专业工具与个人关怀——偏头痛患者物理治疗的体验。
Professional tools and a personal touch - experiences of physical therapy of persons with migraine.
机构信息
Division of Health and Rehabilitation, Department of Health Sciences, Luleå University of Technology, Luleå, Sweden.
出版信息
Disabil Rehabil. 2013 Sep;35(19):1614-21. doi: 10.3109/09638288.2012.748838. Epub 2013 Jan 11.
PURPOSE
The aim was to explore the lived experience of physical therapy of persons with migraine.
METHOD
Data were collected by conducting narrative interviews with 11 persons with migraine. Inspired by van Manen, a hermeneutic phenomenological method was used to analyse the experiences of physical therapy which these persons had.
RESULTS
Physical therapy for persons with migraine meant making an effort in terms of time and energy to improve their health by meeting a person who was utilising his or her knowledge and skill to help. Being respected and treated as an individual and having confidence in the physical therapist were highlighted aspects. The analysis revealed a main theme, "meeting a physical therapist with professional tools and a personal touch". The main theme included four sub-themes, "investing time and energy to feel better", "relying on the competence of the physical therapist", "wanting to be treated and to become involved as an individual" and "being respected in a trustful relationship".
CONCLUSIONS
The therapeutic relationship with the physical therapist is important and the findings of this study can increase awareness about relational aspects of physical therapy and encourage thoughtfulness among physical therapists and other healthcare professionals interacting with persons with migraine.
IMPLICATIONS FOR REHABILITATION
Physical therapists use both professional tools and a personal touch in their interaction with persons with migraine and this article can increase physical therapists' awareness and encourage thoughtfulness in their professional practice. Being respected and treated as an individual and having confidence in the physical therapist are important aspects of the therapeutic relationship and indicate a need for patient-centred care. By making the effort of spending the time and energy required, physical therapy could be a complement or an alternative to medication to ease the consequences of migraine.
目的
探索偏头痛患者物理治疗的体验。
方法
对 11 名偏头痛患者进行叙事访谈，收集数据。受 van Manen 的启发，采用解释现象学方法分析这些人对物理治疗的体验。
结果
偏头痛患者的物理治疗意味着要付出时间和精力来改善健康，方法是与利用知识和技能帮助他们的人会面。被尊重和视为个体，对物理治疗师有信心是突出的方面。分析揭示了一个主题，“与具有专业工具和个人关怀的物理治疗师会面”。主题包括四个次主题，“投入时间和精力以感觉更好”、“依赖物理治疗师的能力”、“希望被治疗并作为个体参与”和“在信任关系中受到尊重”。
结论
与物理治疗师的治疗关系很重要，本研究的结果可以提高对物理治疗关系方面的认识，并鼓励物理治疗师和与偏头痛患者互动的其他医疗保健专业人员深思熟虑。
对康复的影响
物理治疗师在与偏头痛患者的互动中既使用专业工具又体现个人关怀，本文可以提高物理治疗师的意识，并鼓励他们在专业实践中深思熟虑。被尊重和视为个体，对物理治疗师有信心是治疗关系的重要方面，表明需要以患者为中心的护理。通过付出所需的时间和精力，物理治疗可能是药物治疗的补充或替代，以减轻偏头痛的后果。
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