Skelton A M, Murphy E A, Murphy R J, O'Dowd T C
School of Education, University of Nottingham, UK.
Patient Educ Couns. 1995 Jul;25(3):329-34. doi: 10.1016/0738-3991(95)00807-c.
This comparative study of patient and general practitioner perceptions of patient education for low back pain (LBP) revealed significant differences in perspective. It suggests that although some general practitioners recognise the importance of patient education, they blame patients for its assumed failure as a management strategy. The patients in this study identified a range of reasons which explain their difficulties in following prevention advice which relate to not only limitations in themselves, but also to broader contextual factors over which they have little control. It is argued that both the inadequacy of current professional assumptions and the contextual factors that influence patients' prevention behaviours need to be acknowledged as a first step towards improving patient education for LBP in general practice.
这项关于患者和全科医生对腰痛(LBP)患者教育认知的比较研究揭示了观点上的显著差异。这表明,尽管一些全科医生认识到患者教育的重要性,但他们将其作为一种管理策略的假定失败归咎于患者。本研究中的患者指出了一系列原因,这些原因解释了他们在遵循预防建议方面的困难,这些困难不仅与他们自身的局限性有关,还与他们几乎无法控制的更广泛的背景因素有关。有人认为,首先需要认识到当前专业假设的不足以及影响患者预防行为的背景因素,这是在全科医疗中改善腰痛患者教育的第一步。