心态、努力与支持——前交叉韧带损伤后患者决定重返运动的基础：来自NACOX队列的定性分析
简介
该研究对NACOX队列中275例急性ACL损伤（含重建与非手术治疗）患者进行定性分析，通过自由文本回答探究其重返运动的决策因素。结果显示，核心主题为“心态、努力与支持”，其中对运动的热情和意志力是主要驱动力，可超越恐惧与不足；结构化康复、患者投入、自我感知准备状态及医疗许可等亦至关重要。临床医生应重点关注这三方面，以帮助患者完成从损伤到重返运动的漫长康复过程…
英文摘要
OBJECTIVES: To explore what determines patients' decisions to return to sport (RTS) after an ACL-injury, treated with or without reconstruction (ACLR). DESIGN: Prospective multicentre cohort study. PARTICIPANTS: 275 patients with acute ACL-injury treated according to clinical practice were followed. MAIN OUTCOME MEASURE: Answers to the free-text question: "What determined your decision to RTS?", analysed using qualitative content analysis. RESULTS: 134 patients reported RTS and 112 of these (56% after ACLR), answered the question. A total of 271 meaning units were condensed into 50 codes, nine subcategories, and three categories: "motivation and driving forces", "treatment and recovery", "medical clearance and readiness", with the overarching theme "mindset, effort, and support-the foundation for patients' decision to RTS". Answers were similar regardless of ACL treatment (ACLR or not). Passion for sport and willpower were strong motivators, outweighing shortcomings and fears. Structured rehabilitation, combined with patients' engagement, hard work, self-perceived readiness, and support from surrounding personnel, including medical clearance, were other factors influencing patients' decision to RTS. CONCLUSIONS: The theme, capturing the key components "mindset, effort, and support", summarises what determined patients' decisions to RTS. This may help clinicians identify what to emphasise during the long and demanding process from injury to RTS.