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将患者在物理治疗环境中的变化体验转移到日常生活中。

Transferring patients's experiences of change from the context of physiotherapy to daily life.

机构信息

Faculty of Health- and Social Sciences, Western Norway University of Applied Science, Bergen, Norway.

出版信息

Int J Qual Stud Health Well-being. 2020 Dec;15(1):1735767. doi: 10.1080/17482631.2020.1735767.

Abstract

: In the treatment of patients with long-lasting musculoskeletal pain, the challenge is to identify causal and sustaining factors and targeted treatment in order to improve function. Norwegian Psychomotor Physiotherapy (NPMP) is an approach often applied to patients with such pain. Long-term NPMP processes from the patients' perspective have been studied and discussed in the light of phenomenology of the body.The study purpose was to explore what kind of changes patients with long-lasting musculoskeletal pain experience during NPMP and further transfer into daily life context.: A phenomenological, descriptive, and retrospective design was applied. Two focus-group interviews were conducted with 11 patients receiving such treatment. The interviews were audiotaped, transcribed, and analysed inspired by Giorgi's phenomenological methodology.: The analysis resulted in an overarching structure: "To develop embodied ownership of oneself over time", and two themes describing the essence of change that the patients experienced: (1) "To get an embodied grip on oneself through treatment"; (2) "To give oneself space in daily life".: Enhanced embodied self-perception involving a sense of embodied ownership and agency seemed to be important both to be aware of own bodily needs and to transfer changes from treatment into daily life.

摘要

: 在治疗长期存在的肌肉骨骼疼痛患者时,挑战在于识别因果和维持因素,并进行针对性治疗,以改善功能。挪威心理运动物理疗法(NPMP)是一种常用于此类疼痛患者的方法。从患者的角度出发,已经对长期的 NPMP 过程进行了研究和讨论,并结合了身体现象学。本研究旨在探讨长期肌肉骨骼疼痛患者在接受 NPMP 治疗期间经历了哪些变化,并进一步将其转移到日常生活环境中。: 采用了现象学、描述性和回顾性设计。对接受这种治疗的 11 名患者进行了两次焦点小组访谈。访谈以 Giorgi 的现象学方法为灵感进行了录音、转录和分析。: 分析结果得出一个总体结构:“随着时间的推移,逐渐拥有对自己身体的所有权”,以及两个描述患者所经历的变化本质的主题:(1)“通过治疗获得对自己身体的掌控感”;(2)“在日常生活中给自己空间”。: 增强对自身的身体感知,包括对身体的所有权和自主性的感知,似乎对意识到自己的身体需求以及将治疗中的变化转移到日常生活中都很重要。

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