Level of knowledge, attitudes and beliefs towards patients with chronic low back pain among final year School of Therapeutic Sciences students at the University of the Witwatersrand – A cross-sectional study

Grace Mukoka, B. Olivier, Sadiya Ravat
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引用次数: 9

Abstract

Background Knowledge of neurophysiology of pain influences healthcare providers’ attitudes and beliefs about patients with chronic low back pain which affect management choices. Objectives The aim of this study was to determine the level of knowledge of pain and attitudes and beliefs towards patients with chronic low back pain among final year undergraduate students from the School of Therapeutic Sciences at the University of the Witwatersrand. Methods This cross-sectional study included two questionnaires – Health Care Providers’ Pain and Impairment Relationship Scale (HC-PAIRS) for measuring attitudes and beliefs about pain and the Neurophysiology of Pain Questionnaire (NPQ) for knowledge of pain. These were distributed to 224 students. An analysis of variance and a two-sided t tests compared data with p ≤ 0.05. Results The study had a 65% response rate (n = 145), of which the majority were female students (n = 115, 79%). Overall, the mean correct NPQ score was 6.01 (± 1.98), with a significant difference among the programmes (p = 0.005). Mean NPQ scores for each programme were as follows: physiotherapy 6.97 (1.77), biokinetics 6.31 (2.43), exercise science 6.25 (2.5), pharmacy and pharmacology 5.69 (1.39), nursing 5.32 (1.39) and occupation therapy 5.21 (2.09). The mean correct scores for HC-PAIRS were 63.1 (8.9), with significantly higher scores in females than males (p = 0.04). Knowledge scores had a low inverse relationship with scores for attitudes and beliefs towards patients with chronic low back pain (r = -0.304; p = 0.0002). Conclusion There is a deficit in knowledge of pain among final year students in the School of Therapeutic Sciences, with a low correlation with attitudes and beliefs towards patients with chronic low back pain. Therefore, improving the knowledge of pain might result in a change in these attitudes and beliefs. Clinical implications The results have shown an association between knowledge of pain and attitudes and beliefs towards patients with chronic low back pain. Therefore, knowledge is one of the factors that could contribute in changing the attitudes.
威特沃特斯兰德大学治疗科学学院最后一年学生对慢性腰痛患者的知识、态度和信念水平-一项横断面研究
背景疼痛的神经生理学知识影响医疗保健提供者对慢性腰痛患者的态度和信念,从而影响管理选择。本研究的目的是确定威特沃特斯兰德大学治疗科学学院最后一年本科生对慢性腰痛患者的疼痛知识水平和态度和信念。方法采用两份问卷进行横断面研究:一份是医疗服务提供者疼痛与损害关系量表(HC-PAIRS),用于测量对疼痛的态度和信念;另一份是疼痛神经生理学问卷(NPQ),用于测量对疼痛的认识。这些被分发给了224名学生。方差分析和双侧t检验比较数据p≤0.05。结果问卷调查有效率为65% (n = 145),其中女生居多(n = 115, 79%)。总体而言,正确的NPQ平均得分为6.01(±1.98),两组间差异有统计学意义(p = 0.005)。各专业的平均NPQ得分分别为:物理治疗6.97(1.77)分、生物动力学6.31(2.43)分、运动科学6.25(2.5)分、药学与药理学5.69(1.39)分、护理5.32(1.39)分、职业治疗5.21(2.09)分。HC-PAIRS的平均正确得分为63.1分(8.9分),女性明显高于男性(p = 0.04)。知识得分与对慢性腰痛患者的态度和信念得分呈低负相关(r = -0.304;P = 0.0002)。结论治疗科学学院毕业班学生对疼痛的认知存在缺陷,对慢性腰痛患者的态度和信念存在低相关性。因此,提高对疼痛的认识可能会导致这些态度和信念的改变。临床意义研究结果表明,疼痛知识与对慢性腰痛患者的态度和信念之间存在关联。因此,知识是有助于改变态度的因素之一。
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