患者特异性因素与高等教育学生直接接入物理治疗中的治疗关系之间的关联-一项观测性的跨部门研究
Heidi Emilia Riska1,2, Jaro Ilari Karppinen3,4,5, Mia Eveliina Heikkala3,4,6
1Finnish Student Health Service, Helsinki, Finland.
概括
心理困扰和身体功能不佳会对学生如何看待他们与理疗师的治疗关系产生负面影响. 解决这些患者特异性因素可以改善肌肉骨疼痛管理中的以患者为中心的护理.
科学领域:
- 物理治疗 物理治疗
- 肌肉骨健康 肌肉骨健康
- 患者报告的结果
背景情况:
- 肌肉骨 (MSK) 疼痛在高等教育学生中很普遍,通常与功能限制和心理社会挑战并发.
- 在以患者为中心的物理治疗中,强有力的治疗关系至关重要,特别是在直接接入的环境中.
- 虽然已知治疗师因素会影响治疗联盟,但患者特定的因素需要进一步调查.
研究的目的:
- 调查患者特异性因素 (心理社会负担,身体功能,慢性疼痛) 与学生在初次物理治疗访问期间对治疗关系的看法之间的联系.
- 确定可能影响高等教育学生直接访问物理治疗治疗联盟的关键患者特征.
主要方法:
- 一项涉及326名MSK疼痛的高等教育学生的观察性横截面研究,他们寻求直接访问物理治疗.
- 使用治疗关系调查问卷的经验来评估治疗关系.
- 通过经过验证的仪器测量患者特异性因素:心理社会负担和慢性疼痛的Örebro肌肉骨疼痛查问卷 (ÖMPSQ-SF),心理困扰的心理健康指数 (MHI-5) 和身体功能的患者特异性功能量表 (PSFS).
- 多重线性回归分析用于确定关联.
主要成果:
- 心理困扰与对治疗关系的负面看法有显著的相关性 (ß = 0.30).
- 较差的自我评估身体功能也与较不有利的治疗关系相关 (ß = -0.13).
- 在心理社会负担或慢性疼痛与治疗关系的感知之间没有发现显著的关联.
结论:
- 心理困扰和身体功能受损是关键的患者特异性因素,对学生物理治疗中的治疗关系产生负面影响.
- 将心理痛苦和身体功能的评估纳入以患者为中心的护理模式中,可能会增强治疗相互作用和结果.
- 这些发现强调了物理治疗中采用整体方法的重要性,考虑到患者的整体福祉,而不仅仅是MSK症状.
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