Ekhammar Annika, Fridén Sofia, Larsson Maria E H
Unit of Physiotherapy, Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Region Västra Götaland, Primary Care Rehabilitation, Gothenburg, Sweden.
Scand J Prim Health Care. 2025 Jun;43(2):380-391. doi: 10.1080/02813432.2024.2447084. Epub 2024 Dec 28.
To explore and describe patients' experiences and perceptions of rehabilitation according to the rehabilitation model 'Prevention of sickness absence through early identification and rehabilitation of at-risk patients with musculoskeletal pain' (PREVSAM).
A qualitative study was conducted, with individual semi-structured interviews analysed using qualitative content analysis. Fifteen patients from three primary care rehabilitation clinics in Sweden who had undergone rehabilitation based on the PREVSAM model participated.
Four categories were identified from the participants' experiences: Gratitude for the holistic view, Challenging but clarifying to create a health plan, Different needs for addressing work-related factors, and Difficulties and negative experiences. From these categories, an overarching theme was conceptualised: .
Participants were generally positive towards the PREVSAM model. The addition of occupational therapy and psychological treatment to physiotherapy was seen by many, albeit not all, as enriching the rehabilitation. Collaboration with the workplace was mainly considered 'good in theory'. The wide variation in the need for support underscore the importance of person-centredness.
根据“通过早期识别和康复有肌肉骨骼疼痛风险的患者来预防病假”（PREVSAM）康复模式，探索并描述患者的康复经历和认知。
开展了一项定性研究，采用定性内容分析法对个体半结构化访谈进行分析。来自瑞典三家初级保健康复诊所的15名接受了基于PREVSAM模式康复治疗的患者参与其中。
从参与者的经历中确定了四个类别：对整体观的感激、制定健康计划具有挑战性但能明晰问题、解决工作相关因素的不同需求以及困难和负面经历。从这些类别中，提炼出一个总体主题：。
参与者总体上对PREVSAM模式持积极态度。许多人（尽管不是所有人）认为，在物理治疗的基础上增加职业治疗和心理治疗丰富了康复内容。与工作场所的合作主要被认为“理论上不错”。对支持需求的广泛差异凸显了以人为本的重要性。
