Hazard R G, Haugh L D, Green P A, Jones P L
Spine Institute of New England, Williston, Vermont.
Spine (Phila Pa 1976). 1994 Apr 15;19(8):881-7.
Treatment outcomes for low back pain have been measured by varying standards of pain, impairment, and disability. This study examines the relationship between these three outcomes and treatment satisfaction in patients with chronic low back pain (CLBP).
Ninety CLBP patients underwent initial pain (VAS), impairment (PIS), and disability (OPQ) evaluations.
Correlation coefficients between initial VAS, PIS, and OPQ were all less than 0.50. At 5-year follow-up, pain and disability scores were closely matched, more with lower mean scores among workers (P = 0.04 and 0.001). For 65 rehabilitation participants, 5-year patients satisfaction scores did not relate closely with VAS, PIS, and OPQ improvements during treatment (r = 0.15, 0.01, and 0.14). Five-year satisfaction correlated weekly with current pain and disability (r = 0.32, -0.36). Satisfaction levels were higher for workers after 1 year (P = 0.01), and after 5 years (P = 0.34.
This study suggests that CLBP patients and their health care practitioners mutually set distinct pretreatment pain, impairment, and disability goals and judge outcomes accordingly.
下腰痛的治疗结果是通过不同的疼痛、功能障碍和残疾标准来衡量的。本研究探讨了慢性下腰痛（CLBP）患者这三种结果与治疗满意度之间的关系。
90例CLBP患者接受了初始疼痛（视觉模拟评分法[VAS]）、功能障碍（疼痛影响量表[PIS]）和残疾（Oswestry功能障碍指数[OPQ]）评估。
初始VAS、PIS和OPQ之间的相关系数均小于0.50。在5年随访时，疼痛和残疾评分密切匹配，工人中的平均评分更低（P = 0.04和0.001）。对于65名康复参与者，5年患者满意度评分与治疗期间VAS、PIS和OPQ的改善没有密切关系（r = 0.15、0.01和0.14）。5年满意度与当前疼痛和残疾呈弱相关（r = 0.32，-0.36）。1年后工人的满意度水平更高（P = 0.01），5年后（P = 0.34）。
本研究表明，CLBP患者及其医护人员共同设定了不同的治疗前疼痛、功能障碍和残疾目标，并据此判断结果。
