Bernhardsson Susanne, Larsson Maria E H, Johansson Kajsa, Öberg Birgitta
a Region Västra Götaland, Närhälsan Research and Development Primary Health Care , Gothenburg , Sweden.
b Department of Medical and Health Sciences , Division of Physiotherapy, Linköping University , Linköping , Sweden.
Physiother Theory Pract. 2017 Jul;33(7):535-549. doi: 10.1080/09593985.2017.1328720. Epub 2017 Jun 7.
Patients' preferences should be integrated in evidence-based practice. This study aimed to explore patients' preferences for physiotherapy treatment and participation in decision making.
A qualitative study set in an urban physiotherapy clinic in Gothenburg, Sweden. Individual, semi-structured interviews were conducted with 20 individuals who sought physiotherapy for musculoskeletal disorders. The interviews were recorded, transcribed, and analyzed with qualitative content analysis.
An overarching theme, embracing six categories, was conceptualized: Trust in the physiotherapist fosters active engagement in therapy. The participants preferred active treatment strategies such as exercise and advice for self-management, allowing them to actively engage in their therapy. Some preferred passive treatments. Key influencers on treatment preferences were previous experiences and media. All participants wanted to be involved in the clinical decision making, but to varying extents. Some expressed a preference for an active role and wanting to share decisions while others were content with a passive role. Expectations for a professional management were reflected in trust and confidence in physiotherapists' skills and competence, expectations for good outcomes, and believing that treatment methods should be evidence-based.
Trust in the physiotherapist's competence, as well as a desire to participate in clinical decision making, fosters active engagement in physiotherapy.
患者的偏好应纳入循证实践。本研究旨在探索患者对物理治疗的偏好以及参与决策的情况。
在瑞典哥德堡的一家城市物理治疗诊所开展的一项定性研究。对20名因肌肉骨骼疾病寻求物理治疗的个体进行了个人半结构化访谈。访谈进行了录音、转录，并采用定性内容分析法进行分析。
形成了一个包含六个类别的总体主题：对物理治疗师的信任促进积极参与治疗。参与者更喜欢主动治疗策略，如运动和自我管理建议，这使他们能够积极参与治疗。一些人更喜欢被动治疗。治疗偏好的关键影响因素是既往经历和媒体。所有参与者都希望参与临床决策，但程度不同。一些人表示倾向于积极参与并希望共同做出决策，而另一些人则满足于被动角色。对专业管理的期望体现在对物理治疗师技能和能力的信任和信心、对良好治疗效果的期望以及认为治疗方法应以证据为基础。
对物理治疗师能力的信任以及参与临床决策的愿望促进了对物理治疗的积极参与。
