| Objective: To evaluate the clinical effects of health education program on pain, functional activities and quality of life in patients with low back pain. Methods: PubMed, Ovid Medline, EMBASE, The Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), VIP Database for Chinese Technical Periodicals and Wanfang Data were searched for any randomized controlled trials (RCTs) about the effect of health education program on patients with low back pain from Jan. 2009 to Sept. 2019. Two authors independently screened literature, extracted data and assessed the methodological quality of included studies. Meta-analysis was performed using RevMan 5.3 software. Results: A total of 27 RCTs involving 2701 patients were included. The results of meta analysis showed that, compared with the control group, health education combined with physical exercise ［NPRS: MD= -1.78, 95%CI (-2.67, -0.89), P<0.01］ and intensive health education could significantly relieve pain ［VAS: MD= -0.52, 95%CI (-0.93, -0.11), P=0.01］; (NPRS: MD= -0.41, 95%CI (-0.75, -0.08), P=0.01), but no significant difference was found when health education combined with conventional care for pain relieve (VAS: MD= -0.49, 95%CI (-1.04, 0.07), P=0.09). Health education combined with exercise therapy ［RMDQ: MD= -4.72, 95%CI (-7.70, -0.84), P=0.001］ and health education combined with usual care ［RMDQ: MD= -0.97, 95%CI (-1.91, -0.02), P=0.04］ could improve function activity, but intensive health education couldn’t improve function activity ［RMDQ: MD= 0.15, 95%CI (-0.74, 1.04), P=0.74］. Conclusion: The study suggests that health education combined with other treatments may have an advantage in relieving pain in patients with low back pain, and that intensive health education is more effective. |
