The Patient-Physiotherapist Tango: a Personalized Approach to ACL Recovery - a Qualitative Interview Study.

IF 1.6 Q3 SPORT SCIENCES
International Journal of Sports Physical Therapy Pub Date : 2024-12-01 eCollection Date: 2024-01-01 DOI:10.26603/001c.126060
Ramana Piussi, Ella Brandt, Alicia Johansson, Thorkell Snaebjörnsson, Roland Thomeé, Kristian Samuelsson, Eric Hamrin Senorski
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Abstract

Background: Person-centered care is a concept in healthcare that aims to promote the patient's health and adapt resources and interventions based on the patient's needs and wishes. Knowledge on what person-centered physiotherapy is for patients who rehabilitate after an anterior cruciate ligament (ACL) reconstruction, and how patients experience it within the context of sports injury rehabilitation, is lacking.

Purpose: The aim of this study was to explore how patients who were in a late rehabilitation stage (8-12 months) after ACL reconstruction experienced their rehabilitation from a person-centered perspective.

Study design: Qualitative interview study.

Methods: Fourteen patients (57% females), aged 18-57, treated with ACL reconstruction, were interviewed with semi-structured interviews 8-12 months after ACL reconstruction. Interviews were recorded, transcribed and analyzed with qualitative content analysis.

Results: One theme: all lights on me; be seen and heard, a cornerstone for patients, supported by three main categories: 1) rehabilitation: a roller coaster of physical and psychological challenges; 2) patient involvement; 3) the physiotherapist - stronger together; emerged from the collected data.

Conclusion: Patients in a late rehabilitation stage (8-12 months) after ACL reconstruction experienced that the rehabilitation process was person-centered when they felt to be the focus and were allowed to participate via open and constructive communication with the physiotherapists.

病人-物理治疗师探戈:ACL恢复的个性化方法-一项定性访谈研究。
背景:以人为本的护理是医疗保健中的一个概念,旨在促进患者的健康,并根据患者的需求和愿望调整资源和干预措施。对于前交叉韧带(ACL)重建后康复的患者,什么是以人为中心的物理治疗,以及患者如何在运动损伤康复的背景下进行物理治疗,目前还缺乏相关知识。目的:本研究旨在从以人为本的角度探讨ACL重建后处于康复后期(8-12个月)的患者的康复体验。研究设计:定性访谈研究。方法:14例接受ACL重建的患者(57%为女性),年龄18-57岁,在ACL重建后8-12个月进行半结构化访谈。对访谈进行记录、转录并进行定性内容分析。结果:一个主题:所有的灯都在我身上;被看到和被听到,是病人的基石,由三个主要类别支持:1)康复:身体和心理挑战的过山车;2)患者参与;3)物理治疗师-一起坚强;从收集的数据中得出。结论:前交叉韧带重建后处于康复后期(8-12个月)的患者感受到康复过程是以人为中心的,他们感觉自己是焦点,并被允许通过开放和建设性的沟通与物理治疗师参与。
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来源期刊
CiteScore
2.50
自引率
5.90%
发文量
124
审稿时长
16 weeks
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