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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

周锦浪 梁安靖 丘雪梅 王玉翠 黄志玲 何湘 陈桂莲

岭南现代临床外科2026,Vol.26Issue(2):109-113,5.
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岭南现代临床外科2026,Vol.26Issue(2):109-113,5.DOI:10.3969/j.issn.1009-976X.2026.02.005

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

The evolution of self-efficacy in patients with nonspecific chronic low back pain:a qualitative study

周锦浪 1梁安靖 1丘雪梅 2王玉翠 2黄志玲 2何湘 2陈桂莲2

作者信息

  • 1. 中山大学孙逸仙纪念医院脊柱外科二区,广州 510120
  • 2. 中山大学孙逸仙纪念医院护理部,广州 510120
  • 折叠

摘要

Abstract

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.

关键词

非特异性慢性腰痛/自我效能/质性研究/半结构式访谈

Key words

nonspecific chronic low back pain/self-efficacy/qualitative research/semi-structured interviews

分类

医药卫生

引用本文复制引用

周锦浪,梁安靖,丘雪梅,王玉翠,黄志玲,何湘,陈桂莲..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[J].岭南现代临床外科,2026,26(2):109-113,5.

基金项目

广东省医学科学技术研究基金(A2024757) (A2024757)

岭南现代临床外科

1009-976X

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