Fougner Marit, Haugstad Gro Killi
Faculty of Health Sciences, Oslo and Akershus University College of Applied Sciences , Oslo , Norway.
Physiother Theory Pract. 2015 Jul;31(5):318-26. doi: 10.3109/09593985.2014.1003343. Epub 2015 Jan 27.
Longstanding gynecological pain affects large numbers of women in the Western world. In recently published studies, we have found that a hybrid of physiotherapy and cognitive psychotherapy called somatocognitive therapy (SCT) ameliorates physical symptoms and psychological distress. In this paper, we report on the experiences of undergraduate physiotherapy students performing the therapy to patients with provoked vestibulodynia (PVD).
The study aimed to investigate the nature of the collaborative interaction between female physiotherapy students and patients with PVD, focusing on critical factors for the students' learning of professional skills through SCT applied on patients suffering from an especially demanding pain condition.
In a qualitative study design, data were collected from two group interviews with four female students in pairs, and subjected to a thematic analysis.
We found that students perceive the patient encounter as critical incidents in the sense of strong emotional encounters. From the data material, there emerged a four-step process ranging from distance to proximity, highlighting factors that influence the development of professional skills. The four steps are defined respectively as: (1) the students' prejudices; (2) identification and empathy; (3) senses of responsibility in the therapeutic relationship and (4) collaborative engagement for change.
Contrary to expectations, the students experienced the application of this combined approach (SCT) as an interesting and rewarding way of working with patients, and that they had achieved skills and a sufficient set of tools to cope with the challenges that patients with longstanding gynecological pain represent.
长期存在的妇科疼痛影响着西方世界大量女性。在最近发表的研究中，我们发现一种名为躯体认知疗法（SCT）的物理治疗与认知心理治疗相结合的方法可改善身体症状和心理困扰。在本文中，我们报告了本科物理治疗专业学生为激发性前庭疼痛障碍（PVD）患者实施该疗法的经验。
本研究旨在调查女性物理治疗专业学生与PVD患者之间协作互动的性质，重点关注学生通过对患有特别棘手疼痛病症的患者应用SCT来学习专业技能的关键因素。
在一项定性研究设计中，通过对两组两两配对的四名女学生进行访谈收集数据，并进行主题分析。
我们发现学生将与患者的接触视为强烈情感接触意义上的关键事件。从数据材料中出现了一个从疏远到亲近的四步过程，突出了影响专业技能发展的因素。这四个步骤分别定义为：（1）学生的偏见；（2）识别与共情；（3）治疗关系中的责任感；（4）为改变而进行的协作参与。
与预期相反，学生们体验到应用这种联合方法（SCT）是一种与患者合作的有趣且有意义的方式，并且他们已经获得了应对长期妇科疼痛患者所带来挑战的技能和一套足够的工具。
