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, summarize, 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 evolution 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.

Key words: nonspecific chronic low back pain, self-efficacy, qualitative research, semi-structured interviews

摘要： 目的 了解非特异性慢性腰痛患者自我效能的变化、障碍及促进因素。方法 采用目的抽样法,选取于2025年8月至11月门诊就诊的非特异性慢性腰痛患者进行半结构式访谈,运用Colaizzi主题分析法对资料进行分析、归纳并提炼主题。结果 共纳入11名非特异性慢性腰痛患者,其中男5例,女6例,病程为6个月至20年余。其自我效能演变可归纳为4个主题,包括躯体功能与心理社会功能减退、多元化尝试与疗效不确切的困境、医患协作与支持系统的建立和自我管理行为的固化与演变,以及16个亚主题。结论 非特异性慢性腰痛的管理应超越单纯的症状缓解,应充分重视患者的自我效能变化,实施以患者为中心、以赋能为导向的整体性支持模式。

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