冰岛物理治疗师对情境因素的看法作为nocebo效应的触发因素:混合方法调查调查
Abigail Grover Snook1, Ingvi S Waage1, Solveig A Arnadottir1
1Department of Physical Therapy, University of Iceland, Reykjavik, Iceland.
Physiotherapy theory and practice
|April 16, 2025
概括
冰岛的物理治疗师很少遇到nocebo效应,但经常将其归因于患者. 他们应该考虑更广泛的背景因素,以制定更有效的预防策略.
科学领域:
- 物理治疗 物理治疗
- 患者心理学 患者心理学
- 医疗保健结果的结果
背景情况:
- 物理治疗中的上下文因素可以诱导nocebo效应,对治疗结果产生负面影响.
- 了解物理治疗师对这些因素的看法对于改善患者护理至关重要.
研究的目的:
- 调查冰岛物理治疗师对触发nocebo效应的上下文因素的认识,感知和预防策略.
主要方法:
- 一个采用在线调查的横截面,融合混合方法的研究.
- 用描述性和非参数统计数据分析的定量数据.
- 使用上下文因素框架分析的定性数据.
主要成果:
- 70%的物理治疗师报告很少或很少遇到nocebo效应.
- 关键的感知原因包括不适当的触摸,缺乏信任,负面语言和患者的期望.
- 患者应对能力是最受认可的预防策略;88%的人支持在物理治疗课程中包括nocebo效应.
- 定性数据显示,倾向于将nocebo效应归因于有限自我反思的患者心态.
结论:
- 物理治疗师经常将nocebo效应归因于患者的心态.
- 需要对上下文因素进行更广泛的考虑,才能有效地减少nocebo效应.
- 研究结果表明,物理治疗师对nocebo效应的感知可能具有普遍性和独特性.
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