Verhoef M J, Page S A, Waddell S C
Department of Community Health Sciences, University of Calgary, Alberta, Canada.
J Manipulative Physiol Ther. 1997 May;20(4):235-40.
To examine changes in pain experienced, changes in functional ability and degree of patient satisfaction with chiropractic care. Patient characteristics influencing these parameters were also explored.
A follow-up study consisting of a questionnaire to be completed at the beginning of treatment and a mailed questionnaire 6 wk later.
Non-random sample of 13 chiropractic practices in Calgary and Red Deer, Alberta, Canada.
Three hundred sixty-nine patients presenting with neck and/or back pain who saw a chiropractor for the first time or who had not seen a chiropractor for a period for 6 months before the first visit.
Pain relief and changes in functional ability were greatest among patients whose initial pain or disability level was moderate or severe. No significant improvement was found among those whose initial level of pain or disability was mild. Pain relief and improved functional ability was greatest among those with an acute condition and those who saw no one other than the chiropractor during treatment. In addition, pain relief was highest among men, those who perceived themselves to be in good or excellent health and those who had completed treatment in 6 wk. Patients positively endorsed all items on the satisfaction questionnaire, indicating a high level of satisfaction with the care they received. Patients were most satisfied with access to chiropractic care and least satisfied with financial aspects. Improvement in pain and in back and neck disability were significantly related to general satisfaction.
Based on these results, it seems that patients suffering from back and/or neck complaints experience chiropractic care as an effective means of resolving or ameliorating pain and functional impairments, thus reinforcing previous results showing the benefits of chiropractic treatment for back and neck pain.
研究接受整脊治疗期间患者疼痛体验的变化、功能能力的变化以及患者满意度。同时探讨影响这些参数的患者特征。
一项随访研究，包括在治疗开始时填写的问卷以及6周后邮寄的问卷。
加拿大艾伯塔省卡尔加里和红鹿市13家整脊诊所的非随机样本。
369名首次就诊或在首次就诊前6个月内未接受过整脊治疗的颈痛和/或背痛患者。
初始疼痛或残疾程度为中度或重度的患者疼痛缓解和功能能力改善最为明显。初始疼痛或残疾程度为轻度的患者未发现明显改善。急性病症患者以及治疗期间仅接受整脊治疗的患者疼痛缓解和功能能力改善最为明显。此外，男性、自认为健康状况良好或极佳的患者以及在6周内完成治疗的患者疼痛缓解程度最高。患者对满意度问卷中的所有项目均给予肯定回答，表明他们对所接受的治疗高度满意。患者对接受整脊治疗的便利性最为满意，对财务方面最不满意。疼痛以及背部和颈部残疾状况的改善与总体满意度显著相关。
基于这些结果，患有背部和/或颈部疾病的患者似乎将整脊治疗视为缓解或改善疼痛及功能障碍的有效手段，这进一步证实了先前关于整脊治疗对背部和颈部疼痛有益的研究结果。
