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非专业护理人员非特异性下背痛管理的教育干预(TRANSFE项目):一项准实验研究

Educational Intervention for the Management of Nonspecific Lower Back Pain in Nonprofessional Caregivers (TRANSFE Program): A Quasi-Experimental Study.

作者信息

Ortiz-Mallasén Víctor, Claramonte-Gual Eloy, Cervera-Gasch Águeda, Mena-Tudela Desirée, Valero-Chillerón María Jesús, Andreu-Pejó Laura, Llagostera-Reverter Irene, González-Chordá Víctor Manuel

机构信息

Nursing Department, Jaume I University, Avda Sos Baynat s/n, 12071 Castellón de la Plana, Spain.

Department of Health in Castellón, Valencian Health System, Avda Benicassim, 128, 12004 Castellón de la Plana, Spain.

出版信息

Nurs Rep. 2024 Jun 27;14(3):1570-1586. doi: 10.3390/nursrep14030118.

DOI:10.3390/nursrep14030118
PMID:39051354
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11270366/
Abstract

Nonspecific lower back pain is one of the main health issues experienced by nonprofessional caregivers of dependent individuals. The repetitive movements and efforts made by caregivers to assist dependent individuals are associated with the onset of this lower back pain. The main objective of this study was to assess the effectiveness of an educational intervention for the management of nonspecific lower back pain in nonprofessional caregivers of dependent individuals (TRANSFE program). The secondary objectives were to (i) evaluate the effectiveness of the TRANSFE program on other variables (caregiver burden, perceived social support, and health-related quality of life), (ii) obtain the sociodemographic profile of the sample, and (iii) determine the baseline of the study variables. A quasi-experimental study with post-intervention measurements at 3 months was conducted. Thirty-six nonprofessional caregivers of dependent individuals participated in this study. The presence of lower back pain (back pain index), low back pain (visual analogue scale), disability due to low back pain (Oswestry disability index), perceived social support (Duke-UNK scale), caregiver burden (Zarit burden scale), and health-related quality of life (EuroQol-5D) were assessed. The intervention significantly improved all the studied variables related to lower back pain ( < 0.001). The intervention was effective on other variables related to nonprofessional caregiving such as caregiver burden, perceived social support, and health-related quality of life, albeit with moderate results. An educational intervention for lower back pain experienced by caregivers of dependent individuals was effective in reducing lower back pain and addressing caregiver burden, perceived social support, and health-related quality of life. This study was registered retrospectively on the Open Science Framework platform on 20 June 2024, with the registration number 10.17605/OSF.IO/K7WTE.

摘要

非特异性下背痛是受抚养者的非专业照料者所经历的主要健康问题之一。照料者为协助受抚养者而进行的重复性动作和努力与这种下背痛的发作有关。本研究的主要目的是评估一项教育干预措施对受抚养者的非专业照料者非特异性下背痛管理的有效性(TRANSFE项目)。次要目的是:(i)评估TRANSFE项目对其他变量(照料者负担、感知到的社会支持和健康相关生活质量)的有效性;(ii)获取样本的社会人口学特征;(iii)确定研究变量的基线。进行了一项在干预后3个月进行测量的准实验研究。36名受抚养者的非专业照料者参与了本研究。评估了下背痛的存在情况(背痛指数)、下腰痛(视觉模拟量表)、下腰痛导致的残疾(Oswestry残疾指数)、感知到的社会支持(杜克-UNK量表)、照料者负担(Zarit负担量表)以及健康相关生活质量(欧洲五维度健康量表)。干预显著改善了所有与下背痛相关的研究变量(<0.001)。该干预对与非专业照料相关的其他变量,如照料者负担、感知到的社会支持和健康相关生活质量也有效果,尽管结果中等。针对受抚养者照料者所经历的下背痛进行的教育干预在减轻下背痛以及解决照料者负担、感知到的社会支持和健康相关生活质量方面是有效的。本研究于2024年6月20日在开放科学框架平台上进行了回顾性注册,注册号为10.17605/OSF.IO/K7WTE。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6de7/11270366/5a49dcf81d3e/nursrep-14-00118-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6de7/11270366/5a49dcf81d3e/nursrep-14-00118-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6de7/11270366/5a49dcf81d3e/nursrep-14-00118-g001.jpg

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