Pacients ar hroniskām muguras sāpēm: vēlamais vs. iegūtais
No Thumbnail Available
Date
2022
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Hroniskas muguras sāpes ir viena no visizplatītākajām problēmām pasaulē, kas gan skar lielu sabiedrības daļu, gan arī pieprasa daudz resursus no veselības aprūpes sistēmas kā ekonomiski, tā arī resursu pieejamības ziņā. Šīs sāpes pārsvarā ir nespecifisku cēloņu izraisītas, taču grūti kontrolējamas, jo īpaši dēļ tā, ka tām visefektīvākā ir aktīvās fiziskās terapijas metode ar vingrojumu veikšanu, taču par šo metodi un tās efektivitāti ne visi zina, vai arī izsaka bažas par potenciālu tās radītu vēl lielāku kaitējumu jau tā sāpīgajai mugurai. Šajā pētnieciskajā darbā tiek pētīts, vai pozitīvas gaidas par pielietoto terapijas metodi hroniskajām muguras sāpēm labvēlīgi ietekmē slimības gaitu pacienta subjektīvajā vērtējumā.
Darba mērķis: Izmantojot pieejamos literatūras avotus, pētīt pacientu ar hroniskām muguras sāpēm gaidas un uzskatus par iespējamajām terapijas metodēm muguras sāpju mazināšanai, un to, kā šīs pacientu gaidas ietekmē pielietotās terapijas rezultātu attiecībā uz pacienta sāpju līmeni, funkcionalitātes līmeni un dzīves kvalitāti pēc pielietotās terapijas beigām.
Darbā izmantojamās metodes: Retrospektīvs aprakstošs pētījums, zinātnisko publikāciju apskats. Pētījumā izmantotas publikācijas angļu valodā no datubāzēm PubMed, Oxford Academic, Cochrane Library, Wiley Online Library. Meklēšana veikta pēc atslēgas vārdiem “chronic back pain expectations, lower back pain, chronic pain, chronic back pain physical therapy, chronic back pain combined therapy, chronic back pain outcome”. Pētījumi tika atlasīti pēc muguras sāpju laika kritērija, kam bija jābūt virs 12 nedēļām ilgām, kā arī hronisko sāpju lokalizācijas. Darba pētnieciskajā daļā izmantoti pētījumi, kas publicēti laika periodā no 2011. gada līdz 2021.gadam.
Darba rezultāti un secinājumi: Kopsummā iespējams secināt, ka pacienti ir zinoši par terapijas metodēm hronisku muguras sāpju mazināšanai, piemēram, fizisko vingrojumu veikšanu, farmakoloģiskās terapijas pielietošanu, pasīvās jeb manuālās fiziskās terapijas pielietošanu, kā arī multidisciplināro terapiju sāpju mazināšanai. Lai arī pacienti ar hroniskām muguras sāpēm kopsummā vērtējami kā labi informēti par pieejamajām terapijas metodēm un dažādu metožu efektivitāti, kā arī to mīnusiem, joprojām vērojams arī augsts maldu līmenis par terapijas veidiem, kas paredzēti hronisku muguras sāpju atvieglošanai, jo pacienti ne tikai uzskata, ka fiziskā terapija nav efektīvākā metode sāpju mazināšanai, bet arī uzskata, ka fizisko vingrojumu veikšana var vēl vairāk pastiprināt sāpes, kā arī pauž uzskatus, ka mugura ir viegli traumējama un trausla. Apkopojot analizēto informāciju par pacientu uzskatiem par terapijas metodēm, iespējams secināt, ka pozitīvas gaidas par pielietoto terapijas metodi hroniskajām muguras sāpēm labvēlīgi ietekmē slimības gaitu pacienta subjektīvajā vērtējumā, taču dati nav viennozīmīgi par to, uz cik ilgu laiku šis pozitīvais efekts saglabāsies. Pacientu gaidas par izvēlēto terapijas metodes efektivitāti ietekmē ne ti
Chronic back pain is one of the most common problems worldwide that both affects a large part of the society, as well as is very resource-demanding from the economical perspective, as well as of the perspective of resource availability. This kind of back pain is usually caused by unspecified causes and very difficult to manage, especially due to one of the most effective treatment methods being active physical therapy, which still today many people are not informed of, as well as being concerned over, as many believe exercising can cause even further damage to the back. In this research different publications have been analyzed with the aim to discover, whether positive patients’ expectations towards treatment method positively influence the course of the disease in patients’ subjective opinion. Aims of the research: The aim of this research is to investigate, whether patients’ beliefs about different treatment methods meant for chronic back pain influence the outcome in terms of patients’ pain intensity, functionality level and life quality after the treatment is finished, as well as to study what are patients’ beliefs of different treatment methods for easing chronic back pain and their expectations of them. Methods used in the research: Retrospective descriptive research using databases PubMed, Oxford Academic, Cochrane Library, Wiley Online library. Searching was done using keywords “chronic back pain expectations, lower back pain, chronic pain, chronic back pain physical therapy, chronic back pain combined therapy, chronic back pain outcome”. Publications were selected by time criteria of back pain that has lasted for at least 12 weeks, as well as by pain localization. The research part includes publications from 2011 to 2021. Results and conclusions: Overall it was possible to conclude that patients are knowledgeable about different therapy methods that can be used to ease chronic back pain, such as physical exercising, pharmacological treatment methods, manual physical therapy also known as chiropractic, as well as multidisciplinary treatment option, but at the same time a conclusion can also be made that even though the patients are quite knowledgeable, a high level of false beliefs is still also present, such as patients not only do not believe exercising to be the most effective way to ease back pain, but also many express concerns that it would even further worsen their pain. Other false beliefs expressed also were that patients expressed beliefs that the back is a tender part of the body, which can be easily damaged. Regarding the results of research on whether positive patients’ expectation positively influence the course of the disease in patients’ subjective opinion, the claim is proven to be true, as after reviewing different publications it could be concluded, that positive beliefs positively influence both the pain intensity and the overall assessment of health quality in the patient after the treatment is over, but it is not
Chronic back pain is one of the most common problems worldwide that both affects a large part of the society, as well as is very resource-demanding from the economical perspective, as well as of the perspective of resource availability. This kind of back pain is usually caused by unspecified causes and very difficult to manage, especially due to one of the most effective treatment methods being active physical therapy, which still today many people are not informed of, as well as being concerned over, as many believe exercising can cause even further damage to the back. In this research different publications have been analyzed with the aim to discover, whether positive patients’ expectations towards treatment method positively influence the course of the disease in patients’ subjective opinion. Aims of the research: The aim of this research is to investigate, whether patients’ beliefs about different treatment methods meant for chronic back pain influence the outcome in terms of patients’ pain intensity, functionality level and life quality after the treatment is finished, as well as to study what are patients’ beliefs of different treatment methods for easing chronic back pain and their expectations of them. Methods used in the research: Retrospective descriptive research using databases PubMed, Oxford Academic, Cochrane Library, Wiley Online library. Searching was done using keywords “chronic back pain expectations, lower back pain, chronic pain, chronic back pain physical therapy, chronic back pain combined therapy, chronic back pain outcome”. Publications were selected by time criteria of back pain that has lasted for at least 12 weeks, as well as by pain localization. The research part includes publications from 2011 to 2021. Results and conclusions: Overall it was possible to conclude that patients are knowledgeable about different therapy methods that can be used to ease chronic back pain, such as physical exercising, pharmacological treatment methods, manual physical therapy also known as chiropractic, as well as multidisciplinary treatment option, but at the same time a conclusion can also be made that even though the patients are quite knowledgeable, a high level of false beliefs is still also present, such as patients not only do not believe exercising to be the most effective way to ease back pain, but also many express concerns that it would even further worsen their pain. Other false beliefs expressed also were that patients expressed beliefs that the back is a tender part of the body, which can be easily damaged. Regarding the results of research on whether positive patients’ expectation positively influence the course of the disease in patients’ subjective opinion, the claim is proven to be true, as after reviewing different publications it could be concluded, that positive beliefs positively influence both the pain intensity and the overall assessment of health quality in the patient after the treatment is over, but it is not
Description
Medicīna
Medicine
Veselības aprūpe
Health Care
Medicine
Veselības aprūpe
Health Care
Keywords
hroniskas muguras sāpes gaidas, apakšējās muguras daļas sāpes, hroniskas sāpes, hroniskas muguras sāpes fiziskā vingrojumu terapija, hroniskas muguras sāpes kombinētā terapija, hroniskas muguras sāpes iznākumi, chronic back pain expectations, lower back pain, chronic pain, chronic back pain physical therapy, chronic back pain combined therapy, chronic back pain outcome