Physiotherapy Department, Health Sciences School, Universidad CEU Cardenal Herrera. Calle Carmelitas , Alicante, Spain.
Department of Journalism and Communication, University Carlos III of Madrid , Getafe, Madrid.
Physiother Theory Pract. 2021 Jan;37(1):17-27. doi: 10.1080/09593985.2019.1603258. Epub 2019 Apr 19.
Person-centered care has emerged as a key principle in the provision of health and rehabilitation services. To implement this approach, health professionals must strive to develop a person-centered therapeutic relationship. The aim of this study was to explore the barriers and facilitators for the establishment of a person-centered relationship, based on the experience of physiotherapy patients. A qualitative study was conducted based on four focus groups including 31 participants. The focus group discussions were audiotaped, transcribed verbatim and analyzed thematically using the method of constant comparisons. Patients described specific traits, characteristics and behaviors relating to the health professional, the patient and the environment, that they felt may hinder or favor the establishment of therapeutic person-centered relationships. Some participants focused on aspects concerning the health professional, both regarding their characteristics as well as their relational skills, meaning that the physiotherapist may be responsible for using several strategies in order to put the person at the center of care. Person-centered care and the therapeutic relationship are important aspects in the field of rehabilitation, requiring further studies to improve our understanding of the same, and to inform both health professionals, and managers of health institutions.
以人为本的护理理念已成为提供医疗和康复服务的关键原则。为了实施这种方法,医疗专业人员必须努力建立以人为本的治疗关系。本研究旨在探讨基于物理治疗患者的经验,建立以人为本的关系的障碍和促进因素。本研究采用基于四个焦点小组的定性研究,共包括 31 名参与者。对焦点小组讨论进行了录音、逐字转录,并使用恒定比较法进行了主题分析。患者描述了与健康专业人员、患者和环境相关的具体特征、特点和行为,他们认为这些特征可能会阻碍或有利于建立治疗性的以人为本的关系。一些参与者关注健康专业人员的各个方面,包括他们的特点和人际关系技巧,这意味着理疗师可能需要使用多种策略,将患者置于护理的中心。以人为本的护理和治疗关系是康复领域的重要方面,需要进一步的研究来加深我们对其的理解,并为卫生专业人员和卫生机构的管理人员提供信息。