Piussi Ramana, Brandt Ella, Johansson Alicia, Snaebjörnsson Thorkell, Thomeé Roland, Samuelsson Kristian, Hamrin Senorski Eric
Unit of Physiotherapy, Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Box 455, SE-405 30 Gothenburg, Sweden.
Sahlgrenska Sports Medicine Center, Gothenburg, Sweden.
Int J Sports Phys Ther. 2024 Dec 1;19(12):1589-1599. doi: 10.26603/001c.126060. eCollection 2024.
Person-centered care is a concept in healthcare that aims to promote the patient's health and adapt resources and interventions based on the patient's needs and wishes. Knowledge on what person-centered physiotherapy is for patients who rehabilitate after an anterior cruciate ligament (ACL) reconstruction, and how patients experience it within the context of sports injury rehabilitation, is lacking.
The aim of this study was to explore how patients who were in a late rehabilitation stage (8-12 months) after ACL reconstruction experienced their rehabilitation from a person-centered perspective.
Qualitative interview study.
Fourteen patients (57% females), aged 18-57, treated with ACL reconstruction, were interviewed with semi-structured interviews 8-12 months after ACL reconstruction. Interviews were recorded, transcribed and analyzed with qualitative content analysis.
One theme: all lights on me; be seen and heard, a cornerstone for patients, supported by three main categories: 1) rehabilitation: a roller coaster of physical and psychological challenges; 2) patient involvement; 3) the physiotherapist - stronger together; emerged from the collected data.
Patients in a late rehabilitation stage (8-12 months) after ACL reconstruction experienced that the rehabilitation process was person-centered when they felt to be the focus and were allowed to participate via open and constructive communication with the physiotherapists.
以患者为中心的护理是医疗保健中的一个概念，旨在促进患者的健康，并根据患者的需求和愿望调整资源及干预措施。目前缺乏关于前交叉韧带（ACL）重建术后康复患者的以患者为中心的物理治疗内容，以及患者在运动损伤康复背景下对此体验的相关知识。
本研究旨在从前瞻性角度探讨ACL重建术后处于康复后期（8 - 12个月）的患者对其康复的体验。
定性访谈研究。
对14例接受ACL重建治疗的患者（57%为女性）进行访谈，年龄在18 - 57岁之间，在ACL重建术后8 - 12个月进行半结构化访谈。访谈进行录音、转录，并采用定性内容分析法进行分析。
一个主题：“所有灯光都照向我”；被关注与倾听，这是患者的基石，由三个主要类别支撑：1）康复：身体和心理挑战的过山车；2）患者参与；3）物理治疗师——携手更强大；从收集的数据中浮现出来。
ACL重建术后处于康复后期（8 - 12个月）的患者体验到，当他们感到自己是焦点，并被允许通过与物理治疗师进行开放且建设性的沟通来参与时，康复过程是以患者为中心的。
