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首页> 外文期刊>Disability and rehabilitation. >Musculoskeletal pain and treatment choice: an exploration of illness perceptions and choices of conventional or complementary therapies.
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Musculoskeletal pain and treatment choice: an exploration of illness perceptions and choices of conventional or complementary therapies.

机译：肌肉骨骼疼痛和治疗选择：对疾病的认识以及传统或补充疗法的选择。

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PURPOSE: This study explored experiences of receiving treatment for musculoskeletal pain (MSKP), particularly choices of complementary and alternative medicine (CAM) and/or conventional treatment, using the illness perception dimension of Leventhal's Self-Regulatory Model as the underpinning model within the broader biopsychosocial framework of the International Classification of Functioning, Disability and Health. METHOD: A mixed-method study was conducted involving 17 people with MSKP. Data were collected in semi-structured interviews, using a phased approach that included the Brief Illness Perception Questionnaire and open-ended questions about experiences of managing and seeking treatment for MSKP. Questionnaire data were analysed descriptively; interview data were transcribed verbatim and analysed using the principles of Interpretative Phenomenological Analysis. RESULTS: Analysis points to health professionals and participants as gatekeepers to treatment, with gatekeeping based on matters of power, searching for solutions, and managing day to day. The themes Role of the Gatekeeper, Swing of the Interminable Pendulum, and Solution of Soldiering On are discussed in relation to literature about health beliefs and choices of CAM or conventional treatments. CONCLUSIONS: Future research could include mixed-method designs to further explore issues of knowledge, beliefs, and control that feed into the role of gatekeepers to treatment, as well as comparing CAM choices between public and privately-funded healthcare.
机译：目的：本研究探索了接受肌肉骨骼疼痛（MSKP）治疗的经验，特别是选择Leventhal自我调节模型的疾病感知维度作为更广泛范围内的基础模型的补充药物和替代药物（CAM）和/或常规治疗的选择国际功能，残疾和健康分类的生物心理社会框架。方法：进行了一项混合方法研究，涉及17名MSKP患者。数据是通过半结构化访谈收集的，采用了分阶段的方法，其中包括简短疾病知觉问卷和有关管理和寻求MSKP治疗经验的开放式问题。对问卷数据进行描述性分析;访谈数据逐字记录，并使用解释现象学分析原则进行分析。结果：分析指出，卫生专业人员和参与者是治疗的看门人，其看守权基于权力，寻找解决方案和日常管理。结合有关健康观念和CAM或常规治疗选择的文献，讨论了Gatekeeper的角色，无限摆的摆动和On的士兵解法。结论：未来的研究可能包括混合方法设计，以进一步探索知识，信念和控制问题，这些问题将影响看门人在治疗中的作用，并比较公共和私人资助医疗机构的CAM选择。

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