Introduction of patients with back pain syndrome in primary health care

It has been established that one of the most common problems in general practice is low back pain syndrome. To correctly diagnose patients with back pain, it is necessary to have a good understanding of its etiology. As expected at the beginning of the study, back problems were confirmed to be one of the most pressing problems in general practice. It was established that 212 people were diagnosed with lower back pain syndrome in one year in a family clinic with a population of 4437 people. It was found that relative to the adult population, this is 4,7% and relative to the entire population – 3,2%. Since the structure of lumbar problems is practically the same in the retrospective and prospective groups, when we present the data of the retrospective group as annual statistics, osteoarthritis and osteochondrosis make up the majority of diseases.

SUMMARY

Background. One of the actual problems most often encountered in general practice is a back pain syndrome. According to a study conducted in well-established countries of the general practice concept, 5% of the total patients who applied to the general practice physician in Australia, while 6,5% in the United Kingdom (UK) came with complaints in back pain. Pain syndrome at the back in the USA is one of the main causes of disability of citizens under the age of 45 years. In the USA, 5% of cases of the disease detected in a year are associated only with pain syndrome at the back; in 70-90% of cases the disease is reversible, while in 40% of cases it is chronic. As a result of research conducted in the USA, 85% of people suffer from this syndrome at least once during their lives, while 70% lose their ability to work even once because of back pain. In 50% of cases, back pain lasts less than two weeks, while in 25% of cases, it lasts less than a month. In 40-70% of cases, back pain is reversible. Back pain syndrome is three in people at the age from 30 to 60 years old.

Purpose of study was to examine the possibilities and effectiveness of cross-examination of lumbar pain syndrome in integrative care among individuals from rural place.

Results. According to the results of the retrospective study, 212 adults aged 10 years and 2313 living in the territory of the family polyclinic (FP) for a year applied to the FP with various waist problems. This is 4,7% compared to the adult population, while is 3,2% in the total number of population. Only 45 (21,2%) of the patients were admitted only once, 114 (53.8%) twice, and 53 (25%) many times. Studies have shown that although the main majority of patients come for the purpose of treatment alone (45,4%), 5,7% (25) for the purpose of obtaining disability benefits, 18,1% have agreed to FP for the purpose of obtaining a sick leave or extending it. 21,8% of patients came to the reception to get advice and new recommendations from the doctor. In most cases, patients are satisfied with recommendations. In particular, 16 patients were given disability benefits, 74 patients were given temporary leave for the disease.

Conclusions. In the family polyclinic № 10, patients with back pain syndrome admitted to the FP were 4,7% compared to the number of population. This number indicates the relevance of the problem and encourages the production of concrete measures. Among the problems of the spine osteochondrosis and osteoarthrosis were the most common (37,7%), and the less common were radiculitis 36,8%, trauma 10,8%, ankylosed spondyloarthritis 3,3%. Back pain is one of the main causes of vacation and disability due to illness. 18,1% of the patients who applied for a sick leave sheet, 5.7% applied for a disability pension. In most cases, they are satisfied with recommendations. In the back pain syndrome, as a result of carrying out by the integration method according to the scheme proposed by us, a turn occurred as a service to the patients. Diagnostic errors and tactical errors in treatment were significantly reduced.