This study included brief qualitative, semi-structured online interviews. Adolescents (age 10-19 years) with long-term knee pain, who had been recommended \"wait-and-see\" by their general practitioner (GP), were recruited via previous studies and social media. Two researchers conducted brief semi-structured interviews through Microsoft Teams. An interview guide with open questions was created prior to the interviews and updated as new questions emerged. The extracted data was transcribed and analyzed via a reflexive thematic approach in NVivo.
Eight adolescents (mean age 17.8) with longstanding or recurrent knee pain (mean duration 3.5 years) were included. The analysis identified four main themes: (1) The perception of wait and see over time, (2) The GP\'s acknowledgement and consideration, (3) experienced limitation from knee pain and (4) the importance of getting a diagnosis. The perception of \"wait-and-see\" approach changed from positive to negative when adolescents received the recommendation multiple times. Adolescents experienced frustration with their situation and a lack of consideration from their GP made them cautious about seeking additional care. Knee pain significantly limited the adolescents\' physical-and social activities. Receiving a diagnosis was important and helped adolescents dealing with their pain.
The connotation of wait-and-see changed from positive to negative for adolescents when receiving the recommendation multiple times. The participants felt getting a clinical diagnosis was a relief. Furthermore, the lack of consideration and acknowledgement from the GP plays an essential role in the adolescent\'s understanding of their knee pain.
Recommending adolescents to \"wait-and-see\" multiple times in relation to their knee problems can lead adolescents experience frustration and a lack of consideration from their GP. It would be advisable for GPs to provide adolescents with a diagnosis as it can facilitate them in dealing with their pain and to use simple language when explaining adolescents their condition to improve communication.
方法:这项研究包括简短的定性,半结构化在线面试。青少年(10-19岁)长期膝盖疼痛,他们被全科医生(GP)推荐“观望”,是通过以前的研究和社交媒体招募的。两名研究人员通过微软团队进行了简短的半结构化访谈。在面试之前创建了带有开放问题的面试指南,并随着新问题的出现而更新。在NVivo中通过反身主题方法对提取的数据进行转录和分析。
结果:8名青少年(平均年龄17.8岁)患有长期或复发性膝关节疼痛(平均持续时间3.5年)。分析确定了四个主要主题:(1)随着时间的推移,观望的感知,(2)GP的确认和考虑,(3)膝盖疼痛的局限性和(4)诊断的重要性。当青少年多次收到建议时,对“观望”方法的看法从积极变为消极。青少年对自己的处境感到沮丧,并且缺乏全科医生的考虑使他们对寻求其他护理持谨慎态度。膝关节疼痛显著限制了青少年的身体和社会活动。接受诊断很重要,可以帮助青少年应对疼痛。
结论:青少年多次接受建议时,观望的内涵从积极变为消极。参与者认为获得临床诊断是一种解脱。此外,缺乏全科医生的考虑和认可在青少年对膝关节疼痛的理解中起着至关重要的作用。
结论:建议青少年对膝盖问题进行多次“观望”可能会导致青少年感到沮丧和缺乏全科医生的考虑。建议全科医生为青少年提供诊断,因为它可以帮助他们处理痛苦,并在解释青少年的病情以改善沟通时使用简单的语言。