Young Anika, French Simon D, Traeger Adrian C, Ayre Julie, Hancock Mark, Jenkins Hazel J
Department of Chiropractic, Faculty of Medicine, Health and Health Science, Macquarie University, Sydney, Australia.
Department of Chiropractic, Faculty of Medicine, Health and Health Science, Macquarie University, Sydney, Australia.
J Physiother. 2025 Jan;71(1):48-56. doi: 10.1016/j.jphys.2024.11.003. Epub 2024 Dec 12.
What reassurance is being delivered by physiotherapists and chiropractors to people with non-specific low back pain? How is it being delivered? What are the barriers and enablers to delivering reassurance to people with non-specific low back pain?
A qualitative study.
Thirty-two musculoskeletal clinicians (16 physiotherapists and 16 chiropractors) who manage low back pain in primary care.
Semi-structured interviews were conducted about their experiences delivering reassurance. The interview schedule was developed using the Theoretical Domains Framework and analysed using framework thematic analysis.
Four themes were identified: giving reassurance is a core clinical skill for delivering high-quality care; it takes practice and experience to confidently deliver reassurance; despite feeling capable and motivated, clinicians identified situations that challenge the delivery of reassurance; and reassurance needs to be contextualised to the individual.
Clinicians possess a strong understanding of reassurance but require clinical experience to confidently deliver it. This study provides insights into how reassurance is individualised in clinical practice, including suggestions for clinicians about how to implement reassurance effectively for people with low back pain.
物理治疗师和脊椎按摩师向非特异性下背痛患者提供了哪些安慰？是如何提供的？向非特异性下背痛患者提供安慰的障碍和促进因素有哪些？
一项定性研究。
32名在初级保健中管理下背痛的肌肉骨骼临床医生（16名物理治疗师和16名脊椎按摩师）。
就他们提供安慰的经历进行半结构化访谈。访谈提纲采用理论领域框架制定，并使用框架主题分析法进行分析。
确定了四个主题：给予安慰是提供高质量护理的核心临床技能；自信地提供安慰需要实践和经验；尽管感觉有能力且有动力，但临床医生发现了一些对提供安慰构成挑战的情况；安慰需要根据个体情况进行调整。
临床医生对安慰有深刻的理解，但需要临床经验才能自信地提供安慰。本研究深入探讨了在临床实践中如何使安慰个性化，包括为临床医生提供关于如何有效地为下背痛患者实施安慰的建议。
