The patient-physician relationship in patients with chronic low back pain as a predictor of outcomes after rehabilitation
The patient-physician relationship in patients with chronic low back pain as a predictor of outcomes after rehabilitation
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DOI：
10.1007/s10865-012-9419-z
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发表时间：
2013-06-01
影响因子：
3.1
通讯作者：
Schmidt, Erika
中科院分区：
文献类型：
--
作者：
Farin, Erik;Gramm, Lukas;Schmidt, Erika
对于慢性病患者，尤其是慢性腰痛患者，医患关系对治疗依从性具有重要意义。在N = 688例腰痛患者的样本中，我们检验了患者-医生关系的各个方面（例如，对护理的满意度、对医生的信任、患者参与）与结果有显著相关性（疼痛、残疾、生活质量、疼痛相关心理障碍）（康复）调整后的一些社会人口，医疗和心理因素。结果表明，医患关系与结果显着相关。在中期（康复后6个月），医患关系的效果比短期（康复结束）更明显。此外，改善较少的风险因素是女性，较高的年龄，低收入，合并症，低治疗动机，恐惧回避信念和外部控制点。未来的研究应探讨关系变量和结果变量之间的因果路径。
For patients with chronic diseases, especially those with chronic low back pain, the patient-physician relationship is significant for treatment adherence. In a sample of N = 688 low back pain patients, we examined the hypothesis that aspects of the patient-physician relationship (e.g. satisfaction with care, trust in the physician, patient participation) have a significant association with outcomes (pain, disability, quality of life, pain-related psychological impairment) after a multimodal treatment program (rehabilitation) after adjusting for a number of sociodemographic, medical, and psychological factors. Results show that the patient-physician relationship is significantly associated with the outcome. In the medium term (6 months after rehabilitation), the effect of the patient-physician relationship is clearer than in the short term (end of rehabilitation). In addition, risk factors for less improvement are female gender, higher age, low income, comorbidity, low treatment motivation, fear avoidance beliefs, and external locus of control. Future studies should examine the causal paths between the relationship variables and the outcome variables.