从患者角度看整骨疗法有效的因素：一项描述性现象学研究

What Makes an Osteopathic Treatment Effective From a Patient's Perspective: A Descriptive Phenomenological Study.

作者信息

Consorti Giacomo, Marchetti Anna, De Marinis Maria Grazia

机构信息

Research Department, Centre pour l'Etude, la Recherche et la Diffusion Osteopathiques, Rome, Italy; Clinical-based Human Research Department, Research Division, COME Collaboration, Pescara, Italy; Società Italiana di Pedagogia Medica, Verona, Italy.

Società Italiana di Pedagogia Medica, Verona, Italy; Research Unit Nursing Science, Campus Bio Medico University, Rome, Italy.

出版信息

J Manipulative Physiol Ther. 2020 Nov-Dec;43(9):882-890. doi: 10.1016/j.jmpt.2020.02.003. Epub 2020 Sep 1.

DOI:10.1016/j.jmpt.2020.02.003

PMID:32883530

Abstract

OBJECTIVES

This study aimed to describe patients' perspectives on their experience in osteopathic treatment, to contribute toward developing interpretative models on effectiveness.

METHODS

A descriptive phenomenological approach was used. The data were collected through a semistructured interview. To capture the variability of the phenomenon, a purposive sample of 12 participants with previous experience of osteopathic care was selected. The data analysis was carried out in an inductive way, and it was parallel to the recruitment to continuously monitor the data saturation.

RESULTS

Data saturation was reached with 12 participants (female = 9; male = 3). Participants' age ranged from 27 to 82 years old (mean: 55.25 ± 17.15; median: 59; kurtosis: -0.82). Participants had different reasons for consultation. The analysis showed 1 overarching theme, "Osteopathy is a path of awareness," 3 themes, and 12 categories. Themes were: (1) "The experience of pain produces awareness of the need for care," (2) "Osteopathy is a journey to be shared over time," and (3) "The effectiveness of the osteopathic treatment is the discovery of the person's unity by experience."

CONCLUSION

Participants affirm that osteopathy is a path of awareness that starts from an experience of pain; leads them to contact an osteopath; and ends with their experience of the unity of body, mind, and spirit.

摘要

目的

本研究旨在描述患者对整骨疗法治疗体验的看法，为建立疗效解释模型提供参考。

方法

采用描述性现象学方法。通过半结构化访谈收集数据。为了捕捉现象的多样性，选取了12名有整骨疗法护理经验的参与者作为目的抽样样本。数据分析采用归纳法，与招募过程并行，以持续监测数据饱和度。

结果

12名参与者（女性=9名；男性=3名）达到了数据饱和度。参与者年龄在27岁至82岁之间（平均：55.25±17.15；中位数：59；峰度：-0.82）。参与者有不同的咨询原因。分析显示有1个总体主题，即“整骨疗法是一条觉知之路”，3个主题和12个类别。主题分别为：（1）“疼痛体验产生对护理需求的觉知”，（2）“整骨疗法是一段需要长期分享的旅程”，以及（3）“整骨疗法治疗的有效性是通过体验发现人的整体性”。