{"?xml":{"@version":"1.0"},"edm:RDF":{"@xmlns:dc":"http://purl.org/dc/elements/1.1/","@xmlns:edm":"http://www.europeana.eu/schemas/edm/","@xmlns:wgs84_pos":"http://www.w3.org/2003/01/geo/wgs84_pos","@xmlns:foaf":"http://xmlns.com/foaf/0.1/","@xmlns:rdaGr2":"http://rdvocab.info/ElementsGr2","@xmlns:oai":"http://www.openarchives.org/OAI/2.0/","@xmlns:owl":"http://www.w3.org/2002/07/owl#","@xmlns:rdf":"http://www.w3.org/1999/02/22-rdf-syntax-ns#","@xmlns:ore":"http://www.openarchives.org/ore/terms/","@xmlns:skos":"http://www.w3.org/2004/02/skos/core#","@xmlns:dcterms":"http://purl.org/dc/terms/","edm:WebResource":[{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-FVXEIUQI/faae47b3-d4e1-4f18-ab79-8be06b71c7d0/HTML","dcterms:extent":"27 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-FVXEIUQI/1b958530-3f3b-4019-83ca-aabaa3ba9ed1/PDF","dcterms:extent":"43 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-FVXEIUQI/75892105-fd96-429f-9381-020163403cf4/TEXT","dcterms:extent":"25 KB"}],"edm:TimeSpan":{"@rdf:about":"2002-2026","edm:begin":{"@xml:lang":"en","#text":"2002"},"edm:end":{"@xml:lang":"en","#text":"2026"}},"edm:ProvidedCHO":{"@rdf:about":"URN:NBN:SI:doc-FVXEIUQI","dcterms:isPartOf":[{"@rdf:resource":"https://www.dlib.si/details/urn:nbn:si:spr-py0w57lr"},{"@xml:lang":"sl","#text":"Zdravstveno varstvo"}],"dcterms:issued":"2005","dc:creator":["Car, Josip","Kersnik, Janko","Švab, Igor"],"dc:format":[{"@xml:lang":"sl","#text":"številka:4"},{"@xml:lang":"sl","#text":"letnik:44"},{"@xml:lang":"sl","#text":"str. 193-198"}],"dc:identifier":["ISSN:0351-0026","COBISSID:1516005","URN:URN:NBN:SI:doc-FVXEIUQI"],"dc:language":"en","dc:publisher":{"@xml:lang":"sl","#text":"Inštitut za varovanje zdravja Republike Slovenije"},"dc:subject":[{"@xml:lang":"sl","#text":"bolečina"},{"@xml:lang":"sl","#text":"družinska medicina"},{"@xml:lang":"sl","#text":"hrbtenica"},{"@xml:lang":"sl","#text":"kronične bolezni"}],"dcterms:temporal":{"@rdf:resource":"2002-2026"},"dc:title":{"@xml:lang":"sl","#text":"Management of chronic low back pain in family practice| Obravnava kronične bolečine v križu v družinski medicini|"},"dc:description":[{"@xml:lang":"sl","#text":"Objective: There is a paucity of data about diagnostic and therapeutic interventions used by family practitioners (FPs) in patients with chronic low back pain. The aim of the study was to investigate the decision-making of FPs in the management of these patients in Slovenia. Methods: The participants were sent a written scenario about a 57-year-old man with chronic low back pain and a questionnaire inquiring about diagnostic and therapeutic proceduresused in patients with chronic low back pain. A total of 198 (25.5 %)FPs were surveyed. Results: The questionnaire was answered by 129 participants (75.4 % response rate), i.e. by 16.6 % of the population of Slovene family physicians. Fourty-five (35 %) respondents ordered one or several diagnostic tests to substantiate the diagnosis. Ordering rates were higher for FPs with larger patients lists (p = 0.02). All FPs but one prescribed medicines for pain relief. Twenty-one generic types of oral and topical analgesics from eight different groups were prescribed. Twenty-five (19.3 %) FPs added topical ointment to oral medication. Bedrest for a few dayswas recommended by 31 (24 %) FPs, and maintenance of normal daily activityby only 18 (14 %). Ninety-four (73 %) FPs advised their patients to engage in regular physical exercises. Sick notes were more frequently given byFPs who worked more hours per week (p = 0.05). Conclusions: Our study showedthat FPs take a very varied approach to the management of chronic low back pain. The results strongly indicate a need for adopting evidence-based guidelines for low back pain management"},{"@xml:lang":"sl","#text":"Izhodišča: O diagnostičnih in terapevtskih ukrepih zdravnikov družinske medicine pri kronični bolečini v križu je malo znanega. Namen te raziskave je bil preveriti izvajanje diagnostičnih in terapevtskih ukrepov pri bolnikih s kronično bolečino v križu pri slovenskih zdravnikih družinske medicine (ZDM). Metode: Pisni opis primera 57-letnega bolnika s kronično bolečino v križu z vprašalnikom o diagnostičnih in terapevtskih ukrepih smo poslali 198 (25,5 %) zdravnikom družinske medicine. Rezultati: Dobili smo 129 (75,4 %) odgovorov, kar predstavlja 16,6 % vseh ZDM. 45 (35 %) zdravnikov družinske medicine je naročilo eno ali več diagnostičnih preiskav za potrditev diagnoze. ZDM z večjim številom registriranih bolnikov so naročili več diagnostičnih preiskav (p=0,002). Vsi ZDM razen enega so predpisali zdravila za omilitev bolečin. Predpisali so 21 različnih zdravil iz 8 različnih skupin v oralni ali topični obliki. 25 (19,3 %) zdravnikov je k oralnemu zdravilo dodalo še topično zdravilo. 31 (24 %) zdravnikov je svetovalo počitek v postelji nekaj dni in le14 % je svetovalo normalne dnevne dejavnosti. 94 (73 %) je svetovalo redno telesno dejavnost. ZDM z večjo tedensko kvoto delovnih ur so pogosteje predpisali zdravniško upravičeno odsotnost z dela (p=0,05). Sklep: Naša raziskava je pokazala velike razlike pri obravnavni bolnikov s kronično bolečino v križu, kar močno podpira težnjo po smernicah za vodenje kronične bolečine v križu"}],"edm:type":"TEXT","dc:type":[{"@xml:lang":"sl","#text":"znanstveno časopisje"},{"@xml:lang":"en","#text":"journals"},{"@rdf:resource":"http://www.wikidata.org/entity/Q361785"}]},"ore:Aggregation":{"@rdf:about":"http://www.dlib.si/?URN=URN:NBN:SI:doc-FVXEIUQI","edm:aggregatedCHO":{"@rdf:resource":"URN:NBN:SI:doc-FVXEIUQI"},"edm:isShownBy":{"@rdf:resource":"http://www.dlib.si/stream/URN:NBN:SI:doc-FVXEIUQI/1b958530-3f3b-4019-83ca-aabaa3ba9ed1/PDF"},"edm:rights":{"@rdf:resource":"http://rightsstatements.org/vocab/InC/1.0/"},"edm:provider":"Slovenian National E-content Aggregator","edm:intermediateProvider":{"@xml:lang":"en","#text":"National and University Library of Slovenia"},"edm:dataProvider":{"@xml:lang":"sl","#text":"Inštitut za varovanje zdravja RS"},"edm:object":{"@rdf:resource":"http://www.dlib.si/streamdb/URN:NBN:SI:doc-FVXEIUQI/maxi/edm"},"edm:isShownAt":{"@rdf:resource":"http://www.dlib.si/details/URN:NBN:SI:doc-FVXEIUQI"}}}}