目的探讨腰痛学校健康教育模式对慢性非特异性腰痛(Chronic non specific low back pain,CNLBP)疗效维持的影响。方法纳入2015年4月~2017年6月收治的88例CNLBP患者,均经悬吊运动、核心肌力训练等综合治疗后症状稳定(VAS评分<3分,1个...目的探讨腰痛学校健康教育模式对慢性非特异性腰痛(Chronic non specific low back pain,CNLBP)疗效维持的影响。方法纳入2015年4月~2017年6月收治的88例CNLBP患者,均经悬吊运动、核心肌力训练等综合治疗后症状稳定(VAS评分<3分,1个月内无复发)。随机均分为2组,观察组通过腰痛学校模式进行疾病知识、功能锻炼等健康教育,对照组进行常规健康宣教,再次随访6个月。比较随访1、3、6个月的VAS评分、ODI评分,评价远期疗效。结果两组随访期间VAS、ODI评分均逐渐升高,但随访1、3、6个月的观察组升高幅度均显著低于对照组,差异有统计学意义(P<0.05);观察组随访6个月时的总有效率为88.10%,显著高于对照组的76.19%,差异有统计学意义(P<0.05)。结论腰痛学校健康教育模式能够有效维持CNLBP患者临床疗效,延缓CNLBP复发,提升远期疗效。展开更多
Background Low-back pain(LBP)in nurses is a major health concern that affects their quality of life and ability to work,with consequences for their economic status.Objective This study evaluates the effect of low-leve...Background Low-back pain(LBP)in nurses is a major health concern that affects their quality of life and ability to work,with consequences for their economic status.Objective This study evaluates the effect of low-level laser acupuncture combined with auricular acupressure(LAA)on pain intensity,pain interference and quality of life in nurses with LBP.Design,setting,participants and interventions This randomized controlled trial recruited a convenience sample of hospital-based nurses from one teaching hospital in Taiwan,China.Participants were randomly assigned to the LAA group(n=38)receiving low-level laser acupuncture and auricular acupressure for 4 weeks,and the control group(n=38)receiving only sham laser acupuncture treatment without laser energy output.Main outcome measures Data were collected for the primary pain outcome using the Short Form of the Brief Pain Inventory,while the secondary outcome,quality of life,was evaluated using the Roland-Morris Disability Questionnaire.Both primary and secondary outcomes were scored before the intervention,and after 2-week and 4-week intervention.The rate of LBP recurrence was evaluated at the 4th week and 8th week after the end of intervention.Results After controlling for prior pain,the result of linear mixed model analysis showed trends in significant between-group differences in the level of current pain occurring in week 4(P<0.001),worst pain in week 2(P<0.001)and week 4(P<0.001),least pain in week 2(P=0.032)and week 4(P<0.001),pain interference in week 2(P=0.009)and week 4(P<0.001),and in the life dysfunction in week 2(P<0.001)and week 4(P<0.001).Recurrence rates of LBP at the 4th and 8th weeks after the end of intervention were 0%and 36.89%in the LAA group,and 69.44%and 36.11%in the control group.Conclusion This study shows that 4-week LAA intervention reduced pain intensity and pain interference,and improved quality of life for hospital-based nurses with LBP.These effects were maintained continuously for at least 4 weeks after the intervention.The nonpharmacological intervention,LAA,may be another efficacious,feasible,noninvasive,analgesic intervention for LBP.展开更多
文摘目的探讨腰痛学校健康教育模式对慢性非特异性腰痛(Chronic non specific low back pain,CNLBP)疗效维持的影响。方法纳入2015年4月~2017年6月收治的88例CNLBP患者,均经悬吊运动、核心肌力训练等综合治疗后症状稳定(VAS评分<3分,1个月内无复发)。随机均分为2组,观察组通过腰痛学校模式进行疾病知识、功能锻炼等健康教育,对照组进行常规健康宣教,再次随访6个月。比较随访1、3、6个月的VAS评分、ODI评分,评价远期疗效。结果两组随访期间VAS、ODI评分均逐渐升高,但随访1、3、6个月的观察组升高幅度均显著低于对照组,差异有统计学意义(P<0.05);观察组随访6个月时的总有效率为88.10%,显著高于对照组的76.19%,差异有统计学意义(P<0.05)。结论腰痛学校健康教育模式能够有效维持CNLBP患者临床疗效,延缓CNLBP复发,提升远期疗效。
文摘Background Low-back pain(LBP)in nurses is a major health concern that affects their quality of life and ability to work,with consequences for their economic status.Objective This study evaluates the effect of low-level laser acupuncture combined with auricular acupressure(LAA)on pain intensity,pain interference and quality of life in nurses with LBP.Design,setting,participants and interventions This randomized controlled trial recruited a convenience sample of hospital-based nurses from one teaching hospital in Taiwan,China.Participants were randomly assigned to the LAA group(n=38)receiving low-level laser acupuncture and auricular acupressure for 4 weeks,and the control group(n=38)receiving only sham laser acupuncture treatment without laser energy output.Main outcome measures Data were collected for the primary pain outcome using the Short Form of the Brief Pain Inventory,while the secondary outcome,quality of life,was evaluated using the Roland-Morris Disability Questionnaire.Both primary and secondary outcomes were scored before the intervention,and after 2-week and 4-week intervention.The rate of LBP recurrence was evaluated at the 4th week and 8th week after the end of intervention.Results After controlling for prior pain,the result of linear mixed model analysis showed trends in significant between-group differences in the level of current pain occurring in week 4(P<0.001),worst pain in week 2(P<0.001)and week 4(P<0.001),least pain in week 2(P=0.032)and week 4(P<0.001),pain interference in week 2(P=0.009)and week 4(P<0.001),and in the life dysfunction in week 2(P<0.001)and week 4(P<0.001).Recurrence rates of LBP at the 4th and 8th weeks after the end of intervention were 0%and 36.89%in the LAA group,and 69.44%and 36.11%in the control group.Conclusion This study shows that 4-week LAA intervention reduced pain intensity and pain interference,and improved quality of life for hospital-based nurses with LBP.These effects were maintained continuously for at least 4 weeks after the intervention.The nonpharmacological intervention,LAA,may be another efficacious,feasible,noninvasive,analgesic intervention for LBP.
