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“我知道自己想要什么,但不确定如何实现它”——慢性疼痛患者对物理治疗的期望

"I know what I want but I'm not sure how to get it"-Expectations of physiotherapy treatment of persons with persistent pain.

作者信息

Calner Tommy, Isaksson Gunilla, Michaelson Peter

机构信息

a Department of Health Sciences , Lulea University of Technology , Lulea , Sweden.

出版信息

Physiother Theory Pract. 2017 Mar;33(3):198-205. doi: 10.1080/09593985.2017.1283000. Epub 2017 Feb 14.

DOI:10.1080/09593985.2017.1283000
PMID:28339337
Abstract

Expectations of physiotherapy treatment of patients with persistent pain have been shown to influence treatment outcome and patient satisfaction, yet this is mostly explored and described in retrospective. The aim of the study was to explore and describe the expectations people with persistent pain have prior to physiotherapy treatment. Ten participants with persistent musculoskeletal pain from the back, neck, or shoulders were included in the study. Data were collected by interviews using a semi-structured interview guide and were analyzed with qualitative content analysis. The analysis resulted in one main category: "The multifaceted picture of expectations" and four categories: 1) Standing in the doorway: curious and uncertain; 2) Looking for respect, confirmation and knowledge; 3) Expecting treatment, regular training, and follow up; and 4) Having dreams, being realistic, or feeling resigned. The main category and the categories describe a multifaceted picture of the participants' expectations, gradually developed and eventually encompassing several aspects: good dialog and communication, the need to be confirmed as individuals, and getting an explanation for the pain. The results also show that the participants expected tailored training with frequent follow-ups and their expectations of outcome ranged from hope of the best possible results to realistic or resigned regarding pain relief and activity levels.

摘要

研究表明,对持续性疼痛患者物理治疗的期望会影响治疗效果和患者满意度,但这大多是在回顾性研究中进行探讨和描述的。本研究的目的是探讨和描述持续性疼痛患者在接受物理治疗前的期望。该研究纳入了10名患有背部、颈部或肩部持续性肌肉骨骼疼痛的参与者。通过使用半结构化访谈指南进行访谈收集数据,并采用定性内容分析法进行分析。分析结果得出一个主要类别:“期望的多面图景”以及四个类别:1)站在门口:好奇且不确定;2)寻求尊重、认可和知识;3)期待治疗、定期训练和随访;4)怀揣梦想、现实或听天由命。主要类别和这些类别描述了参与者期望的多面图景,这些期望逐渐形成,最终涵盖了几个方面:良好的对话和沟通、被认可为个体的需求以及对疼痛的解释。结果还表明,参与者期望得到量身定制的训练以及频繁的随访,他们对治疗结果的期望范围从希望获得最佳可能结果到对疼痛缓解和活动水平持现实或听天由命的态度。

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