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首页> 外文期刊>Journal of physiotherapy >Physiotherapists report improved understanding of and attitude toward the cognitive, psychological and social dimensions of chronic low back pain after Cognitive Functional Therapy training: a qualitative study
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Physiotherapists report improved understanding of and attitude toward the cognitive, psychological and social dimensions of chronic low back pain after Cognitive Functional Therapy training: a qualitative study

机译：物理治疗师在认知功能治疗培训后提高了对慢性低腰疼痛的认知，心理和社会层面的认知，心理和社会方面的理解：定性研究

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Question: What are physiotherapists’ perspectives on managing the cognitive, psychological and social dimensions of chronic low back pain after intensive biopsychosocial training? Design: Qualitative study design using semi-structured interviews to explore physiotherapists’ perceptions of their identification and treatment of the biopsychosocial dimensions of chronic low back pain after intensive Cognitive Functional Therapy (CFT) training. Participants: Thirteen qualified physiotherapists from four countries who had received specific CFT training. The training involved supervised implementation of CFT in clinical practice with patients. Interviews were audio-recorded and transcribed verbatim. An interpretive descriptive analysis was performed using a qualitative software package. Results: Four main themes emerged from the data: self-reported changes in understanding and attitudes; self-reported changes in professional practice; altered scope of practice; and increased confidence and satisfaction. Participants described increased understanding of the nature of pain, the role of patient beliefs, and a new appreciation of the therapeutic alliance. Changes in practice included use of new assessments, changes in communication, and adoption of a functional approach. Since undertaking CFT training, participants described a greater awareness of their role and scope of practice as clinicians in identifying and addressing these factors. Conclusion: Physiotherapists expressed confidence in their capacity and skill set to manage the biopsychosocial dimensions of chronic low back pain after CFT training, and identified a clear role for including these skills within the physiotherapy profession. Despite this, further clinical trials are needed to justify the time and cost of training, so that intensive CFT training may be made more readily accessible to clinicians, which to date has not been the case. [Synnott A, O’Keeffe M, Bunzli S, Dankaerts W, O'Sullivan P, Robinson K, O'Sullivan K (2016) Physiotherapists report improved understanding of and attitude toward the cognitive, psychological and social dimensions of chronic low back pain after Cognitive Functional Therapy training: a qualitative study. Journal of Physiotherapy 62: 215–221].
机译：问题：物理治疗师对慢性腰痛后慢性低腰疼痛的认知，心理和社会方面的观点是什么？设计：定性研究设计利用半结构性访谈探讨了物理治疗师对其鉴定和治疗慢性低腰疼痛后慢性低腰疼痛（CFT）训练的鉴定和治疗的看法。参与者：来自四个国家的三十个合格的物理治疗师，他们收到了特定的CFT培训。培训涉及对患者临床实践中CFT的监督。访谈是音频记录和转录的逐字。使用定性软件包进行解释性描述性分析。结果：数据出现了四个主要主题：自我报告的理解和态度变化;专业练习的自我报告的变化;改变了实践范围;并增加了信心和满足感。参与者描述了对疼痛性质的提高了解，患者信仰的作用，以及对治疗联盟的新欣赏。实践的变化包括使用新的评估，通信变化以及采用功能方法。自从进行CFT培训以来，参与者描述了更大了解他们的作用和练习范围作为临床医生在识别和解决这些因素时。结论：物理治疗师对CFT培训后管理慢性低腰疼的能源和技能的能力和技能的信心，并确定了在物理治疗专业内包括这些技能的明确作用。尽管如此，需要进一步的临床试验来证明培训的时间和成本，因此可以对临床医生更容易获得密集的CFT培训，迄今迄今为止并未如此。 [Synnott A，O'Keeffe M，Bunzli S，Dankaerts W，O'Sullivan P，Robinson K，O'Sullivan K（2016）物理治疗师们报告了对慢性低腰疼痛的认知，心理和社会方面的认知和态度的改进在认知功能疗法训练之后：定性研究。物理治疗杂志62：215-221]。

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