Dean Sarah G, Smith Jonathan A, Payne Sheila, Weinman John
Rehabilitation Teaching and Research Unit, Department of Medicine, Wellington School of Medicine and Health Sciences, University of Otago, New Zealand.
Disabil Rehabil. 2005 Jun 3;27(11):625-36. doi: 10.1080/0963820500030449.
Physiotherapy for low back pain (LBP) includes exercise therapy. Unfortunately adherence is problematic. This study explores patients' and physiotherapists' perceptions of exercise adherence.
Nine LBP patients and eight physiotherapists were interviewed. Interpretative Phenomenological Analysis (IPA) was used to explore transcript data.
The main theme 'managing time', reveals how pressure on time reflects society's view of time as a commodity. Theme components include 'the bargaining process': physiotherapists spend time listening, exploring patient beliefs, but modify patients' expectations of quick cures with the need to own their back care. 'Reviewing the future' identifies fears about long-term disability, highlighting the importance of recovery time knowledge.
Interpreting participants' stories illustrates how investing in routine exercise could help re-interpret LBP as part of everyday life.
腰痛（LBP）的物理治疗包括运动疗法。遗憾的是，依从性存在问题。本研究探讨患者和物理治疗师对运动依从性的看法。
对9名腰痛患者和8名物理治疗师进行了访谈。采用解释现象学分析（IPA）来探究转录数据。
主要主题“管理时间”揭示了时间压力如何反映社会将时间视为商品的观点。主题组成部分包括“讨价还价过程”：物理治疗师花费时间倾听、探究患者的信念，但会根据患者需要自行负责背部护理的情况，调整患者对快速治愈的期望。“审视未来”确定了对长期残疾的恐惧，突出了恢复时间知识的重要性。
解读参与者的故事说明了投入日常锻炼如何有助于将腰痛重新诠释为日常生活的一部分。
