Opaslehtisillä jaetun potilasinformaation vaikutus potilaan tiedon tasoon selkäkivusta
Opaslehtiset lisäävät ilmeisesti potilaan tietämystä selkäkivusta verrattuna vakioinformaatioon tai informoimatta jättämiseen. Lääkärin suositus lisää ilmeisesti potilaan luottamusta opaslehtisiin ja harjoitteluun.
In a systematic review «Henrotin YE, Cedraschi C, Duplan B, Bazin T, Duquesnoy B. Information and low back pain management: a systematic review. Spine 2006;31:E326-34»1 eleven randomized controlled trials were selected, including seven trials of high methodologic quality, as well as one parallel group controlled survey and one longitudinal study. Only three of the seven high-quality studies showed favorable results for information. Booklet increase knowledge compared with no intervention, usual care alone, or when? associated?? to with? a healthcare provider-related cue or videodisc (three high-quality RCTs and two low-quality RCTs). Physician-related cues increase in the short-term the confidence in booklet and adherence to exercises as compared with providing the booklet without those cues or to usual care only (one high-quality RCT and one low-quality RCTs). There is limited evidence that a biopsychosocial booklet is more efficient than a biomedical booklet to shift patient's beliefs about physical activity, pain, and consequences of low back trouble. Booklet is not effective on absenteeism as compared with no intervention or cognitive-behavioral intervention (one low-quality and two high-quality RCTs). Booklet is not effective on healthcare use as compared with no intervention, usual care, physical therapy, chiropractic manipulation, or cognitive-behavioral therapy) one low-quality and four high-quality RCTs). There is no evidence that e-mail discussion or video programs alone are effective to reduce low back pain, disability, and healthcare costs.
- Tutkimuksen laatu: tasokas
- Sovellettavuus suomalaiseen väestöön: kohtalainen
- Henrotin YE, Cedraschi C, Duplan B, Bazin T, Duquesnoy B. Information and low back pain management: a systematic review. Spine 2006;31:E326-34