“我认为没有什么……是真正全面的”：医疗保健专业人员对推荐疼痛自我管理在线资源的看法。
'I think there is nothing . . . that is really comprehensive': healthcare professionals' views on recommending online resources for pain self-management.
作者信息
Areli E, Godfrey H K, Perry M A, Hempel D, Saipe B, Grainger R, Hale L, Devan H
机构信息
School of Physiotherapy, University of Otago, Dunedin, New Zealand.
Centre for Health, Activity and Rehabilitation Research (CHARR), University of Otago, Wellington, New Zealand.
出版信息
Br J Pain. 2021 Nov;15(4):429-440. doi: 10.1177/2049463720978264. Epub 2020 Dec 18.
OBJECTIVES
To explore healthcare professionals' views on, and attitudes, towards recommending online resources for persistent pain self-management.
METHODS
This study was the qualitative phase of a two-phase mixed method study. Thirty-one New Zealand health professionals involved in the management of persistent pain were interviewed via focus groups and individual interviews. Data were analysed using the general inductive approach.
RESULTS
The major themes were as follows: (1) risks and limits of online information outweigh benefits, (2) a blended model, of online resources with healthcare professional support, could work, (3) only trustworthy resources can be recommended, (4) need for personalisation and (5) perceived barriers to adoption.
CONCLUSION
Online resources were perceived as a useful adjunct to support pain self-management; however, due to potential risks of misinterpretation and misinformation, healthcare professionals proposed a 'blended model' where curated online resources introduced during face-to-face consultations could be used to support self-management. Participants needed 'trustworthy online resources' that provide evidence-based, updated information that is personalised to clients' health literacy and cultural beliefs.
PRACTICE IMPLICATIONS
Training for healthcare professionals on critical appraisal of online resources or curation of evidence-based online resources could increase recommendation of online resources to support pain self-management as an adjunct to in-person care.
目的
探讨医疗保健专业人员对于推荐在线资源用于慢性疼痛自我管理的看法和态度。
方法
本研究是一项两阶段混合方法研究的定性阶段。通过焦点小组和个人访谈，对31名参与慢性疼痛管理的新西兰医疗专业人员进行了访谈。采用一般归纳法对数据进行分析。
结果
主要主题如下：（1）在线信息的风险和局限性超过益处；（2）在线资源与医疗保健专业人员支持相结合的混合模式可行；（3）只能推荐可靠的资源；（4）需要个性化；（5）采用过程中存在的感知障碍。
结论
在线资源被视为支持疼痛自我管理的有用辅助手段；然而，由于存在误解和错误信息的潜在风险，医疗保健专业人员提出了一种“混合模式”，即在面对面咨询期间引入经过策划的在线资源，以支持自我管理。参与者需要“可靠的在线资源”，这些资源能提供基于证据的、最新的信息，并根据客户的健康素养和文化信仰进行个性化定制。
实践意义
对医疗保健专业人员进行在线资源批判性评估或基于证据的在线资源策划方面的培训，可能会增加对在线资源的推荐，以支持疼痛自我管理，作为面对面护理的辅助手段。
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