Resumen
Este estudio exploratorio fenomenológico se enfoca en las experiencias y preferencias de pacientes con trastornos musculoesqueléticos con respecto al pronóstico.
Los resultados indican que los pacientes buscan una causa para su dolor y ven esencial una diagnosis para informar su pronóstico.
Aunque desean recibir un pronóstico de su fisioterapeuta, esto a menudo no ocurre.
Los pacientes perciben que los fisioterapeutas pueden impactar el pronóstico a través de la prescripción de ejercicios y la gestión de condiciones.
Recibir un pronóstico puede tener un impacto tanto positivo como negativo, y los pacientes tienen preferencias en cuanto a cuándo, qué y cómo se presenta el pronóstico.
Para una atención centrada en el paciente, se recomienda a los fisioterapeutas discutir explícitamente el pronóstico con los pacientes y considerar sus preferencias.
Personalización en el pronóstico y preferencias: clave en la atención al paciente
Para el fisioterapeuta, es crucial conocer las preferencias y experiencias de sus pacientes en relación al pronóstico. En la clínica de fisioterapia, esta información permite mejorar la atención al paciente al ofrecer pronósticos y preferencias personalizadas, lo que resulta en un tratamiento más efectivo y satisfactorio para ambas partes.
Abstract original
The experiences and preferences of individuals living with a musculoskeletal disorder regarding prognosis: A qualitative study
Question(s): What are the experiences and preferences of individuals living with a musculoskeletal disorder regarding prognosis?
Design: Exploratory phenomenological study.
Participants: Individuals aged 18-year or older currently experiencing a musculoskeletal disorder and receiving treatment from a physiotherapist.
Data analysis: Data were collected through semi-structured interviews and analysed using inductive coding and thematic analysis.
Results: Five themes were identified. First, participants described seeking a cause for their pain. This influenced their experience of prognosis as they perceived a diagnosis was required to inform their prognosis. Second, whilst participants wished to receive a prognosis from their physiotherapist, this was often not their experience. Third, participants perceived that physiotherapists have the potential to impact prognosis through exercise prescription, management of conditions, and improving function. Fourth, receiving a prognosis can have both a positive and negative impact on the individual. Positive impacts include planning for the future, motivation, knowledge acquisition, and instilling hope. However, receiving a prognosis can be disheartening if a patient's expectations are unmet. Finally, participants have several preferences regarding receiving a prognosis including when and how often the prognosis is discussed, what prognostic information is provided, how the prognosis is presented, and what prognosis based on.
Conclusion: Individuals wish to receive a prognosis, although this is not always their experience. Individuals perceive that physiotherapists have the ability to provide a prognosis and impact their prognosis. Furthermore, receiving a prognosis has an impact on itself. To ensure patient-centred care, physiotherapists should explicitly discuss the prognosis with patients and consider their preferences when providing a prognosis.
| Autores | Nicholas Mullen Samantha Ashby Robin Haskins Peter Osmotherly |
| revista | Musculoskeletal Care |
| DOI | 10.1002/msc.1777 |