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具身知识——挪威身心物理治疗专家对主观健康抱怨现象的反思。

Embodied Knowledge - the Phenomenon of Subjective Health Complaints reflected upon by Norwegian Psychomotor Physiotherapy specialists.

机构信息

Faculty of Health Sciences, Department of Physiotherapy, Oslo Metropolitan University, Oslo, Norway.

出版信息

Physiother Theory Pract. 2022 Dec;38(12):2122-2133. doi: 10.1080/09593985.2021.1920073. Epub 2021 May 7.

Abstract

BACKGROUND

Many patients report subjective health complaints (SHCs) during primary health care consultations.

OBJECTIVE

To elucidate Norwegian Psychomotor Physiotherapy (NPMP) specialists' clinical experiences in treatment of patients suffering from SHCs.

METHODS

Twelve NPMP specialists were interviewed. The transcripts were qualitatively analyzed using systematic text condensation.

RESULTS

"Embodied knowledge" seemed to be an unfamiliar concept to those suffering from SHCs. The NPMP specialists regarded increased body awareness to be a vital element in the process of recovery from SHCs. Differences between NPMP specialists' professional view and that of some medical doctors were reported. Three categories emerged from the material: 1) "The process of establishing a joint understanding of subjective health complaints"; 2) "The process of increasing the patients' embodied awareness"; and 3) "The challenge of sharing embodied knowledge in inter-professional communication."

CONCLUSION

The NPMP specialists emphasized the importance of increasing patients' consciousness of their embodied knowledge. They searched to adjust their therapeutic approaches, depending on the individual patient's specific problems and degree of emotional and/or bodily strain. The NPMP specialists experienced the importance of creating a shared understanding of the meaning embedded in SHCs between patients, NPMP specialists, and medical doctors.

摘要

背景

许多患者在初级保健咨询中报告主观健康投诉 (SHC)。

目的

阐明挪威精神运动物理治疗师 (NPMP) 专家在治疗患有 SHR 的患者方面的临床经验。

方法

采访了 12 名 NPMP 专家。使用系统文本浓缩对转录本进行定性分析。

结果

“体现的知识”对患有 SHR 的人来说似乎是一个陌生的概念。NPMP 专家认为,提高身体意识是从 SHR 中恢复的重要因素。报告了 NPMP 专家的专业观点与一些医生的观点之间的差异。从材料中出现了三个类别:1)“建立对主观健康投诉的共同理解的过程”;2)“提高患者体现意识的过程”;3)“在专业间沟通中分享体现知识的挑战”。

结论

NPMP 专家强调了提高患者对自身体现知识的意识的重要性。他们根据患者的具体问题和情绪/或身体紧张程度,寻求调整治疗方法。NPMP 专家体验到了在患者、NPMP 专家和医生之间对 SHR 所蕴含的意义建立共同理解的重要性。

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