患者对全科医疗中腰痛及其治疗的看法。
Patients' views of low back pain and its management in general practice.
作者信息
Skelton A M, Murphy E A, Murphy R J, O'Dowd T C
机构信息
School of Education, University of Nottingham.
出版信息
Br J Gen Pract. 1996 Mar;46(404):153-6.
BACKGROUND
Low back pain is a common and persistent problem. Research studies seeking to improve the quality of management of this condition have tended to ignore the opinions of patients. There is a growing acceptance of the importance of taking patients' views into account in developing management and educational programmes for a variety of conditions.
AIM
This study set out to elicit the views of patients concerning low back pain and its management in general practice.
METHOD
Fifty-two in-depth interviews were conducted with patients selected from a broad range of 12 general practices.
RESULTS
Analysis of the interviews identified seven themes relating to: quality of life, prognosis, secondary prevention, help-seeking behaviour, explanation of underlying pathology, satisfaction with general practitioner management, and complementary therapy. Different patient viewpoints or perspectives were expressed within each of these themes. Patients adapted to the progress of their low back pain and were not seeking a 'magical cure' from either conventional or complementary therapies.
CONCLUSION
Patients' views on low back pain are heterogeneous. The dissatisfaction expressed with medical explanations for the pain may be related to superficial clinical management and the constraints of general practice. Good management of low back pain needs to take patients' complex views of the condition into account.
背景
腰痛是一个常见且持续存在的问题。旨在改善这种疾病管理质量的研究往往忽视了患者的意见。在为各种疾病制定管理和教育计划时，越来越多的人认识到考虑患者观点的重要性。
目的
本研究旨在了解患者对腰痛及其在全科医疗中的管理的看法。
方法
对从12家广泛的全科诊所中挑选出的患者进行了52次深入访谈。
结果
访谈分析确定了与生活质量、预后、二级预防、求助行为、潜在病理的解释、对全科医生管理的满意度以及补充疗法相关的七个主题。在每个主题中都表达了不同的患者观点或视角。患者适应了腰痛的进展，并不寻求传统或补充疗法的“神奇治愈”。
结论
患者对腰痛的看法是多种多样的。对疼痛的医学解释所表达的不满可能与表面的临床管理和全科医疗的限制有关。腰痛的良好管理需要考虑患者对该疾病的复杂观点。
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