. Subsequently, illustrative cases were described. Antecedents, such as motivation, preparedness and a multidisciplinary team, were found, together with consequences such as decreased pain, less sick-leave and increased function and work status. Finally, examples of empirical referents were given.
This study identified the attributes that are necessary to develop biopsychosocial rehabilitation intervention programmes for chronic low back pain. The defined concept of biopsychosocial rehabilitation for chronic low back pain may serve as a solid base to further develop and apply interventions. Future research should focus on the objectification of biopsychosocial rehabilitation and conceptualization regarding how personalization is done.
确定工作人群慢性腰痛的生物心理社会康复的基本属性。
根据 Walker 和 Avant 的 8 步方法进行了概念分析。该框架提供了明确的概念和理论及操作定义。
搜索了五个数据库，然后进行了系统筛选。随后制定了属性、说明性案例、前因、后果和经验参考。
在确定的 3793 项研究中，纳入了 42 篇独特的参考文献。确定了 11 个属性：治疗性运动、心理支持、教育、个性化、自我管理、参与、随访、实践标准、目标设定、社会支持和饮食建议。随后描述了说明性案例。发现了动机、准备和多学科团队等前因，以及疼痛减轻、病假减少、功能和工作状态改善等后果。最后给出了经验参考的例子。
本研究确定了开发慢性腰痛生物心理社会康复干预计划所必需的属性。定义的慢性腰痛生物心理社会康复概念可以作为进一步开发和应用干预措施的坚实基础。未来的研究应集中于生物心理社会康复的客观化和个性化的概念化。
