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物理治疗中的目标设定:探索以人为中心的视角。

Goal-setting in physiotherapy: exploring a person-centered perspective.

机构信息

University of Gothenburg Centre for Person-Centred Care (GPCC), Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

RISE, Research Institutes of Sweden, Gothenburg, Sweden.

出版信息

Physiother Theory Pract. 2021 Aug;37(8):863-880. doi: 10.1080/09593985.2019.1655822. Epub 2019 Aug 26.

Abstract

: To analyze definitions and related requirements, processes, and operationalization of person-centered goal-setting in the physiotherapy research literature; to discuss those findings in relation to underlying principles of person-centeredness; and to provide an initial framework for how person-centered goal-setting could be conceptualized and operationalized in physiotherapy. : A literature search was conducted in the databases: CINAHL, PubMed, PEDro, PsycINFO, REHABdata and Scopus. A content analysis was performed on how person-centered goal-setting was described.: A total of 21 articles were included in the content analysis. Five categories were identified: 1) Understanding goals that are meaningful to the patients; 2) Setting goals in collaboration; 3) Facing challenges with person-centered goal-setting; 4) Developing skills by experiences and education; and 5) Changing interaction and reflective practice. These categories were abstracted into two higher-ordered interlaced themes: 1) To seek mutual understanding of what is meaningful to the patient; and 2) To refine physiotherapy interaction skills, which we suggest would be useful for further conceptualization.: In this analysis, we interpreted person-centered goal-setting in physiotherapy as a process of interaction toward a mutual understanding of what is meaningful to the patient. Future research may explore how to integrate mindful listening, embodied interaction and continuous ethical reflection with different assessments and treatment methods.

摘要

分析物理治疗研究文献中以患者为中心的目标设定的定义和相关要求、流程及实施;根据以人为中心的基本原则讨论这些发现;并提供一个初步框架,说明如何在物理治疗中概念化和实施以患者为中心的目标设定。方法:在 CINAHL、PubMed、PEDro、PsycINFO、REHABdata 和 Scopus 数据库中进行文献检索。对以患者为中心的目标设定的描述进行内容分析。结果:共有 21 篇文章纳入内容分析。确定了五个类别:1)理解对患者有意义的目标;2)协作设定目标;3)以人为中心的目标设定面临挑战;4)通过经验和教育发展技能;5)改变互动和反思实践。这些类别被抽象为两个更高阶的交织主题:1)寻求对患者有意义的事物的相互理解;2)完善物理治疗互动技能,我们建议这对于进一步的概念化将是有用的。结论:在这项分析中,我们将物理治疗中的以患者为中心的目标设定解释为一种互动过程,旨在相互理解对患者有意义的事物。未来的研究可能会探讨如何将正念倾听、具身互动和持续的伦理反思与不同的评估和治疗方法相结合。

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