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探索患者将富血小板血浆作为膝关节骨关节炎初级治疗方法的动机:焦点小组讨论

Exploring Patients' Motivations in Using Platelet-Rich Plasma as Their Primary Care Therapy for Managing Knee Osteoarthritis: A Focus Group Discussion.

作者信息

Pineda-Cortel Maria Ruth, Cabrera Jan Tyrone, Villavieja Adrian, Bernardo-Bueno Mary Monica, Daya Minerva, Alegre John Emil, Vergara Renz Cleve, Bonifacio Rinnel Brenan, Suarez Consuelo G

机构信息

Department of Medical Technology, Faculty of Pharmacy, University of Santo Tomas, Manila, Philippines.

Research Center for the Natural and Applied Sciences, University of Santo Tomas, Manila, Philippines.

出版信息

J Patient Exp. 2025 Jun 4;12:23743735251323387. doi: 10.1177/23743735251323387. eCollection 2025.

Abstract

Knee osteoarthritis (KOA) is a degenerative disease that causes pain and burden in patients. Aside from surgery, clinicians tout the potential use of platelet-rich plasma. This study explores motivation in terms of perceptions, experiences, and recommendations of KOA patients who received platelet-rich plasma (PRP) as primary care therapy. A qualitative approach via focus group discussion was conducted. Data were analyzed using thematic analysis and visualized using MAXQDA. Patients' motivation for the use of PRP was based on three factors: (1) their perception of PRP as a therapy, (2) their lived experiences post-PRP therapy, and (3) their willingness to recommend PRP to others as a primary care therapy. The elements of each theme were identified and ranked based on how often the patients expressed the same thought, with willingness (f=5), alternative therapy (f=7), and pain (f=27) ranking highest. Physicians' recommendations, preference for a non-surgical approach, and later on, reduced pain and improved quality of life made them believe in the effectiveness of PRP as primary care therapy to alleviate KOA symptoms.

摘要

膝骨关节炎(KOA)是一种导致患者疼痛和负担的退行性疾病。除了手术之外,临床医生还大力推崇富血小板血浆的潜在用途。本研究从接受富血小板血浆(PRP)作为初级保健治疗的KOA患者的认知、经历和建议方面探讨其动机。通过焦点小组讨论采用了定性研究方法。使用主题分析法对数据进行分析,并使用MAXQDA进行可视化呈现。患者使用PRP的动机基于三个因素:(1)他们对PRP作为一种治疗方法的认知;(2)他们接受PRP治疗后的生活经历;(3)他们愿意将PRP作为初级保健治疗方法推荐给他人。根据患者表达相同想法的频率对每个主题的要素进行识别和排序,意愿(f = 5)、替代疗法(f = 7)和疼痛(f = 27)的排名最高。医生的建议、对非手术方法的偏好,以及随后疼痛减轻和生活质量改善,使他们相信PRP作为缓解KOA症状的初级保健治疗方法的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41f3/12138209/3c71808879bd/10.1177_23743735251323387-fig1.jpg

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