足跟痛患者的生活体验和态度：一项定性研究
Lived experience and attitudes of people with plantar heel pain: a qualitative exploration.
作者信息
Cotchett Matthew, Rathleff Michael Skovdal, Dilnot Matthew, Landorf Karl B, Morrissey Dylan, Barton Christian
机构信息
Discipline of Podiatry, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, 3086, Australia.
Center for General Practice, Department of Clinical Medicine, Aalborg University, 9000, Aalborg, Denmark.
出版信息
J Foot Ankle Res. 2020 Mar 6;13(1):12. doi: 10.1186/s13047-020-0377-3.
BACKGROUND
Plantar heel pain is a common source of pain and disability. Evidence-based treatment decisions for people with plantar heel pain should be guided by the best available evidence, expert clinical reasoning, and consider the needs of the patient. Education is a key component of care for any patient and needs to be tailored to the patient and their condition. However, no previous work has identified, far less evaluated, the approaches and content required for optimal education for people with plantar heel pain. The aim of this study was to gather the patients' perspective regarding their lived experience, attitudes and educational needs in order to inform the content and provision of meaningful education delivery approaches.
METHODS
Using a qualitative descriptive design, semi-structured interviews were conducted with participants with a clinical diagnosis of plantar heel pain. A topic guide was utilised that focused on the experience of living with plantar heel pain and attitudes regarding treatment and educational needs. Interviews were audio recorded, transcribed verbatim and analysed using the Framework approach. Each transcription, and the initial findings, were reported back to participants to invite respondent validation.
RESULTS
Eighteen people with plantar heel pain were interviewed. Descriptive analysis revealed eight themes including perceptions of plantar heel pain, impact on self, dealing with plantar heel pain, source of information, patient needs, patient unmet needs, advice to others and interest in online education. Participants revealed doubt about the cause, treatment and prognosis of plantar heel pain. They also expressed a desire to have their pain eliminated and education individually tailored to their condition and needs. Respondent validation revealed that the transcripts were accurate, and participants were able to recognise their own experiences in the synthesised themes.
CONCLUSION
Plantar heel pain has a negative impact on health-related quality of life. Participants wanted their pain eliminated and reported that their expectations and needs were frequently unmet. Health professionals have an important role to be responsive to the needs of the patient to improve their knowledge and influence pain and behaviour. Our study informs the content needed to help educate people with plantar heel pain.
背景
足跟足底疼痛是疼痛和致残的常见原因。对于足跟足底疼痛患者，基于证据的治疗决策应以现有最佳证据、专家临床推理为指导，并考虑患者的需求。教育是任何患者护理的关键组成部分，需要根据患者及其病情进行调整。然而，以前没有研究确定过足跟足底疼痛患者最佳教育所需的方法和内容，更不用说对其进行评估了。本研究的目的是收集患者对其生活经历、态度和教育需求的看法，以便为有意义的教育提供方式的内容和提供提供信息。
方法
采用定性描述性设计，对临床诊断为足跟足底疼痛的参与者进行半结构化访谈。使用了一个主题指南，重点关注足跟足底疼痛的生活经历以及对治疗和教育需求的态度。访谈进行了录音，逐字转录，并采用框架法进行分析。每次转录和初步结果都反馈给参与者以征求回应者的验证。
结果
对18名足跟足底疼痛患者进行了访谈。描述性分析揭示了八个主题，包括对足跟足底疼痛的认知、对自身的影响、应对足跟足底疼痛、信息来源、患者需求、患者未满足的需求、给他人的建议以及对在线教育的兴趣。参与者对足跟足底疼痛的原因、治疗和预后表示怀疑。他们还表示希望消除疼痛，并希望根据自己的病情和需求进行个性化教育。回应者验证表明转录准确，参与者能够在综合主题中认出自己的经历。
结论
足跟足底疼痛对健康相关生活质量有负面影响。参与者希望消除疼痛，并报告他们的期望和需求经常得不到满足。卫生专业人员在响应患者需求以提高其知识水平并影响疼痛和行为方面具有重要作用。我们的研究为帮助教育足跟足底疼痛患者所需的内容提供了信息。
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