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有骨盆带疼痛的孕妇寻求物理治疗时,希望治疗师具备专业知识并提供量身定制的干预措施:一项定性研究。

Expertise and individually tailored interventions are expected by pregnant women with pelvic girdle pain who seek physical therapy: a qualitative study.

机构信息

Department of Health and Rehabilitation, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Department of Health and Rehabilitation, Sahlgrenska Academy, University of Gothenburg, Region Västra Götaland, Närhälsan Eriksberg, Gothenburg, Sweden.

出版信息

Braz J Phys Ther. 2023 Mar-Apr;27(2):100494. doi: 10.1016/j.bjpt.2023.100494. Epub 2023 Mar 17.

DOI:10.1016/j.bjpt.2023.100494
PMID:36965211
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10064431/
Abstract

BACKGROUND

Pelvic girdle pain (PGP) in pregnancy may result in activity limitations and thus a negative impact on the individual woman's everyday life. Women's expectations when they seek physical therapy because of PGP are not yet known.

OBJECTIVE

To explore pregnant women's lived experience of PGP and what needs and expectations they express prior to a physical therapy consultation.

METHODS

A qualitative study using a descriptive phenomenological method. Interviews conducted with 15 pregnant women seeking physical therapy because of PGP, recruited through purposive sampling at one primary care rehabilitation clinic.

RESULTS

PGP was described by four themes; An experience with larger impact on life than expected, A time for adjustments and acceptance, A feeling of insecurity and concern, A desire to move forward. PGP had a large impact on the pregnant women´s life. Thoughts of PGP as something to be endured was expressed, the women therefore accepted the situation. Finding strategies to manage everyday life was hard and when it failed, the women described despair and a need for help. They expected the physical therapist to be an expert who would see them as individuals and provide advice that could make their everyday life easier.

CONCLUSION

Our results reveal that pregnant women with PGP delay seeking physical therapy until their situation becomes unmanageable and they run out of strategies for self-care. The women express, in light of their individual experiences, needs and expectations for professional management and advice tailored to their individually unique situation.

摘要

背景

妊娠期间骨盆带疼痛(PGP)可能导致活动受限,从而对个体女性的日常生活产生负面影响。目前尚不清楚因 PGP 寻求物理治疗的女性的期望是什么。

目的

探讨孕妇对 PGP 的真实体验,以及她们在进行物理治疗咨询前表达的需求和期望。

方法

一项采用描述现象学方法的定性研究。通过目的抽样,在一家初级保健康复诊所招募了 15 名因 PGP 寻求物理治疗的孕妇进行访谈。

结果

PGP 表现为四个主题:对生活的影响超出预期、调整和接受的时期、不安全感和担忧感、向前迈进的愿望。PGP 对孕妇的生活产生了重大影响。孕妇表达了忍受 PGP 的想法,因此接受了这种情况。寻找管理日常生活的策略很困难,当失败时,孕妇描述了绝望和寻求帮助的需求。她们期望物理治疗师是一位专家,能够将她们视为个体,并提供能使日常生活更轻松的建议。

结论

我们的研究结果表明,患有 PGP 的孕妇会延迟寻求物理治疗,直到情况变得无法控制,并且她们用尽了自我护理的策略。根据她们的个人经历,孕妇表达了对专业管理和个性化建议的需求和期望。

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