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“我发现这是一项非常有意义的工作”:安大略省提供姑息治疗的物理治疗师的观点。

"I've found it's very meaningful work": Perspectives of physiotherapists providing palliative care in Ontario.

作者信息

McLeod Katherine E, Norman Kathleen E

机构信息

Ontario Physiotherapy Association, Toronto, ON, Canada.

Physical Therapy Program, School of Rehabilitation Therapy, Queen's University, Kingston, ON, Canada.

出版信息

Physiother Res Int. 2020 Jan;25(1):e1802. doi: 10.1002/pri.1802. Epub 2019 Jul 25.

Abstract

OBJECTIVES

This study aimed to describe insights from interviews about the experience of physiotherapists providing palliative care in Ontario and their perceptions of the role and value of physiotherapists' involvement in palliative care.

METHODS

We conducted interviews with physiotherapists in Ontario, Canada (n = 14), and received emailed submissions from two others (one physiotherapist and one physiotherapy student) with current or recent practice experience in palliative care. We conducted inductive thematic analysis of the interview data and emailed submissions.

RESULTS

Participants' reflections were categorized into three major themes: perceived value of the contribution of physiotherapists in palliative care; the experience of providing physiotherapy in palliative care; and reflections on the palliative care system. Participants described their role in palliative care as diverse, driven by patient goals and focused on the experience of patients and families. Participants perceived a high value in collaborative networks for supporting them to fulfill their role in palliative care settings. Participants also recommended efforts to increase awareness of the potential for physiotherapists to contribute to palliative care.

CONCLUSIONS

The findings confirm those of research in other jurisdictions and extend our understanding of the value and meaningfulness of physiotherapy in palliative care, to patients, families, and physiotherapists themselves.

摘要

目的

本研究旨在描述关于安大略省物理治疗师提供姑息治疗的经验访谈的见解,以及他们对物理治疗师参与姑息治疗的作用和价值的看法。

方法

我们对加拿大安大略省的物理治疗师进行了访谈(n = 14),并收到另外两人(一名物理治疗师和一名物理治疗专业学生)通过电子邮件提交的材料,他们有当前或近期的姑息治疗实践经验。我们对访谈数据和电子邮件提交的材料进行了归纳主题分析。

结果

参与者的反思分为三个主要主题:物理治疗师在姑息治疗中贡献的感知价值;在姑息治疗中提供物理治疗的经验;以及对姑息治疗系统的反思。参与者将他们在姑息治疗中的角色描述为多样化的,由患者目标驱动,并专注于患者及其家人的体验。参与者认为协作网络对于支持他们在姑息治疗环境中发挥作用具有很高的价值。参与者还建议努力提高对物理治疗师为姑息治疗做出贡献潜力的认识。

结论

这些发现证实了其他司法管辖区的研究结果,并扩展了我们对姑息治疗中物理治疗对患者、家庭和物理治疗师自身的价值和意义的理解。

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