University of Applied Sciences Utrecht, Institute for Human Movement Studies, Utrecht, Netherlands; Radboud University Medical Center, IQ Healthcare, Nijmegen, Netherlands.
University of Applied Sciences Utrecht, Institute for Human Movement Studies, Utrecht, Netherlands.
Musculoskelet Sci Pract. 2024 Jun;71:102931. doi: 10.1016/j.msksp.2024.102931. Epub 2024 Mar 12.
To investigate how people with shoulder problems and their physiotherapists perceive the recovery of shoulder problems.
We performed a qualitative study using semi-structured interviews with patients and their physiotherapists. Nine pairs of patients and physiotherapists (n = 18) were recruited. The transcribed interviews were analyzed in a consecutive multistep iterative process using a conventional content analysis.
Analysis of the interviews resulted in three major themes: 'What do I expect from my recovery?', 'Am I recovering?' and 'When do I consider myself recovered?' The patients and physiotherapists talked similarly about the importance of and interdependency between these themes. Central to these three themes are the analysis of the cause of shoulder problems and the experience of uncertainty. Our analyses suggest that there are conceptual differences in how patients and physiotherapists formulate their expectations about recovery, observe the recovering process, and conceptualize when someone may be considered recovered. Different interpretations by the patients of the information provided by the physical therapists appeared to fuel these differences.
Our results show that the concept of recovery is defined by patients and physiotherapists in three distinct themes. Within these themes the patients and physiotherapists differ substantially in their conceptualization of the recovery.
This insight in the concept of recovery can help patients and physiotherapists better understand each other, enhance the alignment of ideas about the care process, and support making decisions together. Physiotherapists should be aware that patients might interpret their words, explanations, and expectations substantially different.
探讨肩痛患者及其物理治疗师如何感知肩痛的康复。
我们采用半结构式访谈对患者及其物理治疗师进行了定性研究。共招募了 9 对患者和物理治疗师（n=18）。对转录后的访谈进行了连续的多步迭代分析，采用常规内容分析法进行分析。
对访谈的分析产生了三个主要主题：“我对康复有什么期望？”“我在康复中吗？”和“我什么时候认为自己康复了？”患者和物理治疗师在这些主题的重要性和相互依存性方面的看法相似。这些主题的核心是对肩痛原因的分析和对不确定性的体验。我们的分析表明，患者和物理治疗师在制定康复期望、观察康复过程以及确定某人是否康复方面存在概念上的差异。患者对物理治疗师提供的信息的不同解释似乎加剧了这些差异。
我们的研究结果表明，康复的概念是由患者和物理治疗师通过三个不同的主题来定义的。在这些主题中，患者和物理治疗师在康复的概念化方面存在很大差异。
对康复概念的这种理解可以帮助患者和物理治疗师更好地相互理解，增强对护理过程的观点的一致性，并支持共同做出决策。物理治疗师应该意识到，患者可能会对他们的言语、解释和期望有很大的不同理解。
