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首页> 外文期刊>Chiropractic and Manual Therapies >The Nordic Maintenance Care Program: Maintenance care – what happens during the consultation? Observations and patient questionnaires
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The Nordic Maintenance Care Program: Maintenance care – what happens during the consultation? Observations and patient questionnaires

机译：北欧维护保养计划：维护保养–咨询期间会发生什么？观察结果和患者问卷

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Background Because maintenance care (MC) is frequently used by chiropractors in the management of patients with back pain, it is necessary to define the rationale, frequency and indications for MC consultations, and the contents of such consultations. The objectives of the two studies described in this article are: i) to determine the typical spacing between visits for MC patients and to compare MC and non-MC patients, ii) to describe the content of the MC consultation and to compare MC and non-MC patients and iii) to investigate the purposes of the MC program. Method In two studies, chiropractors who accepted the MC paradigm were invited to assist with the data collection. In study 1, patients seen by seven different chiropractors were observed by two chiropractic students. They noted the contents of the observed consultations. In study 2, ten chiropractors invited their MC patients to participate in an anonymous survey. Participants filled in a one page questionnaire containing questions on their view of the purposes and contents of their MC consultations. In addition, information was obtained on the duration between appointments in both studies. Results There were 178 valid records in study 1, and in study 2 the number of questionnaires received was 373. The time interval between MC visits was close to nine weeks and for non-MC consultations it was two weeks. The content of the consultations in study 1 was similar for MC and non-MC patients with treatment being the most time-consuming element followed by history taking/examination. MC consultations were slightly shorter than non-MC consultations. In study 2, the most common activities reported to have taken place were history taking and manipulative therapy. The most commonly reported purposes were to prevent recurring problems, to maintain best possible function and /or to stay as pain free as possible. Conclusions The results from these two studies indicate that MC consultations commonly take place with around two months intervals, and that history taking, examination and treatment are as important components in MC as in non-MC consultations. Further, the results demonstrate that most patients consider the goal to be secondary or tertiary prevention.
机译：背景技术由于脊椎治疗师经常在脊柱背痛患者的治疗中使用维护护理（MC），因此有必要定义MC咨询的理由，频率和适应症，以及此类咨询的内容。本文所述两项研究的目的是：i）确定MC患者就诊之间的典型间隔，并比较MC患者和非MC患者，ii）描述MC咨询的内容以及比较MC患者和非MC患者-MC患者和iii）调查MC计划的目的。方法在两项研究中，接受MC范式的脊医被邀请协助数据收集。在研究1中，两名脊医的学生观察了由七个不同的脊医组成的病人。他们注意到观察到的磋商的内容。在研究2中，十名脊椎治疗师邀请其MC患者参加匿名调查。参与者填写了一页调查问卷，其中包含有关他们对MC协商的目的和内容的看法的问题。此外，在两项研究中均获得了有关任命之间的持续时间的信息。结果研究1中有178条有效记录，研究2中收到问卷373张。MC访问之间的时间间隔接近9周，而非MC咨询的时间间隔为2周。对于MC和非MC患者，研究1中的咨询内容相似，治疗是最耗时的要素，其次是病史检查/检查。 MC咨询的时间略短于非MC咨询的时间。在研究2中，据报道发生的最常见活动是历史记录和手法治疗。最常报告的目的是防止重复出现的问题，保持最佳的功能和/或尽可能避免疼痛。结论这两项研究的结果表明，MC咨询通常每两个月左右进行一次，并且病史的采集，检查和治疗与非MC咨询一样是MC的重要组成部分。此外，结果表明大多数患者认为目标是二级或三级预防。

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