Hutting Nathan, Caneiro J P, Ong'wen Otieno Martin, Miciak Maxi, Roberts Lisa
Department of Occupation and Health, School of Organisation and Development, HAN University of Applied Sciences, Nijmegen, the Netherlands.
School of Allied Health, Faculty of Health Sciences, Curtin University, Perth, Australia.
Musculoskelet Sci Pract. 2022 Dec;62:102663. doi: 10.1016/j.msksp.2022.102663. Epub 2022 Sep 6.
Person-centered care specifically focuses on the whole person and is an important component of contemporary care for people with musculoskeletal pain conditions. Evidence suggests however, that some clinicians experience difficulties with integrating person-centered care principles into their clinical practice. Therefore, the purpose of this masterclass is to provide a framework that enables clinicians to incorporate person-centered principles in their management of people with musculoskeletal pain conditions. To support clinicians in overcoming some of the reported obstacles, we provide practical recommendations aimed at putting principles of person-centered care into practice. The framework supporting clinicians' delivery of person-centered care in practice consists of three key-principles: A) a biopsychosocial understanding of the person's experience; B) person-focused communication; and C) supported self-management. The framework includes three phases: 1) identification and goal setting, 2) coaching to self-management, and 3) evaluation. Building a therapeutic relationship underpins these phases and is an overarching element that weaves through the key-principles and phases of the framework. We use a clinical case to illustrate the practical implementation of these recommendations.
以患者为中心的护理特别关注患者的整体情况,是当代对肌肉骨骼疼痛患者护理的重要组成部分。然而,有证据表明,一些临床医生在将以患者为中心的护理原则融入临床实践时遇到困难。因此,本次大师班的目的是提供一个框架,使临床医生能够在管理肌肉骨骼疼痛患者时纳入以患者为中心的原则。为了支持临床医生克服一些已报道的障碍,我们提供了旨在将以患者为中心的护理原则付诸实践的实用建议。支持临床医生在实践中提供以患者为中心护理的框架包括三个关键原则:A)对患者体验的生物心理社会理解;B)以患者为中心的沟通;C)支持自我管理。该框架包括三个阶段:1)识别和目标设定,2)自我管理指导,3)评估。建立治疗关系是这些阶段的基础,是贯穿框架关键原则和阶段的首要要素。我们用一个临床案例来说明这些建议的实际应用。