非特异性慢性腰痛患者自我效能的演变过程:一项质性研究OA
The evolution of self-efficacy in patients with nonspecific chronic low back pain:a qualitative study
目的 了解非特异性慢性腰痛患者自我效能的变化、障碍及促进因素.方法 采用目的抽样法,选取于2025年8月至11月门诊就诊的非特异性慢性腰痛患者进行半结构式访谈,运用Colaizzi主题分析法对资料进行分析、归纳并提炼主题.结果 共纳入11名非特异性慢性腰痛患者,其中男5例,女6例,病程为6个月至20年余.其自我效能演变可归纳为4个主题,包括躯体功能与心理社会功能减退、多元化尝试与疗效不确切的困境、医患协作与支持系统的建立和自我管理行为的固化与演变,以及16个亚主题.结论 非特异性慢性腰痛的管理应超越单纯的症状缓解,应充分重视患者的自我效能变化,实施以患者为中心、以赋能为导向的整体性支持模式.
Objective To identify changes,barriers,and facilitators of self-efficacy in patients with nonspecific chronic low back pain.Methods A purposive sampling method was employed to select patients with nonspecific chronic low back pain who visited the outpatient clinic from August to November 2025 for semi-structured interview.The Colaizzi thematic analysis method was used to analyze,summa-rize,and extract themes from the data.Results A total of 11 patients with non-specific chronic low back pain were enrolled,including 5 males and 6 females,with disease duration ranging from 6 months to over 20 years.The evolution of their self-efficacy can be summarized into four themes,including the decline in physical and psychosocial function,the dilemma of diverse attempts with uncertain efficacy,the establishment of patient-physician collaboration and support systems,and the solidification and evolu-tion of self-management behaviors,along with 16 sub-themes.Conclusion Management of nonspecific chronic low back pain should extend beyond mere symptom relief and pay adequate attention to changes in patients' self-efficacy,implement a patient-centered,empowerment-oriented holistic support model.
周锦浪;梁安靖;丘雪梅;王玉翠;黄志玲;何湘;陈桂莲
中山大学孙逸仙纪念医院脊柱外科二区,广州 510120中山大学孙逸仙纪念医院脊柱外科二区,广州 510120中山大学孙逸仙纪念医院护理部,广州 510120中山大学孙逸仙纪念医院护理部,广州 510120中山大学孙逸仙纪念医院护理部,广州 510120中山大学孙逸仙纪念医院护理部,广州 510120中山大学孙逸仙纪念医院护理部,广州 510120
医药卫生
非特异性慢性腰痛自我效能质性研究半结构式访谈
nonspecific chronic low back painself-efficacyqualitative researchsemi-structured interviews
《岭南现代临床外科》 2026 (2)
109-113,5
广东省医学科学技术研究基金(A2024757)
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