{"title":"生物心理社会干预对学生非特异性慢性腰痛及其相关残疾的影响。","authors":"Rashid Heidarimoghadam, Younes Mohammadi, Ramin Kordi","doi":"10.34172/jrhs.2022.103","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>This study aimed to investigate the effects of biopsychosocial interventions on non-specific chronic low back pain (NSCLBP) and disabilities caused by it among Students.</p><p><strong>Study design: </strong>A two-group pretest-posttest randomized clinical trial.</p><p><strong>Methods: </strong>The statistical population of the study was female students enrolled at the first-stage secondary school in Hamadan, Iran. A total of 200 students were selected through cluster sampling and randomized into two groups of intervention and control. The primary evaluation was performed by the Cornell Musculoskeletal Discomfort Questionnaire (CMDQ), the Health-Related Quality of Life (SF-36), the International Physical Activity Questionnaire-Short Form (IPAQ-S), the World Health Organization Disability Assessment Schedule (WHODAS), and the visual analogue scale (VAS). Upon developing and implementing the biopsychosocial model-based interventions for ten weekly two-hour sessions, the secondary evaluation was fulfilled, and the extracted data were analyzed using the IBM SPSS version 21.</p><p><strong>Results: </strong>The independent-group t-test results revealed that the mean scores of quality of life (QOL) and physical activity significantly elevated in the intervention group, compared to the control. In addition, the mean value of disabilities, the amount of disorder in the lumbar region, and the VAS scores in the intervention group substantially declined compared to the control group.</p><p><strong>Conclusion: </strong>The significant variations in the biopsychosocial factors demonstrated that the development of some interventions based on the bio-psychosocial model (BPSM) could help manage the NSCLBP and its ensuing disabilities. 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引用次数: 0
摘要
背景:本研究旨在探讨生物心理社会干预对学生非特异性慢性腰痛(NSCLBP)及其所致残疾的影响。研究设计:两组测试前-测试后随机临床试验。方法:本研究的统计人群为伊朗哈马丹市一年级中学的女学生。采用整群抽样的方法抽取200名学生,随机分为干预组和对照组。主要评估采用康奈尔肌肉骨骼不适问卷(CMDQ)、健康相关生活质量(SF-36)、国际体育活动问卷-短表(IPAQ-S)、世界卫生组织残疾评估表(WHODAS)和视觉模拟量表(VAS)。在制定和实施基于生物心理社会模型的干预措施后,每周10次,每次2小时,完成了二次评估,并使用IBM SPSS version 21对提取的数据进行分析。结果:独立组t检验结果显示,干预组的生活质量(QOL)和体力活动平均得分显著高于对照组。此外,与对照组相比,干预组的残疾平均值、腰椎区障碍量和VAS评分均显著下降。结论:生物心理社会因素的显著变化表明,基于生物心理社会模型(BPSM)的干预措施可以帮助管理NSCLBP及其随后的残疾。因此,基于bpsm的干预措施可以用来减少学生的肌肉骨骼疾病(MSDs)。
Effects of Biopsychosocial Interventions on Non-specific Chronic Low Back Pain and Its Related Disabilities among Students.
Background: This study aimed to investigate the effects of biopsychosocial interventions on non-specific chronic low back pain (NSCLBP) and disabilities caused by it among Students.
Study design: A two-group pretest-posttest randomized clinical trial.
Methods: The statistical population of the study was female students enrolled at the first-stage secondary school in Hamadan, Iran. A total of 200 students were selected through cluster sampling and randomized into two groups of intervention and control. The primary evaluation was performed by the Cornell Musculoskeletal Discomfort Questionnaire (CMDQ), the Health-Related Quality of Life (SF-36), the International Physical Activity Questionnaire-Short Form (IPAQ-S), the World Health Organization Disability Assessment Schedule (WHODAS), and the visual analogue scale (VAS). Upon developing and implementing the biopsychosocial model-based interventions for ten weekly two-hour sessions, the secondary evaluation was fulfilled, and the extracted data were analyzed using the IBM SPSS version 21.
Results: The independent-group t-test results revealed that the mean scores of quality of life (QOL) and physical activity significantly elevated in the intervention group, compared to the control. In addition, the mean value of disabilities, the amount of disorder in the lumbar region, and the VAS scores in the intervention group substantially declined compared to the control group.
Conclusion: The significant variations in the biopsychosocial factors demonstrated that the development of some interventions based on the bio-psychosocial model (BPSM) could help manage the NSCLBP and its ensuing disabilities. Therefore, the BPSM-based interventions could be exploited to minimize musculoskeletal disorders (MSDs) in students.
期刊介绍:
The Journal of Research in Health Sciences (JRHS) is the official journal of the School of Public Health; Hamadan University of Medical Sciences, which is published quarterly. Since 2017, JRHS is published electronically. JRHS is a peer-reviewed, scientific publication which is produced quarterly and is a multidisciplinary journal in the field of public health, publishing contributions from Epidemiology, Biostatistics, Public Health, Occupational Health, Environmental Health, Health Education, and Preventive and Social Medicine. We do not publish clinical trials, nursing studies, animal studies, qualitative studies, nutritional studies, health insurance, and hospital management. In addition, we do not publish the results of laboratory and chemical studies in the field of ergonomics, occupational health, and environmental health