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证据与个体化:产后骨盆带疼痛女性治疗的重要因素。

Evidence and individualization: Important elements in treatment for women with postpartum pelvic girdle pain.

机构信息

Senior Researcher, Oslo University Hospital, Department of Orthopaedics, Oslo, Norway.

出版信息

Physiother Theory Pract. 2011 Nov;27(8):557-65. doi: 10.3109/09593985.2010.551802. Epub 2011 Jun 18.

Abstract

The aim of our study was to elucidate patients' experiences of a treatment program for postpartum pelvic girdle pain. The written information given by 47 women regarding their experiences with the treatment program was analyzed by qualitative content analysis. Three categories were identified from the patients' experiences: 1) "Treatment means involvement"; 2) "The interchange of knowledge and experience"; and 3) "Perceived change and meaning." The treatment required the participants' involvement, individual adaptation, and focusing on the importance of building their capacity to master daily activities. The therapists were skilled, interested in each patient, and listened attentively. The program was evidence based and put into practice on a personalized basis. The dialogs of the therapist and patient were experienced as meaningful, creating insight, knowledge, and hope. The treatment facilitated a feeling of being in charge of their own bodies. The dialog and the individualized guidance seemed to be experienced as positive for the women's coping of their daily life. By being active agents in managing their pelvic girdle pain and therapy, they learned to set proximal goals. Perceived hope and self-efficacy appeared to be essential for developing a capacity for self-management and an enhanced ability to benefit from appropriate learning experiences.

摘要

我们的研究目的是阐明患者对产后骨盆带疼痛治疗方案的体验。对 47 名女性关于其对治疗方案的体验的书面信息进行了定性内容分析。从患者的体验中确定了三个类别:1)“治疗意味着参与”;2)“知识和经验的交流”;3)“感知的变化和意义”。治疗需要参与者的参与、个体适应和关注建立日常生活能力的重要性。治疗师技术娴熟,对每位患者都感兴趣,并认真倾听。该方案基于证据,并在个性化的基础上实施。治疗师和患者之间的对话被认为是有意义的,能够产生洞察力、知识和希望。治疗促进了一种掌控自己身体的感觉。对话和个性化指导似乎对女性应对日常生活产生了积极影响。通过积极参与管理自己的骨盆带疼痛和治疗,她们学会了设定近期目标。感知到的希望和自我效能感对于发展自我管理能力和提高从适当学习经验中受益的能力似乎至关重要。

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