多发性硬化症患者对物理治疗和职业治疗的感知价值:从定性采访研究的见解
Heleen Beckerman1, Jacqueline Pma Coppers2, Isaline Cjm Eijssen1
1Amsterdam UMC, location Vrije Universiteit, Rehabilitation Medicine, MS Center Amsterdam, De Boelelaan 1118, 1081 HZ Amsterdam, the Netherlands; Amsterdam Public Health research institute, Social Participation and Health, PO BOX 7057, 1007 MB Amsterdam, the Netherlands.
Multiple sclerosis and related disorders
|March 15, 2026
概括
多发性硬化症 (MS) 患者高度重视持续的,个性化的物理治疗和职业治疗. 根据不断变化的个人需求和情况调整这些基本疗法是MS最佳管理和患者赋权的关键.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 以患者为中心的护理
背景情况:
- 物理治疗,职业治疗和Cesar/Mensendieck运动治疗对于治疗多发性硬化症至关重要.
- 了解MS (PwMS) 患者如何在疾病进展过程中感知这些疗法的价值是有限的.
- 这项研究调查了整个多发性硬化症病程中PwMS的经验和治疗价值.
研究的目的:
- 探索MS患者在物理治疗,职业治疗和Cesar/Mensendieck治疗方面的生活经验和价值观.
- 了解这些价值观在疾病的整个生命周期中是如何演变的.
- 识别导致MS管理中积极治疗经验的因素.
主要方法:
- 进行了深度访谈,对23名MS患者进行了有意抽样.
- 用解释性现象学分析来分析数据,考虑上下文因素.
- 该样本代表了各种各样的治疗经验,以确保全面的含义提取.
主要成果:
- 患有多发性硬化症的人高度重视持续的物理治疗和职业治疗,特别是当个性化个体需求和疾病进展时.
- 五个核心主题出现了:患者价值观,治疗师属性,治疗关系,治疗特点和医疗保健合作.
- 治疗价值观是动态的和相互关联的,影响积极的经验,并赋予患者自主决策的权力.
结论:
- 持续的,个性化的物理治疗和职业治疗受到MS患者的高度尊重.
- 调整疗法以适应MS患者不断变化的需求,价值观和情况,对于有效的护理至关重要.
- 个性化治疗方法可以增强患者在管理病情方面的自主性和信心.
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