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Sufficient explanation of management affects patient satisfaction and the practice of post-treatment management in spinal pain, a multicenter study of 1007 patients

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Background: Spinal pain is most common symptom in pain clinic. In most cases, before the treatment of spinal pain, physician explains the patient’s disease and treatment. We investigated patient’s satisfaction and physician’s explanation related to treatments in spinal pain patients by questionnaires. Methods: Anonymous questionnaires about physician’s explanation and patient’s satisfaction in each treatment and post-treatment management were asked to individuals suffering from spinal pain. Patients who have spinal pain were participated in our survey of nationwide university hospitals in Korea. The relationships between patient’s satisfaction and other factors were analyzed. Results: Between June 2016 and August 2016, 1007 patients in 37 university hospitals completed the questionnaire. In the statistical analysis, patient’s satisfaction of treatment increased when pain severity was low or received sufficient preceding explanation about nerve block and medication (P < 0.01). Sufficient explanation increased patient’s necessity of a post-treatment management and patients’ performance rate of post-treatment management (P < 0.01). Conclusions: These results show that sufficient explanation increased patients’ satisfaction after nerve block and medication. Sufficient explanation also increased the practice of patients’ post-treatment management. (Korean J Pain 2017; 30: 116-25)

Abstract

Background: Spinal pain is most common symptom in pain clinic. In most cases, before the treatment of spinal pain, physician explains the patient’s disease and treatment. We investigated patient’s satisfaction and physician’s explanation related to treatments in spinal pain patients by questionnaires. Methods: Anonymous questionnaires about physician’s explanation and patient’s satisfaction in each treatment and post-treatment management were asked to individuals suffering from spinal pain. Patients who have spinal pain were participated in our survey of nationwide university hospitals in Korea. The relationships between patient’s satisfaction and other factors were analyzed. Results: Between June 2016 and August 2016, 1007 patients in 37 university hospitals completed the questionnaire. In the statistical analysis, patient’s satisfaction of treatment increased when pain severity was low or received sufficient preceding explanation about nerve block and medication (P < 0.01). Sufficient explanation increased patient’s necessity of a post-treatment management and patients’ performance rate of post-treatment management (P < 0.01). Conclusions: These results show that sufficient explanation increased patients’ satisfaction after nerve block and medication. Sufficient explanation also increased the practice of patients’ post-treatment management. (Korean J Pain 2017; 30: 116-25)

참고문헌 (30)

  1. Ruchi Gupta, "Correlation between Epidurographic Contrast Flow Patterns and Clinical Effectiveness in Chronic Lumbar Discogenic Radicular Pain Treated with Epidural Steroid Injections Via Different Approaches", The Korean Journal of Pain, 27(4), pp.353~359 (2014), 대한통증학회
  2. Fejer R, "The prevalence of neck pain in the world population : a systematic critical review of the literature", Eur Spine J, 15, pp.834~848 (2006)
  3. 김은정, "Epidural Steroid Injection in Korean Pain Physicians: A National Survey", The Korean Journal of Pain, 27(1), pp.35~42 (2014), 대한통증학회
  4. Elfering A, "Epidemiology and risk factors of spinal disorders: fundamentals of diagnosis and treatment", pp.153~173 (2008), Springer
  5. Andersson GB, "Epidemiological features of chronic low-back pain", Lancet, 354, pp.581~585 (1999)
  6. Smith CK, "Characteristics of the initial medical interview associated with patient satisfaction and understanding", J Fam Pract, 12, pp.283~288 (1981)
  7. Ji Won Choi, "Effect of Cervical Interlaminar Epidural Steroid Injection: Analysis According to the Neck Pain Patterns and MRI Findings", The Korean Journal of Pain, 29(2), pp.96~102 (2016), 대한통증학회
  8. Ferrante FM, "Clinical classification as a predictor of therapeutic outcome after cervical epidural steroid injection", Spine (Phila Pa 1976), 18, pp.730~736 (1993)
  9. Kwon JW, "Cervical interlaminar epidural steroid injection for neck pain and cervical radiculopathy: effect and prognostic factors", Skeletal Radiol, 36, pp.431~436 (2007)
  10. Shakir A, "Prediction of therapeutic response to cervical epidural steroid injection according to distribution of radicular pain", Am J Phys Med Rehabil, 90, pp.917~922 (2011)
  11. Dworkin RH, "Interventional management of neuropathic pain : NeuPSIG recommendations", Pain, 154, pp.2249~2261 (2013)
  12. Torrance N, "The epidemiology of chronic pain of predominantly neuropathic origin. Results from a general population survey", J Pain, 7, pp.281~289 (2006)
  13. Bouhassira D, "Prevalence of chronic pain with neuropathic characteristics in the general population", Pain, 136, pp.380~387 (2008)
  14. Carroll LJ, "Depression as a risk factor for onset of an episode of troublesome neck and low back pain", Pain, 107, pp.134~139 (2004)
  15. 김신형, "Risk Factors Associated with Clinical Insomnia in Chronic Low Back Pain: A Retrospective Analysis in a University Hospital in Korea", The Korean Journal of Pain, 28(2), pp.137~143 (2015), 대한통증학회
  16. Terry EL, "Emotional modulation of pain and spinal nociception in persons with major depressive disorder (MDD)", Pain, 154, pp.2759~2768 (2013)
  17. Fialová D, "Medication errors in elderly people : contributing factors and future perspectives", Br J Clin Pharmacol, 67, pp.641~645 (2009)
  18. Avluk OC, "Effects of chronic pain on function, depression, and sleep among patients with traumatic spinal cord injury", Ann Saudi Med, 34, pp.211~216 (2014)
  19. Rabey M, "Differing psychologically derived clusters in people with chronic low back pain are associated with different multidimensional profiles", Clin J Pain, 32, pp.1015~1027 (2016)
  20. Williams S, "Patient expectations: what do primary care patients want from the GP and how far does meeting expectations affect patient satisfaction?", Fam Pract, 12, pp.193~201 (1995)
  21. Beckman HB, "The doctor-patient relationship and malpractice. Lessons from plaintiff depositions", Arch Intern Med, 154, pp.1365~1370 (1994)
  22. Hickson GB, "Obstetricians' prior malpractice experience and patients' satisfaction with care", JAMA, 272, pp.1583~1587 (1994)
  23. Hickson GB, "Factors that prompted families to file medical malpractice claims following perinatal injuries", JAMA, 267, pp.1359~1363 (1992)
  24. Vincent C, "Why do people sue doctors? A study of patients and relatives taking legal action", Lancet, 343, pp.1609~1613 (1994)
  25. 김연동, "Review of Medical Dispute Cases in the Pain Management in Korea: A Medical Malpractice Liability Insurance Database Study", The Korean Journal of Pain, 28(4), pp.254~264 (2015), 대한통증학회
  26. Lester GW, "Listening and talking to patients. A remedy for malpractice suits?", West J Med, 158, pp.268~272 (1993)
  27. Ong LM, "Doctor-patient communication: a review of the literature", Soc Sci Med, 40, pp.903~918 (1995)
  28. van Tulder M, "Exercise therapy for low back pain : a systematic review within the framework of the cochrane collaboration back review group", Spine (Phila Pa 1976), 25, pp.2784~2796 (2000)
  29. Ferreira PH, "Specific stabilisation exercise for spinal and pelvic pain : a systematic review", Aust J Physiother, 52, pp.79~88 (2006)
  30. Friedrich M, "Combined exercise and motivation program : effect on the compliance and level of disability of patients with chronic low back pain : a randomized controlled trial", Arch Phys Med Rehabil, 79, pp.475~487 (1998)

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