个人如何看待诊断标签和部疼痛的解释? 在成年人中进行了一项定性研究,这些成年人患有持续性部疼痛
Travis Haber1, Rana S Hinman1, Michelle Hall2
1Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Melbourne, Australia.
了解部疼痛是如何解释的显著影响患者的信念和治疗期望. 将关节骨关节炎视为一种动态状况,而不是退化,有助于更好地理解和接受非手术治疗.
科学领域:
- 整形外科和康复治疗
- 患者心理学 患者心理学
- 卫生沟通 卫生沟通
背景情况:
- 患者对关节疼痛的信念受到临床解释的影响",磨损"叙述可能会增加对手术的期望.
- 了解这些感知对于引导患者使用推的非手术部疼痛管理策略至关重要.
研究的目的:
- 探索部疼痛的成年人如何感知不同的诊断标签和解释.
- 确定这些标签和说明是否符合患者对诊断信息的期望.
主要方法:
- 定性研究涉及对18名患有部疼痛的成年人 (年龄在45岁以上) 进行半结构面试.
- 参与者讨论了三个诊断解释:关节骨关节炎 (动态,全关节),持续的关节疼痛 (生物心理),关节退化 (磨损和撕裂).
- 使用反射主题分析分析了关于治疗信念和信息满意度的访谈数据.
主要成果:
- 对关节疼痛标签的看法各不相同,影响了治疗信念; '磨损'解释经常导致有利于手术的信念.
- 参与者普遍对"关节骨关节炎"的解释感到满意,认为它是全面的,并认为适当的炼可以帮助.
- 人们对"生物心理社会"解释感到不满,因为它与退化信仰相冲突,感觉不个人化.
结论:
- 将关节骨关节炎解释为一个动态的,整体关节状况,而不是与年龄相关的退化,可能会鼓励人们对非手术护理的有利信念.
- 临床医生应该验证患者的理解,并解决无助的信念,强调身体活动的好处,以及手术并不总是必要的.
- 对生物心理社会因素的个性化教育可以提高患者对整体关节疼痛管理策略的开放性.
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