Thacker Linnea, Walsh Robert M, Shinyoung Song Gabriella, Khan Hammad A, Parmar Prem, Vance Kaitlin T, Grant Gillian, Mesaroli Giulia, Hunter Judith, Vader Kyle
Department of Physical Therapy, University of Toronto, Toronto, Ontario, Canada.
Toronto Academic Pain Medicine Institute, Women's College Hospital, Toronto, Ontario, Canada.
Can J Pain. 2021 Apr 29;5(1):96-106. doi: 10.1080/24740527.2021.1905508.
: Chronic pain affects one in five persons and is a leading contributor to years lived with disability and high health care costs. In 2016, the government of Ontario increased public funding for pediatric and adult hospital-based interprofessional chronic pain clinics (HICPCs) in Ontario, Canada, expanding the role of physiotherapy in chronic pain management in the province. This role has yet to be described in the literature. : The aim of this study was to explore physiotherapy practice within HICPCs in Ontario. : We conducted an interpretive description qualitative study based on semistructured interviews with physiotherapists employed in pediatric and adult HICPCs in Ontario. Interviews were audio recorded, transcribed verbatim, and reviewed for accuracy. We analyzed interview data using thematic analysis. : Ten physiotherapists who practiced in pediatric and adult HICPCs ( = 4 pediatric; = 6 adult) in Ontario were interviewed between February and April 2020. We constructed five themes related to physiotherapy practice in this setting. Themes included (1) contributing a functional lens to care; (2) empowering through pain education; (3) facilitating participation in physical activity and exercise; (4) supporting engagement in self-management strategies; and (5) implementing a collaborative approach to whole-person care. : Our results illuminate how physiotherapy practice within HICPCs in Ontario focuses on providing a collaborative and whole-person approach to care, with an emphasis on supporting patients to increase their functional capacity by promoting engagement in active chronic pain management strategies.
慢性疼痛影响着五分之一的人,是导致残疾年限增加和医疗费用高昂的主要因素。2016年,加拿大安大略省政府增加了对安大略省儿科和成人医院跨专业慢性疼痛诊所(HICPCs)的公共资金投入,扩大了物理治疗在该省慢性疼痛管理中的作用。这一作用在文献中尚未得到描述。
本研究的目的是探索安大略省HICPCs中的物理治疗实践。
我们基于对安大略省儿科和成人HICPCs中受雇的物理治疗师进行的半结构化访谈,开展了一项解释性描述性定性研究。访谈进行了录音,逐字转录,并进行准确性审查。我们使用主题分析法分析访谈数据。
2020年2月至4月期间,对安大略省在儿科和成人HICPCs工作的10名物理治疗师(4名儿科;6名成人)进行了访谈。我们构建了与该环境下物理治疗实践相关的五个主题。主题包括:(1)为护理提供功能视角;(2)通过疼痛教育增强能力;(3)促进参与体育活动和锻炼;(4)支持参与自我管理策略;(5)实施全人护理的协作方法。
我们的结果阐明了安大略省HICPCs中的物理治疗实践如何侧重于提供协作性的全人护理方法,重点是通过促进患者参与积极的慢性疼痛管理策略来支持他们提高功能能力。