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物理治疗师与患者之间的关系:关于物理治疗师对该主题认知的定性研究

The Relationship between Physiotherapist and Patient: A Qualitative Study on Physiotherapists' Representations on This Theme.

作者信息

Monaco Silvia, Renzi Alessia, Galluzzi Beatrice, Mariani Rachele, Di Trani Michela

机构信息

Department of Dynamic and Clinical Psychology and Health Studies Sapienza, University of Rome, 00185 Rome, Italy.

出版信息

Healthcare (Basel). 2022 Oct 25;10(11):2123. doi: 10.3390/healthcare10112123.

Abstract

The physiotherapist represents a resource for the psychophysical well-being of an individual. Specific characteristics of the physiotherapist-patient relationship can influence the outcome of rehabilitation. This study aimed to explore physiotherapists' representations on how they perceive their relationship with their patients, in order to highlight helpful elements in promoting the outcome of the intervention. In this study, 50 physiotherapists (27 females and 23 males; mean age = 42 years; sd = 12.2) participated in an individual interview, conducted remotely via videocall. Socio-demographic and occupational data were collected. The interviews were recorded and transcribed. Texts were analyzed using emotional text mining (ETM). Participants organized their work by means of three categories: (1) work with the patient, in which the physiotherapists described two complementary elements of the therapy, which are the observable-technical aspects of their work and the internal predispositions; (2) the healing process, highlighting the aims of their intervention, including the physical pathology and the relationship with the patients; (3) physiotherapist as a psychologist, describing the attempt to understand patients' emotional experience to gradually transition to the practical intervention. Understanding the emotional and relational processes that form the basis of physiotherapist practice can contribute to the development of interventions in which the body and the mind can be integrated, resulting in a real person-centered point of view.

摘要

物理治疗师是个人身心健康的一种资源。物理治疗师与患者关系的特定特征会影响康复效果。本研究旨在探讨物理治疗师对于他们如何看待与患者关系的认知,以突出有助于促进干预效果的有益因素。在本研究中,50名物理治疗师(27名女性和23名男性;平均年龄 = 42岁;标准差 = 12.2)参与了通过视频通话远程进行的个人访谈。收集了社会人口统计学和职业数据。访谈进行了录音和转录。使用情感文本挖掘(ETM)对文本进行了分析。参与者通过三个类别来组织他们的工作:(1)与患者一起工作,其中物理治疗师描述了治疗的两个互补要素,即他们工作中可观察到的技术方面和内在倾向;(2)康复过程,突出了他们干预的目标,包括身体病理学以及与患者的关系;(3)作为心理学家的物理治疗师,描述了试图理解患者的情感体验以便逐步过渡到实际干预。理解构成物理治疗师实践基础的情感和关系过程有助于开发能够将身体和心理整合起来的干预措施,从而形成真正以患者为中心的观点。

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