不丹医护人员对慢性肌肉骨骼疼痛管理的看法:定性研究。

IF 1.5 Q3 RHEUMATOLOGY Musculoskeletal Care Pub Date : 2023-12-01 Epub Date: 2023-09-14 DOI:10.1002/msc.1821
Monu Tamang, Nidup Dorji, Kuenzang Wangdi, Zimba Letho, Karma Lhaki, Thinley Dorji
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引用次数: 0

摘要

导言:肌肉骨骼疼痛疾病仍然是导致全球残疾的主要原因之一。最佳护理实践建议采用以患者为中心的生物-心理-社会护理模式。在低收入和中等收入国家,人们对慢性肌肉骨骼疼痛的管理知之甚少:探讨不丹医护人员对慢性肌肉骨骼疼痛的管理:本研究采用定性设计,涉及 19 名在不丹管理慢性肌肉骨骼疼痛的不丹医护人员。我们使用半结构化访谈指南收集数据。结果:医护人员报告说,患者依赖的是 "治疗",而不是 "护理":医护人员报告称,患者在治疗慢性肌肉骨骼疼痛时,既依赖家庭疗法,也寻求当地医护人员和医院的帮助。虽然医护人员认为慢性肌肉骨骼疼痛是一种多维现象,但他们主要关注的是识别和治疗结构异常。据报告,时间限制、知识和技能不足、缺乏信心、设施和专业知识是有效治疗慢性肌肉骨骼疼痛的障碍。他们认为有必要制定临床指南、开展相关技能培训并提高人们对慢性肌肉骨骼疼痛的认识:结论:在不丹,慢性肌肉骨骼疼痛的管理重点在于识别和治疗身体异常。医疗保健专业人员认为社会心理层面非常重要,但在这一领域缺乏任何形式的可行干预措施。
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Perspectives on chronic musculoskeletal pain management among healthcare professionals in Bhutan: A qualitative study.

Introduction: Musculoskeletal pain disorders continue to be one of the leading causes of disability worldwide. Best practice care recommends patient-centred biopsychosocial models of care. Little is known about the chronic musculoskeletal pain management in low- and middle-income countries.

Objectives: To explore the management of chronic musculoskeletal pain by healthcare professionals in Bhutan.

Methods: This study employed a qualitative design involving 19 Bhutanese healthcare professionals managing chronic musculoskeletal pain in Bhutan. We collected data using a semi-structured interview guide. Thematic analysis was done manually.

Results: Healthcare professionals reported that patients rely on a combination of home remedies and seek help from local healers and hospitals for chronic musculoskeletal pain management. While healthcare professionals understand chronic musculoskeletal pain as multi-dimensional phenomenon, the primary focus was on identifying and treating structural anomalies. Time constraints, inadequate knowledge and skills, lack of confidence, facilities and expertise were reported as barriers to the effective management of chronic musculoskeletal pain. They proposed a need for clinical guidelines, relevant skills training and creating awareness of chronic musculoskeletal pain.

Conclusion: The management of chronic musculoskeletal pain in Bhutan is focused on identifying and treating physical abnormalities. Healthcare professionals consider psychosocial dimensions important but lack any form of actionable interventions in this domain.

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来源期刊
Musculoskeletal Care
Musculoskeletal Care RHEUMATOLOGY-
CiteScore
2.30
自引率
7.70%
发文量
88
期刊介绍: Musculoskeletal Care is a peer-reviewed journal for all health professionals committed to the clinical delivery of high quality care for people with musculoskeletal conditions and providing knowledge to support decision making by professionals, patients and policy makers. This journal publishes papers on original research, applied research, review articles and clinical guidelines. Regular topics include patient education, psychological and social impact, patient experiences of health care, clinical up dates and the effectiveness of therapy.
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