关键词: Musculoskeletal disorders Physical therapy Prognosis Qualitative

来  源:   DOI:10.1016/j.msksp.2024.103142

Abstract:
UNASSIGNED: What are the perceptions and knowledge of physiotherapists who treat musculoskeletal disorders towards prognosis?
METHODS: Exploratory phenomenological study.
METHODS: 15 physiotherapists involved in the treatment of musculoskeletal disorders.
METHODS: Data were collected through semi-structured interviews and analysed using inductive coding and thematic analysis.
RESULTS: Four themes were identified. First, participants perception of prognosis was influenced by how they defined prognosis. Participants often perceived that prognosis was the timeline to recovery related to function, tissue health, or pain. Second, some participants could not recall foundational knowledge about prognosis being taught during their entry-level physiotherapy program. Others recalled it being taught in relation to the tissue healing model. Third, participants described learning about prognosis through experience, professional development, or from peers. Finally, participants identified that a potential learning opportunity is to conceptualise prognosis as separate outcomes associated with function, tissue health, and pain. Each can impact upon prognosis, have a prognosis of their own, and can occur simultaneously.
CONCLUSIONS: How physiotherapists perceive and understand the concept of prognosis is influenced by their foundational knowledge. It appears for physiotherapists, prognosis may be conceptualised within the biomedical model of health. Indeed, physiotherapists may perceive that prognosis is the timeline for recovery determined by the tissue model of healing. Physiotherapists also rely on experiential knowledge gained from clinical practice, professional development, and their peers to enhance learning about prognosis. The understanding of prognosis may be enhanced if physiotherapists conceptualise prognosis in terms of the multifactorial outcomes associated with function, tissue health, and pain.
摘要:
治疗肌肉骨骼疾病的物理治疗师对预后的看法和知识是什么?
方法:探索性现象学研究。
方法:15名物理治疗师参与肌肉骨骼疾病的治疗。
方法:通过半结构化访谈收集数据,并使用归纳编码和主题分析进行分析。
结果:确定了四个主题。首先,参与者对预后的认知受到他们定义预后的影响.参与者通常认为预后是与功能相关的康复时间表,组织健康,或疼痛。第二,一些参与者无法回忆起在入门级物理治疗计划期间教授的有关预后的基础知识.其他人回忆说,它与组织愈合模型有关。第三,参与者描述了通过经验了解预后,专业发展,或者来自同龄人。最后,参与者发现,潜在的学习机会是将预后概念化为与功能相关的单独结果,组织健康,和痛苦。每一种都会影响预后,有自己的预后,可以同时发生。
结论:物理治疗师如何感知和理解预后的概念受他们的基础知识的影响。对于物理治疗师来说,预后可以在生物医学健康模型中概念化。的确,物理治疗师可能认为预后是由愈合组织模型确定的恢复时间线.物理治疗师还依赖于从临床实践中获得的经验知识,专业发展,和他们的同龄人加强对预后的了解。如果物理治疗师根据与功能相关的多因素结局将预后概念化,则可能会增强对预后的理解。组织健康,和痛苦。
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