Burton A K, Waddell G, Burtt R, Blair S
Spinal Research Unit, University of Huddersfield, Queensgate, United Kingdom.
Bull Hosp Jt Dis. 1996;55(3):138-41.
Distributing educational material about low back pain to patients is increasingly seen as a possible adjunct to clinical management and a potential means of reducing the risk of the progression of the disorder toward chronic disability. Most back pain is managed in the primary care setting, where such material could save time and support the efforts of these practitioners. Recent evidence-based clinical guidelines for acute low back pain in U.S. and U.K. have advocated the use of educational material, but most of the available booklets are based on traditional biomedical theory about back pain and are neither evidence-based nor in line with recent guidelines. The few of these booklets that have been tested have had inconsistent effects. A new booklet has been developed which is evidence-based, in line with recent guidelines, and states its messages in a firm, uncluttered, and unambiguous manner. Preliminary studies show that it is readily accepted by patients, that they understand the messages, and that it creates a positive shift in beliefs about low back pain. Further studies regarding the use of this booklet are required to determine its effect on clinical outcomes.
向患者分发有关腰痛的教育材料越来越被视为临床管理的一种可能辅助手段，以及降低该疾病发展为慢性残疾风险的潜在方法。大多数背痛在初级保健机构进行处理，在那里此类材料可以节省时间并支持这些从业者的工作。美国和英国最近针对急性腰痛的循证临床指南提倡使用教育材料，但现有的大多数小册子都是基于关于背痛的传统生物医学理论，既不是循证的，也不符合最新指南。这些小册子中少数经过测试的效果并不一致。现已开发出一本新的小册子，它基于证据，符合最新指南，并以坚定、清晰且明确的方式传达信息。初步研究表明，患者很容易接受它，他们理解其中的信息，并且它会使人们对腰痛的看法产生积极转变。需要进一步研究这本小册子的使用情况，以确定其对临床结果的影响。
