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患者对肌骨物理治疗互动中以患者为中心的重要性的看法:一项定性研究。

Patients' perspectives of patient-centredness as important in musculoskeletal physiotherapy interactions: a qualitative study.

机构信息

School of Physiotherapy, University of Otago, PO Box 56, Dunedin, New Zealand.

出版信息

Physiotherapy. 2011 Jun;97(2):154-62. doi: 10.1016/j.physio.2010.08.002. Epub 2010 Oct 22.

DOI:10.1016/j.physio.2010.08.002
PMID:21497250
Abstract

OBJECTIVE

To determine patients' perspectives of components of patient-centred physiotherapy and its essential elements.

DESIGN

Qualitative study using semi-structured interviews to explore patients' judgements of patient-centred physiotherapy. Grounded theory was used to determine common themes among the interviews and develop theory iteratively from the data.

SETTING

Musculoskeletal outpatient physiotherapy at a provincial city hospital.

PARTICIPANTS

Eight individuals who had recently received physiotherapy.

RESULTS

Five categories of characteristics relating to patient-centred physiotherapy were generated from the data: the ability to communicate; confidence; knowledge and professionalism; an understanding of people and an ability to relate; and transparency of progress and outcome. These categories did not tend to occur in isolation, but formed a composite picture of patient-centred physiotherapy from the patient's perspective.

CONCLUSIONS AND PRACTICE IMPLICATIONS

This research elucidates and reinforces the importance of patient-centredness in physiotherapy, and suggests that patients may be the best judges of the affective, non-technical aspects of a given healthcare episode.

摘要

目的

确定患者对以患者为中心的物理治疗及其基本要素的看法。

设计

使用半结构化访谈的定性研究,探讨患者对以患者为中心的物理治疗的判断。扎根理论用于确定访谈中的常见主题,并从数据中逐步发展理论。

环境

省级城市医院的肌肉骨骼门诊物理治疗。

参与者

最近接受过物理治疗的 8 人。

结果

从数据中产生了与以患者为中心的物理治疗相关的五个特征类别:沟通能力;信心;知识和专业精神;对人和关联能力;以及进度和结果的透明度。这些类别并非孤立出现,而是从患者的角度形成了以患者为中心的物理治疗的综合图景。

结论和实践意义

这项研究阐明并强调了物理治疗中以患者为中心的重要性,并表明患者可能是给定医疗保健事件的情感、非技术方面的最佳判断者。

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