Physiotherapy Research Unit, Nuffield Orthopaedic Centre, Oxford University Hospitals NHS Foundation Trust, Windmill Road, Oxford, OX3 7HE, UK.
Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
BMC Musculoskelet Disord. 2022 Sep 3;23(1):839. doi: 10.1186/s12891-022-05790-z.
The paper presents insights from the Community based Rehabilitation after Knee Arthroplasty (CORKA) trial. We aimed to explore physiotherapists and physiotherapy assistants' experiences of delivering a home-base exercise intervention following knee replacement surgery. We were particularly interested in the feasibility, potential benefits and barriers of a community-based exercise programme from the perspective of physiotherapists and physiotherapy assistants and to understand any constraints or training needs that arose. DESIGN: Qualitative thematic analysis of semi-structured interviews. SETTING: The Community based Rehabilitation after Knee Arthroplasty (CORKA) trial.
Five physiotherapists and six physiotherapy assistants with a range of clinical experience.
Interviews were digitally recorded and transcribed verbatim. We used the stages of reflexive thematic analysis suggested by Braun and Clarke. One researcher conducted the interviewers whilst three researchers with experience in qualitative research methods contributed to the coding and analysis of data.
We developed seven themes that help to understand the benefits and challenges of delivering treatment interventions in a person's home: seeing the person in their own world; thinking outside the cubicle;developing people skills; enjoying the above and beyond; treading a fine line between patient and friend; feeling outside my comfort zone; needing a support network.
Treating people in their own homes facilitates a holistic approach. Our findings highlight areas for clinical education: (1) how do we help clinicians to tread the fine line between friend and professional (2) how do we balance the need to provide support and structure with the freedom to work creatively and independently?
本文呈现了社区膝关节置换康复（CORKA）试验的见解。我们旨在探讨物理治疗师和物理治疗助理在膝关节置换手术后提供家庭基础运动干预的经验。我们特别关注从物理治疗师和物理治疗助理的角度来看，社区为基础的运动计划的可行性、潜在益处和障碍，并了解出现的任何限制或培训需求。设计：半结构化访谈的定性主题分析。背景：社区膝关节置换康复（CORKA）试验。
5 名具有不同临床经验的物理治疗师和 6 名物理治疗助理。
访谈以数字方式记录并逐字转录。我们使用了 Braun 和 Clarke 提出的反思性主题分析阶段。一名研究人员进行了访谈，而三名具有定性研究方法经验的研究人员则对数据进行了编码和分析。
我们开发了七个主题，有助于理解在患者家中提供治疗干预的益处和挑战：在患者自己的世界中看到他们；跳出常规思维；发展人际交往能力；享受超越常规的服务；在患者和朋友之间保持微妙的平衡；感到不自在；需要支持网络。
在患者自己的家中进行治疗有助于实现整体治疗方法。我们的研究结果强调了临床教育的领域：（1）我们如何帮助临床医生在朋友和专业人士之间保持微妙的平衡；（2）我们如何在提供支持和结构的需求与创造性和独立工作的自由之间取得平衡？
