PDF(Pubmed)
Abstract：
UNASSIGNED: Non-specific, chronic low back pain (NSCLBP) is a leading cause of disability, prompting long-term rehabilitation. Positive patient beliefs and expectations towards lasting exercise engagement play a crucial role for a successful management of this condition. The aim was to investigate beliefs, unmet needs and expectations of NSCLBP patients for exercise-related health behaviour change in the context of rehabilitative care.
UNASSIGNED: In a mono-centric mixed-methods study, we conducted semi-structured interviews with NSCLBP patients and care providers. We recruited in a rehabilitation clinic which is specialized in orthopaedics and internal medicine. Interviews were analysed deductively by combining health behaviour change theories with Donabedian\'s quality model of care. In a patient survey, disability (RMDQ), exercise behaviours, fear avoidance beliefs (FABQ), self-efficacy in chronic disease management (SES6G), process- and outcome-expectations (OEE-2) were queried and analysed descriptively.
UNASSIGNED: Twenty-two interviews were conducted and 40 questionnaires completed. Qualitative results revealed that NSCLBP patients had persistent biomedical perspectives on their health condition, marked by strong preferences for biomedical diagnostics and beliefs in the superiority of specific exercise regimes. Based on met expectations and positive movement experiences, patients\' motivation was successfully fostered in the motivational phase of health behavior change. In the volitional phase, the postulated desire to receive self-management strategies was largely unmet. Psychosocial aspects of care were not widely accepted. The survey study sample showed a disability score (RMDQ) of M = 6.8 (±4.6). Mean scores of validated scales reflecting on attitudes, beliefs and expectations of chronic NSCLBP management were at FABQ-pa M = 15.4 (±6.0), FABQ-w M = 24.0 (±12.1), SES6G M = 6.4 (±2.3), and OEE-2 M = 2.7 (±0.5).
UNASSIGNED: In this sample, patients\' understanding of NSCLBP was still dominated by biomedical dogmas and perspectives. Inpatient rehabilitation predominantly addressed expectations towards the motivational phase of exercise-related health behaviour change.
UNASSIGNED: In a mono-centric mixed-methods study, we conducted semi-structured interviews with NSCLBP patients and care providers. We recruited in a rehabilitation clinic which is specialized in orthopaedics and internal medicine. Interviews were analysed deductively by combining health behaviour change theories with Donabedian\'s quality model of care. In a patient survey, disability (RMDQ), exercise behaviours, fear avoidance beliefs (FABQ), self-efficacy in chronic disease management (SES6G), process- and outcome-expectations (OEE-2) were queried and analysed descriptively.
UNASSIGNED: Twenty-two interviews were conducted and 40 questionnaires completed. Qualitative results revealed that NSCLBP patients had persistent biomedical perspectives on their health condition, marked by strong preferences for biomedical diagnostics and beliefs in the superiority of specific exercise regimes. Based on met expectations and positive movement experiences, patients\' motivation was successfully fostered in the motivational phase of health behavior change. In the volitional phase, the postulated desire to receive self-management strategies was largely unmet. Psychosocial aspects of care were not widely accepted. The survey study sample showed a disability score (RMDQ) of M = 6.8 (±4.6). Mean scores of validated scales reflecting on attitudes, beliefs and expectations of chronic NSCLBP management were at FABQ-pa M = 15.4 (±6.0), FABQ-w M = 24.0 (±12.1), SES6G M = 6.4 (±2.3), and OEE-2 M = 2.7 (±0.5).
UNASSIGNED: In this sample, patients\' understanding of NSCLBP was still dominated by biomedical dogmas and perspectives. Inpatient rehabilitation predominantly addressed expectations towards the motivational phase of exercise-related health behaviour change.
摘要：
■非特定，慢性腰痛（NSCLBP）是导致残疾的主要原因，促进长期康复。患者对持久运动的积极信念和期望对于成功管理这种情况至关重要。目的是调查信仰，在康复护理的背景下，NSCLBP患者对运动相关健康行为改变的未满足需求和期望。
■在单中心混合方法研究中，我们对NSCLBP患者和护理提供者进行了半结构化访谈.我们在一家专门从事骨科和内科的康复诊所招募。通过将健康行为改变理论与Donabedian的护理质量模型相结合，对访谈进行了演绎分析。在病人调查中，残疾（RMDQ），锻炼行为,恐惧回避信念(FABQ)，慢性病管理中的自我效能感（SES6G），对过程和结果预期(OEE-2)进行了描述性查询和分析。
■进行了22次访谈，完成了40份问卷。定性结果显示，NSCLBP患者对他们的健康状况有持续的生物医学观点，以对生物医学诊断的强烈偏好和对特定锻炼制度的优越性的信念为标志。基于满足的期望和积极的运动经验，在健康行为改变的动机阶段，成功地培养了患者的动机。在意志阶段，假设接受自我管理策略的愿望在很大程度上没有得到满足。护理的社会心理方面未被广泛接受。调查研究样本显示残疾评分（RMDQ）为M=6.8（±4.6）。反映态度的验证量表的平均得分，慢性NSCLBP管理的信念和期望为FABQ-paM=15.4（±6.0），FABQ-wM=24.0（±12.1），SES6GM=6.4(±2.3),OEE-2M=2.7(±0.5)。
■在此示例中，患者对NSCLBP的理解仍然以生物医学教条和观点为主。住院康复主要解决了对运动相关健康行为改变的动机阶段的期望。
■在单中心混合方法研究中，我们对NSCLBP患者和护理提供者进行了半结构化访谈.我们在一家专门从事骨科和内科的康复诊所招募。通过将健康行为改变理论与Donabedian的护理质量模型相结合，对访谈进行了演绎分析。在病人调查中，残疾（RMDQ），锻炼行为,恐惧回避信念(FABQ)，慢性病管理中的自我效能感（SES6G），对过程和结果预期(OEE-2)进行了描述性查询和分析。
■进行了22次访谈，完成了40份问卷。定性结果显示，NSCLBP患者对他们的健康状况有持续的生物医学观点，以对生物医学诊断的强烈偏好和对特定锻炼制度的优越性的信念为标志。基于满足的期望和积极的运动经验，在健康行为改变的动机阶段，成功地培养了患者的动机。在意志阶段，假设接受自我管理策略的愿望在很大程度上没有得到满足。护理的社会心理方面未被广泛接受。调查研究样本显示残疾评分（RMDQ）为M=6.8（±4.6）。反映态度的验证量表的平均得分，慢性NSCLBP管理的信念和期望为FABQ-paM=15.4（±6.0），FABQ-wM=24.0（±12.1），SES6GM=6.4(±2.3),OEE-2M=2.7(±0.5)。
■在此示例中，患者对NSCLBP的理解仍然以生物医学教条和观点为主。住院康复主要解决了对运动相关健康行为改变的动机阶段的期望。
