UNASSIGNED:使用改进的德尔菲法建立共识。利益攸关方和专家应邀参加了专家小组。向小组分发了最佳做法声明和决策问卷。小组成员被要求在几轮的一系列声明后将“强烈不同意”标记为“强烈同意”,直到达成共识或决策方法被认为不适合达成共识。腰椎疼痛最常见的原因是椎间退化,导致椎间盘退行性疾病和腰椎间盘突出症。在适当的患者协议和对韩国医疗保健的康复期望方面缺乏一致意见。韩国医疗的长期可行性,在机构环境中进一步采用,和特定的患者结果取决于是否存在适当的韩国医疗计划。由17名从业者组成的韩国医学专家小组采用了改良的Delphi方法,以就韩国腰椎间盘突出症的医疗护理达成共识。该小组首先回顾了与韩国腰椎间盘突出症药物治疗相关的文献和指南。小组成员考虑了旨在为具有广泛腰椎间盘突出症症状的患者确定“标准化”韩国医疗建议的问卷。每个小组成员都参加了一轮投票,随后是在线意见收集会议。共识被定义为受访者之间≥75%的共识。在第一轮中,对专家小组进行了5个领域的144份问卷。在审查了第一轮收集的答复和不限成员名额的评论后,作者将问卷修改为53项并继续进行.在第2轮中,所有53个调查问题都达成了共识。最终的治疗途径包括在4种类型的医疗机构中对腰椎间盘突出症进行标准化和全面的护理方法。这项研究确定了一套基于证据和共识的核心原则,这些原则对于全面的护理模式至关重要。纳入识别,转介,腰椎间盘突出症患者的治疗。
UNASSIGNED: A modified Delphi method was used to establish a
consensus. Stakeholders and experts were invited to participate in the expert panel. Best practice statements and decision-making questionnaires were distributed to the panel. Panel members were asked to mark \"Strongly disagree\" to \"Strongly agree\" after a series of statements over several rounds until either a
consensus was reached or the decision-making method was deemed unsuitable for reaching a consensus.The most common cause of lumbar pain is intervertebral degeneration, which leads to degenerative disc disease and lumbar disc herniation. There is a lack of unanimity regarding appropriate patient protocols and rehabilitation expectations for Korean medical care. The long-term viability of Korean medical treatment, further adoption in the institutional setting, and specific patient outcomes are contingent on the existence of appropriate Korean medical programs.A Korean medical expert panel of 17 practitioners employed a modified Delphi method to achieve consensus on Korean medical care for lumbar disc herniation. The panel first reviewed the literature and
guidelines relevant to Korean medical treatment for lumbar disc herniation. The panel members considered questionnaires intended to determine \"standardized\" Korean medical care recommendations for patients with a wide range of symptoms of lumbar disc herniation. Each panel member participated in a round of voting, which was followed by an opinion-collecting session online.
Consensus was defined as a ≥75% agreement among the respondents.In the first round, 144 questionnaires across 5 domains were administered to the expert panels. After reviewing the responses and open-ended comments collected in the first round, the authors modified the questionnaires to 53 items and proceeded. In round 2,
consensus was achieved in all 53 survey questions. The final treatment pathway comprised a standardized and comprehensive care approach for lumbar disc herniations in 4 types of medical institutions.This study identified a core set of evidence- and consensus-based principles that are essential to a comprehensive model of care, incorporating identification, referral, and management of patients with lumbar disc herniation.