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孕期及产后数字理疗体验:一项定性研究。

Experiences of digital physiotherapy during pregnancy and after childbirth: A qualitative study.

作者信息

Johnson Frida, Frygner Holm Sara, Hess Engström Andrea

机构信息

Uppsala University, Department of Women's and Children's Health, Uppsala, Sweden.

出版信息

Internet Interv. 2024 Aug 22;38:100768. doi: 10.1016/j.invent.2024.100768. eCollection 2024 Dec.

Abstract

BACKGROUND

Pelvic girdle pain, low back pain, and pelvic floor dysfunction can affect women's mobility, quality of life, and well-being during pregnancy and the postpartum period. Digital interventions for treating perinatal depression and lifestyle changes have been studied. Research on digital physiotherapy for musculoskeletal issues related to pregnancy and the postpartum period is sparse.

METHODS

This qualitative study involved in-depth, semi-structured interviews with 19 participants, of whom six were pregnant and 13 had given birth. Participants were recruited from a private clinic in Sweden through convenience sampling and had received digital physiotherapy prior to the interviews. An interview guide with questions exploring participants' experiences of digital physiotherapy, including its impact on musculoskeletal issues and daily life, and their motivation for seeking digital healthcare was used. Data were analyzed using a qualitative content analysis with an inductive approach.

RESULTS

The analysis resulted in two main categories: and . These main categories encompassed four generic categories: , and .

CONCLUSION

Digital physiotherapy was well-accepted and perceived as beneficial for managing musculoskeletal symptoms during pregnancy and after childbirth. High accessibility and flexibility were considered advantages. However, inability to undergo a physical assessment was a challenge. Digital physiotherapy may be recommended as a complement to usual care, particularly for women with limited access to a physiotherapist specialized in women's health. Future studies exploring digital physiotherapy's efficacy for musculoskeletal issues during pregnancy and after childbirth are highly recommended.

摘要

背景

骨盆带疼痛、腰痛和盆底功能障碍会影响女性在孕期和产后的活动能力、生活质量和幸福感。针对围产期抑郁症的数字干预措施以及生活方式改变已得到研究。而关于孕期和产后与肌肉骨骼问题相关的数字物理治疗的研究较少。

方法

这项定性研究对19名参与者进行了深入的半结构化访谈,其中6名处于孕期,13名已分娩。通过便利抽样从瑞典一家私人诊所招募参与者,他们在接受访谈前已接受过数字物理治疗。使用了一份访谈指南,其中的问题探讨了参与者对数字物理治疗的体验,包括其对肌肉骨骼问题和日常生活的影响,以及他们寻求数字医疗保健的动机。采用归纳法进行定性内容分析对数据进行分析。

结果

分析得出两个主要类别: 和 。这些主要类别包含四个一般类别: 、 和 。

结论

数字物理治疗被广泛接受,并被认为对管理孕期和产后的肌肉骨骼症状有益。高可及性和灵活性被视为优势。然而,无法进行身体评估是一项挑战。数字物理治疗可作为常规护理的补充被推荐,特别是对于难以获得专门从事女性健康的物理治疗师服务的女性。强烈建议未来开展研究探索数字物理治疗对孕期和产后肌肉骨骼问题的疗效。

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