Physiotherapy Research Unit, Nuffield Orthopaedic Centre, Oxford University Hospitals NHS FT, Oxford, UK; Oxford Institute of Nursing, Midwifery and Allied Health Research, Oxford, UK; Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, UK.
Oxford School of Nursing and Midwifery, Oxford Brookes University, Oxford, UK.
Physiotherapy. 2021 Dec;113:107-115. doi: 10.1016/j.physio.2021.06.001. Epub 2021 Jun 11.
The aim of this study was to explore physiotherapists' perceptions of how patients' adherence and non-adherence to recommended exercise affects their practice.
A qualitative study with a focus group and semi-structured interviews. The focus group and interviews were audio recorded and transcribed verbatim. Transcripts were analysed using thematic analysis.
MSK physiotherapy services in the United Kingdom.
Focus group: 8 UK registered physiotherapists (age range=24-48; seven female, one male). Semi-structured interviews: 10 UK registered physiotherapists (age range=28-52; eight female, two male).
Participants described how exercise adherence could be a challenging aspect of clinical practice and how they tried to improve it. Four main themes were identified: 1) A challenge but worth it; 2) It's frustrating but you can't win them all; 3) Striving to see the individual; and 4) Striving to help the patient. The importance of establishing a good working relationship with patients was emphasised. This included working collaboratively with the patient, avoiding blaming them for non-adherence and thinking about the language they used in discussing exercises.
Patient non-adherence to recommended exercise is a challenging aspect of clinical practice. Physiotherapists can acknowledge this difficulty, and the frustrations it may potentially bring, yet remain resilient in the face of it. Clinicians should consider potential approaches and strategies to optimise the potential for behaviour change, and to improve exercise adherence. Robust interventions to help clinicians facilitate better exercise adherence are also needed.
本研究旨在探讨物理治疗师对患者对推荐运动的依从性和不依从性如何影响其治疗实践的看法。
一项以焦点小组和半结构化访谈为重点的定性研究。对焦点小组和访谈进行了录音，并逐字记录。使用主题分析对转录本进行分析。
英国肌肉骨骼物理治疗服务。
焦点小组：8 名英国注册物理治疗师（年龄范围 24-48 岁；7 名女性，1 名男性）。半结构化访谈：10 名英国注册物理治疗师（年龄范围 28-52 岁；8 名女性，2 名男性）。
参与者描述了运动依从性如何成为临床实践的一个挑战方面，以及他们如何努力提高运动依从性。确定了四个主要主题：1）具有挑战性但值得；2）令人沮丧，但不能事事如意；3）努力了解个体；4）努力帮助患者。强调了与患者建立良好工作关系的重要性。这包括与患者合作，避免因不依从而责怪他们，并考虑在讨论运动时使用的语言。
患者对推荐运动的不依从是临床实践中的一个挑战方面。物理治疗师可以承认这种困难，以及它可能带来的挫折，但仍然能够面对它。临床医生应考虑潜在的方法和策略，以优化行为改变的潜力，并提高运动依从性。还需要强有力的干预措施来帮助临床医生促进更好的运动依从性。
