慢性腰痛患者管理教育手册的有效性

Q4 Medicine

Medicine Today Pub Date : 2023-11-19 DOI:10.3329/medtoday.v35i2.69172

Md Atikul Aziz, Shahadat Hossain, Hashina Bilkish Banu, Monzur Ahmed, Shohag Chakrabarty, Asm Minhaj Uddin

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引用次数: 0

摘要

简介本研究旨在评估为慢性腰背痛患者提供教育手册的效果。材料与方法：2018年1月至2018年6月，在征得患者必要同意后，在Shaheed Suhrawardy医学院和医院物理医学和康复门诊部就诊的80名患者中进行了随机对照临床试验。80 名患者被分为两组（A 组和 B 组）。A 组包括患者教育手册组 + 运动组 + 止痛药组（病例组）。B 组仅包括医生建议组 + 运动 + 止痛药（对照组）。通过对患者的访谈和检查收集数据。收集到的数据将输入电脑，并使用 SPSS（20.1 版）进行分析，以评估为慢性腰背痛患者提供教育手册的效果。该研究获得了机构伦理委员会的批准。研究结果在 80 名患者中，病例组和对照组的年龄范围为 18-55 岁。病例组和对照组的年龄无明显差异（P 值为 0.383）。病例组患者中有 28 人（70.0%）为男性，12 人（30.0%）为女性。对照组患者中，男性 17 人（42.5%），女性 23 人（57.5%）。A 组患者的视觉模拟评分（VAS）为 5.4±1.0，B 组为 5.7±1.1（P=0.143）。第一次随访时，A 组患者的平均视觉模拟评分为 4.5±1.0，B 组为 4.8±0.9（P=0.111）。第二次随访时，A 组的平均 VAS 评分为 3.1±0.9，B 组为 3.5±0.8（P=0.077）。最后（第三次）随访时，A 组的平均 VAS 评分为 1.9±0.8，B 组为 2.4±0.6（P=0.002）。结论病例组的疼痛明显好转于对照组。研究结果表明，教育手册对慢性腰背痛患者的治疗是有效的。今日医学》2023 年第 35 卷（2）：87-90

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Effectiveness of an Educational Booklet for the Management of Patients with Chronic Low Back Pain

Introduction: The aim of the present study was to assess the effectiveness of provision of an educational booklet for the management of patients with chronic low back pain. Material and Methods: A Randomized controlled clinical trial was conducted from January 2018 to June 2018 among 80 patients attending at Physical Medicine and Rehabilitation outpatient department of the Shaheed Suhrawardy Medical College and Hospital after obtaining requisite consent from the patients. 80 Patients were divided into two groups (Group A and Group B). Group A contains Patients educational booklet group + exercises + analgesics (Case group). Group B contains Physicians advice only group + exercises + analgesics (control group). Data were collected through interviewing and examining of the patients. The collected data were entered into the computer and analyzed by using SPSS (version 20.1) to assess the effectiveness of provision of an educational booklet for the management of patients with chronic low back pain. The study was approved by the institutional ethical committee. Results: In a pool of 80 patients, the range of age was 18-55 years in case group and control group. There was no significant difference found in age between case and control group (p value is 0.383). Among the patients of case group 28 (70.0%) were male and 12 (30.0%) were female. Among the patients of control group 17 (42.5%) were male and 23 (57.5%) were female. Visual analogue score (VAS) score of group A patient was 5.4±1.0 and group B was 5.7±1.1 (p=0.143). At the first follow up the mean VAS score of group A was 4.5±1.0 and group B was 4.8±0.9 (p=0.111). At the second follow up the mean VAS score of group A was 3.1±0.9 and group B was 3.5±0.8 (p=0.077). And at the final (third) follow up the mean VAS score of group A was1.9±0.8 and group B was 2.4±0.6 (p=0.002). Conclusion: There was significant improvement of pain of case group than control group. At the end of study we can tell that, educational booklet is effective for the management of patients with chronic low back pain. Medicine Today 2023 Vol.35(2): 87-90

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Medicine Today Medicine-Medicine (all)

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